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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple style='margin-left:3.0pt;margin-top:3.0pt;margin-right:3.0pt;margin-bottom:.75pt'><div class=WordSection1><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Jennifer is correct----that’s what I get for reading my email too quickly. The QI plan should be an integrated part of the Strategic Plan but it is not one of the required elements for application. My apologies. <o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Laura<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:Papyrus;color:navy'>Our Mission: To promote and protect the health and safety of our community.</span><span style='font-size:10.0pt;font-family:"Arial","sans-serif";color:navy'> </span><span style='font-size:10.0pt;font-family:Papyrus;color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-family:"Arial","sans-serif";color:#1F497D'> <o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:Papyrus;color:navy'>Laura Spaulding, RD</span><span style='font-family:"Arial","sans-serif";color:navy'><o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:Papyrus;color:navy'>WIC Coordinator</span><span style='font-family:"Arial","sans-serif";color:navy'><o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:Papyrus;color:navy'>Deschutes County Health Services</span><span style='font-family:"Arial","sans-serif";color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:Papyrus;color:navy'>2577 NE Courtney Dr.</span><span style='font-family:"Arial","sans-serif";color:navy'><o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:Papyrus;color:navy'>Bend, OR 97701</span><span style='font-family:"Arial","sans-serif";color:navy'><o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:Papyrus;color:navy'>541-322-7450</span><span style='font-family:"Arial","sans-serif";color:#1F497D'><o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-family:"Arial","sans-serif";color:#1F497D'> <o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:Papyrus;color:navy'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:10.0pt;color:black'>CONFIDENTIALITY STATEMENT:</span><span style='font-size:10.0pt;font-family:Papyrus;color:navy'><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:10.0pt;color:black'>This e-mail, including attachments, may include Protected Health Information or otherwise confidential, or legally privileged information, and may be used only by the person or entity to which it is addressed or the individuals designated to view such information per HIPAA regulations. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately.</span><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p></o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> 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 2:49 PM<br><b>To:</b> Jennifer Eskridge; lhdaccreditation@listsmart.osl.state.or.us<br><b>Subject:</b> Re: [LHDAccreditation] CQI<o:p></o:p></span></p></div></div><p class=MsoNormal><o:p> </o:p></p><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'>Jennifer - thanks, that is a little different from deschutes experience, or maybe the terms just rattle around too much in my head?<o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></p></div><div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>***************************************<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-size:14.0pt;font-family:"Arial","sans-serif"'><a href="mailto:tom.r.engle@state.or.us"><span style='font-size:10.0pt'>tom.r.engle@state.or.us</span></a><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><a href="http://oregon.gov/DHS/ph/lhd/"><span style='font-size:10.0pt'>http://oregon.gov/DHS/ph/lhd/</span></a><br></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>***************************************</span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Nurses and the Environment</span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><a href="http://e-commons.org/"><span style='font-size:10.0pt'>http://e-commons.org/</span></a><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Travelers' Health</span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><a href="http://wwwnc.cdc.gov/travel/default.aspx"><span style='font-size:10.0pt'>http://wwwnc.cdc.gov/travel/default.aspx</span></a><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Oregon Flu Info</span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><a href="http://www.flu.oregon.gov/Pages/index.aspx"><span style='font-size:10.0pt'>http://www.flu.oregon.gov/Pages/index.aspx</span></a><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>***************************************</span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><br><br>>>> "Eskridge, Jennifer" <<a href="mailto:JEskridge@co.clackamas.or.us">JEskridge@co.clackamas.or.us</a>> 1/10/2011 2:41 PM >>><o:p></o:p></span></p></div><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>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-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>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-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>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-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Jennifer<o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Jennifer Eskridge</span></b><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>, MPH, CHES<o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Policy Analyst<o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Community Health Division<o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Health, Housing & Human Services<o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Clackamas County<o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>2051 Kaen Road, Suite 367<o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Oregon City, OR 97045<o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Tel (503) 742-5956<o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Fax (503) 742-5301<o:p></o:p></span></p><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Calibri","sans-serif";color:#1F497D'>Email <a href="mailto:JEskridge@co.clackamas.or.us">JEskridge@co.clackamas.or.us</a><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";color:#1F497D'><o:p> </o:p></span></p><div><div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> 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><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'>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><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'>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><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'>te<o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>***************************************<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-size:14.0pt;font-family:"Arial","sans-serif"'><a href="mailto:tom.r.engle@state.or.us"><span style='font-size:10.0pt'>tom.r.engle@state.or.us</span></a><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><a href="http://oregon.gov/DHS/ph/lhd/"><span style='font-size:10.0pt'>http://oregon.gov/DHS/ph/lhd/</span></a><br></span><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>***************************************</span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Nurses and the Environment</span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><a href="http://e-commons.org/"><span style='font-size:10.0pt'>http://e-commons.org/</span></a><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Travelers' Health</span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><a href="http://wwwnc.cdc.gov/travel/default.aspx"><span style='font-size:10.0pt'>http://wwwnc.cdc.gov/travel/default.aspx</span></a><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'> <o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>Oregon Flu Info</span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><a href="http://www.flu.oregon.gov/Pages/index.aspx"><span style='font-size:10.0pt'>http://www.flu.oregon.gov/Pages/index.aspx</span></a><o:p></o:p></span></p></div><div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:10.0pt;font-family:"Arial","sans-serif"'>***************************************</span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div><div><div class=MsoNormal align=center style='margin:0in;margin-bottom:.0001pt;text-align:center'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";color:black;background:white'><hr size=2 width="100%" align=center></span></div><p class=MsoNormal style='margin:0in;margin-bottom:.0001pt'><span style='font-size:13.5pt;font-family:"Arial","sans-serif";color:black;background:white'><br><a href="about:blank">Spam</a><br><a href="about:blank">Not spam</a><br><a href="about:blank">Forget previous vote</a></span><span style='font-size:14.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></p></div></div></body></html>