<div dir="ltr">Standards Version 1.5 to go into effect July 1, 2014. Please see below.<div><br clear="all"><div><div dir="ltr"><i><font face="arial, helvetica, sans-serif">Kathleen Johnson</font></i>, <i>MPH</i><div>Program Manager<br>
<div>Coalition of Local Health Officials</div><div>Phone: 630-740-0088</div><div><i><a href="mailto:kathleen@oregonclho.org" target="_blank">kathleen@oregonclho.org</a> </i></div><div><i><img src="https://mail.google.com/mail/u/0/?view=att&th=1412d3d3fa4fd43f&attid=0.1&disp=thd&realattid=f_hlph1a1u0&zw" width="96" height="96"></i></div>
</div><div><span style="color:rgb(0,0,0)">Check out the CLHO website: </span><a href="http://www.oregonclho.org/" target="_blank">www.oregonclho.org</a><span style="color:rgb(0,0,0)"> </span><span style="color:rgb(0,0,0)">for accreditation information and resources.</span><br>
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<br><br><div class="gmail_quote">---------- Forwarded message ----------<br>From: <b class="gmail_sendername">PHAB E-News</b> <span dir="ltr"><<a href="mailto:tnicolaus@phaboard.org">tnicolaus@phaboard.org</a>></span><br>
Date: Fri, Jan 24, 2014 at 2:17 PM<br>Subject: PHAB E-Newsletter Special Edition: Standards & Measures Version 1.5 Released<br>To: <a href="mailto:kathleen@oregonclho.org">kathleen@oregonclho.org</a><br><br><br>
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<strong>PHAB E-Newsletter: Special Edition: January 24, 2014</strong></p><p style="margin-top:0px;margin-bottom:0px"> <span> </span></p><div style="color:#0c3fd8;font-size:12pt">
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<p style="color:#0c3fd8;font-size:12pt;margin-top:0px;margin-bottom:0px"><span><strong>PUBLIC HEALTH ACCREDITATION STANDARDS AND MEASURES, VERSION 1.5 RELEASED</strong></span></p>
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</div><p style="margin-top:0px;margin-bottom:0px"> </p><p style="margin-top:0px;margin-bottom:0px"><span>PHAB is pleased to release <a style="color:blue;text-decoration:underline" shape="rect" href="http://r20.rs6.net/tn.jsp?f=001P8jy9qPB9NLcF6TgiCNJY5UuptYWecuStuDsmDNXtBBrXJV5JkD8V6j09LB-MwJirljC3MMrH4_ffhRjvJZ3ZTdxO1mepBaPsm-aUc2isrziLA7olTXHqt06d2eBAuvDX-isRzwkw8EONmqKc2ghPn4n_AK5haAEn_JHz37jcg4RipEhwJILlKRQIJSkS7_wJayYFiOHB_Kwk-zLIrQYiqt04-cszIo9HWEO94vTEPvo3jxn5ORopUW86pB3tqzRV8Gq56iMj5s=&c=A5a2ni8E9Onv47P47Cqb3bc5wFnEcw6ndljX3b3aA_0oo_Vv7OdvtQ==&ch=rZOifhlF3976B3lO-PAC25i7VCZ7qRyMzWDIo2OR9IxeNCnT1Zj4IA==" target="_blank">Version 1.5 of the Public Health Accreditation Standards and Measures.</a> This new version of the Standards and Measures improves them by clarifying the wording of requirements, stipulating the number of examples that are required for each measure, and specifying the timeframe for each measure. Additionally, a limited number of noteworthy public health issues that are emerging as important forces in the advancement of public health have been included. These are issues that the field requested that PHAB consider adding to, or emphasizing in, the Standards and Measures. </span></p>
<p style="margin-top:0px;margin-bottom:0px"><span> </span></p><p style="margin-top:0px;margin-bottom:0px"><span>Though PHAB believes that Version 1.5 is a significant improvement, Version 1.5 is not a complete overhaul of the <a style="color:rgb(0,92,171);font-weight:bold;text-decoration:underline" shape="rect" href="http://r20.rs6.net/tn.jsp?f=001P8jy9qPB9NLcF6TgiCNJY5UuptYWecuStuDsmDNXtBBrXJV5JkD8V4uM5yxMJvC8PWU7gycakPJIrBOaQHhESnLiSze1S8X75gn3VwOz-MqrKLBcwIA3q_LxVXrlbL8_erDwZ185oasvKdP5ioETLtCEtjYR1nJ60r6AWQtv438pd9-MNl9dFxWZWdqYr76vu6gj67Ip9oII3B1QNmnILY0xUpW9cxgvtjlISnr_Do4GEOdtcoswQzNs8hUF3i6VoocO7E17VE0=&c=A5a2ni8E9Onv47P47Cqb3bc5wFnEcw6ndljX3b3aA_0oo_Vv7OdvtQ==&ch=rZOifhlF3976B3lO-PAC25i7VCZ7qRyMzWDIo2OR9IxeNCnT1Zj4IA==" target="_blank">Standards and Measures, Version 1.0.</a> These revisions are based on having used the Standards and Measures, Version 1.0 and identified areas in need of clarification or emphasis. PHAB does not intend to revise the Standards and Measures frequently. The next revisions will be limited to address specific topics as new information becomes available and a change is indicated.</span></p>
<p style="margin-top:0px;margin-bottom:0px"><span> </span></p><p style="margin-top:0px;margin-bottom:0px"><span>Version 1.5 is intended to encourage the public health field to advance but to not create barriers to health departments applying for or achieving accreditation. Therefore, some changes that were proposed by the field were deliberately delayed for a future version. Version 1.5 lays the groundwork for that future advancement in public health. In order to keep the field informed of how the revisions in Version 1.5 will lead to future expectations, PHAB will release briefing papers for each emerging issue content area. PHAB is also revising the PHAB Acronyms and Glossary of Terms which will be posted on the PHAB website prior to July 1, 2014.</span></p>
<p style="margin-top:0px;margin-bottom:0px"><span> </span></p><p style="margin-top:0px;margin-bottom:0px"><span style="text-decoration:underline"><strong>Standards and Measures, Version 1.5 Effective Date</strong></span></p>
<p style="margin-top:0px;margin-bottom:0px"><span>Version 1.5 becomes effective on July 1, 2014. </span></p><p style="margin-top:0px;margin-bottom:0px"><span> </span></p><p style="margin-top:0px;margin-bottom:0px"><span style="text-decoration:underline"><strong>Decisions Regarding Which Version Is Applicable to Your Health Department </strong></span></p>
<p style="margin-top:0px;margin-bottom:0px"><span>Health department directors <span style="color:#ff0000">must</span><span style="color:#ff0000"> submit their application in e-PHAB by 11:59 PM Eastern Time on June 2, 2014 to be assessed under Version 1.0 of the Standards and Measures. </span><span>This will provide sufficient time for PHAB to review the application, the health department to correct of any errors noted by PHAB staff, and PHAB to conduct the final review and accept the application before July 1, 2014. It is necessary to provide this 30 days for the application to be reviewed by PHAB and accepted because historically, 53 percent of applications have required a change after the PHAB staff review. Health departments that submit their applications on June 3, 2014 or after will be reviewed and assessed using Version 1.5 of the Standards and Measures.</span></span></p>
<p style="margin-top:0px;margin-bottom:0px"><span> </span></p><p style="margin-top:0px;margin-bottom:0px"><span style="color:#ff0000">PHAB strongly recommends that health departments wanting to apply under Standards and Measures, Version 1.0 <span style="text-decoration:underline">submit their Statement of Intent (SOI) as soon as possible. </span></span><span>That way, the initial step will be complete, the health department will have access to the application form, and the health department Accreditation Coordinator and health department director will have time to complete and submit the application before June 2, 2014. Receiving health departments' SOIs also helps PHAB plan its internal workload in order to serve you better.</span></p>
<p style="margin-top:0px;margin-bottom:0px"><span> </span></p><p style="margin-top:0px;margin-bottom:0px"><span>PHAB recommends that health departments review the proposed changes to the Standards and Measures before they automatically decide that they will apply under Version 1.0. The proposed changes contained in Version 1.5 include many improvements in clarity of requirements. Also, the topic areas specifically addressed in the proposed changes, while not numerous, are important public health issues. PHAB believes that it will serve many health departments well to wait and apply under Version 1.5.</span></p>
<p style="margin-top:0px;margin-bottom:0px"><span> </span></p><p style="margin-top:0px;margin-bottom:0px"><span style="text-decoration:underline"><strong>Standard and Measures Principles</strong></span></p><p style="margin-top:0px;margin-bottom:0px">
<span>A set of principles guided PHAB's revision of the Standards and Measures.</span></p><p style="margin-top:0px;margin-bottom:0px"><span> </span></p><p style="margin-top:0px;margin-bottom:0px"><span>PHAB Standards and Measures will:</span></p>
<ul><li style><span>Advance the collective public health practice;</span></li><li style><span>Be at the moderate level - not minimum, not maximum;</span></li><li style><span>Be clear, reduce redundancy, minimize burden;</span></li>
<li style><span>Build quality improvement into standards;</span></li><li style><span>Apply to all sizes of HDs and all forms of governance structure;</span></li><li style><span>Establish the same standards for Tribal, state, and local health departments (different measures);</span></li>
<li style><span>Be reflective of emerging public health issues and opportunities; and</span></li><li style><span>Promote effective internal and external collaborative partnerships.</span></li></ul><p style="margin-top:0px;margin-bottom:0px">
<span style="text-decoration:underline"><strong>Summary of the Process to Develop Version 1.5</strong></span></p><p style="margin-top:0px;margin-bottom:0px"><span>PHAB staff began the development of proposed revisions to the standards and measures in late 2012. Revisions were based on information obtained through feedback and questions received from health departments and site visitors; a series of Think Tanks and Expert Panels; and materials obtained from health departments, meetings, conferences, and readings. The PHAB Accreditation Improvement Committee, charged by the PHAB Board with guiding the revision of the standards and measures, held its first meeting in early June, 2013 and adopted proposed changes. The proposed changes were released during the summer of 2013 for a 30-day public comment period. </span><span>PHAB received a total of 419 comments. </span><span>The Accreditation Improvement Committee held its second meeting in October 2013. The Committee reviewed the information obtained from the vetting and proposed a final Version 1.5. The PHAB Board of Directors adopted the Standards and Measures, Version 1.5 during their December 2013 Board meeting.</span></p>
<p style="margin-top:0px;margin-bottom:0px"><span> </span></p><p style="margin-top:0px;margin-bottom:0px"><span style="text-decoration:underline"><strong>Summary of Changes in Version 1.5</strong></span></p><p style="margin-top:0px;margin-bottom:0px">
<span>Important editorial changes include:</span></p><ul><li style><span>Columns for the number of required examples and date requirements were added.</span></li><li style><span>Standards and measures were reworded to improve clarity.</span></li>
<li style><span>The word "should" was removed and replaced with "must" or the requirement was deleted. </span></li><li style><span>PHAB's definition of "core public health programs" was clarified.</span></li>
</ul><p style="margin-top:0px;margin-bottom:0px"><span>Content changes focused on five emerging public issues that the field requested be emphasized or added. </span></p><p style="margin-bottom:0px;margin-top:0px"><strong> </strong> </p>
<p style="margin-left:30px;margin-bottom:0px;margin-top:0px"><strong>Public Health Communication Science</strong></p><p style="margin-top:0px;margin-bottom:0px;margin-left:30px"><span>The revised Standards and Measures:</span></p>
<ul><li style><span>Emphasize the use of various media, as appropriate, including digital media.</span></li><li style><span>Require relationships with the media and the use of diverse media outlets (for example, urban radio stations; free community newspapers; migrant worker newspapers; immigrant, ethnically targeted, and non-English language newspapers or radio stations, etc.).</span></li>
<li style><span>Require health departments to have a branding strategy.</span></li><li style><span>Require a planned approach for developing and implementing health promotion strategies. </span></li></ul><p style="margin-left:30px;margin-bottom:0px;margin-top:0px">
<strong>Public Health Informatics</strong></p><p style="margin-top:0px;margin-bottom:0px"><span><span> </span><span style="font-size:10pt">The revised Standards and Measures:</span></span></p><ul><li style="font-size:10pt">
<span>Require the capacity to use data from multiple data sources for decision making.</span></li><li style="font-size:10pt"><span>Require secure information systems, maintenance of information management system, and management of information assets.</span></li>
<li style="font-size:10pt"><span>Require that the i</span><span>nformation management function supports the health department's mission and workforce by providing infrastructure for data storage, protection, and management; data analysis; and reporting.</span></li>
<li style><span><span style="font-size:10pt">Require a policy that the department adher</span>es to federal, state, and local privacy protection regulations for handling data. </span></li></ul><p style="margin-left:30px;margin-bottom:0px;margin-top:0px">
<strong>Public Health Workforce Development</strong></p><p style="margin-top:0px;margin-bottom:0px"><span> The revised Standards and Measures:</span></p><ul><li style><span>Require the workforce development plan to address collective capacity and capability, gaps and strategies to address them, and the changing public health environment.</span></li>
<li style><span>Consolidate workforce issues by moving human resources content from Domain 11 (Administrative and Management) to Domain 8 (Public Health Workforce).</span></li><li style><span>Reformat the requirements for a workforce development plan to be more streamlined.</span></li>
<li style><span>Require staff professional development.</span></li><li style><span>Require a supportive work environment.</span></li></ul><p style="margin-left:30px;margin-bottom:0px;margin-top:0px"><strong>Emergency Preparedness</strong></p>
<p style="margin-top:0px;margin-bottom:0px"><span> The revised Standards and Measures:</span></p><ul><li style><span>Add the concept of community resilience.</span></li><li style><span>Better define "cluster evaluation" and "disaster." </span></li>
</ul><p style="margin-left:30px;margin-bottom:0px;margin-top:0px"><strong>Health Equity</strong></p><p style="margin-top:0px;margin-bottom:0px"><span> The revised Standards and Measures:</span></p><ul><li style><span>Use the phrase "specific populations with higher health risks or poorer health outcomes" throughout to address the concept of health equity. </span></li>
<li style><span>Require "efforts to specifically address factors that contribute to specific populations' higher health risks and poorer health outcomes."</span></li><li style><span>Added examples through out of demographic data, contributing causes, and factors such as socioeconomic factors, immigration status, racial/ethnic, sexual orientation, insurance status, housing, transportation, access to healthy foods, poverty, policies that address social determinants of health, etc. </span></li>
<li style><span>Require that CHIP p</span><span>olicy changes include those that are adopted to alleviate the identified causes of health inequity. Policy changes may address, for example, the social and economic conditions that influence health equity including housing, transportation, education, job availability, neighborhood safety, and zoning.</span></li>
<li style><span>Provide additional examples of non-traditional partners in partnerships that</span><span> address specific public health issues or populations </span><span>(e.g., housing or transportation) and require that partnerships include representatives of the communities impacted.</span></li>
</ul><p style="margin-top:0px;margin-bottom:0px;margin-left:30px"><span>Other content changes include:</span></p><ul><li style><span>Public Health Ethics</span>
<ul><li style><span>Require process/strategy for decision making relative to ethical issues.</span></li></ul>
</li><li style><span>Access To Care</span>
<ul><li style><span>Require that when a health department is addressing access to care, they consider emerging issues in public health, the health care system, and health care reimbursement.</span></li></ul>
</li><li style><span>Other</span>
<ul><li style><span>Require that "Documentation from an enforcement program that is out of compliance with state law or is under sanctions or a performance improvement plan must be labeled as being out of compliance with state law or under sanctions or a performance improvement plan."</span></li>
<li style><span>Require that health departments </span><span>provide any formal communications from state or federal funders that indicate the health department is a "high-risk grantee."</span></li></ul>
</li></ul><p style="margin-top:0px;margin-bottom:0px"> </p><p style="margin-top:0px;margin-bottom:0px"><span>If you have any questions about the PHAB Standards and Measures or the accreditation process, contact Robin Wilcox, Chief Program Officer, at </span><a style="color:rgb(0,92,171);font-weight:bold;text-decoration:underline" href="mailto:rwilcox@phaboard.org" shape="rect" target="_blank">rwilcox@phaboard.org</a><span> or <a href="tel:703-778-4555" value="+17037784555" target="_blank">703-778-4555</a>.</span></p>
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