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<DIV>Jennifer - thanks, that is a little different from deschutes experience, or maybe the terms just rattle around too much in my head?</DIV>
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<DIV><FONT size=2>***************************************<BR>Tom Engle RN, Oregon Public Health <BR>800 NE Oregon St., Ste 930, Portland, Oregon 97232<BR>Phone 971-673-1222 [9th Floor Reception] <BR>Fax 971-673-1299 <BR>Cell 503-806-2390<BR></FONT><A href="mailto:tom.r.engle@state.or.us"><FONT size=2>tom.r.engle@state.or.us</FONT></A></DIV>
<DIV><A href="http://oregon.gov/DHS/ph/lhd/"><FONT size=2>http://oregon.gov/DHS/ph/lhd/</FONT></A><BR><FONT size=2>***************************************</FONT></DIV>
<DIV><FONT size=2>Nurses and the Environment</FONT></DIV>
<DIV><A href="http://e-commons.org/"><FONT size=2>http://e-commons.org/</FONT></A></DIV>
<DIV><FONT size=2></FONT> </DIV>
<DIV><FONT size=2>Travelers' Health</FONT></DIV>
<DIV><A href="http://wwwnc.cdc.gov/travel/default.aspx"><FONT size=2>http://wwwnc.cdc.gov/travel/default.aspx</FONT></A></DIV>
<DIV><FONT size=2></FONT> </DIV>
<DIV><FONT size=2>Oregon Flu Info</FONT></DIV>
<DIV><A href="http://www.flu.oregon.gov/Pages/index.aspx"><FONT size=2>http://www.flu.oregon.gov/Pages/index.aspx</FONT></A></DIV>
<DIV><FONT size=2>***************************************</FONT></DIV><BR><BR>>>> "Eskridge, Jennifer" <JEskridge@co.clackamas.or.us> 1/10/2011 2:41 PM >>><BR></DIV>
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<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt">The Quality Improvement plan is separate from the other 3 (CHA, CHIP, Strategic) and not technically considered one of the 3 pre-requisites to determine eligibility for accreditation. <o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt">However, my understanding is that the CHA, CHIP and Strategic plan should all be part of a health department's formula to address quality improvement, and developing these documents in addition to the QI plan should be looked at as foundational to the accreditation process - and therefore important to have in place before delving into the details. <o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt">Measure 9.2.1 of the draft standards is "establish a quality improvement plan based on organizational policies and direction". It is somewhat broad in scope and confirms a direct tie to the strategic plan which focuses on agency priorities. I am inclined to develop the strategic plan and QI plan simultaneously.<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt">Jennifer<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">Jennifer Eskridge</SPAN></B><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">, MPH, CHES<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">Policy Analyst<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">Community Health Division<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">Health, Housing & Human Services<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">Clackamas County<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">2051 Kaen Road, Suite 367<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">Oregon City, OR 97045<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">Tel (503) 742-5956<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">Fax (503) 742-5301<o:p></o:p></SPAN></P>
<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 10pt">Email JEskridge@co.clackamas.or.us<o:p></o:p></SPAN></P>
<P class=MsoNormal><SPAN style="FONT-FAMILY: 'Calibri','sans-serif'; COLOR: #1f497d; FONT-SIZE: 11pt"><o:p> </o:p></SPAN></P>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt">From:</SPAN></B><SPAN style="FONT-FAMILY: 'Tahoma','sans-serif'; FONT-SIZE: 10pt"> lhdaccreditation-bounces@listsmart.osl.state.or.us [mailto:lhdaccreditation-bounces@listsmart.osl.state.or.us] <B>On Behalf Of </B>Tom R ENGLE<BR><B>Sent:</B> Monday, January 10, 2011 2:22 PM<BR><B>To:</B> lhdaccreditation@listsmart.osl.state.or.us<BR><B>Subject:</B> [LHDAccreditation] CQI<o:p></o:p></SPAN></P></DIV></DIV>
<P class=MsoNormal><o:p> </o:p></P>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt">My understanding is there are 3 core elements required that have to be in place in order to apply for accreditation - assessment, strategic plan, and improvement plan. <o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"> <o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt">I have also heard talk about continuous quality improvement. Is that a 4th area or embedded in one or more of the core 3?<o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"> <o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt">te<o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"> <o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 10pt">***************************************<BR>Tom Engle RN, Oregon Public Health <BR>800 NE Oregon St., Ste 930, Portland, Oregon 97232<BR>Phone 971-673-1222 [9th Floor Reception] <BR>Fax 971-673-1299 <BR>Cell 503-806-2390<BR></SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"><A href="mailto:tom.r.engle@state.or.us"><SPAN style="FONT-SIZE: 10pt">tom.r.engle@state.or.us</SPAN></A><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"><A href="http://oregon.gov/DHS/ph/lhd/"><SPAN style="FONT-SIZE: 10pt">http://oregon.gov/DHS/ph/lhd/</SPAN></A><BR></SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 10pt">***************************************</SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 10pt">Nurses and the Environment</SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"><A href="http://e-commons.org/"><SPAN style="FONT-SIZE: 10pt">http://e-commons.org/</SPAN></A><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"> <o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 10pt">Travelers' Health</SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"><A href="http://wwwnc.cdc.gov/travel/default.aspx"><SPAN style="FONT-SIZE: 10pt">http://wwwnc.cdc.gov/travel/default.aspx</SPAN></A><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"> <o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 10pt">Oregon Flu Info</SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"><A href="http://www.flu.oregon.gov/Pages/index.aspx"><SPAN style="FONT-SIZE: 10pt">http://www.flu.oregon.gov/Pages/index.aspx</SPAN></A><o:p></o:p></SPAN></P></DIV>
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<P style="MARGIN: 0in 0in 0pt" class=MsoNormal><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 10pt">***************************************</SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; FONT-SIZE: 14pt"><o:p></o:p></SPAN></P></DIV>
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