MPHI’s Office of Public Health Improvement (OPHI) has served as the coordinating agency for the Michigan Local Public Health Accreditation Program (MLPHAP) since its inception in 1998. MLPHAP strengthens public health by identifying and promoting public health standards for local health departments, and evaluating and accrediting local health departments on their ability to meet those standards. The program assists in continuously improving quality, establishes standards that serve as a fair measurement for all local health departments, establishes a process by which the state can ensure local capacity to address core functions of public health, and provides a mechanism for accountability, so public health can demonstrate that financial resources are being effectively used and community needs are being met.
In addition, the MPHI OPHI supports performance improvement and accreditation readiness in public health more broadly. OPHI builds capacity to implement performance management (PM) in public health and meaningfully use quality improvement (QI). Additionally, MPHI supports public health agencies in developing community health assessments, community health improvement plans, and strategic plans that align with national standards described by the Public Health Accreditation Board (PHAB). OPHI also supports agencies that are preparing for PHAB accreditation by offering assistance with identifying and addressing gaps in the degree to which agencies deliver the 10 essential public health services. In each of these areas, OPHI offers the following services:
- Training, technical assistance, & coaching
- Project planning & management
- Data collection, analysis, and interpretation
- Document preparation
- Implementation support
OPHI’s 15 years of experience supporting performance improvement and accreditation readiness in public health includes many projects in performance management and quality improvement, community health assessment and health improvement planning, strategic planning, accreditation readiness, and evaluation.
Performance Management & Quality Improvement
OPHI works with state, local, and tribal public health agencies to build capacity in PM and QI. OPHI assesses the capacity building needs of state, local, and tribal public health agencies, develops training curricula, provides training and ongoing coaching, facilitates learning collaboratives, and develops self-paced training modules.
Training offerings include:
- an orientation to PM and QI,
- a basic half day QI training,
- a comprehensive two-day QI training, and
- supplemental trainings on QI tools and techniques.
OPHI also develops just-in-time learning sessions to meet the unique needs of particular teams or learning collaboratives that focus on specific topics, such as identifying measures, survey design, logic modeling, developing story boards, or applying a specific QI tool. All of OPHI’s training offerings are designed and delivered with a capacity building approach using adult learning principles and integrating experiential activities into training.
Community Health Assessment & Health Improvement Planning
OPHI provides assistance to state and local public health agencies on community health assessments (CHA) and community health improvement planning (CHIP). OPHI also works closely with the Intertribal Council of Michigan (ITCM) and several tribes in the state to provide tribes with training, consultation, evaluation services, and support for the completion of tribal CHAs/CHIPs. OPHI provides consultation, helping partners understand CHA/CHIP requirements, explore models, and develop plans. OPHI also provides training and technical assistance, orienting partners to models, training on phases of the process, and assisting with identifying evidence-based strategies. As a neutral and trusted agent, OPHI provides facilitation, engaging partners, establishing common ground, and leading processes for identifying priorities and planning for change. OPHI enhances the capacity of partner organizations in data collection, analysis, and interpretation and provides documentation of communities’ CHA/CHIP processes through reports and other dissemination materials. OPHI also supports implementation through evaluation, quality improvement, and advising on evidence-based strategies and interventions.
OPHI works in collaboration with state, local, and tribal public health agencies to develop agency Strategic Plans that align with PHAB Standards and Measures. OPHI incorporates processes that ensure engagement and participation of staff throughout the public health agency and leads to creation of a plan that is actionable and measurable. OPHI assists in project planning by providing a framework and organized process for approaching strategic planning for the public health agency that engages stakeholders that aligns with mandates and good public health practice. OPHI facilitates meetings with stakeholder groups to develop consensus around major components of the Strategic Plan. OPHI also offers technical assistance by providing training to health agency staff that will increase knowledge and experience using processes and tools to complete components of the Strategic Plan, as well as foster capacity building.
In addition to building capacity in PM/QI and supporting the completion of PHAB pre-requisites, OPHI supports agencies preparing for PHAB accreditation through supporting self-assessment against PHAB standards and measures and supporting capacity building to address gaps in readiness. For example, OPHI provides support in developing workforce development plans and quality improvement plans, and builds capacity in program evaluation. Additionally, OPHI provides resources on PHAB accreditation public health agencies use to educate their partners and governing boards.
OPHI builds capacity in evaluation in a way that is fundamentally participatory, in that staff members work closely with clients and partners to ensure that evaluation objectives and methods align with project goals and will produce useful results. OPHI uses multi-method design tailored to our partners’ needs and their programs’ structure. OPHI works with clients to ensure evaluation data can be used for quality improvement and informs performance management practices. Moreover, OPHI supports public health agencies in developing realistic and informative strategies for evaluating CHIP and Strategic Plan implementation. Evaluation services include:
- Evaluation training and consultation
- Logic modeling & framing evaluation questions
- Study design & methods development
- Instrument design & testing
- Data collection, analysis, & interpretation
- Reporting & dissemination