• After initial accreditation - The PHAB Annual Report

      Roberts, Gurleen; Frantz, Emily; Kennedy, Jack; Cobb & Douglas Public Health (Georgia Public Health Association, 2017)
      Background: Cobb & Douglas Public Health (CDPH) was the first health district in Georgia to achieve accreditation by the Public Health Accreditation Board (PHAB) (accredited on May 12, 2015). Since then, two additional health districts, DeKalb (3-5) and Gwinnett, Newton, and Rockdale County Health Departments (3-4), have achieved accreditation. Efforts are underway among health districts statewide to become accredited, yet, little is known about life after accreditation. This presentation will highlight CDPH’s approach to submitting the PHAB Annual Report, which is required of health departments in order to maintain their accreditation status. Methods: CDPH will provide an overview of the PHAB Annual Report process and requirements. We will also share the process we used to construct a one-year timeline to prepare for the submission of the Annual Report and organize the Accreditation Team. CDPH will also provide a preview of the electronic submission process using ePHAB. Finally, CDPH will share tips, including lessons learned while preparing and submitting the Annual Report during July-August 2016. We will also discuss our experiences since submission and feedback received from PHAB’s Evaluation and Quality Improvement Committee. Results: CDPH will share knowledge and experiences related to the submission and feedback received of its first PHAB Annual Report, which was submitted August 2016. Conclusions: Health departments devote a tremendous amount of time, money, and energy to become accredited; however, the journey continues through the submission of PHAB Annual Progress Reports and reaccreditation planning.
    • Kaizen: Improving patient flow

      Roberts, Gurleen; Kennedy, Jack; Smythe, Catharine; Krahwinkel, Dawn; Green, Melissa; Georgia Southern University (Georgia Public Health Association, 2017)
      Background: Since Cobb & Douglas Public Health (CDPH) achieved accreditation in May 2015, efforts to mature a culture of quality have been emphasized. In addition, the Adult Health Clinic moved to a new facility in Spring 2016. This move has improved many patient flow issues, but also has had unexpected consequences that spurred interest in doing several quality improvement (QI) projects. Methods: Rather than doing one QI project at a time, a kaizen event was held. Kaizen is a Japanese term for continuous improvement. This workshop allowed the Adult Health Team to plan seven QI projects and implement them simultaneously over the next several weeks. After the first six weeks of implementation, nearly 14 different projects were in various stages of the Plan-Do-Study-Act (PDSA) cycle. Baseline average patient flow for 1880 patient encounters was 75.11 minutes. Results: Results are still pending. Preliminary results reflect increased collaboration among clinic staff and an increase in staff members taking the initiative to make improvements. Employee morale has improved, and employee and customer satisfaction seems to be improved. Conclusions: The Adult Health Clinic used the LEAN methodology to reduce waste in the patient flow process and used the PDSA framework to structure their 14 QI projects. A kaizen event allows rapid improvements to be planned and implemented in a short period of time.