Raising the Bar: Missouris Voluntary Accreditation Program

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Raising the BarMissouris Voluntary
Accreditation Program

• For Local Public Health Agencies
• Kathleen Wojciehowski
• Center for Local Public Health Services
• Missouri Department of Health and Senior Services

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Missouris 114 Local Public Health Agencies
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Types of Agencies

• Populations served vary from lt 4000 to gt 1
  million
• Size of staff varies from 4 to gt 600
• Budget may be lt 200,000 to gt 17 million
• Jurisdiction can include single city, county,
  multiple counties, city/county

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ACCREDITATION

• is a formal verification of an organizations
  ability to successfully carry out a set of
  functions

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WHY Accreditation ?

• demonstrates accountability in an increasingly
  skeptical society

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Missouri Institute for Community Health

• Independent, not-for-profit organization
• Emerged from a Turning Point Initiative (RWJ)
• Implements the Missouri Voluntary Accreditation
  Program

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Missouris Accreditation Model

• Primary
• Advanced
• Comprehensive

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Fees

• Primary - 1500 450 Application
• Advanced - 2250 700 Application
• Comprehensive - 3500 950 Application
• Revisit or Consultation Actual travel cost
  50/hour for on-site time

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Accreditation Process

• Internal self-assessment (3-7 month process)
• On-site review (1-2 days)
• MICH decision (45 days)

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What Is Measured?

• Performance Indicators (measure the 10 Essential
  Public Health Services as Defined by CDC)
• Qualifications of staff
• Adequacy of facility and agency administration

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Accreditation Status

• Accredited for 3 year period
• Provisional status for lt 12 months

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Incentives

• Why would a LHD choose to be accredited?
• Recognition
• Pride
• Peer Pressure
• Public Relations
• Possible Funding Opportunities
• Feedback for Improvement

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Major Challenges

• Ability to demonstrate performance
  (documentation)
• Sufficient time and staff to prepare
• Range of services provided by small agencies
• Level of Staff Education and Training

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Accreditation

• Demonstrates competence and expertise
• Helps assure that public health can handle
  present and emerging problems
• Helps assure that public health is capable of
  protecting the population

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Accreditation

• Does it improve health status?

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Evaluation

• Process Evaluation
• Impact Evaluation
• Outcome Evaluation

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Participation

• 6 Agencies Accredited
• 3 Agencies have submitted applications (site
  visits not yet scheduled)
• 12 Agencies beginning process

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Contacts

• Janet Canavese
• Missouri Institute for Community Health
• 660/343-3627 or janetcanavese_at_hotmail.com
• Melanie Glaus
• Mississippi County Health Department
• 573/683-2191 or glausm_at_lpha.health.state.mo.us
• http//www.michweb.org/
• Kathleen Wojciehowski
• Missouri Department of Health Senior Services
• 573751-6170 or wojcik_at_dhss.mo.gov