refresher for phab site visitors · 2015. 4. 30. · mandatory post test. please complete promptly...
Post on 17-Oct-2020
1 Views
Preview:
TRANSCRIPT
Refresher for
PHAB Site VisitorsApril 30, 2015
Interactive Site Visitor Webinar
Welcome and Purpose of Webinar
Agenda:
Current PHAB Status and General Update
Site Visitors Role in PHAB’s Risk Prevention
Selected Evaluation Results
Site Visitor Guidance Changes
Changes in Appropriate Documentation
Other Program Updates
Accepting Assignments
Future Topics on PHAB’s Agenda
Questions and Answers
Kaye Bender, President and CEO
Kaye Bender
Jessica Kronstadt
David Stone
Robin Wilcox
Jeff Lake
Presenters
Learning Objectives Describe PHAB’s current status and general updates
Discuss the Site Visitor’s role in PHAB’s risk prevention/reduction
Describe selected PHAB evaluation results and their implications for Site Visitors
Discuss Site Visitor guidance changes, including changes in acceptable program documentation
Discuss PHAB’s needs in terms of planning and accepting review assignments
Describe some potential future topics of interest to Site Visitors
• General PHAB Update
Site Visitor’s Role in PHAB Risk Prevention/Reduction
CREDIBILITY
Staying current
Disclosing professional issues
Completing assignments on time
Being “present” during the Site Visit
Revised SV Agreement Form
CONSISTENCY
Rater reliability
Close attention to the SV Report
Kaye Bender, President and CEO
PHAB intends to provide a menu of refresher options:
Interactive and recorded webinars
Practice case study exercises leading to:―Practice scoring and conformity comment exercises
―Individual consultation
Site visitor refresher info through the PHAB site visitor
portal
New and exciting things to come
PHAB’s Planned Approach to Supporting
Site Visitor Refreshers and Success
Kaye Bender
What We are Learning
To help us improve the process:– We survey Accreditation Coordinators
– We survey Site Visitors
– We contract with NORC at the University of Chicago
Health departments’ view of accreditation is positive– 98% agree or strongly agree: “Our health department
made the right decision to apply for accreditation.”
– 100% agree or strongly agree: “Going through the accreditation process has improved the performance of our health department.”
Jessica Kronstadt, Director of Research and Evaluation
Accreditation Coordinator Survey
Jessica Kronstadt
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Site Visitors were knowledgeable about theaccreditation process and the Standards and
Measures.
Site Visitors encouraged health department staffto communicate openly during the Site Visit.
Site Visitors conducted the Site Visit in aprofessional manner.
Site Visit Report provided an accuraterepresentation of our health department.
Strongly Agree Agree Disagree Strongly Disagree
Site Visitor Survey
Jessica Kronstadt
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
By the time my Site Visit Team submitted theSite Visit Report, my Site Visit Team was in
agreement about the assessment categories forall or almost all of the measures.
The site visit report written by the Teamprovides an accurate picture of the
performance of the health department Ireviewed.
Strongly Agree Agree Disagree
Site Visitors comment that they want more practice to make sure they are assessing health departments consistently
Rater Reliability Critical that Accreditation Committee receives Site Visit
Reports with clear and consistent information
Guidance & Discussion– Information in Standards and Measures
– Training for health departments and Site Visitors
– Tip sheets and other resources
– Q&A with Accreditation Specialists
– Discussions with team about measures not assessed as Fully Demonstrated
– Coming: rubrics
Practice exercises and feedback on those exercises– During training
– After training
– Measure 1.1.2
– Periodic MANDATORY refresher exercises
Review of Site Visit Report
Jessica Kronstadt
Writing Conformity Comments
Tell How
Summarize, not list
Address the requirements
Define what is missing
Domain & Standard Comments
David Stone, Education Specialist
Clarity and consistency of comments
Guidance, with examples
Posted on:
- the site visitor portal
- e-PHAB training module for webinar
Comments = Site Visit Report
David Stone
Revisions of Policies and Procedures
PHAB is a learning organization
Site Visitor, health department, and AS
evaluations
Revise guidance and definitions, as
needed
Robin Wilcox, Chief Program Officer
Accreditation Specialist
The Accreditation Specialist is a member
of the Site Visit Team for:– Quality Assurance
– Consistency within and across Site Visit Reports
– Clarity of information for the Accreditation Committee
SEEK THE ADVICE AND COUNSEL OF
YOUR ACCREDITATION SPECIALIST
– Guidance may very well have changed since
your last Site Visit.
Robin Wilcox
Scope of Authority
PHAB has revised and refined guidance
concerning which activities are within
PHAB’s scope of authority and which are
not
New Tip Sheet (on PHAB’s website)
Robin Wilcox
Public Health Documentation
The focus of PHAB’s Standards and Measures is population-based disease prevention, health protection, and health promotion.
Population-based health are interventions aimed at disease prevention and health promotion that affect an entire population and extend beyond medical treatment by targeting underlying risks, such as tobacco; diet and sedentary lifestyles; and environmental factors. (Turnock BJH. Public Health: What It Is and How It Works. Gaithersburg, MD: Aspen Publishers, Inc.; 1997)
Robin Wilcox
Examples of Core Public Health Programs
access to clinical services
chronic disease prevention and control
community health
environmental public health
infectious diseases
governance
vital records and health statistics
health education
health promotion
injury prevention
management /administration
maternal and child health
PH emergency preparedness
PH laboratory services
See Standards and Measures V 1.5 page 9Robin Wilcox
Not in PHAB’s Scope of Authority for Documentation
1. Individual patient care and associated interventions, whether provided in the clinic, home, or other facility such as a school or correctional facility, or which have case management components, are not included in PHAB’s scope of authority.
PHAB’s liability does not extend to assuring the capacity of a health department to provide individual patient care services. Even though PHAB recognizes that some health departments are the safety net providers in their communities, standards and measures that would assess patient care would look very different than the population-based standards and measures. Additionally, for health departments who also operate a Federally Qualified Health Center (FQHC), there is an accreditation available through the Joint Commission (JC). For individual services and interventions related to mental or behavioral health interventions, health departments can also consider those specialty accreditations.
Robin Wilcox
Population Based PHFor example:
Dental Health Education
Strategies to Improve Access to Primary Care
Systems and Campaigns to Increase
Immunization Rates
Population-based Substance Abuse Prevention
Family/partner Violence Prevention
Health Education, etc. about, for
example, prenatal care, screenings,
tobacco use
Robin Wilcox
Not Appropriate for Documentation
2. Programs for the reimbursement for health care services, such as Medicaid or other health care insurance programs are outside of the scope of PHAB accreditation.
3. Social services and educational support programs do not fall under PHAB’s accreditation purview. For example,
• developmentally disabled,
• services for disabled adults,
• child welfare programs,
• child abuse intervention,
• domestic violence/intimate partner violence intervention and sheltering,
• low income housing assistance,
• child foster programs,
• adult protective services, and
• food stamps.
Robin Wilcox
Not Appropriate for Documentation
4. Individual professional and facilities licensure and
certificate programs are outside of the scope of PHAB
accreditation (for example, nursing home licenses or
certificate of need).
5. Animal health programs such as animal shelters,
catch-spay-release efforts, rabies vaccination clinics,
are outside of the scope of PHAB accreditation.
Robin Wilcox
Health Department Plans and Systems
Just because some of the public health program aspects cannot be
included in PHAB’s documentation examples doesn’t mean that health
departments shouldn’t include those staff and activities in their overall
accreditation related work. If the activities that we cannot use for
example documentation show up in the following documents, that is
fine:
– Community Health Assessment
– Community Health Improvement Plan
– Agency Strategic Plan
– Quality Improvement Plan
– Workforce Development Plan
– Performance Management System
Robin Wilcox
WIC PHAB has the reputation of not supporting WIC as a good public
health program. That is not the case.
There are three basic components of most WIC programs:– program planning, outreach, and community nutrition education;
– certification of the individual; and
– management of the food distribution.
USDA oversees, through contracts, all of these components. Some health
departments also have a separate breastfeeding promotion grant from WIC.
Program planning, outreach, community nutrition education,
and breastfeeding promotion are all acceptable components
of the WIC programs for PHAB documentation.
Robin Wilcox
You are representing PHAB
Stay on focus with the measures and
documentation
Do not address programs that are out of PHAB’s
scope of authority
Do not share your experiences in health
departments in which you have worked
Do not recommend how the health
department might do things differently
Other Guidance
Robin Wilcox
Don’t “toggle” between Versions 1.0 and
1.5
Report e-PHAB issues to your Accreditation
Specialist right away – even on a weekend
– Team India
Other Guidance
Robin Wilcox
Asking questions clarifies documentation a health
department has uploaded and reopening allows a
HD to upload additional documentation
When in doubt, ask questions or reopen measures
unless beyond scope of measure or solely because
you consider it ‘sloppy’
Use professional judgment, discuss as team
―ask your Accreditation Specialist if you have
questions
Asking Questions and
Reopening a Measure
Robin Wilcox
First step is always vetting potential site visitors with
health department to identify any COI
All assignments made through e-PHAB
When you login and see the health department, notify
Jeff Lake if you think you may have a COI
Timeline for assignment is provided in system e-mail
Accept assignment only when you can commit the time;
leaving team in progress is disruptive
If you have questions or concerns, contact Jeff
before accepting
Accepting Assignments
Jeff Lake, Volunteer Services Manager
Future Topics on PHAB’s Agenda
Army accreditation
Vital records/health statistics accreditation
Potential changes in the review and site visit process aimed at
increasing efficiencies and reducing costs
More visible use of standard metrics to describe the value and impact
of accreditation
Ongoing, and “just in time” refreshers for site visitors
Reaccreditation
Attention to the development of a new accreditation product
for health departments serving less than 50,000 population
Coordination with the Foundational Capabilities work
Coordination with the RWJF work on Culture of Health
Kaye Bender
PHAB is now using a Learning Management
System (Vubiz) http://phab.vubizlearning.com
Enter your e-mail address
Enter PHAB2015 as PIN (you may change)
After you login, you will see a screen titled “My
Enrollments”
Click launch course to access the
mandatory post test. Please complete
promptly (before May 11).
Post Webinar Instructions
Jeff Lake
Discussion
Questions
Thank You
From All of Us at PHAB
PHAB Site Visitor Refresher Training
April 30, 2015
top related