Journey Toward A Accreditat tation Our J Jou ourn rney C y Con - - PowerPoint PPT Presentation

Forest County Potawatomi Community Health Department’s

Journey Toward A Accreditat tation

Our J Jou

• urn

rney C y Con

• ntinues

Lorrie Shepard, RN Community Health Outreach Director NIHB Tribal ASI TALC Webinar March 11, 2016

FCP Community Health Depart rtment

 Part of the FCP Health & Wellness Center

• Medical (OBY-GYN, Pediatrics, Podiatry, Radiology, Lab), Dental, Optical,

Physical Therapy, Mental Health & AODA, Traditional Medicine

Community Health Department Programs & Services

Car Seat Program MCH/HOC Diabetes Prevention SDPI Immunizations Infant Nutrition Program WIC HPDP HIV/AIDS WWWP Glucose Test & BP Screening Head Checks Smoking Cessation Nutrition Counseling Home Health/Visits

For

• res

est Cou

• unty P

Potawatom

• mi

 Checkerboard – Tribal Land

• Stone Lake, Blackwell, Carter

 Population in Forest County

• ~725 Tribal Members

 Service All Tribal Members

• 1,485 Tribal Members

Past Accred editation

• n Effor
• rts
• Admin & HAC Approval
• Created TPHA Committee
• Completed Self- Assessment Tool
• Created Logic Model/Timelines (3 pre-requisites)
• Developed Electronic Filing System
• Completed CHA
• Assigned TPHA Coordinator
• Established CHIP Workgroups
• Completed CHIP & Implementation Plan
• Established Domain Workgroups
• Submitted PHAB Statement of Intent
• Completed Strategic Plan
• Established TPHA Leadership Team
• Staff, Leadership & Community Education
• CHIP/Strategic Plan Implementation & Tracking
• Domain Review & Documentation Collection
• Submitted PHAB Application
• Attended PHAB Applicant Training
• Completed QI, PM & Workforce Development Plans

2010 – 2012

• DHS PH Infrastructure Grant

2013

• DHS PH Infrastructure Grant
• DHS Prevention Funding
• NNPHI COPPHI Grant

2014 – 2015

• DHS PH Infrastructure Grant
• DHS Prevention Funding 2014
• IWHI Accreditation Mentor Program
• DHS Prevention Funding 2015
• NIHB ASI Grant *****

Wher ere A e Are W We No Now…

• Original P

l PHAB d documen ent submission d date e – February 19, 19, 2016 2016

• Reque

quest P PHAB AB extens nsion n – granted to A August 19, 19, 2016 2016

• Hired c

d cons nsul ultants f from I IWHI –

• Traini

ning o g on docum cumen entation s subm bmiss ssion

• Review d

doc

• cumentation for
• r Dom
• main 2

2 (PH (PHEP EP)

• Hire

red n new P PH Educat ator/Accreditation C Coord rdinat ator – start d date March ch 21, 21, 2016 2016

• Do

Domain W n Workgroup ups created F d Febr brua uary, 2016 – me meeting b g bi-week eekly ly, r reporting t to the T e TPHA Leade dershi hip m p monthl hly

• TP

TPHA L Lea eadership m mee eets w wee eekly ly t to r

• revie

iew d doc

• cumentatio

ion f from

• m W

Wor

• rkgroups
• AC / CHOD /

/ Ad Admin As n Assistant upload a appr proved d docum uments into ePHAB (4 m 4 measures/wk to to meet et d deadlin ine) e)

• Continue

nue to keep p p plans ns alive! O Or Di Die T Trying ng T To!

Documentati tion Collection

Important Thing ngs t s to R Remember ber

• Do

Docum ument m meets t the requi uired d docum umentation n for t the m measure

• Do

Docum ument is withi hin n the d date s specified d for t the m measur ure (5y 5yrs., 2y 2yrs., 14 14 months)

• Do

Docum ument i is Au Authe hentic (inc nclude udes y your ur logo o

• r s

some H HD D identifying ng i inf nform rmation) n)

• Do

Docum ument i is d dated, s signe ned d if appr ppropri priate and i d is n not in d draft f form rm

• Do

Docum ument i is i in a acceptabl ble f file f format (tip s p she heet f found i und in n the he P PHAB Accreditation n Coordi dinator H r Handbo ndbook, pa page 1 16)

• Do

Docum ument i is l loade ded i d into ePHA HAB in t the e right v viewin ing p pos

• sit

ition

• Make s

e sure y e you have t e the r e requir ired ed number er o

• f e

examples es

Documentati tion Collection / / Tracking System

Documentati tion Collection / / Tracking System

Examples of documents ready to be uploaded to ePHAB for Domain 11, Measure 11.1.1 (1)

Challenges of Documen ent C Collec ection

• TIME

ME!! !!!! !!

• Relying o

g on o

• ther

ers f for documen entation.

• Creati

ting g the d documen ents ts y you d don’t h have a e and get getti ting g them em approved ed!

• Engagem

gement an and ac accountabil ilit ity of

• f D

Domain in Wor

• rkg

kgroups.

• Sta

taff t turnover er.

• Projec

ect t managem emen ent ( (kee eeping d g documents a alive). ).

• Staying

g motivated ed a and k keep eping g it a priority ty!

Thank You

Lorrie Shepard, RN Community Health Outreach Director lorrie.shepard@fcpotawatomi-nsn.gov 715-478-4341