Quality Connection
June 2017 - Issue 36
In This E-Blast
Article Headline
Welcome Public Health Colleagues
ASTHO Resources
State and Territorial News
News From Our Partners
PHAB Accreditation
ASTHO encourages all state health agencies to seek national accreditation from the Public Health Accreditation Board (PHAB). Visit  PHAB's Website  for the most up-to-date accreditation materials.  
ASTHO Policy Summit, Gala, and Annual Meeting
Join ASTHO) at the 2017 Policy Summit, Gala, and Annual Meeting to celebrate ASTHO's 75th anniversary.

The celebration begins on the evening of Sept. 19 at the Capital Hilton in Washington, D.C. with a 75th anniversary gala to recognize and network with esteemed public health colleagues and invited guests.  Click here to register  .

For questions, please contact  Melissa Ferguson for more information.
We want to hear from you!
We want to hear from you!
Has your department utilized performance management or quality improvement activities? Do you have accreditation readiness successes to share? Send a brief update to  accreditation@astho.org to be featured in an upcoming issue of Quality Connection.
If you do not already receive Quality Connection, click the link below to join our monthly mailing list.  Send us an email
Welcome Public Health Colleagues

Welcome to ASTHO's Quality Connection E-Blast! In this newsletter, you will find news and information on ASTHO resources and tools, upcoming funding and learning opportunities, current publications, and updates on cross-cutting ASTHO programs in areas of performance management and accreditation readiness. This newsletter is brought to you thanks to funding from CDC.

ASTHO's Performance Dashboard Refinement Project

ASTHO is currently finalizing a set of internal business process, operational, and administrative indicators for all health agencies to use and we'd like your assistance! As background, the ASTHO Performance Dashboard (PD) is intended to serve as a tool for state health agency executives to utilize and track comparable benchmarks to improve decision-making, leading to more efficient, high quality public health performance. In spring 2016, ASTHO concluded a pilot test and evaluation of the approximately 35 PD indicators in nine different states and territories. Qualitative and quantitative evaluation results provided detailed feedback on the utility, value, and feasibility of each indicator. Pilot sites recommended working with health agency subject matter experts on additional testing and analysis of the indicators' measurement specifications and operational definitions. To address this recommendation, ASTHO will convene four separate workgroups from July - August 2017 and facilitate the " Performance Improvement Workgroup" to gain critical feedback to inform the comparability, measurement, and potential benchmarking for eleven performance management and quality improvement indicators.
ASTHO is seeking health agency staff with job experience and frequent interaction with customer satisfaction and process improvement to contribute to the workgroup. Based on the workgroup's feedback, ASTHO will modify and release a final set of indicators to all health agencies in fall 2017. For more information on the Performance Dashboard Refinement Project, click here . To express an interest in participating, please contact Joya Coffman ( jcoffman@astho.org ).

Public Health Workforce Model Policies and Practices Challenge

ASTHO and the de Beaumont Foundation launched the first-ever national Public Health Workforce Model Policies and Practices Challenge. The challenge seeks exemplary recruitment and retention policies and practices that foster innovation and creativity, equitable recruitment and hiring practices, and workforce support for public health employees from state, territorial, and local health agencies and departments. The challenge will have three awards of $10,000 for the best local, state/territory, and overall submissions. State and local health departments are encouraged to enter the challenge. Submissions are due July 7, 2017. ASTHO will announce the winners during its 75th Annual Meeting and Celebration in Washington, D.C. More information about the challenge, including the RFP and submission guidelines, can be found on ASTHO's website. Applications and inquiries can be directed to Kyle Bogaert, Director of Workforce Eesearch, at kbogaert@astho.org.

 ASTHO Resources
ASTHO Adds New State Examples to the Accreditation Library

The Accreditation Library is a repository of sample accreditation documentation from state health agencies, which may serve as a reference for other health agencies developing similar documentation for their accreditation materials. ASTHO recently updated this repository to include examples of the following PHAB standards and measures:

Four new examples of State Heath Assessments
(Measure 1.1.2)
Three new examples of State Health Improvement Plans
(Measure 5.2.2)
ASTHO is still collecting documentation to include in this repository. We are seeking additional examples of the following PHAB standards and measures:

* Measure 1.2.1, 1.2.4; 1.4.1, 1.4.2, 1.4.3
* Measure 2.1.1, 2.1.2, 2.1.5; 2.2.1, 2.2.2, 2.2.3; 2.3.4
* Measure 3.1.3; 3.2.3, 3.2.4
* Measure 5.1.3; 5.2.3; 5.3.3
* Standards 6.3.1-6.3.5 (all measures in 6.3)
* Measures 7.1.1, 7.1.3, 7.2.1, 7.2.3
* Measure 8.2.1, 8.2.5
* Measures 9.1.4, 9.1.6
* Measure 11.1.3, 11.1.4
* Measure 12.3.2, 12.3.3

If you would like to submit your health agency's documentation as an example for the Accreditation Library, please send the documentation and a completed submission form to jhayes@astho.org.

From the Blog: The Iowa Department of Public Health Uses Quality Improvement Tools to Improve Programs

ASTHO began a five-part blog series highlighting state health departments' use of quality improvement tools and methodologies. In the first blog post , Public Health Accreditation Board President and CEO, Kaye Bender, discussed the importance of performance management and quality improvement in state public health agencies. The second post described the differences between performance management and quality improvement and explained the necessity of both components in a robust performance management system. ASTHO is excited to announce the third post in the series, titled The Iowa Department of Public Health Uses Quality Improvement Tools to Improve Programs . This post highlights Iowa's use of a Process Decision Program Chart to enhance the Plan-Do-Study-Act Cycle, a quality improvement tool.

State and Territorial News
Improving Population Health Planning in Ohio: Guidance for Aligning State and Local Efforts 

Cross-sector collaboration across public health and clinical care is imperative to the success of improved population health. Ohio identified a declining trend of performance in population health outcomes relative to other states. In response, the Ohio Department of Health and the Ohio Department of Medicaid contracted with the Health Policy Institute of Ohio to facilitate stakeholder engagement and provide guidance on improving population health planning in Ohio. The Health Policy Institute of Ohio convened an advisory group and a subgroup to make recommendations on improving population health planning in Ohio. The advisory group consisted of 42 members which represented 34 entities, including health insurance companies, primary care providers, hospitals, local health departments, and advocates. There were 34 members in the subgroup, 23 of which were external to state government. The recommendations made by both groups increased cross-sector collaboration in Ohio, motivated Ohio to develop a new state health assessment and state health improvement plan, improved agency transparency, and influenced new legislation that required a three-year cycle for local health departments and tax exempt hospitals to develop community health assessments. Ohio published " Improving Population Health Planning in Ohio: Guidance for Aligning State and Local Efforts" as a resource to guide the alignment of state and local health agency collaboration efforts in other state health agencies. For more information, please contact Brandi Robinson at Brandi.Robinson@odh.ohio.gov.

The Commonwealth of the Northern Mariana Islands and Guam Presented ASI Work at the 2017 PHIT Conference

The Commonwealth of the Northern Mariana Islands (CNMI) and Guam received funding, support, and technical assistance from ASTHO to develop their first agency-wide workforce development plans. Representatives from both jurisdictions traveled to the 2017 PHIT Conference, hosted by CDC, to present their progress on developing their plans. Halina Palacios and Margarita Aldan, from CNMI, facilitated a session entitled, "Navigating Through PHAB Waters: Sailing the Workforce Development Plan Wave." Vince Aguon and Jeff Pinuala, from Guam, facilitated a tabletop discussion entitled, "Workforce Development Planning for Dummies." The teams also discussed how engaging leadership, using tools and examples from peers, and expert consultation has contributed to the advancement of their work. Both teams provided unique perspectives on the development of their workforce development plans, successes, challenges, and lessons learned.


News From Our Partners

Public Health Departments Awarded National Accreditation by the Public Health Accreditation Board

On June 6, 2017, the Public Health Accreditation Board (PHAB) awarded national accreditation status to four state health departments, including the Alabama Department of Public Health, the Idaho Department of Health and Welfare, Division of Public Health, the Maryland Department of Health, and the New Jersey Department of Health, and seven local health departments. ASTHO celebrates the success of both state and local health departments in their achievement. ASTHO acknowledges the leadership and staff time necessary to obtain accreditation and appreciates all of their hard work to address the many different PHAB accreditation requirements. ASTHO will continue to support its members in sustaining their momentum in increasing their capacity to provide efficient services, build performance management systems, and impact health outcomes. PHAB President and CEO Kaye Bender commends the eleven public health departments for demonstrating a consistent and continued commitment to improving public health in their communities. For more information  click here , contact Teddi Nicolaus at (703) 778-4549 ext. 118, or email tnicolaus@phaboard.org . Learn more about PHAB and accreditation at www.phaboard.org , and by signing up for the PHAB e-newsletter

Using Quality Improvement Tools to Weather the Storm

When change occurs, feelings of instability and uncertainty can threaten work in performance improvement. Uncertainty can lead to poor planning and quick responses that do not address the root causes of problems. However, these winds of change can be seen as opportunities to activate quality improvement (QI) tools in your organization. See the latest  QI tools  from the Public Health Foundation that provide guidance and support during times of change and related challenges.

Submission Request

We enjoy your participation in the Quality Connection E-Blast and welcome contributions. If you would like to highlight your agency or a program going on in your state, please contact accreditation@astho.org  at ASTHO to contribute an update for a future issue.

We hope you and your loved ones had a peaceful holiday season, and look forward to continuing to support you in the new year. 


ASTHO Performance and Quality Staff

ASTHO Board of Directors
Presi dent: Jay Butler, MD (AK)
President-Elect: Brenda Fitzgerald, MD (GA)
Secretary-Treasurer: John M. Wiesman, DrPH, MPH (WA)
Immediate Past President: Edward P. Ehlinger, MD, MSPH (MN)
Past President: Marissa Levine, MD, MPH (VA)

 Regional Representatives
 I: Nicole Alexander-Scott, MD, MPH (RI)
II: Howard A. Zucker, MD, JD (NY)
III: Marissa Levine, MD, MPH (VA)
IV: Mary Currier, MD, MPH (MS)
V: Karen McKeown, MSN, RN (WI)
VI: Nathaniel Smith, MD, MPH (AR)
VII: Gerd W. Clabaugh, MPA (IA)
VIII: Wendy E. Braund, MD, MPH, MSEd, FACPM (WY) 
IX: James W. Gillan, MS, HSA (GU)
X: Elke Shaw-Tullock, MHS (ID)

ASTHO Executive Director: Michael Fraser, PhD, CAE, FCPP
Rep. Senior Deputies Committee: Joan Duwve, MD, MPH (IN)
Rep. Affiliate Council: John W. Robitscher, MPH (National Association of Chronic Disease Directors) 
Alumni Board Member: David L. Lakey, MD (alumnus, TX) [JH1]  [LE2]