Forest County Potawatomi Community Health Department’s Journey Toward A Accreditat tation Our J Jou ourn rney C y Con ontinues Lorrie Shepard, RN Community Health Outreach Director NIHB Tribal ASI TALC Webinar March 11, 2016
FCP Community Health Depart rtment Part of the FCP Health & Wellness Center Medical (OBY-GYN, Pediatrics, Podiatry, Radiology, Lab), Dental, Optical, • Physical Therapy, Mental Health & AODA, Traditional Medicine Community Health Department Programs & Services Car Seat Program MCH/HOC Diabetes Prevention SDPI Immunizations Infant Nutrition Program WIC HPDP HIV/AIDS WWWP Glucose Test & BP Screening Head Checks Smoking Cessation Nutrition Counseling Home Health/Visits
For ores est Cou ounty P Potawatom omi Checkerboard – Tribal Land Stone Lake, Blackwell, Carter • Population in Forest County ~725 Tribal Members • Service All Tribal Members 1,485 Tribal Members •
Past Accred editation on Effor orts Admin & HAC Approval • Created TPHA Committee • 2010 – 2012 Completed Self- Assessment Tool • Created Logic Model/Timelines (3 pre-requisites) • DHS PH Infrastructure Grant • Developed Electronic Filing System • Completed CHA • 2013 Assigned TPHA Coordinator • DHS PH Infrastructure Grant Established CHIP Workgroups • • Completed CHIP & Implementation Plan DHS Prevention Funding • • Established Domain Workgroups NNPHI COPPHI Grant • • Submitted PHAB Statement of Intent • Completed Strategic Plan • 2014 – 2015 Established TPHA Leadership Team • DHS PH Infrastructure Grant Staff, Leadership & Community Education • • CHIP/Strategic Plan Implementation & Tracking DHS Prevention Funding 2014 • • Domain Review & Documentation Collection IWHI Accreditation Mentor Program • • Submitted PHAB Application • DHS Prevention Funding 2015 • Attended PHAB Applicant Training • NIHB ASI Grant ***** • Completed QI, PM & Workforce Development Plans •
Wher ere A e Are W We No Now… Original P l PHAB d documen ent submission d date e – February 19, 19, 2016 2016 Reque quest P PHAB AB extens nsion n – granted to A August 19, 19, 2016 2016 Hired c d cons nsul ultants f from I IWHI – Traini ning o g on docum cumen entation s subm bmiss ssion Review d doc ocumentation for or Dom omain 2 2 (PH (PHEP EP) Hire red n new P PH Educat ator/Accreditation C Coord rdinat ator – start d date March ch 21, 21, 2016 2016 Do Domain W n Workgroup ups created F d Febr brua uary, 2016 – me meeting b g bi-week eekly ly, r reporting t to the T e TPHA Leade dershi hip m p monthl hly TP TPHA L Lea eadership m mee eets w wee eekly ly t to r o revie iew d doc ocumentatio ion f from om W Wor orkgroups AC / CHOD / / Ad Admin As n Assistant upload a appr proved d docum uments into ePHAB (4 m 4 measures/wk to to meet et d deadlin ine) e) Continue nue to keep p p plans ns alive! O Or Di Die T Trying ng T To!
Documentati tion Collection Important Thing ngs t s to R Remember ber Do Docum ument m meets t the requi uired d docum umentation n for t the m measure Do Docum ument is withi hin n the d date s specified d for t the m measur ure (5y 5yrs., 2y 2yrs., 14 14 months) Do Docum ument i is Au Authe hentic (inc nclude udes y your ur logo o or s some H HD D identifying ng i inf nform rmation) n) Do Docum ument i is d dated, s signe ned d if appr ppropri priate and i d is n not in d draft f form rm Do Docum ument i is i in a acceptabl ble f file f format (tip s p she heet f found i und in n the he P PHAB Accreditation n Coordi dinator H r Handbo ndbook, pa page 1 16) Do Docum ument i is l loade ded i d into ePHA HAB in t the e right v viewin ing p pos osit ition Make s e sure y e you have t e the r e requir ired ed number er o of e examples es
Documentati tion Collection / / Tracking System
Documentati tion Collection / / Tracking System Examples of documents ready to be uploaded to ePHAB for Domain 11, Measure 11.1.1 (1)
Challenges of Documen ent C Collec ection TIME ME!! !!!! !! • Relying o g on o other ers f for documen entation. • Creati ting g the d documen ents ts y you d don’t h have a e and get getti ting g them em • approved ed! Engagem gement an and ac accountabil ilit ity of of D Domain in Wor orkg kgroups. • Sta taff t turnover er. • Projec ect t managem emen ent ( (kee eeping d g documents a alive). ). • Staying g motivated ed a and k keep eping g it a priority ty! •
Thank You Lorrie Shepard, RN Community Health Outreach Director lorrie.shepard@fcpotawatomi-nsn.gov 715-478-4341
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