a. Ensure ECHD representation on CHIP action teams. b. Ensure all ECHD staff are familiar with major trends in CHA data at least biannually.

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Matilda Pierce
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1 Community Health Administration Clinic Nursing EH Construction 1. Continue to collect data from multiple sources including Community/Environmental Health Assessments for use in agency and community planning processes. A. Collaborate with partners to secure funding and long term success of Community Health Assessment (CHA), Community Health Improvement Plan (CHIP), and other emerging public health initiatives. a. Ensure ECHD representation on CHIP action teams. b. Ensure all ECHD staff are familiar with major trends in CHA data at least biannually. B. Utilize the Master Health Education Plan (MHEP) to address emerging and ongoing public health issues a. Review and update the MHEP biannually and as needed. b. Utilize evidence based/promising practices and/or state and national education campaigns to address targeted health risks. C. Add data from other sources utilizing the Mobilizing for Action through Planning and Partnerships (MAPP) process to expand the scope of the CHA. a. Utilize outcome rating for Uniform Data Sets (UDS) and Patient Centered Medical Home (PCMH) quality of life indicators in service delivery planning and educational objectives. b. Utilize focus groups and community feedback data to modify or implement targeted programming, services, and projects. D. Expand utilization of the MAPP process throughout the agency through training and facilitation. a. Train management staff on the MAPP process annually. b. Educate stakeholders upon initiation of projects. E. Incorporate and link the strategic issues of the Erie County CHIP into ECHD activities/services.

sessments for use in agency and community planning processes. A.

2 a. Link CHIP goals and strategies into agency, division and programmatic MBO work plans where appropriate. b. Educate staff at least annually about the current goals and strategies of the Erie County CHIP. 2. Maintain and expand stable funding sources to ensure continuity of operations and allow for potential agency growth. A. Achieve New Access Point (NAP) status. a. Submit NAP grant application at each opportunity until successfully awarded. B. Review and implement organizational chart changes to align with current programs and future policy development. a. Create a division that will perform the management of grants, performance management, quality improvement and accreditation management based on identified trends and emerging policy issues. C. Promote agency services by developing a comprehensive marketing plan by 2016 to assure levy success and to increase service utilization. a. Create a marketing plan committee with representation from each division by January 31, D. Maintain and/or expand service jurisdiction through contracts. a. Annual review of contracts to verify cost versus benefit. b. Annually and as needed identify areas of potential expansion through contracts. E. Utilize annual cost methodology analysis to ensure fee schedule are appropriate. 3. Expand the public health service delivery system to address the complete age spectrum. A. Participate as a stakeholder in the expansion of behavioral health services. a. Use assessment data to identify and prioritize behavioral health initiatives. B. Promote the increased usage of public health services. a. Reassess and modify the intra-agency/inter-agency referral system by tracking and reporting department wide implementation. b. Increase accessibility to health center services accordingly based on the quarterly analysis of consumer feedback, utilization data and internal capacity.

Maintain and expand stable funding sources to ensure continuity of operations and allow for potential agency growth. A. Achieve New Access Point (NAP) status. a. Submit NAP grant application at each opportunity until successfully awarded.

3 C. Address age appropriate public health services in the marketing plan. D. Expand oral health services and utilization. a. Expand service offering to include restorative care options. b. Focus marketing and intra-agency referral efforts on priority populations. c. Outfit and equip MHV with necessary dental equipment. d. Ensure services are incorporated into the marketing plan. E. Increase the number of Public Health Outreach Clinic (PHOC) locations and the services provided at these locations including Mobile Health Vehicle (MHV). a. Conduct a personnel needs assessment, cost methodology studies, consumer feedback analysis to determine the feasibility and requirements of adding services and PHOC sites. b. Recruit additional personnel based on the needs assessment. c. Provide rotating clinicians at PHOC sites. d. Develop and implement a PHOC resource budgeting plan. F. Work toward achieving Healthy People 2020 vaccination standards for all ages within the health district. a. Utilize relative agency programs to educate parents on the importance of immunizing children. b. Increase contact tracing, as recommended by infectious disease control standards, for all cases of vaccine preventable reportable diseases. c. Include immunization educational activities into MHEP. G. Improve health of the community through increased utilization of clinical practice guidelines and promotion of chronic disease management. a. Analyze data collected in the CHA/CHIP/internal Health Center data to identify areas of focus and health initiatives. b. Improve clinical measure outcomes annually using a continuous quality improvement process (CQI) as specified in the (ECHD QI Plan).

sure services are incorporated into the marketing plan. E.

4 H. Identify and administer preventative strategies that limit exposure to environmental hazards. a. Expand beach program to include predictive monitoring on all targeted public beaches. b. Increase regional educational offerings for licensed and registered facility operators. c. Identify funding sources and/or partners to develop larger regional training conferences. d. Increase oversight and monitoring of storm water infrastructure within the urbanized areas of the health district, and work toward the elimination of threats as they are identified. e. Establish and implement a discharging sewage treatment systems (STS) inspection program to increase watershed protection efforts. f. Increase numbers of children ages 0-6 years who receive blood lead level screenings. g. Incorporate community education in the marketing plan regarding environmental hazards present and emerging in the region. h. Expand comprehensive Healthy Home services with regional partners and internal programs through increased grant funding. I. Enhance program capacity to prevent and control infectious diseases. a. Issue timely and seasonally appropriate preventative messaging related to infectious diseases as a component of the marketing plan. b. Establish an intra-agency enteric disease response team. c. Address applicable prevention and control services in the marketing plan. d. Standardization of Environmental Health programs to ensure proper enforcement and application of laws/codes/standards. 4. Continue to support and serve as a model for the development of a regional approach to public health and population health service. A. Explore jurisdictional/programmatic/service expansion throughout the region. a. Utilize surrounding counties assessment data to identify opportunities for collaboration.

velop larger regional training conferences. d.

5 b. Continue membership and participation in state-wide/regional/local partner/stakeholder groups. B. Successfully transition into a Public Health Accredited agency. C. Ensure a competent workforce to provide high quality services to meet the needs of the region. a. Annually update and revise the Workforce Development Plan. b. Incorporate succession planning into the Workforce Development Plan to ensure continuity of services. D. Utilize a new division focused in the areas of grant management, quality improvement and performance management to: a. Ongoing review, and implementation of, organizational chart changes to address current and/or evolving program needs, and future policy/program development, and new/expanded jurisdictional areas. b. Explore grants/foundation/other funding source commitments. c. Provide awareness-level training for staff on how to seek out grant opportunities. d. Assure performance management and attainment of agency goals and objectives. e. Facilitate quality improvement projects.

Ongoing review, and implementation of, organizational chart changes to address current and/or evolving program needs, and future policy/program development, and new/expanded jurisdictional areas. b.

6 Implementation and Performance Management Each fall the directors and the health commissioner will create work plans for the upcoming year. These work plans will be designed to address and attain the goals, objectives and strategic priorities contained in this strategic plan. These work plans are then used to generate additional work plans for each program and staff member within the agency to further detail the activities necessary to achieve the goals and objectives. Work plan objective items will all be in SMART format and will include a timeframe for projected completion. Progress toward meeting the objectives contained in each work plan is assessed quarterly. The combined performance assessment data is then used to annually report the progress toward attainment of the goals defined in the strategic plan. This performance management process will be a component of the agency s annual report. If it is determined through the assessment and performance management process that a goal, objective or strategic priority is at risk of nonattainment; a quality improvement initiative will be undertaken to address the matter.

These work plans are then used to generate additional work plans for each program and staff member within the agency to further detail the activities necessary to achieve the goals and objectives.

THE ACCREDITATION PROCESS

THE ACCREDITATION PROCESS Lessons learned from Ventura County Public Health s Journey Rigoberto Vargas, MPH Public Health Director VCPH S JOURNEY TO ACCREDITATION Objectives Provide an overview of Ventura