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Celebrating Our Successes: Engagement and Lessons Learned from Our Accreditation Journey

The Forest County Potawatomi Community Health Department will utilze this presentation at the The Support for Tribal Accreditation Readiness and Success (STARS) in Public Health Workshop to be held in Milwaukee WI on April 19-20 2018.
by

Melanie Tatge

on 14 October 2018

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Transcript of Celebrating Our Successes: Engagement and Lessons Learned from Our Accreditation Journey

The
Neshnabek
(Original People) settled along the shores of the Atlantic, now the St. Lawrence River
1500's
- The Neshnabek split into 3 groups, known as the Three Fires Confederacy
1) The Objibwe
(Keepers of the Faith)
2) The Odawa
(Keepers of Trade)
3) The Bodewadmi
(Keepers of the Fire)
The Bodewadmi, or Potawatomi, were given the responsibility of keeping the scared fire alive.
1937
- The Potawatomi tribe is reorganized and officially became the Forest County Potawatomi under the Act of 1934
Potawatomi, A Proud Past
Western Medicine was brought into the area in the
1900s by doctors hired by logging companies.
The Journey to Community Health
Bozho!
Melanie Tatge, MPH CHES
Community Health Outreach Manager

Jodie Harris, MCH RN Co-Accreditation Coordinator
Forest County Potawatomi
Reservation land covers 19,000 acres of forests, clear lakes, and streams, most of which is held in Federal Trust Status.
Checkerboard - Tribal Land
Stone Lake, Blackwell & Carter
Population in Forest County, WI
665 Tribal Members
Total Enrolled Living FCP Tribal Members
1,664
FCP Community Health Department started prior 1987
in one tribal building referred to as "Old Tribal Hall." Building included: Executive Council, Accounting, Indian Child Welfare (ICW), Education, Economic Support Program, a Gym for Recreation and the Health Department
Staff
included: a Health Director, Assistant Health Director, Contract Health Specialist, AODA Counselor, a Medical Transporter, Health Nurse, and 2 Community Health Representatives (specializing in Diabetes and MCH)
The Journey to Community Health
As medical needs of the Community grew and funding was made available from Gaming operations the FCPCHD was able to expand.
1995- The Health Department moved in the newly constructed building, which became the first medical clinic for the tribe.
The department continued to provide home visits, a Health Promotion/Disease Prevention Program and Events for the Community.
The Journey to Community Health
As the need for Health Services grew, in 2000 the Tribe newly constructed the Health & Wellness Center, named after two sisters - Ke wed Nok (North Wind), and Wa se gish gok (Breaking Daylight). This is where the Forest County Potawatomi Community Health Department is currently located.
Part of the FCP Health & Wellness Center
Medical (OB-GYN, Pediatrics, Radiology, Lab, Podiatry and Family Practice), Therapies (Physical, Occupational, Speech, and Massage), Chiropractic, Dental, Optical, Mental Health & AODA
Where We Are Today....
Not your Typical Local Public Health Department
Local Public Health Dept.
WIC*
Immunizations *
Pre-Natal Care Coordination*
Car Seat Safety*
Senior Nail Care*
Lifeline**
BP Checks*
Fluoride Supplement**
Well Water Testing**
Dog Bite Follow-Up*
Communicable Disease Reporting & Follow-up*
Emergency Preparedness*
FCP Community Health Dept.
HIV/AIDS
Brown Bag Program
Wisconsin Well Woman Program
Smoking Cessation
In Home Care - CHRs/CHNs
Medication Management
Referrals from PCP
Hospital Discharge
Wound Care/Dressing Changes
Social Visits
Transports
Pre-Natal, Post-Partum and Infant Assessments
Fall Risk Assessments
Health Promotion and Disease Prevention Activities
Nutrition Counseling
Head Checks
Maternal Child Health
Breastfeeding Support
Infant Nutrition Program
Diabetes Prevention & Case Management
* denotes services provided by the FCPCHD as well
** denotes service referrals provided by the FCPCHD
The FCPCHD goes above and beyond by customizing our services to meet the needs of our Tribal Members!
Chi Migwetth!
Forest County Potawatomi Executive Council
The FCP Executive Council is a constitutionally created body that is composed of elected officers of the tribe.

Duties:
Handling any/all agreements
with Federal, State and Local governments, businesses and individuals,
Managing the economy
of the tribe, administration of all funds
Developing ordinances/resolutions
for the General Council
Developing policies
Formulating plans and setting objectives
for the betterment of the tribe
Promoting the preservation of Potawatomi

culture
, traditions, arts & crafts
Council includes:
Chairman Vice-Chairman Secretary
Treasurer 2 Council Members
2010 -2012
2013
2014 - 2015
2010 - 2012
Funding:
Wisconsin Department of Health Services Public Health (WI DHS PH) Infrastructure Grant & FCP Tribal Budget
Approval:
FPC HWC Administration and FCP Health Advisory Committee (HAC)
Self- Assessment, Logic Model/Timelines
Electronic Filing System Developed
(SharePoint)
Completed FCPCHD Community Health Assessment (CHA)
Created Tribal Public Health Accreditation (TPHA) Committee
2013
Funding:
WI DHS PH Infrastructure Grant, DHS Prevention Funding, National Network on Public Health Institutes Community of Practice for Public Health Improvement (NNPHI COPPHI) Grant, & FCP Tribal Budget
Assigned Accreditation Coordinator
Established CHIP Work Groups & Completed CHIP
Established Domain Work Groups
Submitted PHAB Statement of Intent
2014 - 2015
Funding:
DHS PH Infrastructure Grant, DHS Prevention Funding, Institute for Wisconsin's Health Inc. (IWHI) Accreditation Mentor Program, National Indian Health Board Accreditation Support Initiative (NIHB ASI) Grant, & FCP Tribal Budget
Completed FCPCHD Strategic Plan
Completed FCPCHD Workforce Development Plan
Staff, Leadership & Community Education- Ongoing
CHIP/Strategic Plan Implementation & Tracking - Ongoing
Domain Review & Documentation Collection
Completed Quality Improvement (QI) & Performance Management (PM) Plan
Submitted PHAB Application
Attended PHAB Applicant Training
FCPCHD Accreditation Coordinator Leaves Position - July 2015
2016 - 2017
Funding:
FCP Tribal Budget, DHS Preventive Grant, & NIHB ASI Grant
MCH Nurse becomes Accreditation Coordinator
- January 2016
Health Educator hired March 2016,
becomes part of TPHA Leadership Team
Domain Review & Documentation Submission
Document Submission Complete August 18, 2016!
Completeness Review Submission December 8, 2016!
Pre-Site Visit Questions & Request for Additional Documentation Submission May 4, 2017!
Planning & Implementation of FCPCHD CHA 2017
FCPCHD PHAB Site Visit Jun 7 - 8, 2017!
Action Plan decision September 2017
Tribal Health Officer retired September 2017
PHAB Action Plan Requested October 2017.
"New" Tribal Health Officer hired November 2017
PHAB Action Plan Submitted December 2017
The Forest County Potawatomi Community Health Department Journey to Public Health Accreditation
FCPCHD TPHA Committee
Met monthly for 1 hour
Members:
Clinical Services Administrator
Health Educator/PH Accreditation Coordinator
Community Health Outreach Director
Clinical Data Analyst
QI Administrator/HIPAA Privacy Officer
Community Health Nurse/In-Home Care Coordinator
Community Health/Employee Nutritionist
Community Health Department Administrative Assistant
Maternal Child Health Nurse
Our Governing Structure
2018 and Beyond
2018 and Beyond
Funding
: Tribal Dollars & DHS Grant Funds
PHAB Action Plan Approved January 2018
Hired New Public Health Educator/Co-Accreditation Coordinator - February 2018
Mentor/Mentee with Sauk Co. Health - organized by DHS February 2018

2016-2017
Lessons Learned:


Grey Horse Strategies (IWHI)
Nancy and Dustin Young
Tribal Public Health Forums
NIHB
Seven Directions
Surrounding Counties
State Regional Staff
PhPIN
https://www.phpinetwork.org/
Mentor/Mentee Program

Things We Probably Should Have Known, But Didn't

We didn't have all of our documents when we said we were "ready"
After submission, there is a content review (by the A.S.), and then another (by the site visitors)
Our Site visit report was very close to the requirements of the Action Plan
The Health Department's time to respond for any requests from PHAB is typically 30 business days, there is no time line provided for PHAB time requirements
Theirs
Vs. Ours...
It's About the Little Things

Celebrations and Team Involvement
Identify your resources and Cheerleaders
Wizard of Oz and the
Yellow
Brick Road
How We used the Yellow Brick Road to map Progress Towards TPHA:
The
yellow brick road
was located in a main hallway in Community Health
We wanted to boost CH staff morale while in the documentation submission phase and also help staff know where we were at and what still needed to be done
For each measure we went "green" in ePHAB, a brick on the
yellow brick road
was colored
yellow.
The brick also had which measure was completed.
Every 25% we met characters along the way and celebrated:
Department Potlucks
'Badges of Honor' Certificates on staff doors
Awkward family photo slide show
14 Steps of FCP Public Health Accreditation
Other Things:
To review each Domain, staff meeting consisted of quiz games
Family Feud, Jeopardy, Cross word puzzles, cheat sheet cards
To divide the work of finding documents and uploading to SharePoint, in order to assign to individuals, measures were thrown into a hat and drawn out by staff.
Popcorn and other treats at TPHAB meetings
Best Pontoon Boat ride ever!
Questions, Thoughts, Comments...
Full transcript