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Organizational Performance Management

836 words | 3 page(s)

1. Highlight the effect of Centre for Disease Control’s regulations, accreditation requirements, and other standards on the risk- and quality-management functions and activities.

Hospital environments are expected to adhere to the highest safety standards and it is axiomatic that the overall environment is health-promoting. However, in reality this is not necessarily the case. Often it is seen that especially in case of public health system, the quality standards fall below standards if they are not reviewed periodically. Till as recent as 1970s, the risk prevention, safety and quality related activities in healthcare organizations were decentralized and informal. Even when such activities were centralized, there were variations across the state. The Centre for Disease Control CDC has hence developed a national accreditation program that aims to bring the risk management, safety and quality activities to a common standard in public health organizations across US (CDC, 2013). The Public Health Accreditation Board PHAB has collated the previous efforts to develop a voluntary accreditation program nationwide. (PHAB, 2013)
The core benefit of public health systems getting such an accreditation is the increased confidence among the public that the health services they receive in any public health centre nationwide adheres to similar high standards. The process of accreditation also helps individual health centres with clear suggestions, roadmaps and improvement areas. This exercise would in turn improve credibility of the individual public health centres among the public and boosts staff morale. (PHAB, 2013)

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2. Specify components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by Center for Disease Control.

The standards to assess the competence and performance of various public health systems as well as the related governing bodies in US is measured and rated using the National Public Health Performance Standards NPHPS. The Centre for Disease Control CDC uses this framework to encourage improvement in quality and strengthen the existing public healthcare infrastructure and support. By making use of the above data and related benchmarks, the NPHPS offers three assessment instruments:

• State Public Health System Assessment Instrument
• Local Public Health System Assessment Instrument
• Public Health Governing Entity Assessment Instrument
The quality improvement of the Local and State Health Systems includes the Public Health Quality Improvement Encyclopaedia, which consists of 75 quality improvement tools and techniques). Training facilities for improvement of quality are also available. (Public Healthcare Foundation, 2013)
• ASTHO Accreditation and Performance standards (ASTHO, 2013)
• NACCHO Accreditation and Quality Improvement – specifically targeted towards training local health departments getting their accreditation (NACCHO, 2013)
• NALBOH Accreditation and the Role of Governance – specifically targeted towards governance and leadership roles in public health boards
• NIHB and Tribal Public Health Accreditation – specifically targeted towards training tribal public health systems get their accreditation (NIHB, 2013)
• Public Healthcare Foundation (PHF) – Online training is provided under the TRAIN website and on-demand training facilities are also available. (Public Healthcare Foundation, 2013)
Following are the data and benchmarks used for assessment:
• Healthy People 2020 – This is a set of 10-year health-related goals and objectives for improving the health of Americans. It presents a framework of priorities for healthcare prevention and improvement actions. (Health People 2020, 2012)
• Community Health Status Indicators CHSI – This presents an overview of the key healthcare indicators for local communities. The resulting report is a collection of over 200 measures taken for all the 3141 counties in the US. (Community Health, 2013)
• Mobilizing Action toward Community Health MATCH – Here the US counties and their equivalents are compared against each other and ranked in terms of health outcomes that includes the length and quality of life; and health factors comprising of the various health determinants. (Country Health Rankings, 2013)
• Health Indicators Warehouse – This is a collection of over 1200 health indicators, comprising of national, state-wise and local data. The collection reflects multiple dimensions of population health and healthcare determinants. (Health Indicators Warehouse, 2013)
• Community Issues Management – Supported by the University of Missouri, this website presents a range of Geographic Information System GIS data combined with mapping tools that can be used to understand how various issues impact people and places. (CARES – University of Missouri, 2013)

    References
  • ASTHO, (2013), ‘Accreditation and Performance’, website accessed on 23rd September 2013, http://www.astho.org/
  • CARES – University of Missouri, (2013), ‘About Community Issues Management’, website accessed on 23rd September 2013, http://www.cim-network.org
  • CDC, (2013), ‘Performance Management and Quality Improvement’, website accessed on 23rd September 2013, http://www.cdc.gov/
  • Country Health Rankings, (2013), ‘Ranking System’, website accessed on 23rd September 2013, http://www.countyhealthrankings.org/
  • Health Indicators Warehouse, (2013), ‘About Health Indicators Warehouse’, website accessed on 23rd September 2013, http://www.healthindicators.gov
  • Healthy People 2020, (2012), ‘About Healthy People’, website accessed on 23rd September 2013, http://www.healthypeople.gov/
  • NACCHO, (2013), ‘Accreditation Improvement and Quality Performance’, website accessed on 23rd September 2013, http://www.naccho.org
  • NALBOH, (2013), ‘Board Governance’, website accessed on 23rd September 2013, http://www.nalboh.org
  • NIHB, (2013), ‘Tribal Public Health Accreditation Resource Centre’, website accessed on 23rd September 2013, http://www.nihb.org
  • PHAB, (2013), ‘What are the Benefits of National Public Health Department Accreditation’, website accessed on 23rd September 2013, http://www.phaboard.org
  • Public Healthcare Foundation, (2013), ‘Focus Areas’, website accessed on 23rd September 2013, http://www.phf.org

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