Michigan Department of Community Health

Transcription

1 Michigan Department of Community Health Public Prevention Health Fund: Strengthening Public Health Infrastructure for Improved Health Outcomes (AKA National Public Health Improvement Initiative ), Type 3 Supplemental Project Narrative Summary of Funding Request To accelerate agency readiness to apply for and achieve national accreditation, this supplemental funding request will provide support in the form of staff, materials, travel, and consultants to accomplish the following as they relate to a state health assessment and improvement plan: Review of a variety of health assessment instruments. Selection of indicators specifically meeting Michigan needs. Development of a Chartbook, with data pertinent to the Public Health Administration, but also for the Michigan Hospital Association, local public health, and other interested stakeholders. Development and staffing of a Statewide Advisory Group (AG) to review and monitor the process. Input via stakeholders groups, regional meetings and key informant interviews. Development of a State Health Profile (SHP). Development of a State Health Improvement Plan (SHIP). Development of recommendations for the State Health Strategic Plan (SHSP). Background Michigan has not conducted a comprehensive and collaborative State Health Assessment or State Health Improvement Plan for over a decade. Although various categorical assessments, improvement plans, and strategic plans are available and current for a number of programs, no current comprehensive plan exits. Michigan was a PHAB beta test site in 2010, and was identified as being deficient in state health assessment, state health improvement planning, and strategic planning. Before Michigan applies for national accreditation, it must engage partners and develop those products. 1

2 Michigan recently had a change of administration and will be required to evaluate all areas on a discreet set of metrics. The process to develop a SHP, SHIP or SHSP will help define and drive that process. Investment Linkages: Public Health Organization Improvement: Through the SHA/SHIP/SHSP process, efficiencies will result in the identification and prioritization of needs, selection of priorities, and implementation of effective and cost effective best practices. Once the SHA/SHIP/SHSP processes are complete, a state quality improvement plan can be developed for the public health administration (as part of a performance management approach). Improvement of Health Outcomes: By prioritizing efforts, in a reasonable strategic fashion, health outcomes, especially those for obesity and infant mortality (two Michigan priorities) will be improved. Use of data with measurable goals and objectives will drive improvement efforts. Accreditation Readiness: In order to apply for accreditation, Michigan needs to plan, develop, and execute the SHA, SHIP, and SHSP. Local Public Health: Similar activities and technical assistance will be offered and conducted for local public health, and complement those activities identified in the August, 2010 Component I application. Activity Plan 1 & 2: Desired outcomes and Key Methods and Activities A. State Health Profile Chartbook Created A Chartbook will be developed based on MAPP Core Indicators, MDCH Critical Health Indicators, HP2020 Leading Health Indicators, County Health Rankings, and Social Determinants of Health. Selection will be advised by other states assessments, and MDCH, Michigan Hospital Association, and local public health needs. Staff will collect, collate, summarize and parse data, with presentation by state, region, county or other useful subdivision. Chartbooks will be developed and used in meetings identified in (B) and (C). A narrative report will be produced. A website will be developed to house and present the data. B. Advisory Group Formed and Begins Meeting Members will be recruited from stakeholder groups MDCH, local public health, Michigan Hospital Association, Michigan Association for Local Public Health, Michigan Peer Review Organization, and others. The group will advise the entire process, vet the Chartbook, the State Health Profile, the State Health Assessment, the State Health Improvement Plan, and then provide advice on strategic health priorities and goals (for an eventual State Health Strategic Plan and PHA Quality Improvement Plan). Staff will organize and plan meetings, record minutes, and provide maintenance of the group. C. Town Halls, Regional Meetings, Key Informant Interviews, and Focus Groups 2

3 Contracts will be implemented to conduct and summarize input from eight Town Hall/Regional meetings, and also to perform focus groups, key informant interviews, and other input methods. Coordinating staff will attend, assist in planning, record minutes, and develop summaries of the input. D. Advisory Group and others produce Priority Issue Identification Staff and the Advisory Group will review quantitative and qualitative data, recommend a framework for the State Health Improvement Plan, and establish priority issues. The State Health Improvement Plan will be written by staff and vetted by the group. E. Release of State Health Improvement Plan The final State Health Improvement Plan will be presented to the Advisory Group, and then released, via hardcopy and electronic means, to interested parties. Staff will provide support and technical assistance to local partners. Contracts will be executed with a select number of local health departments for similar health improvement planning activities. F. Recommendation for State Health Strategic Planning Staff and the Advisory Group will develop recommendations for issue-specific strategic health planning priorities. These recommendations will be presented to upper management, for use in development of specific action plans and health strategic planning purposes. Timeline for completing key activities June, 2011: A & B completed July, 2011: C completed August, 2011: D, E completed September, 2011: F completed Key partners and cross-jurisdictional relationships Involved in the Advisory Group will be health partners, tentatively projected as the Michigan Department of Community Health, the Michigan Association for Local Public Health, the Michigan Hospital Association, Michigan Peer Review Organization, various local health departments, and others with interest of impacting health assessment, health outcomes, and health improvement. Most of the organizations collaborate, in program implementation or advocacy, with some of the partners listed, but this effort will be one of the first attempts to convene such a broad group of stakeholders for the stated purpose. Staffing Project Affiliates: Will collect, tabulate, summarize and present data, and provide for staffing support for the Advisory Group, focus groups, and other stakeholder groups. The affiliates will 3

4 be retained for a sufficient span of time to complete the tasks required by the aggressive timeframe. Affiliates will need to have sufficient skills and experience performing similar activities, preferably with some experience in health assessment, data collection and health improvement planning. Affiliates will report to Lonnie Barnett, Manager of the MDCH Health Planning and Access to Care Section (resume is attached). Project Consultants: Will oversee the process, handle project management, determine scheduling of meetings, and be responsible for the outcomes and products. Suitable candidates will have like experience in short-term project management in a similar field. Web Consultants: Will provide for web development, loading of data, and maintenance of the website. Suitable candidates will have similar experience in rapid website design, building, development, and rollout. Project Management tracking and issue resolution methodology Outcomes and timelines are matched. A project management software tool will be used to monitor and track progress. When deficiencies are noted and studied, the principle investigator or subordinate will take action to determine the underlying issue and implement specific solutions. Documentation of all issues and resolutions will be ongoing. Satisfactory meeting of outcomes and timelines will indicate success. Performance/Work Plan Specific quantifiable performance measures (process and outcome) Outcome: By June 2011, establish the Statewide Advisory Group. Process: By June 2011, recruit and appoint Advisory Group members. Process: By June 2011, begin Advisory Group meetings, and continue for duration of project. Outcome: Develop, by June 2011, a State Health Profile. Process: By June 2011, contract with a website developer/designer, to create a website to store and process data, and provide for reporting. Process: Develop, by June 2011, a Chartbook, with an associated narrative report. Process: Develop, by June 2011, regional profiles for use in stakeholder, focus and regional meetings. Process: Develop, by June 2011, the state health profile. Outcome: By July 2011, conduct all outside input necessary to instruct the State Health Improvement Plan Process: By June 2011, determine contractors for Town Hall, Regional, focus group, and key informant meetings. Process: By July 2011, conduct Town Hall, Regional, focus group, and key informant meetings, and collate data. Outcome: By August 2011, complete the State Health Improvement Plan 4

5 Process: By August, 2011, with Advisory Group and other input, develop and produce the State Health Improvement Plan, and provide data, guidance, and support in development of regional and local plans. Process: By August 2011, establish contracts with select regions, LHDs or counties to develop local health improvement plans. Outcome: By September 2011, release the State Health Improvement Plan and Advise the State Health Strategic Plan. Process: By September 2011, release the State Health Improvement Plan to those involved in the process, advocacy groups, the legislature, and others in leadership or with interest in public health Process: By September 2011, with State Advisory Group and other input, develop priority health issue description and justification. Process: By September 2011, develop goals, measurable objectives and actions steps, such as those identified in the Community Guide. Process: By September 2011, provide guidance to the development of a Statewide Health Strategic Plan. Data sources For all above, project management software, such as Microsoft Office Project, will provide for tracking and verification that the above discreet tasks are being completed. Timeline for performance assessment Tracking will be performed weekly, monthly and quarterly, for all measures above. The Performance Improvement Manager and the consultants, contracted to provide oversight for this process, will be responsible for assuring timelines are met. Progress/interim milestones Establishment of contracts to accomplish the project Appointment, organization, and conduct of the Statewide Advisory Group Development and distribution of the Chartbook Development and operation of the Website Development and distribution of the State Health Profile Development of the State Health Assessment Development and distribution of the State Health Improvement Plan Development of objectives and activities for the State Health Strategic Plan Relationship to National Outcomes or Measures Products and processes, namely the above milestones, all correlate to national goals for public health accreditation (PHAB) readiness. State health priorities, when identified and acted upon, will result in a positive effect on national outcome indicators, such as those for obesity and infant mortality. 5