Select ‘INDIVIDUAL LHD’ folder Select your local health department Select the folder LHD name CD Accreditation Select the document you would like to access Uploading a document to the HAN CD Accreditation Folder Log on to MiHAN (https://michiganhan.org) Select ‘Document Center’ at the top of the page Select ‘LOCAL HEALTH’ folder Select ‘INDIVIDUAL LHD’ folder Select your local health department 6. Select the folder LHD name CD Accreditation Click on the “Add File” icon. If you choose to upload a single document at a time you see the following screen Click on the Browse button to search your computer files Once the document is found, select “Add File”
Appendix VI: Children’s Special health Care Services (CSHCS) Specific Guidance Children’s Special Health Care Services Pre-materials: All Children’s Special Health Care Services (CSHCS) pre-materials should be sent directly to the CSHCS program using the secure electronic method of communication designated by CSHCS (currently known as DMP). These advance materials must be sent directly to the CSHCS program: Roster indicating the LHD CSHCS staff configuration (Indicator 1.1). Dated correspondence that the staff roster was submitted to MDHHS initially and within required time frame following changes to staffing (Indicator 1.1). Printed certificates and/or LHD New Staff Orientation Verification form including name and date (Indicator 1.2). Previous year’s activities in client charts (individual clients will be specified by MDHHS) to provide physical evidence of comprehensive client records (Indicator 2.3) Copy of signed and dated HIPAA agreements to comply form by each staff member Indicator 2.4) Written policies and procedures delineating the specified, required procedures (Indicator 3.2) Copies of outreach to families e.g., family survey documents and results, satisfaction surveys, focus groups, meeting notes, etc. (Indicator 3.3) Copies of agendas for meetings held with hospitals or other community agencies; sign-in sheets including title of meeting, location and date; copies of letter inviting/confirming attendance at community functions or meetings; and log sheet summarizing outreach efforts (Indicator 4.1) Copies of all family correspondence and public relation materials (Indicator 4.3). Care Coordination and Case Management logs for previous year’s billings (if not previously submitted to MDHHS) (Indicator 6.6).
9. Reviewer(s) conducted an Exit Conference (if no or not requested, skip 10- 13) No Yes 10. Program strengths and weakness were discussed. 1 2 3 4 5 NA 11. Recommendations for improvement were made as necessary. 1 2 3 4 5 NA 12. The written On-Site Review Report made use of the “Special Recognition” and “Recommendations for Improvement” categories. 1 2 3 4 5 NA 13. The On-Site Review Report provided for this section is very helpful to use to improve the quality of this program. 1 2 3 4 5 NA 14. Overall, the reviewer(s) did an excellent job. 1 2 3 4 5 NA 15. The review findings were compatible with my agency’s self assessment. 1 2 3 4 5 NA List the strong points of the review: List areas of the review in need of improvement: Who may we contact for additional information? Note: if you would like to be contacted, please include name and telephone number below. Survey Respondent Name: _ Telephone: ( ) Return within 30 days from notification of On-Site Review Report completion to: Michigan Association for Local Public Health (MALPH) Box 13276 Lansing, MI 48901