Quality Improvement and Performance Management are critical components of the PHAB Standards. Domain 9 focuses on integration of performance management and quality improvement practices and processes for the continuous improvement of the public health department's practices, programs, and interventions. Tools and resources are available to help an agency develop its Quality Improvement Plan, conduct quality improvement projects, and communicate activities with staff, constituents, and other external or internal partners.
The three pre-requisite documents that are submitted to PHAB at the time of the application are the Community Health Assessment (CHA), the Community Health Improvement Plan (CHIP), and the Agency Strategic Plan (SP). In addition, Domain 1 and Domain 5 specifically ask for these documents, along with documentation of activities, strategies, and improvements made as a result of the CHA, CHIP, and SP. Tools and resources are available to aid in the development of a department's assessment and plans.
Domain 8 in PHAB's Standards and Measures focuses on the need for departments to strategically approach the development of a competent workforce to perform public health duties. The Workforce Development Plan is a major document and is meant to demonstrate the health department's planning for employee training, implementation of these opportunities, and the development of core competencies. Resources include templates and tools to help departments develop a quality Workforce Development Plan prior to documentation submission.
Health Equity is an important part of the PHAB Standards and Measures Version 1.5. Domains 3, 4, 7, 9, and 11 each have measures that require evidence of the consideration and implementation of health equity activities and strategies. The Health Equity Toolkit for Local Health Departments is a collection of resources and practical tools designed to help Local Health Departments in CT and other DPH partners understand the components of health equity, and include health equity in daily work.
Domain 11 (Maintain administrative and management capacity) addresses the public health department's operational infrastructure that supports its capacity to carry out the 10 Essential Public Health Services. Measure requirements in Domain 11 include human resource policies, financial management, IT security, health equity policies, and public health ethics. Domain 12 (Maintain capacity to engage the public health governing entity) focuses on the relationship building between the health department and its governing entity. Resources available include policy and protocol templates adopted at CT DPH, policy examples, a template for tracking the actions of the governing entity, and NACCHO resources for engaging the local health governing entity.
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