About Assessment and Planning
All Community Health Boards (CHBs) in Minnesota are required to engage in assessment and planning to yield local public health priori ties and focus local resources.
The four phases and five parts of Minnesota's Local Public Health Assessment and Planning (LPHAP) cycle were developed through a state-local partnership process and are based on recommendations from the State Community Health Services Advisory Committee (SCHSAC). The various elements of the LPHAP cycle allow CHBs to meet state requirements and are aligned with national public health standards from the Public Health Accreditation Board (PHAB).
CHBs electronically reported all five 2010-2014 cycle deliverables in February 2015.
The LPHAP cycle includes two assessments:
Organizational Assessment: A self-study of the CHB's ability to meet the PHAB Standards and Measures; determines areas of strength and opportunities for improvement within the CHB.
Community Health Assessment: Similar to previous local public health assessments with an even greater emphasis on involving community partners to access data, provide various perspectives for analysis, present data and findings, and commit to using data.
The organizational assessment yields Three Standards Most in Need of Improvement and the community health assessment yields Ten Most Important Community Health Issues. Both sets of issues are arrived at through a prioritization process and are reported to MDH.
The compiled priorities from these two assessments will provide a snapshot of system capacity and community health needs across the state and also make it possible to make regional comparisons.
The three plans guide the work of the CHB and can be used to advocate for resources, work toward visible results, and demonstrate accountability and efficiency. National accreditation standards state that these plans are related, and should connect with each other.
- Internal to the organization
- Informed by priorities identified during the organizational self-assessment and the community health assessment
- May include the organization's role and responsibilities for implementing the Community Health Improvement Plan
- This is the community's plan, not the CHB's plan for the community
- Focus is larger than just the CHB; involves partners in processes of assessment, planning, and strategy development, as well as in strategy implementation
- Informed by priorities identified through assessment, planning, and performance measurement
- Focuses on increasing efficiency and effectiveness in the short-term
- Identifies specific operations and areas within the organization in need of improvement, and supports the strategic plan
As plans are implemented, they should be used to monitor progress, and can be modified or revised as needed. Progress is to be reported within the CHB, to community health advisory committees, to county boards, and to community partners and the public.
CHBs electronically reported all five 2010-2014 cycle deliverables in February 2015:
- Organizational Self-Assessment:
Three Standards Most in Need of Improvement
- Strategic Plan
- Community Health Assessment:
10 Most Important Community Health Issues
- Community Health Improvement Plan
- Quality Improvement Plan
How Do These Plans Fit Together?
Community Health Improvement Plan and Strategic Plan
Community health improvement plans developed during the 2005-2009 CHAAP cycle can be one resource used in assessing trends that affect the health of the community, and in assessing a department's strengths and weaknesses s they relate to implementing health improvement plans.
If 2010-2014 cycle community health improvement plans are not completed prior to the start of the strategic planning process, relevant objectives and action steps can be added to the organization's strategic plan at a later time.
A strategic plan can also specifically include components involved with developing a community health improvement plan.
Strategic Plan and Quality Improvement Plan
A quality improvement plan is guided by a department's policies and strategic direction found in mission and vision statements, in the strategic plan, and in the community health improvement plan. (Source: Public Health Accreditation Board Standards and Measures Version 1.0, Standard 9.2.1, p. 204)
The strategic planning process is informed by various assessments, including the three standards most in need of improvement (which were identified in fall 2011 as part of the standards self-assessment process), as well as customer satisfaction data. In a way, a strategic plan provides a high-level view of a department's efforts to improve how the department performs its work.
The strategic planning process may also identify strategic goals that could inform the quality improvement plan (example: developing a culture of quality improvement, or providing QI training for all staff).
Quality Improvement Plan and Community Health Improvement Plan
A quality improvement plan can focus on a department's ability to carry out its roles and responsibilities as identified in a community health improvement plan. Conversely, a community health improvement plan can identify goals that might inform a quality improvement plan.
- A department may need to improve the quality of the process involved with recruiting and retaining community partners for the development and implementation of a community health improvement plan.
- A partnership may initiate a quality improvement project around an action plan that did not result in the desired
Examples: Plans Working Together
- Strategic plan: Public health department will identify its specific role and focus, with regard to decreasing adolescent tobacco use
- Community health improvement plan: All health care providers and non-profit organizations working with adolescents will assess and address tobacco use
- Quality improvement plan: Public health department will examine use of assessment tools, and ensure all staff assess adolescent clients for tobacco use
- Strategic plan: Public health department will focus on social marketing as a method to increase immunization rates during the next three to five years
- Community health improvement plan: All health care organizations will work to increase immunization rates
- Quality improvement plan: Public health department will review and improve organization's efficacy in risk communication, to better respond to immunization myths
What Does PHAB Say?
[The strategic plan must include] linkages with the [community] health improvement plan and … the health department’s roles and responsibilities for implementing the health improvement plan. It must also link with the health department’s quality improvement plan. The strategic plan need not link to all elements of the health improvement plan or quality improvement plan, but it must show where linkages are appropriate for effective planning and implementation.
[The quality improvement] plan is guided by the health department’s policies and strategic direction found in its mission and vision statements, in its strategic plan, and in its health improvement plan.
[The community health improvement plan] describes how the health department and the community it serves will work together to improve the health of the population of the jurisdiction that the health department serves.
(Source: PHAB Standards and Measures Version 1.0, Standard 5.3.2A , p. 138; Standard 9.2.1A, p. 203; Standard 5.2, p. 118)