Presented by: Allison Dunn, Accreditation Coordinator Central Michigan District Health Department March 25, 2014

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1 Presented by: Allison Dunn, Accreditation Coordinator Central Michigan District Health Department March 25, 2014

2 Decision Time.PHAB or No? If your agency is considering applying for national accreditation, your agency must have the following: 1. Community Health Assessment 2. Community Health Improvement Plan 3. Strategic Plan

3 Call to Action When the County Health Rankings were released in 2010, Central Michigan District Health Department learned that one of its six counties (Clare County) was ranked un healthiest in the state (82 nd out of 82). Held our first Public Health Summit on March 10, 2010 What are you going to do now?

4 Together We Can CMDHD launched the Together We Can initiative Held its first meeting on May 20, 2010 Developed one district wide council, and 5 individual county Health Improvement Planning Groups Council and Health Improvement Planning groups are made up of stakeholders from a variety of agencies.

5 Community Health Assessment Received funding from local hospital partners to hire a public health consultant who was able to coordinate 5 separate community health assessments. Developed and implemented health issue surveys.

6 Community Health Assessment Four health factors addressed in surveys: Clinical Care Behavioral Factors Preventative Factors Environmental Factors The survey also measured health outcomes

7 Community Health Assessment The Health Issues Survey process was completed in early 2011 Determined priority areas Second Public Health Summit held on April 14, 2011 Participants provided input on which evidence based strategies would work to address priority areas in central Michigan.

8 Community Health Assessment The Together We Can Health Improvement Council continued to review the results of the Health Issues Surveys and recommendations provided to the council from each county s Health Improvement Planning working group. We looked at both national and state health priorities and where possible coordinated our strategies with them.

9 Barriers and Solutions Barriers in completing the Community Health Assessment: 6 counties with multiple County Health Rankings Took longer to complete than anticipated Solutions to Barriers: Forming the individual health improvement planning working groups. By taking the time needed, we came up with a comprehensive plan.

10 Community Health Improvement Plan How did we get there?

11 Community Health Improvement Plan The CHIP was developed based on: 2010 and 2011 Public Health Summit Health Issues Surveys for all 6 Counties 2 Town Hall meetings Feedback from the all 5 Health Improvement Planning Working Groups

12 Community Health Improvement Plan Health Priority Areas Identified: Access to Health Services Nutrition, Weight Status, and Physical Activity Maternal and Infant Health Reproductive and Sexual Health Abusive, Violent, and Controlling Behavior Substance Abuse Environmental Health Transportation

13 Community Health Improvement Plan The Central Michigan District Health Department received a grant from the University of Michigan s Public Health Training Center Work with the Michigan Public Health Institute to create the format for the plan and to pay for printing costs

14 Community Health Improvement Plan What is in the Community Health Improvement Plan?

15 Community Health Improvement Plan Long term, systematic strategies Current Situations, Goals and Strategies, and desired outcomes for each health priority area. Process used to develop the plan Shared with community at annual summit, on website and through media outlets

16 Community Health Improvement Plan In 2013, the Together We Can Health Improvement Council updated the original Community Health Improvement Plan. Updates include: Edits to goals, strategies, and outcomes Provided trend data to measure progress Moving from 8 priority areas to 7 Identifying Priority Area Leaders for each of the 7 priority areas.

17 Priority Area Leaders Roles and Responsibilities of a Priority Area Leader (PAL): Active engagement and attendance of the monthly Together We Can Health Improvement Council meetings Provision of quarterly updates on progress made in the priority area Communication with identified strategy champions within the priority area

18 Priority Area Leaders Roles and Responsibilities of a Priority Area Leader (PAL): Bringing recommendations to the Together We Can Council Proposing revisions/updates to the master plan when goals are achieved Coordination of advocacy efforts necessary to achieve the goals outlined

19 Priority Area Leaders Members of the Together We Can Health Improvement Council were asked to volunteer to be a Priority Area Leader. Out of the 7 priority areas, only 2 priority areas have leaders that are employed by the health department. The remaining 5 are community partners.

20 Community Transformations Grant Awarded to Central Michigan District Health Department in the Fall of 2012 $1.6 Million grant over the course of 2 years Will be used to implement interventions in the Community Health Improvement Plan associated with: Nutrition Physical Activity Smoking Cessation

21 Barriers and Solutions Barriers in completing the Community Health Improvement Plan: Plan implementation is over 3,200 square miles Trying to find champions for each priority area Rural Counties Solutions to Barriers: Recruiting and identifying the right priority area leader who is responsible for coordinating team members to address the strategies

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23 Anne Klein Barna, MA Health Analyst II Planning, Promotion, and Evaluation Unit Coordinator

24 Eaton County Barry County

25 Community Health Assessment Hospital led Health Department provided data CHNA published 2012

26 Community Health Improvement Plan B.Healthy Coalition (obesity) Tobacco Reduction Coalition Access to Care Workgroup

27 Community Health Assessment Health Equity Focused Authentically Tricounty New Answered Questions

28 NON URBAN AREAS

29 URBAN AREAS

30 Community Health Assessment Opportunity Measures Evidence of power and wealth inequity resulting from historical legacy, laws & policies, and social programs. Social, Economic, and Environmental Factors (Social Determinants of Health) Factors that can constrain or support healthy living Behaviors, Stress, and Physical Condition Ways of living which protect from or contribute to health outcomes Health Outcomes Can be measured in terms of quality of life (illness/ morbidity), or quantity of life (deaths/mortality)

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33 Community Health Improvement Plan Issues, Goals, Objectives, and Potential Strategies Identified Hospital Action Plans Developed HD Strategic Plan Developed Coalition to Monitor/Implement? County specific Implementation?

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35 Strategic Plan The Central Michigan District Health Department received a NACCHO grant and through that funding, we were able to hire a facilitator to help construct the original draft strategic plan.

36 Strategic Plan When developing the strategic plan, staff at all levels were included in the process: At first, administration developed multiple goals and strategies with the help of a facilitator Supervisors were asked for input Draft plan was shared with staff and staff prioritized goals and helped to identify strategies Prior to implementation, the Central Michigan District Board of Health reviewed it, provided input and then approved the plan.

37 Strategic Plan At the district wide meeting, were staff prioritized goals, the staff completed fishbone diagrams and used the nominal group process to vote on goals.

38 Barriers and Solutions Barriers with the Strategic Plan: Front Line Staff Recruitment Public Health Emergencies Solutions to Barriers: Encouraged front line staff to join committees Adjust the deadlines in goals

39 Strategic Plan The Central Michigan District Health Department took part in the MLC 3 project and sent a 5 person team to be trained in Quality Improvement in June of The agency structured strategic plan goals into quality improvement initiatives.

40 Lessons Learned Read the PHAB Guidance Document Takes more time than anticipated Be sure your agency is truly ready to apply Having stakeholders engaged from the very beginning

41 Tools and Resources Public Health Accreditation Board Checklist Consulted with NACCHO to review both our community health assessment and our community health improvement plan Use the resources available to you

42 SUCCESS Good luck on your journey to becoming nationally accredited! Should you have any questions, please feel free to contact me: Allison Dunn, CMDHD , extension 8413

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44 Agency Strategic Plan

45 Agency Strategic Plan

46 Agency Strategic Plan Methods of Stakeholder Engagement: Community Health Assessment Leadership Development Crafting Vision Selection of Department Goals Staff Development Engagement of Health Department Staff Department Leadership Team Meetings Review of Mission and Vision SWOT Analysis Identification of Priorities and Strategies Development of Action Plans Board of Health

47 Agency Strategic Plan Transformation to Performance Management System

48 Additional Resources: BEDHD NACCHO s Resource Center for Community Health Assessments and Community Health Improvement Plans CHAIP/chachip online resource center.cfm