PHIT Agenda

Attachment C: PHIT 2014 Agenda

Agenda & Session Descriptions
April 24-25, 2014
The Public Health Improvement Training (PHIT): Advancing Performance in Agencies, Systems and
Communities offers a variety of interactive learning and skill-building sessions designed for different experience
levels. PHIT provides participants opportunities for training in
performance improvement topics such as:
Experience Level Tracks
 Quality improvement
 Facilitating group processes
❶= Level 1/ Less experience needed
 Performance management and performance measures
❷= Level 2/ More experience beneficial
 National voluntary accreditation
⓬= for either level
 Strategic planning
PHIT 2014 Goal: To increase the public health workforce’s implementation of public health agency, system and
community health improvement processes.
Objectives: Following the Public Health Improvement Training, participants will be better able to
1. Prepare for public health agency accreditation
2. Structure processes to assess and improve agency, systems or communities
3. Employ performance management systems
4. Utilize public health improvement tools

Thursday, April 24, 2014
7:00

Registration Opens (Great Room Foyer)

7:30 – 8:30

Breakfast (All meals are available for purchase from the attached food court and hotel.)

8:30 – 9:00
Great Room 1

Welcome and Introduction
Craig Thomas, Office for State, Tribal, Local and Territorial Support, CDC
Craig Thomas will welcome you to PHIT 2014 and highlight success stories from the
field. Practical tools and resources available through CDC’s Office of State, Tribal, Local
and Territorial Support will be showcased, including the National Public Health
Performance Standards (NPHPS) and the Prevention Status Report.

9:00 – 10:00
Great Room 1

PHITing it all Together
Panelists: Chelsie Huntley, Minnesota Department of Health, Israel Nieves-Rivera, San Francisco
Department of Public Health; Moderator: Laurie Call, Illinois Public Health Institute
Do you ever feel overwhelmed by the variety of existing and potential improvement
activities your organization is facing? This discussion will focus on how multiple efforts and
tools work together both in implementation and in outcome. The panelists will share an
approach to the efforts, the steps they have taken, and why they have found it successful.
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Thursday, April 24, 2014
10:00 – 10:30

Break

10:30 – 11:45

Great Room 1
Focus
Great Room 2
Industry 2
Industry 3
Industry 4

LAUNCHING SESSIONS
Expand your network by engaging with colleagues from across the country who are
advancing performance in similar settings. Facilitated discussion will explore challenges and
questions and determine how PHIT 2014 can help you address them.
1. Cities/ Counties/ Districts (Jessica Fisher)
2. Rural Jurisdictions (Reena Chudgar)
3. Centralized States (Denise Pavletic)
4. Decentralized States (Kimberly Moore-Smith)
5. Tribes (Vicki Tall Chief, John Stafford & Melody Parker)
6. Territories (Donna Marshall)

11:45 – 1:00

Lunch (Attached food court is accessible from the Mezzanine Level.)

1:00 – 2:30
Great Room 1

SKILL BUILDING SESSIONS I
1. ❷ Building and Sustaining A Culture of Quality Improvement in Health
Departments (repeated session)
Erinn Monteiro, National Association of County and City Health Officials
John Moran, Public Health Foundation
The public health field is a dynamic, continually changing environment with new health
issues emerging every day. In recent years, QI has been introduced to and embraced
by the field of public health as a means to achieve efficiencies and improve quality of
services during a time of tough economic and political pressures. According to a
comparison of the National Association of County and City Health Official’s National
Profile of Local Health Departments from 2010 and 2013, the percentage of reporting
LHDs that have implemented formal, agency-wide QI has increased from 15% to 23%.
Though this is an encouraging statistic with regard to the advancement of QI in the
field, almost half of reporting LHDs have still not implemented any formal QI efforts
in their agencies. Beyond discrete process improvements, achieving and sustaining an
integrated agency-wide culture of QI is necessary to achieve efficiencies and ultimately
impact health outcomes. Once LHDs have taken the initial steps of learning about and
implementing successful QI efforts, it is important to anchor this progress, sustain a
culture of QI, and not revert back to the old status quo. In this interactive session,
participants will discuss what it means to have a culture of QI and offered strategies
to cultivate and sustain this culture. Participants will also engage in an interactive
activity to assess where their agency is with respect to cultivating a QI culture, how
to grow and sustain their QI culture, and identify challenges they will have along this
journey. Participants interested in using QI in their agencies but are unsure of how to
build upon and sustain the early stages of a QI culture will walk away from this session
with an understanding of how to overcome barriers, maintain progress, and
continuously sustain improvements.

Industry 4

2. ❶Introduction to Performance Management and QI
Margie Beaudry, Public Health Foundation
Amanda McCarty, West Virginia Department of Health and Human Services
This session will introduce the core elements of a performance management (PM)
system and the basic tenants of quality improvement (QI). This session will help
participants identify areas of strength and areas for improvement in their agencies’
current PM practices and how to relate PM and QI to one another. Participants will
also begin to understand the process of building a QI culture and QI capacity within
their agencies.
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Thursday, April 24, 2014
Industry 3

3. ❶Health Status Data for Health Assessment
Vickie Boothe, Office of Public Health Scientific Services, CDC
This workshop is meant to provide direct, specific guidance on accessing and using
health status and health determinant data as part of a community health improvement
process, with opportunities for participants to practice the skills learned. Facilitators
will work through specific tool(s) with a data/ analytic focus. Participants will have an
exercise on what data should be collected and where/how to get it, including tools for
comparing local data with national benchmarks and how to choose data points that
are relevant to the prioritization process. Tools for selecting evidence-based
interventions will also be discussed.

Great Room 2

4. ⓬Effective Facilitation for Performance Improvement
Jess Lynch and Laurie Call, Illinois Public Health Institute
Performance improvement is the ultimate goal of accreditation, community
assessment and planning, strategic planning, and building a culture of quality within an
organization. To be successful at leading such efforts, effective facilitation and
leadership are essential. This session will focus on enhancing and developing skills to
lead teams, facilitate effective team meetings, manage group dynamics, and create
synergy for action. Whether you are leading quality improvement (QI) teams,
community health improvement action teams, or organizational teams, the skills and
techniques shared in this workshop are transferable.

Focus

5. ⓬Sharing Resources Across Jurisdictions: A Roadmap to Success
Pat Libbey and Gianfranco Pezzino, Center for Sharing Public Health Services
Is your health department considering sharing resources or services with another
health department? Are you currently implementing a shared services approach
across a political boundary? Increasingly, public health officials and policymakers are
turning to this type of cross-jurisdictional sharing (CJS) to improve efficiencies and
effectiveness and enhance accreditation readiness.
The Center for Sharing Public Health Services, funded by the Robert Wood Johnson
Foundation, serves as a national resource on CJS. The Center studies and supports
the concept of shared public health services across the nation. The Center captures
best practices and challenges from 16 teams across the country (involving 75 health
departments and 122 geopolitical jurisdictions) that are engaged in a range of activities
related to exploring, developing, implementing, and/or improving public health CJS
initiatives. Drawn largely from this field work, the Center has developed a free, webbased tool to help guide jurisdictions that are considering or adopting CJS approaches.
Called A Roadmap to Develop Cross-Jurisdictional Sharing Initiatives, it can help
jurisdictions determine where to start CJS efforts, anticipate critical issues at each
phase, overcome barriers that are blocking progress, and find tools and resources to
use along the way. The team leader from a six-jurisdiction demonstration site will
share their experience and connect their activities to the Roadmap tool. Attend this
session to learn what the Roadmap can do for you.

Industry 2

6. ⓬National Public Health Performance Standards (NPHPS) Simulation
Mary Kate Allee, National Association of County and City Health Officials
Join this interactive session to learn more about conducting the NPHPS state and
local assessments. Participants will be encouraged to engage with each other and to
learn through simulation how to address common challenges in conducting the
assessment. This session will also highlight the unique data that is collected by
completing the assessment.
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Thursday, April 24, 2014
2:30 – 3:00

Break

3:00 – 4:00
Great Room 2

EXPERIENCES FROM THE FIELD
1. ❷Engaging Staff and Accreditation Documentation
Robert Hines, Houston Department of Health and Human Services
Heidi Gortakowski, Vermont Department of Health
Identifying documentation and engaging staff in the accreditation process can be
fun. This session will explore how a local and a state health department used
interactive games to engage staff in the accreditation process. From Zombie
Apocalypse After Action Reports to Annual Reports on Nose-Hair Growth Rates,
the “City of Howiston” has its hands full with public health accreditation
documentation! The Houston Department of Health will share how their “Good
Doc, Bad Doc” game was created to address quality improvement, education, and
marketing needs associated with staff participation in the accreditation process.
The Vermont Department of Health will share how their strategies to engage staff
and increase understanding of the accreditation process evolved during the twoyear period between their accreditation pre-contemplation phase and their site
visit. They will describe how they used a scavenger hunt as the homestretch effort
to increase readiness for the site visit and help staff understand which documents
made the final cut. With the essential services wheel as their de facto brand, staff
were asked questions like, “What health campaign did the Health Department
tweet about on June 24, 2013?” and correct answers helped fill in a trivia wheel
wedge (by accreditation domain). Healthy but fun prizes brought out a fresh
competitive spirit, and winners and correct answers were posted on the
Department’s Intranet, along with links to more information.

Great Room 1

2. ❷Performance Management: Align and Measure from a County and
State Perspective
Seth Kidder, Lake County Health Department
Judy Hall, Washington State Department of Health
During this presentation, Seth Kidder from the Lake County Health Department
and Community Health Center will discuss creating a performance management
system and aligning the performance measures with the community health
improvement plan, the agency strategic plan, and employee goals. Judy Hall from
the Washington State Department of Health will discuss and demonstrate a
statewide multi-agency performance management system that utilizes an online
tracking system.

Industry 4

3. ⓬Strategic Planning from Principle to Practice
Laurie Call and Kristin Monnard, Illinois Public Health Institute
This interactive workshop will provide practical experience for several key
components of the strategic planning process including developing a shared
mission, values, and vision and analyzing data and information to identify strengths,
weaknesses, opportunities, and threats. The workshop will focus on the how-to
of strategic planning, sharing stories from the field and exploring tools and
resources to help with facilitation of these major steps in the strategic planning
process. Participants will build their knowledge, skills, and confidence to lead
strategic planning efforts within their own organizations through hands-on
practice.

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Thursday, April 24, 2014
Industry 3

4. ⓬Innovative Community Health (Needs) Assessment (CH[N]A) and
Community Health Improvement Process (CHIP) Partnerships
Stephanie Kiser, Mission Hospital
Marian Arledge, Buncombe County Department of Health
Mission Hospital and Buncombe County Department of Health are working
together to improve community health through CH(N)A and the larger CHIP.
This is achieved in part through participation in WNC Healthy Impact, a
partnership between hospitals and health departments in western North Carolina
(WNC). Across a 16-county region, partners are working together on a
community health improvement process to assess health needs, develop
collaborative plans, take coordinated action, and evaluate progress and impact.
Participants in this session will learn how WNC Healthy Impact’s infrastructure,
process, and tools are used to engage and support hospitals and health
departments in improving community health while helping meet reporting
requirements. The session will highlight successes and lessons learned from public
health and hospital representatives that have used the WNC Healthy Impact
project to drive and engage in a collective impact approach to community health
improvement at the local level.

Focus

5. ⓬Tips and Tricks from Planning a Health Assessment to Taking Action
on the Implementation Plan
Israel Nieves-Rivera, San Francisco Department of Public Health
Valerie Polletta, Health Resources in Action
In coordination with nonprofit hospital and academic partners, as well as the
broader San Francisco community, the San Francisco Department of Health
(SFDPH) built on the success of their community health assessment (CHA) effort
to create a community health improvement plan (CHIP). The framework aligned
multiple community health improvement processes to develop one community
health assessment. Priorities included public health accreditation, nonprofit
hospital community health needs assessment, health care services master plan, and
the San Francisco Health Improvement Partnership. SFDPH is now developing a
strategic plan to transparently align the performance measures of their programs
and services to the prioritized health outcomes identified by the community
partnership in the CHIP. Health Resources in Action (HRiA) is nonprofit public
health institute located in Boston that has partnered with health departments and
hospitals across the country on community health improvement efforts, including
community health assessments, health improvement plans, and agency-wide
strategic plans. HRiA uses a community-based participatory approach and has
facilitated both local and state level assessments and improvement plans in
communities across the country. This session will share lessons learned and best
practices to consider for effective implementation of the assessment and
improvement planning processes. Case studies will be used to discuss successes,
challenges, and sustainable solutions for engaging multi-sector groups to improve
population health.

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Thursday, April 24, 2014
Industry 2

6. ❶ How to Operationalize and Align Your Organization’s Workforce
Development Plan to Achieve Desired Results
John Moran, Public Health Foundation
Amanda McCarty, West Virginia Department of Health and Human Services
Aligning strategies, plans, and activities within an organization is important for
achieving maximum impact. The Public Health Accreditation Board (PHAB)
requires health departments seeking accreditation to develop a community health
assessment, community health improvement plan, strategic plan, quality
improvement plan, workforce development plan, and a performance management
system. Alignment across these and other types of activities is important for
assuring success and achieving desired outcomes.
This session is designed to help participants align their various strategies, plans,
and activities to achieve desired outcomes. Focus will be placed on aligning the
workforce development plan with other plans, assessments, and systems. An
example from the West Virginia Health Department will be presented.
Participants will also have an opportunity to learn about a quality improvement
tool that can assist with developing, operationalizing, and aligning an organization’s
workforce development plan.

4:00 – 4:15

Break

4:15 – 4:45
Great Room 1

Reflections and Closing Plenary
Participants will be asked to reflect on the best resources, tools, and tips of the day. The
vast public health experience of this group of training participants will be quantified and
recognized.

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Friday, April 25, 2014
7:30 – 8:30

Breakfast

8:30 – 10:00
Studio 1

SKILL BUILDING SESSIONS II
1. ⓬Developing Useful & Practical Performance Measures (Part 1*)
Thomas Chapel, Clay Cooksey, Program Performance and Evaluation Office and Anita
McLees, Office for State, Tribal, Local and Territorial Support, CDC
*Note: This is a 2-part session spanning both the 8:30-10:00 and 10:3012:00 sessions. Plan to stay for both parts. Only those who have attended
Part 1, their session at PHIT 2013 or their webinar may participate in Part
2.
So often, we choose our performance measures because someone tells us what to
measure in advance or we default to “what we can collect.” Yet, neither of these
approaches serves us if we want performance measures to feed a cycle of continuous
program improvement. This session will provide some practical guidance on how to
gain clarity and consensus on your program—its activities and its intended
outcomes— by learning how to define a simple program roadmap. This session will
also address how to use that clarity to make intelligent choices about what to
measure, how to measure it, and how to ensure data from measures is put to
use. We’ll apply the teaching points to some illustrative examples and work some
simple case examples.

Studio 6

2. ⓬Telling Your Story (repeated session)
Valeria Carlson and Kimberly Wilson, Office for State, Tribal, Local and Territorial Support,
CDC
A well-told story is extremely valuable to program growth and sustainability. In this
interactive session, participants will learn principles of good communication and
where to find resources for writing stories. They will also use two templates, a
storyboard and a briefing sheet, to draft a story based on one of their own projects.
The methods discussed in this session may be appropriate for developing stories to
share with health department leadership, professional colleagues, and the general
public.

Great Room 2

3. ❷Performance Management System: From Prioritization to Policy
Donna DeRoo and Allison Hensleit, Central California Center for Health and Human Services
This skill building workshop will highlight the use of the San Joaquin Valley Public
Health Department performance management tool, as well as leadership and staff
engagement, performance management development and prioritization, and lessons
learned along the way. This performance management tool was built and is used
through Microsoft Excel. Participants will also hear directly from the health
department practitioner using the performance management tool. Participants will
learn how to develop, define, and prioritize performance measures and increase their
understanding of how a performance management tool operates. This session will
also share how a performance management system can inform a systems thinking
approach as it relates to the department’s strategic plan, community health
improvement plan, a quality improvement plan, and ultimately, public health
accreditation.

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Friday, April 25, 2014
Studio 5

Great Room 1

10:00 – 10:30
10:30 – 12:00
Studio 1

4. ⓬Using the Prevention Status Reports to Advance Evidence-Based Public
Health
Teresa Daub and Garry Lowry, Office for State, Tribal, Local and Territorial Support, CDC
This session will provide a hands-on look at CDC’s recently released 2013 Prevention
Status Reports (PSRs). The PSRs highlight —for all 50 states and the District of
Columbia—the status of certain policies and practices designed to prevent or reduce
10 of the nation’s most important public health problems. Based on a two-page
worksheet, the PSR Quick Start Guide will help you use the PSRs to identify actions
that your state can take to increase the use of evidence-based public health practices.
This session will provide an overview of the PSRs along with tools and resources to
help you integrate this information into your public health planning, priority setting,
and communication activities.
5. ❷Public Health Accreditation Board (PHAB) Site Visit Insights- Views
From Those Who Have Seen It All!
Marita Chilton, Public Health Accreditation Board
Mary Kushion, Mary Kushion Consulting
Dana Webb Randall, Commanche County Health Department
The goal of this session is to provide participants with an understanding of what to
expect during a PHAB site visit. The session will be led by an accredited health
department, a site visitor, and a PHAB accreditation specialist. Each presenter will
give their unique perspectives on how to best prepare for the site visit and how the
work that is done prior to the visit can be beneficial to the process.
Break
SKILL BUILDING SESSIONS III
1. ⓬Developing Useful & Practical Performance Measures (Part 2)
Thomas Chapel, Clay Cooksey, Program Performance and Evaluation Office and Anita
McLees, Office for State, Tribal, Local and Territorial Support, CDC
*Note: This is a 2-part session spanning both the 8:30-10:00 and 10:3012:00 sessions. Only those who have attended Part 1, their session at
PHIT 2013 or their webinar may participate in Part 2.
So often, we choose our performance measures because someone tells us what to
measure in advance or we default to “what we can collect.” Yet neither of these
approaches serves us if we want performance measures to feed a cycle of continuous
program improvement. This session will provide some practical guidance on how to
gain clarity and consensus on your program—its activities and its intended
outcomes— by learning how to define a simple program roadmap. This session will
also address how to use that clarity to make intelligent choices about what to
measure, how to measure it, and how to ensure data from measures is put to
use. We’ll apply the teaching points to some illustrative examples and work some
simple case examples.

8

Friday, April 25, 2014
Great Room 2

2.

❷ Building and Sustaining a Culture of Quality Improvement in Health

Departments (repeated session)
Erinn Monteiro, National Association of County and City Health Officials
John Moran, Public Health Foundation
The public health field is a dynamic, continually changing environment with new
health issues emerging every day. In recent years, quality improvement (QI) has
been introduced to and embraced by the field of public health as a means to
achieve efficiencies and improve quality of services during a time of tough
economic and political pressures. In this interactive session, participants will
discuss what it means to have a culture of QI and explore strategies to cultivate
and sustain this culture. Participants will also assess where their agency is with
respect to cultivating a QI culture, learn how to grow and sustain their QI culture,
and identify challenges they will have along this journey. Participants interested in
using QI in their agencies but unsure of how to build upon and sustain the early
stages of a QI culture will walk away from this session with an understanding of
how to overcome barriers, maintain progress, manage change, and continuously
sustain improvements.
Great Room 1

3.

❷ Helping You Prepare: Tips for Being a Successful Public Health

Accreditation Board (PHAB) Applicant
Marita Chilton and Jennifer Jimenez, Public Health Accreditation Board
The accreditation decision is based on the documentation submitted for review by
site visitors. How to assess, select, and prepare documentation is a skill that
everyone involved in the accreditation process will use. After an overview of
PHAB requirements and initial process steps, participants will sharpen their abilities
in a hands-on exercise of assessing sample documents against the requirements of
the Standards and Measures and hear tips from PHAB Accreditation Specialists
about preparing the selected documentation for upload in e-PHAB.
Studio 6

4.

⓬Telling Your Story (repeated session)

Valeria Carlson and Kimberly Wilson, Office for State, Tribal, Local and Territorial
Support, CDC
A well-told story is extremely valuable to program growth and sustainability. In
this interactive session, participants will learn principles of good communication
and where to find resources for writing stories. They will also use two templates,
a storyboard and a briefing sheet, to draft a story based on one of their own
projects. The methods discussed in this session may be appropriate for developing
stories to share with health department leadership, professional colleagues, and
the general public.
12:00 – 1:15

Lunch

1:15 – 2:15
Great Room 1

PHIT to Take Action! What to Know from CDC and PHAB for Today and
Tomorrow
Judith Monroe, Office for State, Tribal, Local and Territorial Support, CDC
Leslie Beitsch, Public Health Accreditation Board, Chair of the Board of Directors, Florida State
University College of Medicine
How does CDC continue to support performance improvement efforts? What is the
difference between PHAB Standards & Measures 1.0 versus 1.5? Find out CDC’s and
PHAB’s responses to these questions directly from Judy Monroe and Les Beitsch during
this session designed to provide you support to implement your improvement actions. Last
but not least, get the Top Ten Things Not to Do if you want to become PHAB accredited
(and helpful tips to avoid them).
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