Posts Tagged ‘strategic plan’

Licensing Changes Near

April 9th, 2013

We’re getting near the end of the long journey of our licensing regulatory reform.  Last Wednesday we posted the revised draft rules for Chapter 10 (Health Care Institutions – Licensing) and Chapter 20 (Non-licensing approval).  Our goals is to simplify and streamline our rules so they align with our strategic plan and map to improve public health outcomes.  We’ve been working with representatives from the medical community, the behavioral health system, advocates and other affected folks to help reform our regulations.  We still need your help. Please provide comments for Chapter 10 using online surveys . Please provide comments for Chapter 20 using online survey .

The comment period will end on May 5th. The Department will revise the drafts and the final rules will take effect on July 1st of this year.  Please visit our Licensing webpage  to learn more about our integrated licensing rules implementation.

Thanks to all who have helped to advance the licensing of integrated health in Arizona!

Accreditation Gaining Momentum

January 31st, 2013

We’re fully committed to achieving national public health accreditation and are well on our way.  Accreditation will bring us a gold star for the work we’re doing to meet the ten essential public health standards and will validate our collaborative relationships with our partners and our governing body.  Our efforts are led by a steering committee made up of our senior leadership team including Dr. Janet Mullen, Don Herrington, Sheila Sjolander, Carol Vack, Dr. Cara Christ, Dr. Khaleel Hussaini and Pragathi Tummala…  who provide oversight and guidance to the Managing for Excellence program to make sure we’re on track.  I’m happy to report that we’re on track for applying for accreditation at the end of 2013.   It’s a complicated process, but I want to touch on some highlights. 

Before we can even apply, we have to complete three prerequisites: a Strategic Plan, State Health Assessment, and a State Health Improvement Plan.  Our strategic plan is done, and is being updated annually.  The State Health Assessment is currently underway, with each of our counties conducting their own community health assessments in order to identify for themselves the health priorities for their communities.  Based on these results we’ll work with our state partners to create a State Health Improvement Plan in the spring to identify strategies and resources to address the issues that rise to the top.  By working with our partners to collaborate, we’re strengthening the public health infrastructure and building relationships that will continue on beyond accreditation.  When we work with people and build a team of strong partners, the relationships we create will ensure sustained success for our mission.  The team win is so much more valuable in the long run. 

We’ve also begun the process of collecting all the evidence we’ll need to demonstrate compliance with national standards for public health accreditation.  Twelve domain teams have begun their work, led by Dr. Khaleel Hussaini, Jessica Rigler, Sheila Sjolander, Carol Vack, Tom Salow, Patricia Tarango, Karen Sell, Tifney Tihey, Bernard Sanden, Dr. Janet Mullen, Jennifer Botsford, and Colby Bower.  Many of you will be tapped by these team leads to help gather the evidence we need to provide the documents to demonstrate compliance with the required standards and measures that are part of each domain. 

While we’re jumping through the necessary hoops to prove that we’re consistently providing the 10 essential public health standards, we’re accomplishing much more than that.  The road to accreditation will continue to bring forth opportunities for advancing our agency, building stronger partnerships, and increasing employee engagement- resulting in better public health outcomes.

ABRC Strategic Plan

December 17th, 2012

The Arizona Biomedical Research Commission was created several years ago as a mechanism to fund biomedical research in Arizona.  Core projects include research that digs into the causes, the epidemiology and diagnosis, the formulation of cures, the medically accepted treatment or the prevention of diseases, including new drug discovery and development.  Funding comes from tobacco and lottery money. 

The Commission became a part of ADHS on July 1, 2011… and since then, we’ve been working to ensure that it’s financially sustainable, operating effectively, and is strategic about its future investments in research.  We just reached a milestone on the strategic part last week, when the Commissioners met and developed a draft Strategic Map to help guide the future of the Commission.

The  Commissioners and Executive Director (Tracey Sotelo) felt that a strategic map would assist the ABRC in setting priorities and mechanisms for awarding monies to deserving applicants.  I’d talked with the Commission during earlier meetings and had expressed my vision for the future of the ABRC, and I think the draft strategic map has captured our shared vision and mission.  The mission statement is “Identify and support innovative biomedical research to improve the health of all Arizonans”.  Primary tasks include identifying, funding and supporting biomedical research, maximizing collaborations and communications to build a strong Arizona presence, and establishing the Commission infrastructure to maximize the ADHS partnership.  Once finalized through a vote at the next public meeting, the map can then be deployed.

This was a classic case of community partnership and bringing diverse stakeholders together for a common cause.  Thanks go out to Tracey Sotelo, and the ABRC Commissioners for their active and helpful participation in getting a draft map put together.

Our New Strategic Plan

October 17th, 2012

The vision of the Department is to ideally achieve a state of Health and Wellness for all Arizonans and our mission is to promote, protect, and improve the health and wellness of individuals and communities in Arizona. The updated mission and vision statements are helping us build public health value in-house as well as in the community.  The format was modernized and ADHS is making an effort to educate our partners and reinvigorate staff on our goals.

We’re among the largest and most complex of state agencies. With over 1,600 employees and an annual budget of more than $1.8B, we provide a wide variety of services and a diversity of programs housed within its five divisions: behavioral health; licensing; planning and operations; public health prevention; and public health preparedness. The two-fold mission of public health services includes prevention and preparedness for the state. The public behavioral health system oversees services for 150,000 enrolled clients and the state’s only public psychiatric hospital, the Arizona State Hospital. The division for licensing is charged with certification of nursing homes, assisted living and child care centers, hospitals and other health care facilities. The division for planning and operations oversees the budget, procurement, audit and special investigations, information technology, workforce development, rule-making, human resources, policy, continuous quality improvement, and accreditation.

Our strategic priorities are the pathways we use to achieve targeted improvements in public health outcomes. We’re committed to moving along with our partners in local health departments toward voluntary public health accreditation. The work towards accreditation will require the agency to look at the statewide public health system as a whole, collaborate with stakeholders, and provide evidence that our work meets the ten essential public health services. The ten essential services were set as a national standard in 1994 by a steering committee consisting of all US Public Health Service agencies and representatives from other major public health organizations. Accreditation focuses on quality, transparency, and partnerships. Through the accreditation process, our leadership will identify strengths, weaknesses, and opportunities for continuing to build public health infrastructure in a way that will best align our resources with key priorities.

Our new updated Strategic Plan lays out the framework for how we’ll use quality improvement, lean methodologies, best practices, and strategic alignment to achieve our vision of “Health and Wellness for All Arizonans

Annual Abortion Report Published

September 18th, 2012

A couple of years ago a bill was passed that required our agency to do a comprehensive statistical report about abortion in Arizona. We published our second annual report this week… which includes data compiled from elective abortion procedures reports, complications from abortions reports and petitions filed authorizing abortions to minors. Facilities that provide the procedure are required to send us the required data elements every month (electronically). 

Over the last couple of years, we’ve been working hard to make sure that all providers are reporting as required by lawIn years past… we think we were missing data because of under-reporting by providers. This year’s report suggests that those efforts to boost reporting are paying off. During 2011 (calendar year) there were a total of 14,401 abortions compared to 11,438 abortions in 2010… which is a 26% increase in the number of reported abortions. I underlined the word “reported” because when you look inside the data, it appears that some of the increase is attributable to better reporting and enhanced surveillance. You can read the full report on our Vital Statistics website

Let’s tie this report to our Strategic Plan  for a second- particularly our mission to reduce teen pregnancy.  We already know that AZ has had one of the steepest declines in teen pregnancy in the last few years when compared to the other states.  In this report, we see that despite the increase in the overall abortion rate (at least partially attributable to better reporting), the abortion rates for women 15 to 19 years of age declined by 30% in the last 10 years- consistent with declines in the number of teen pregnancies in AZ.

Telling the Public Health Story

July 5th, 2012

One of the key elements of our Strategic Plan is to “Build Public Health Value.” One of the best ways to do that is to tell good stories that capture people’s attention and imagination- stories that highlight the value of public health.  During our Division of Licensing’s employee recognition event last week, Larry Martens read a perfect example of how to “Tell the Public Health Story.”

The story captures the essence of what licensing does every day and the type of peace of mind that Arizona families have, knowing we provide a safety net of services that helps families ensure that their loved ones are being properly cared for.   Often we couch our messages in technical reports that show data driven results, or create fact sheets to effectively communicate to a given audience- but telling a story that references real people can be more impactful.

Check out Larry’s story on our Managing for Excellence website.  It is a great example of our Strategic Map at work.  In this story, we see how this licensing program is Building Public Health Value (box D1), as well as Addressing Quality of Care Issues and Public Health Risks (box C2) and Providing a Safety Net of Services and Community Support (box C4).  It makes us proud of being public health professionals when we see the upside of how we make a difference, and stories like these also help build our credibility in the community.

Strategic Plan Update

June 13th, 2012

Strategic Effectiveness is defined by three essential components:  Formulate a Plan, Implement the Plan, and Review and Adjust.  Many times we do the first two and forget to come back to the third most important step needed for true progress to occur.  

To “review and adjust,” our senior leadership met in mid-April to do an annual review of our strategic map.  We discussed progress made, examined whether we were on track with our original goals, and looked at whether any part of our map needed updating for the next two years (2012-14).  A few areas shifted around or language was clarified as we all better understood how the map actually translated in our day to day operations.  We clarified that our main objective was to achieve targeted improvements in public health outcomes, not just health outcomes.  Also added was a cross cutting strategy across the bottom to mindfully implement best practices.  We added a box to capture the massive amount of work we do daily to fulfill statutory, regulatory and operational requirements as well as a box for promoting healthy and safe community environments.   Look for the current and past agency strategic plans on our Managing for Excellence website for more.

Weight of the Nation – Free HBO

May 14th, 2012

Update: We were incorrect in the earlier posting about free access to HBO. In fact, if you are not an HBO subscriber, you can watch the documentary online for free here: http://theweightofthenation.hbo.com/

We don’t shy away from tough battles in public health.  Through the last century, we’ve tackled all types of diseases, worked with public infrastructure to provide healthy water, fought to reduce teen pregnancies, but there’s one battle we haven’t won.  Some folks may remember it as the Battle of the Bulge – it hasn’t gone away and it is a “growing” concern.

Nationwide and in Arizona, more than two out of three adults are overweight or obese. Matter of fact, we’re 15th in the country for childhood obesity. 

The fight has new life today with new partners jumping in to help.  You can watch the Weight of the Nation special for free on HBO tonight and tomorrow at 8 pm.  The series of documentaries look at the consequences, choices, challenges and children in crisis.  The Institutes of Medicine, the Centers for Disease Control and Prevention, the Michael & Susan Dell Foundation and Kaiser Permanente joined HBO in making the series.

We’ve created a special website to show what is available to help you if you’re looking to make a change – either for yourself or in your community.  One of the things we want to do is share stories that work.  Pin your story to our Pinterest page or fill out a survey.

This is an ongoing effort in Arizona . If you don’t get the chance to watch HBO tonight, you can watch it online or come to ADHS this summer.  We’re going to host a viewing with opportunities to talk about how to change the direction of the obesity problem.  I’ll keep you posted.

Implementing Our Strategic Plan- Integrate Behavioral and Acute Health Care

May 1st, 2012

Our interdisciplinary team completed a major milestone this week- by developing an initial rough draft of what will become the Scope of Work that will be included in the upcoming Request for Proposal for the behavioral health (and acute care) services in Maricopa County. This effort has taken literally thousands of staff hours to put together- and the folks working on the project have to do double-time because they still need to accomplish their normal daily tasks.  Well done- and take a well deserved breath!

Looking Forward, 2012

January 3rd, 2012

Looking forward, 2012 is going to be another busy year for all of us.  During the last Deputy/Assistant Director meeting, managers shared the biggest priorities for the next six months and I will share a few of the highlights throughout this week in our blog.    

One key focus that echoed throughout everyone’s summary was an emphasis on working together across agency programs, with our partners and through our strategic plan.  From the importance of integrating behavioral and physical health to supporting our workforce with cross training, and planning for continuity of operations as staff members retire, ADHS is truly working together. 

The work on merging rules for behavioral health and medical facilities got off to a great start with a series of public meetings.  Six months from now, we expect to have a workable set of draft rules put together.  Operations, behavioral health and licensing are all contributing to this project.  There are also many 5-year Rule reviews getting underway as we speak.