Hi All,
I started at Anne Arundel County Department of Health about 2 months ago, and I'm working on both PHAB accreditation and QI. We are shooting to finalize the document submission by January 2018. I've started talking with other health departments who've gone through both accreditation and the QI implementation process to get a feel for their experiences and timelines. I've developed a workplan (link below) of what I think our process and timeline should look like, and I would love feedback. Do you think this is realistic? Are there any steps I may have missed?
Just as background, our Department conducted a program-level assessment intitaive about two years ago, so most programs have goals, objectives and measures already (but many need to be updated). We currently have no centralized data reporting system or standardized QI activities.
Thanks in advance for any feedback,
AZ Snyder
https://www.dropbox.com/s/ippzrxwtr1nezli/Draft%20PMS%20and%20QI%20Workp...
Hello,
Hello,
You've done an excellent job of identifying the tasks and establishing a workable timeline. Two thoughts:
You have the completion of your QI Plan prior to analysis of data from your PMS reporting. It's how we did it too, but the pitfall is that your QI Plan isn't responsive to the PMS. Unfortunately if you push development of the QI plan out to respond to issues illuminated by your PM data, then it pushes your accreditation timeline out significantly, since you have to also demonstrate an annual review of the QI Plan. This cycle we are striving to line these processes up to be more mutually supportive.
My second thought is that that if these concepts are new to the culture of your your org, then your staff may struggle with it a bit. I discovered that there was a huge spectrum of understanding when I started receiving the proposed performance measures from program staff. A lot of patience and repetition and examples and one-on-one time may be needed to get everyone speaking the same language.
Best of luck in your new position, and keep us updated!
Georgianna Wood
Accreditation Coordinator
Humboldt County DHHS Public Health
Thank you Georgianna! It's
Thank you Georgianna! It's reassuring to hear from someone who's done the same thing. The last thing I want to do is stress staff and cause resistance to a process that is going to help them do their job in the long run. I think that I need to build in more time for one-on-one support for program managers, which is something I didn't take into account originally.
Hi and congrats on your new
Hi and congrats on your new position! You have done a great job with this gantt chart to try and plan the big picture of PM and QI. A lot of accreditation coordinators could benefit from this! Here are a few thoughts:
Please keep us updating throughout your journey! We can all benefit from shared experiences. Good luck!
Gurleen Roberts, MPH
Director of Quality Management
Cobb & Douglas Public Health
Marietta, GA
gurleen.roberts@dph.ga.gov
Georgianna and Gurleen have
Georgianna and Gurleen have made some great suggestions. Some additional thoughts:
For your PMS, consider pilot testing the reporting tool before it is launched. Also, see this community forum thread for ideas on a tracking system:
https://www.phqix.org/content/request-proposals-performance-management-s....
A great resource to introduce performance management systems can be found on the Public Health Center for Excellence website: http://www.phcfe.org/qi-in-five.html. Specifically, check out the “QI in Five” tab for 2 11-minute webinars on performance measures and performance management systems. This site has a number of other valuable resources on QI and performance management.
Georgianna and Gurleen also had some great suggestions about change management strategies to bring employees along with th.ese new systems. It could be helpful for you to develop a change management plan and embed that in the workplan.
Finally, it is important to have teams engage in quality improvement initiatives as soon as possible after receiving training and therefore I encourage you to modify the schedule so teams do the QI work while the information from the training is still relatively fresh.
Thanks for sharing your workplan – I’m sure this will be helpful to many others!
http://www.phcfe.org/qi-in
http://www.phcfe.org/qi-in-five.html
Grace, thanks for sharing the Center for Excellence's website! It's a great resource. The link you provided above was not working so here is an updated one.
Gurleen Roberts, MPH
Director of Quality Management
Cobb & Douglas Public Health
Marietta, GA
gurleen.roberts@dph.ga.gov