Terminology Becoming familiar with these common Internet terms will help you to understand the instructions provided in this guide. The following page has illustrated examples of these terms. Internet browser – A program that provides a way to look at and interact with all the information on the Internet. Common browsers include Microsoft Internet Explorer, Mozilla Firefox, Google Chrome, and Apple Safari. The Accreditation Web-based Reporting Module is most compatible with Microsoft Internet Explorer. Window – The boxed area on the monitor where the browser’s information displays. Web page – The collection of information that displays in the window of the Internet browser at one time. simply referred to as a “page”. Website – A collection of related web pages. You can think of a web site as a book that arrives at page at a time as you request each one. Menu bar – The second strip from the top of the window containing words the user can point to and click on to access browser functions. Toolbar – The third strip from the top of the window containing icons the user can point to and click on that are shortcuts to access browser functions. Address bar – The fourth from the top of the window that the user can type in the address for a website or view the address for the web page that is being displayed. Scroll bar – The strip at the right side of the window that allows the user to access more information than can be displayed on the monitor at a given time. Click above or below the box to see additional information, using the arrows for more control of movement. Scroll bars are not displayed in windows where all of the information for that page fits within the window. Hyperlink – An underlined text the user can point to and click on to access a different part of the web site or access another web site. Mouse pointer – The moving arrow or “I” icon seen on the window that allows users to see where to point and click.
SECTION TIME REQUIRED Section I – Health Department Powers and Duties and optional Quality Improvement Supplement (if applicable) 1day Section II – Food Service Sanitation Program 5 days Section III - General Communicable Disease Control ½ day Section IV – Hearing ¼ day Section V – Immunization 1 day Section VI – On-site Wastewater Treatment Management 2 days Section VII – HIV/AIDs and Sexually Transmitted Disease 1 day Section VIII – Vision ¼ day Section IX – Breast and Cervical Cancer Control Program ½ day Section X – Family Planning 2 days Section XI – Women, Infant, and Children (WIC) N/A – no on-site review required Section XII – Children’s Special Health Care Services (CSHCS) 1 day
EXAMPLE HEALTH DEPARTMENT ON-SITE SCHEDULE February 3-7, 2014 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY MORNING (9:00 – 12:00pm) I Name Please check here if you will be participating in the optional Quality Improvement Supplement and indicate which staff person will participate II Staff Name IV & VIII Staff Name VIII Name I II III Staff Name XII Name II VI Staff Name IX Staff Name VII Staff Name II V Staff Name X Staff Name II X AFTERNOON (1:00 – 4:00pm) I Staff Name II Name I II III II VI VII II V X II X Note-The responsible staff’s name need only appear once on the first listing when a multiple day program review occurs unless that party will change.
SECTION IX Breast and Cervical Cancer Control Program Remote Accreditation Guidance Overview Starting with accreditation Cycle 6, the Section IX: Breast and Cervical Cancer Control Program (BCCCP) will be conducted via an off-site remote accreditation process. The BCCCP accreditation team is asking local health departments (LHD) to upload all Section IX related documents to the DCH File Transfer site or fax documents for the remote accreditation. This will allow a standard system for sharing files during the accreditation process. The DCH File Transfer has folders for each of the LHDs in Michigan. Access is restricted to only those local and state personnel who have been given permission to view the documents within the folder. In the DCH File Transfer folder you will find the “Accreditation Evidence Crosswalk” document. Please complete this document and post it back to the folder as it directs the reviewer through your evidence. This ensures all documents you feel provide support for a specific MPR/indicator are reviewed. Please post (or fax) all supporting materials and the completed Crosswalk document to DCH File Transfer no later than 8 A.M. on the morning of your scheduled Section IX: Breast and Cervical Cancer Control Program review date. The reviewer conducting your evaluation will contact you prior to the week of your accreditation to schedule a conference call exit interview, if one is requested. If at any time you have questions or difficulty with the process, please contact the reviewer assigned to your department’s accreditation. Items to include Please refer to the Section IX MPRs and indicators for specific suggested/required materials and documents to be placed on DCH File Transfer as evidence. Provided evidence should include: Completed Accreditation Evidence Crosswalk document Electronic copies of all BCCCP policies, procedures, and protocols as specified in the Section IX tool Retrieving a document from the DCH File Transfer Folder Log on to DCH File Transfer () If you do not have access, contact Tory Doney @ . Select ‘DCH File Transfer’ Select ‘Download File’
Assure that there is community involvement with issues related to relationships with the medical community, resources for follow-up care, and recruitment of target populations. References: PL101-354, Sections 1501 (a)(3) and 1504 (a); CDC Administrative Guidance. Indicator 3.1 Evidence exists that recruitment and promotion efforts, and efforts to expand/maintain the delivery network, are planned and implemented with involvement from other healthcare organizations (E.g Federally Qualified Healthcare Centers) and community groups representing priority populations. Documentation Required MDCH Documentation sent via Fax or DCH File Transfer (Check appropriate box) For DCH File Transfer: List file name submitted as evidence for the indicator Policy / specific page numbers that address indicator 1. TWO EXAMPLES NEEDED of documentation of meeting minutes, phone calls, emails, written correspondence, etc). showing collaboration with community/other healthcare organizations representing target populations. [ ] Fax ONLY Not Applicable MPR 4
V VI VII VIII IX X XI XII Immunization On-site Wastewater Treatment Management HIV/AIDs and Sexually Transmitted Disease Vision Breast and Cervical Cancer Control Program Family Planning Infants, and Children (WIC) Children’s Special Health Care Services (CSHCS) Christopher Smith Barb Day Dale Ladouceur Bob Barrie Rachel Schumann Tory E.J. Siegl Barbara Derman Sharon Karber Terri Riemenschneider Jean Egan Matt Richardson Courtney Pendleton 517-335-8353 517-335-8333 734-240-7801 517-241-1348 517-241-5934 517-335-6596 517-335-8854 517-335-8814 517-335-8696 517-335-8910 517-335-9562 517-241-6248 517-335-8994 517-241-7189 dermanb@michigan.gov Sample Local Health Department On-site Review Exit Conference Form (Form is completed on the web-reporting module) I. Local Health Department Powers and Duties Conference Requested: Yes No LHD Representatives Included: II. Food Service Sanitation Program Conference Requested: Yes No LHD Representatives Included: III. General Communicable Disease Control Conference Requested: Yes No LHD Representatives Included: IV. Hearing Conference Requested: Yes No