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Public Health Accreditation Assessment Process

Bud Nicola , MD, MHSA, FACPMChair, Assessment Process Workgroup

Introduction and Overview

Webcast Goals

• Provide an overview of the recommended assessment process

• Raise questions and issues for Board consideration during their meeting

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Workgroup MembersChristine M. Abarca, MPH, CHES

Florida

Joan H. Ascheim, MSN New Hampshire

Janet Canavese Missouri

Alan V. Kalos, MED Kentucky

Jerald W. King, MA Indiana

Laura Rasar King, MPH, CHES Council on Education for Public Health (CEPH)

Richard H. Matheny, Jr. MFS, MPH Connecticut

Bud Nicola, MD, MHSA, FACPM (Chair) Washington State

Bruce Pomer, MPA California

Rita A. Schmidt, MPH Washington State

David Stone, MS North Carolina

Jeffrey J. Zayach, MS  Colorado

Dennis Lenaway PhD, MPH CDC

Michael Hamm Consultant to PHAB

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Workgroup Principles• The process should promote quality

improvement

• The process should reduce anxiety and increase comfort for applicants, to the degree possible

• The process should be largely paperless and online

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Assessment Process Overview1. Pre-application

Applicant prepares and assesses readiness, informs PHAB of its intent to apply, and receives training

2. ApplicationApplicant submits application

form

3. Self-assessmentApplicant gathers

documentation

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4. Site VisitSite visit is conducted and report

developed

5. Accreditation DecisionsPHAB Board will award accreditation status

6. AppealsProcedure for appeals and complaints

7. Reports and ReaccreditationDepartment reports progress and reapplies

I. Pre-applicationA. Technical Assistance

– PHAB will provide technical assistance on process, not QI

B. Orientation– Overview of process and standards– Online, available 24/7, free– Mandatory, prerequisite to letter of intent

C. Readiness– PHAB will provide readiness assessment

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I. Pre-applicationContinued

D. Letter of Intent– Required; non-binding– Place agency in training queue– Designates applicant’s accreditation

coordinator

E. Applicant Training– Required, accreditation coordinator– 2 day, face-to-face– A fee will be charged

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II. ApplicationA. Application Form

– Contract– Non-refundable payment– On-line, provide sufficient information to

determine eligibility

B. Eligibility– Completeness Review– Eligibility Determination– Multi-agency applications

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III. Self-assessment

A. Process– To be completed in twelve months– Completeness review by staff

B. Content– Demonstrate how department meets

standards and measures

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IV. Site Visit

A. Site Visitor Training– Two day, Face-to-face

B. Site Visit Team– Appointment of team– Team members– Conflict of interest

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IV. Site VisitContinued

C. Site Visit– Pre-site visit– Process of site visit– Review– Evaluation

D. Site Visit Report

E. Site Visit Follow-up

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V. Accreditation Decisions

• Process

• Review Committee

• Accreditation Status

• Conditional Accreditation

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VI. Appeals

• Levels of Review

• Complaints

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VII. Reports & Reaccreditation

• Departments report changes as they occur

• Mid-term reports – 2 ½ year report

• Re-application

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Discussion

Comments

or

Questions?

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Thank You