Accreditation Support Initiative

The Centers for Disease Control and Prevention’s Office for State, Tribal, Local and Territorial Support has provided funding to NACCHO for the Accreditation Support Initiatives (ASIs). The ASIs are intended to stimulate quality improvement and promote the readiness of health departments to seek voluntary national accreditation through the Public Health Accreditation Board (PHAB). Project activities include efforts to meet the identified application requirements, achievement of PHAB standards and measures, and offsetting accreditation fees (up to 50 percent of the total fee). Six iterations of the ASI have been completed (2011 - 2012, 2012 - 2013, 2013-2014, and 2014-2015, 2015-2016, and 2016-2017). This initiative provides direct, targeted funding to recipients and demonstrates how relatively small amounts of funding can be of great interest and value to health departments in their accreditation readiness efforts. Descriptions of previously funded sites and their deliverables are linked below. 

Now Available: New Funding Opportunity for Local Health Department Accreditation Preparation Support

With funding from the CDC’s Office for State, Tribal, Local, & Territorial Support, NACCHO is pleased to announce a funding opportunity for local health departments (LHDs) to engage in accreditation readiness activities. The 2017–2018 Accreditation Support Initiative (ASI) awards are intended to stimulate quality improvement and promote LHD readiness to seek voluntary national accreditation through the Public Health Accreditation Board.   

For the first time, NACCHO is excited to offer a special ASI opportunity for small/rural health departments! The selected sites in this category will receive tailored technical assistance to support their accreditation readiness efforts. See the RFP for more details.

Application requirements and full details about the ASI opportunity are provided in the Request for Proposals (RFP) and the Application Document. Applications, via the online submission form, are due by 5 PM ET on Wednesday, 8/30/17. 

NACCHO and CDC hosted an optional webconference on Thursday, August 17th to walk through the RFP and application. You can view the recording at the link below.

As detailed in the RFP, NACCHO strongly encourages applicants to review its standard contract language prior to completing the application. Modifications to the terms will not be made for selected sites. Questions about this opportunity can be directed to asi@naccho.org.  Questions emailed to this address will be responded to promptly.


Public Health Infrastructure

Budget for Costs and Fees

Here you'll find resources to assist LHDs with budgeting for costs and fees for accreditation.

Public Health Infrastructure

Budget for Costs and Fees

Public Health Infrastructure

Accreditation Preparation

NACCHO's Accreditation Preparation page is designed to assist departments in getting accreditation.

Public Health Infrastructure

Accreditation Preparation


The fifth year of the ASI supported 28 local public health departments in undertaking accreditation preparation activities during the project period of December 2016-June 2017. Sites applied for funding of up to $15,000 to complete one or more predetermined deliverables within 1 or 2 of five categories of work related to organizing for the accreditation process and the PHAB Standards and Measures. For sites applying to PHAB within the project period, funds may also be used to pay up to 50% of the agency’s 5-year accreditation fee. 

The selected health departments represent 21 different states and a wide range of population sizes, jurisdiction types, and accreditation readiness needs. To view the map CLICK HERE, and The list of sites is as follows:

Boone County Health Department (IL)

Documentation for PHAB Measure 9.1.3 A Required Documentation 2: Document setting of goals and objectives with the identified time frames for measurement.


Chester County Health Department (PA)

Documentation for PHAB Measure 9.2.1 A Required Documentation 1: assess the health department’s efforts to develop a quality improvement program that is integrated into all programmatic and operational aspects of the organization.


Clallam County Health Department (WA)

Documentation for PHAB Measure 1.1.1 T/L Required Documentation 1, 2 & 3: Assess the health department’s collaborative process for sharing and analyzing data and information concerning population health, health challenges, and community resources to develop a community health assessment of the population of the jurisdiction served by the health department.
Documentation for PHAB Measure 1.1.2 T/L Required Documentation 1: Document the identification and description of the community’s health and areas for health improvement, the factors that contribute to the health challenges, and the existing community resources that can be mobilized to address them.


Department of Health and Community Wellness (NJ)

Documentation for PHAB Measure 9.2.1 A Required Documentation 1: assess the health department’s efforts to develop a quality improvement program that is integrated into all programmatic and operational aspects of the organization.


Detroit Health Department (MI)

Documentation for PHAB Measure 1.1.1 T/L Required Documentation 1, 2 & 3: Assess the health department’s collaborative process for sharing and analyzing data and information concerning population health, health challenges, and community resources to develop a community health assessment of the population of the jurisdiction served by the health department.
Documentation for PHAB Measure 1.1.2 T/L Required Documentation 1: Document the identification and description of the community’s health and areas for health improvement, the factors that contribute to the health challenges, and the existing community resources that can be mobilized to address them.


East Shore Health Department (CT)

Documentation for PHAB Measure 8.2.1 A Required Documentation 1: Provide a health department-specific workforce development plan.


Essex County Public Health (NY)

Documentation for PHAB Measure 8.2.1 A Required Documentation 1: Provide a health department-specific workforce development plan.
Documentation for PHAB Measure 8.2.4 A Required Documentation 1,2 &3: Document policies that provide a supportive work environment, employee recognition, and opportunities for staff to promote health and wellness and prevent disease.


Fond du Lac County Health Department (WI)

Documentation for PHAB Measure 8.2.4 A Required Documentation 1,2 &3: Document policies that provide a supportive work environment, employee recognition, and opportunities for staff to promote health and wellness and prevent disease.
Roadmap to accreditation: a detailed roadmap that outlines the strategy for achieving accreditation, including specific activities, timeframes, responsible parties and expected outcomes along the journey towards PHAB application and achievement.


Grand Forks Public Health Department (ND)

Documentation for PHAB Measure 9.2.1 A Required Documentation 1: Produce a QI plan with staff engagement to enhance buy-in as the policies, staff training materials, goals and objectives, and communication plans are developed.


Hancock Public Health (OH)

Documentation for PHAB Measure 8.2.1 A Required Documentation 1: Provide a health department-specific workforce development plan.
Documentation for PHAB Measure 8.2.1 A Required Documentation 2: Document implementation of workforce development strategies.
Documentation for PHAB Measure 8.2.4 A Required Documentation 1,2 &3: Document policies that provide a supportive work environment, employee recognition, and opportunities for staff to promote health and wellness and prevent disease.


Hocking County Health Department (OH)

Documentation for PHAB Measure 5.3.1 A Required Documentation 1: Documentation for the process by which the HD develops its strategic plan.
Documentation for PHAB Measure 5.3.2 A Required Documentation 1: The health department will draft a strategic plan.


Holmes County Health Department (OH)

Documentation for PHAB Measure 9.1.1 A Required Documentation 1 & 2: Document the health department leadership’s engagement and engagement of staff in setting a policy for and/or establishing a performance management system for the department.
Documentation for PHAB Measure 9.1.2 A Required Documentation 1: Describe the department’s adopted performance management system.


Horizon Public Health (MN)

Documentation for PHAB Measure 1.1.1 T/L Required Documentation 1, 2 & 3: Assess the health department’s collaborative process for sharing and analyzing data and information concerning population health, health challenges, and community resources to develop a community health assessment of the population of the jurisdiction served by the health department.
Documentation for PHAB Measure 1.1.2 T/L Required Documentation 1: Document the identification and description of the community’s health and areas for health improvement, the factors that contribute to the health challenges, and the existing community resources that can be mobilized to address them.
Documentation for PHAB Measure 1.1.2 T/L Required Documentation 2: Document that the preliminary findings of the assessment were distributed to the community at large and that the community’s input was sought.
Documentation for PHAB Measure 9.1.1 A Required Documentation 1 & 2: Document the health department leadership’s engagement and engagement of staff in setting a policy for and/or establishing a performance management system for the department.
Documentation for PHAB Measure 9.1.2 A Required Documentation 1: Describe the department’s adopted performance management system.


Jackson County Health Department (MO)

Documentation for PHAB Measure 1.1.1 T/L Required Documentation 1, 2 & 3: Assess the health department’s collaborative process for sharing and analyzing data and information concerning population health, health challenges, and community resources to develop a community health assessment of the population of the jurisdiction served by the health department.
Documentation for PHAB Measure 1.1.2 T/L Required Documentation 1: Document the identification and description of the community’s health and areas for health improvement, the factors that contribute to the health challenges, and the existing community resources that can be mobilized to address them.
Documentation for PHAB Measure 1.1.2 T/L Required Documentation 2: Document that the preliminary findings of the assessment were distributed to the community and that the community’s input was sought.
Documentation for PHAB Measure 1.1.3 A Required Documentation 1 & 2: Create plan to widely disseminate findings of the CHA.


Lake County Health Services (CA)

Documentation for PHAB Measure 5.2.1 L Required Documentation 1: Assess the local health department’s collaborative community health improvement process and the participation of stakeholders.
Documentation for PHAB Measure 5.2.2 L Required Documentation 1: Assess the local health department’s community health improvement plan.


Lane County Public Health (OR)

Documentation for PHAB Measure 5.3.1 A Required Documentation 1: Assess the health department’s strategic planning process and document the process.
Documentation for PHAB Measure 5.3.2 A Required Documentation 1: The health department will draft a strategic plan.


Marshall County Health Department (KY)

Documentation for PHAB Measure 9.1.1 A Required Documentation 1 & 2: Document the health department leadership’s engagement and engagement of staff in setting a policy for and/or establishing a performance management system for the department.
Documentation for PHAB Measure 9.1.2 A Required Documentation 1: Describe the department’s adopted performance management system.
Other: Accountability Plan


Monroe Health Department (CT)

Documentation for PHAB Measure 5.3.1 A Required Documentation 1: Assess the health department’s strategic planning process and document the process.
Documentation for PHAB Measure 8.2.1 A Required Documentation 1: Provide a health department-specific workforce development plan.
Documentation for PHAB Measure 8.2.1 A Required Documentation 2: Document implementation of workforce development strategies.


Northeast Colorado Health Department (CO)

Documentation for PHAB Measure 5.2.3 A Required Documentation 1: Assess the local health department’s collaborative community health improvement planning process and the participation of stakeholders; and, document the process.
Documentation for PHAB Measure 5.2.3 A Required Documentation 2: Document areas of the plan that were implemented by the health department and/or its partners.
Documentation for PHAB Measure 5.2.4 A Required Documentation 1: Assess the health department’s efforts to ensure that the strategies of the community health improvement plan are assessed for feasibility and effectiveness and that they are revised as indicated by those assessments.
Documentation for PHAB Measure 5.3.1 A Required Documentation 1: Assess the health department’s strategic planning process and document the process.
Documentation for PHAB Measure 5.3.2 A Required Documentation 1: The health department will draft a strategic plan.
Roadmap to Accreditation: a detailed roadmap that outlines the strategy for achieving accreditation, including specific activities, timeframes, responsible parties and expected outcomes along the journey towards PHAB application and achievement


Pomperaug District Department of Health (CT)

Documentation for PHAB Measure 5.2.1 L Required Documentation 1: Assess the local health department’s collaborative community health improvement process and the participation of stakeholders.
Public Health Solutions District Health Department (NE)
Documentation for PHAB Measure 9.1.4 A Required Documentation 1 & 2: Assess the health department’s process for measuring the quality of customer relationships and service.
Documentation for PHAB Measure 9.1.5 A Required Documentation 1: Document staff professional development in the area of performance management.
Documentation for PHAB Measure 9.2.1 A Required Documentation 1: Assess the health department’s efforts to develop a quality improvement program that is integrated into all programmatic and operational aspects of the organization.


Reno County Health Department (KS)

Documentation for PHAB Measure 8.2.1 A Required Documentation 1: Provide a health department-specific workforce development plan.
Documentation for PHAB Measure 8.2.1 A Required Documentation 2: Document implementation of workforce development strategies.
Documentation for PHAB Measure 9.1.1 A Required Documentation 1 & 2: Document the health department leadership’s engagement and engagement of staff in setting a policy for and/or establishing a performance management system for the department.
Documentation for PHAB Measure 9.1.3 A Required Documentation 1: Document a department’s committee, team, council, executive team, or some other entity that is responsible for implementing the performance management system.
Documentation for PHAB Measure 9.1.3 A Required Documentation 2: Document setting of goals and objectives with the identified time frames for measurement.
Documentation for PHAB Measure 9.1.3 A Required Documentation 3,4,&5: Document the monitoring of performance.  
Documentation for PHAB Measure 9.1.3 A Required Documentation 6: Complete a performance management self-assessment that reflects the extent to which performance management practices are being used.


Richmond City Health District (VA)

Documentation for PHAB Measure 5.2.1 L Required Documentation 1: Assess the local health department’s collaborative community health improvement process and the participation of stakeholders.
Documentation for PHAB Measure 5.2.2 L Required Documentation 1: Assess the local health department’s community health improvement plan.


Scott County Health Department (IA)

Documentation for PHAB Measure 9.2.1 A Required Documentation 1: Assess the health department’s efforts to develop a quality improvement program that is integrated into all programmatic and operational aspects of the organization.
Documentation for PHAB Measure 9.2.2 A Required Documentation 1 & 2: Assess the health department’s use of quality improvement to improve processes, programs, and interventions.


Sonoma County Department of Health Services (CA)

Documentation for PHAB Measure 8.2.1 A Required Documentation 1: Provide a health department-specific workforce development plan.


Uncas Health District (CT)

Documentation for PHAB Measure 5.2.1 L Required Documentation 1: Assess the local health department’s collaborative community health improvement process and the participation of stakeholders.
Documentation for PHAB Measure 5.2.2 L Required Documentation 1: Assess the local health department’s community health improvement plan.
Documentation for PHAB Measure 5.2.3 A Required Documentation 1: Assess the local health department’s collaborative community health improvement planning process and the participation of stakeholders; and, document the process.
Documentation for PHAB Measure 5.2.3 A Required Documentation 2: Document areas of the plan that were implemented by the health department and/or its partners.
Documentation for PHAB Measure 5.2.4 A Required Documentation 1 & 2: Assess the health department’s efforts to ensure that the strategies of the community health improvement plan are assessed for feasibility and effectiveness and that they are revised as indicated by those assessments.
Documentation for PHAB Measure 5.3.1 A Required Documentation 1: Assess the health department’s strategic planning process and document the process.
Documentation for PHAB Measure 5.3.2 A Required Documentation 1: The health department will draft a strategic plan.
Documentation for PHAB Measure 5.3.3 A Required Documentation 1: Assess the health department’s implementation of its strategic plan.


Washington County Health Department (MD)

Documentation for PHAB Measure 5.3.1 A Required Documentation 1: Assess the health department’s strategic planning process and document the process.
Documentation for PHAB Measure 5.3.2 A Required Documentation 1: The health department will draft a strategic plan.
Documentation for PHAB Measure 5.3.3 A Required Documentation 1: Assess the health department’s implementation of its strategic plan.


Wedco District Health Department (KY)

Documentation for PHAB Measure 9.1.1 A Required Documentation 1 & 2: Document the health department leadership’s engagement and engagement of staff in setting a policy for and/or establishing a performance management system for the department.
Documentation for PHAB Measure 9.2.1 A Required Documentation 1: Assess the health department’s efforts to develop a quality improvement program that is integrated into all programmatic and operational aspects of the organization.
Documentation for PHAB Measure 9.2.2 A Required Documentation 1 & 2: Assess the health department’s use of quality improvement to improve processes, programs, and interventions.

2015-2016 Awardee Categories

Category 1:  Progress towards Completing a Community Health Improvement Process (related PHAB Domains: 1 & 5)

Cerro Gordo County Department of Public Health (IA)

  • Documentation for PHAB Measure 1.1.1 A Required Documentation 1, 2 & 3: Assess the health department’s collaborative process for sharing and analyzing data and information concerning population health, health challenges, and community resources to develop a community health assessment of the population of the jurisdiction served by the health department.
  • Documentation for PHAB Measure 1.1.2 T/L Required Documentation 1: Document the identification and description of the community’s health and areas for health improvement, the factors that contribute to the health challenges, and the existing community resources that can be mobilized to address them.

Champaign Health District (OH)

  • Documentation for PHAB Measure 1.1.2 T/L Required Documentation 1: Document the identification and description of the community’s health and areas for health improvement, the factors that contribute to the health challenges, and the existing community resources that can be mobilized to address them.
  • Documentation for PHAB Measure 1.1.2 T/L Required Documentation 2: Document that the preliminary findings of the assessment were distributed to the community at large and that the community’s input was sought.
  • Documentation for PHAB Measure 1.1.2 T/L Required Documentation 3: Document the gathering of information, collection of data, conduct of community dialogues, and/or identification of community assets specific to populations and/or geographic areas in the community where health inequities and poorer health indicators were identified in the community health assessment.
  • Documentation for PHAB Measure 5.2.3 A Required Documentation 1: Assess the local health department’s collaborative community health improvement planning process and the participation of stakeholders; and, document the process.
  • Final report for this initiative:

Countryside Public Health (MN)

Greenfield Health Department (WI)

  • Documentation for PHAB Measure 1.1.1 A Required Documentation 1, 2 & 3: Assess the health department’s collaborative process for sharing and analyzing data and information concerning population health, health challenges, and community resources to develop a community health assessment of the population of the jurisdiction served by the health department.
  • Documentation for PHAB Measure 1.1.2 T/L Required Documentation 2: Document that the preliminary findings of the assessment were distributed to the community at large and that the community’s input was sought.
  • Final report for this initiative

Georgia Department of Public Health District 4 (GA)

Loup Basin Public Health Department (NE)

  • Documentation for PHAB Measure 1.1.1 A Required Documentation 1, 2 & 3: Assess the health department’s collaborative process for sharing and analyzing data and information concerning population health, health challenges, and community resources to develop a community health assessment of the population of the jurisdiction served by the health department.
  • Final report for this initiative:

Wichita Falls - Wichita County Public Health

Use funds towards payment of up to 50% of PHAB fees. Apply to PHAB by June 10, 2016.

  • Documentation for PHAB Measure 1.1.1 A Required Documentation 1, 2 & 3: Assess the health department’s collaborative process for sharing and analyzing data and information concerning population health, health challenges, and community resources to develop a community health assessment of the population of the jurisdiction served by the health department.
  • Documentation for PHAB Measure 1.1.2 T/L Required Documentation 1: Document the identification and description of the community’s health and areas for health improvement, the factors that contribute to the health challenges, and the existing community resources that can be mobilized to address them.
  • Documentation for PHAB Measure 1.1.2 T/L Required Documentation 2: Document that the preliminary findings of the assessment were distributed to the community at large and that the community’s input was sought.
  • Documentation for PHAB Measure 1.1.2 T/L Required Documentation 3: document the gathering of information, collection of data, conduct of community dialogues, and/or identification of community assets specific to populations and/or geographic areas in the community where health inequities and poorer health indicators were identified in the community health assessment.
  • Documentation for PHAB Measure 1.1.3 A Required Documentation 1 & 2: assess the local health department’s efforts to share the community health assessment with other agencies and organizations and to make the assessment results available to the general public.
  • Documentation for PHAB Measure 5.2.1 L Required Documentation 1: assess the local health department’s collaborative community health improvement process and the participation of stakeholders.
  • Documentation for PHAB Measure 5.2.2 L Required Documentation 1: assess the local health department’s community health improvement plan.  
  • Documentation for PHAB Measure 5.2.3 A Required Documentation 1: Assess the local health department’s collaborative community health improvement planning process and the participation of stakeholders; and, document the process.
  • Documentation for PHAB Measure 5.2.3 A Required Documentation 2: document areas of the plan that were implemented by the health department and/or its partners.

Category 2:  Progress towards Developing and Implementing an Agency Strategic Plan (related PHAB Domain: 5)


Garfield County Public Health (CO)

Livingston County Department of Public Health (MI)

Sarpy/Cass Department of Health and Wellness (NE)

  • Documentation for PHAB Measure 5.3.1 A Required Documentation 1: Assess the health department’s strategic planning process and document the process.
  • Documentation for PHAB Measure 5.3.2 A Required Documentation 1: Provide a strategic plan.
  • Final report for this initiative:

Washoe County Health District

  • Documentation for PHAB Measure 5.3.1 A Required Documentation 1: Assess the health department’s strategic planning process and document the process.
  • Documentation for PHAB Measure 5.3.2 A Required Documentation 1: Provide a strategic plan.

Category 3:  Establishing and Monitoring a System of Performance Management (related PHAB Domain: 9)


Clark County Health Department (WI)

  • Documentation for PHAB Measure 9.1.1 A Required Documentation 1 & 2: Document the health department leadership’s engagement and engagement of staff in setting a policy for and/or establishing a performance management system for the department.
  • Documentation for PHAB Measure 9.1.2 A Required Documentation 1: Describe the department’s adopted performance management system.
  • Documentation for PHAB Measure 9.1.3 A Required Documentation 1: Document a department’s committee, team, council, executive team, or some other entity that is responsible for implementing the performance management system.
  • Documentation for PHAB Measure 9.1.3 A Required Documentation 2: document setting of goals and objectives with the identified time frames for measurement
  • Documentation for PHAB Measure 9.1.5 A Required Documentation 1: Document its staff professional development in the area of performance management.
  • Final report for this initiative:

Montgomery Township Health Department (NJ)

Use funds towards payment of up to 50% of PHAB fees. Apply to PHAB by June 10, 2016.

  • Documentation for PHAB Measure 9.1.1 A Required Documentation 1 & 2: Document the health department leadership’s engagement and engagement of staff in setting a policy for and/or establishing a performance management system for the department.
  • Documentation for PHAB Measure 9.1.2 A Required Documentation 1: Describe the department’s adopted performance management system.
  • Documentation for PHAB Measure 9.1.3 A Required Documentation 1: Document a department’s committee, team, council, executive team, or some other entity that is responsible for implementing the performance management system.
  • Documentation for PHAB Measure 9.1.3 A Required Documentation 2: document setting of goals and objectives with the identified time frames for measurement
  • Final report for this initiative:

City-County Health District (ND)

  • Documentation for PHAB Measure 9.1.3 A Required Documentation 1: Document a department’s committee, team, council, executive team, or some other entity that is responsible for implementing the performance management system.
  • Documentation for PHAB Measure 9.1.3 A Required Documentation 2: document setting of goals and objectives with the identified time frames for measurement
  • Documentation for PHAB Measure 9.1.3 A Required Documentation 6: Complete a performance management self-assessment that reflects the extent to which performance management practices are being used.

Hill County Health Department (MT)

  • Documentation for PHAB Measure 9.1.1 A Required Documentation 1 & 2: Document the health department leadership’s engagement and engagement of staff in setting a policy for and/or establishing a performance management system for the department.

Stanislaus County Health Services Agency (CA)

  • Documentation for PHAB Measure 9.1.1 A Required Documentation 1 & 2: Document the health department leadership’s engagement and engagement of staff in setting a policy for and/or establishing a performance management system for the department.
  • Final report for this initiative:

Category 4:  Building a Culture of Quality Improvement (related PHAB Domain: 9)

Albany County Department of Health (NY)

  • Documentation for PHAB Measure 9.2.1 A Required Documentation 1: assess the health department’s efforts to develop a quality improvement program that is integrated into all programmatic and operational aspects of the organization.
  • Documentation for PHAB Measure 9.2.2 A Required Documentation 1 & 2: assess the health department’s use of quality improvement to improve processes, programs, and interventions.
  • Final report for this initiative:

Cincinnati Health Department (OH)

Use funds towards payment of up to 50% of PHAB fees. Apply to PHAB by June 10, 2016.

Panhandle Health District (ID)

Use funds towards payment of up to 50% of PHAB fees. Apply to PHAB by June 10, 2016.

St. Mary’s County Health Department (MD)

  • Documentation for PHAB Measure 9.2.1 A Required Documentation 1: assess the health department’s efforts to develop a quality improvement program that is integrated into all programmatic and operational aspects of the organization.
  • Final Report for this initiative

Category 5:  Workforce Development (related PHAB Domain: 8)

Coos Health and Wellness (OR)

  • Documentation for PHAB Measure 8.2.1 A Required Documentation 1: Provide a health department-specific workforce development plan.

Siouxland District Health Department (IA)

Use funds towards payment of up to 50% of PHAB fees. Apply to PHAB by June 10, 2016.

 Category 6:  Other

Kingfisher County Health Department (OK)

  • Develop a formal Roadmap to Accreditation coordinating with the health educator, TSET coordinator, district nursing manager, and health department director

Guam Department of Public Health Services and Social Services

  • Documentation for PHAB Standard 9.2, Measure 9.2.1A: assess the health department’s efforts to develop a quality improvement program that is integrated into all programmatic and operational aspects of the organization.

Commonwealth Healthcare Corporation

  • Documentation for PHAB Measure 5.2.1 L Required Documentation 1: assess the local health department’s collaborative community health improvement process and the participation of stakeholders.
  • Documentation for PHAB Measure 5.2.2 L Required Documentation 1: assess the local health department’s community health improvement plan.  
  • Documentation for PHAB Measure 8.2.1 A Required Documentation 1: Provide a health department-specific workforce development plan.
  • Final report for this initiative:

Puerto Rico Department of Health

  • Documentation for PHAB Measure 5.3.1 A Required Documentation 1: Assess the health department’s strategic planning process and document the process.
  • Documentation for PHAB Measure 5.3.2 A Required Documentation 1: Provide a strategic plan.
  • Final report for this initiative:

Palau

Funded to complete:

  • Progress towards Establishing a Performance Management System.
  • Build off of previous Organizational Self-Assessment results to develop a detailed plan for creating documentation to meet PHAB Standards and Measures.
  • Plan for staff trainings, and a preliminary assessment of aligning previous work and plans.

2014-2015 Awardees

In fall 2014, the Centers for Disease Control and Prevention’s Office for State, Tribal, Local and Territorial Support provided funding to NACCHO to renew the Accreditation Support Initiative (ASI) for a fourth year. The fourth year of ASI is supporting 10 local public health departments (LHDs) to complete one or more deliverables within one of five categories of work. Funding may used to support efforts in preparing for accreditation and meeting Public Health Accreditation Board (PHAB) Standards and Measures. For sites applying to PHAB within the project period, funds may also be used to pay up to 50% of the accreditation fee.

Category 1

Category 2

Category 3

Category 4

Category 5

*NOTE: Awards are pending execution of a contract with NACCHO and successful completion of project deliverables.


Category 1 - Progress Towards Completing a Community Health Improvement Process (related PHAB Domains: 1 &5)

Applicants to this category may use this award to conduct activities that will fulfill one or more predetermined deliverables and that will show progress towards completing a CHA or developing a CHIP (e.g., plan for data collection, analysis and synthesis, plan for monitoring progress on implementation of CHIP strategies, etc.).

Custer Health, ND

[Full-Time Equivalents (FTEs): 26 | Population Served: 44,288]

 
Category 2 - Progress Towards Developing and Implementing an Agency Strategic Plan (related PHAB Domain: 5)

Applicants to this category may use this award to conduct activities that will show progress towards developing the agency strategic plan that will fulfill one or more predetermined deliverables (e.g., a SWOT analysis, process for conducting visioning, etc.).

Butte County Public Health Department, CA

[Full-Time Equivalents (FTEs): 130.8| Population Served:   220,000]

Klamath County Public Health, OR

[Full-Time Equivalents (FTEs): 23| Population Served:   65,000]

 
Category 3 - Establishing and Monitoring a System of Performance Management (related PHAB Domain: 9)

Applicants to this category may use this award to conduct activities that will show progress towards establishing and monitoring a system of performance management that will fulfill one or more predetermined deliverables (e.g., completed performance management self-assessment, performance dashboard and text that shows evidence of an adopted performance management system, etc.).

Onondaga County Health Department, NY

[Full-Time Equivalents (FTEs): 275| Population Served:   468,000]

 
Category 4 - Building a Culture of Quality Improvement (related PHAB Domain: 9)

Quality improvement (QI) is the result of leadership support and requires staff commitment at all levels to build a culture of quality and ensure it is fully integrated into organizational structures, processes, services, operations, and more. Applicants to this category may use this award to conduct activities that will show progress towards building a culture of QI that will fulfill one or more predetermined deliverables (e.g., assessment of current QI culture and description of desired future state, plan for regularly communicating about QI activities, etc.).

Louisville Metro Department of Public Health & Wellness, KY

[Full-Time Equivalents (FTEs): 207| Population Served:   750,000]
  • Documentation for PHAB Measure 9.2.1 A Required Documentation 1: Develop a quality improvement program that is integrated into all programmatic and operational aspects of the organization.

    Apply to PHAB by May 29, 2015 (funding will support payment of up to 50% of PHAB fee)

Middle-Brook Regional health Commission, NJ

[Full-Time Equivalents (FTEs): 5.5 | Population Served:   43,000]

Morrison-Todd-Wadena Community Health Board, MN

[Full-Time Equivalents (FTEs): 74| Population Served:   71,936]

 
Category 5 - Workforce Development (related PHAB Domain: 8)

Applicants to this category may use this award to conduct activities that will show progress towards training and development of the LHD workforce that will fulfill one or more predetermined deliverables (e.g., job descriptions that include core competencies, a workforce development plan, etc

Allen County Public Health, OH

[Full-Time Equivalents (FTEs): 45 | Population Served:   109,667]

Cambridge Public Health Department, MA

[Full-Time Equivalents (FTEs): 51| Population Served:   107,289]

Lincoln County Health Department, WI

[Full-Time Equivalents (FTEs): 12 | Population Served:   29,000]


*Note: These documents were reviewed against PHAB's Standards and Measures Version 1.5. This documentation does not reflect items that have officially been approved by PHAB for the purposes of meeting a standard or measure. Even when the submitting agency has been accredited, feedback from PHAB or the site visitors is not considered when posting documentation.

2013-2014 Awardees

In fall 2013, the Centers for Disease Control and Prevention’s Office for State, Tribal, Local and Territorial Support provided funding to NACCHO to renew the Accreditation Support Initiative (ASI) for a third year. The third iteration of ASI is supporting 29 local public health departments (LHDs) to complete one or more predetermined deliverables within one of six categories of work. Funding may used to support efforts in preparing for accreditation and meeting Public Health Accreditation Board (PHAB) Standards and Measures. For sites applying to PHAB within the project period, funds may also be used to pay up to 50% of the accreditation fee.


Category 1 - Progress Towards Preparing or Applying for Accreditation (related PHAB Domain: any)

Applicants to this category may use this award to complete the steps necessary to organize, prepare and apply for accreditation as related to any PHAB domain and to fulfill one or more predetermined deliverables (e.g., documentation gap analysis and recommendations, staff accreditation training, etc.) or another deliverable described in detail by the applicant.

Carson City Health and Human Services (NV)

Funded to:

  • Plan and hold an 'Accreditation Kick-Off Day' for staff, governing entity and community members on the value of the accreditation and going through the accreditation preparation process.
  • Create an internal documentation organization system, and complete a report on that system and results of documentation review, conducted by an external reviewer.

Deliverables and documentation submitted during this initiative:

    Apply to PHAB by May 31, 2014; this funding will support payment of up to 50% of the PHAB fee.

Cleveland Department of Public Health (OH)

Funded to:

  • Conduct a self-study against the PHAB Standards and Measures performing SWOT and gaps analysis and developing a plan of action.
  • Invite an accredited health department to orient the Leadership and Accreditation Team in domain review, gap analysis and SWOT training methods.
  • Engage the Cleveland City Council and the Mayor's office to communicate the importance of accreditation and the importance of ongoing support.

North Central District Health Department (NE)

Funded to:

  • Complete a comprehensive self-study against the PHAB Standards and Measures and identify strengths, opportunities for improvement and plans for addressing gaps.
  • Train staff on the value of accreditation by creating documents with an overview of accreditation; preparing department specific information on accreditation; and providing follow-up information to staff and Board of Health.
  • Create a process to review and revise existing department policies and procedures and establish calendar system for these processes.

Deliverables and documentation submitted during this initiative:

Stratford Health Department (CT)

Funded to:

  • Develop and implement a systematic process for reviewing and revising documentation for PHAB.

Deliverables and documentation submitted during this initiative:

Apply to PHAB by May 31, 2014; this funding will support payment of up to 50% of the PHAB fee.

Sussex County Department of Environmental and Public Health Services (NJ)

Funded to:

  • Conduct a self-study of the PHAB Standards and Measures and compare those requirements to existing agency practices and services.
  • Create a list of all possible documentation necessary to meet the PHAB Standards and Measures using PHAB's Documentation Selection Spreadsheet.

Deliverables and documentation submitted during this initiative:


 
Category 2 - Progress Towards Completing a Community Health Improvement Process (related PHAB Domains: 1 & 5)

Applicants to this category may use this award to conduct activities that will fulfill one or more predetermined deliverables and that will show progress towards completing a CHA or developing a CHIP (e.g., plan for data collection, analysis and synthesis, plan for monitoring progress on implementation of CHIP strategies, etc.).

Coastal Health District (GA)

Funded to:

  •  Develop and implement a plan for distributing CHA to partners and community including developing short summaries for each county, present to leadership and elected officials, and using social media and other media outlets for promotion.
  • Develop a CHIP by forming teams by county to review CHA findings, determine county-level priorities, and develop county-specific implementation and monitoring plans.

Deliverables and documentation submitted during this initiative:

Davis County Health Department (UT)

Funded to:

  • Develop a CHIP by describing the process and results from CHIP planning meetings and activities; offer community members opportunity to comment, and provide a CHIP summary to all staff.

Deliverables and documentation submitted during this initiative:

    Apply to PHAB by May 31, 2014; this funding will support payment of up to 50% of the PHAB fee.

Humboldt County Department of Health and Human Services Public Health Branch (CA)

Funded to:

  • Conduct and describe the CHIP action planning process, including.
  • Monitor CHIP implementation using the Balanced Scorecard tool and hold quarterly meetings with partner work groups for progress analysis.

Deliverables and documentation submitted during this initiative:

    Apply to PHAB by May 31, 2014; this funding will support payment of up to 50% of the PHAB fee.

Yolo County Health Department (CA)

Funded to:

  • Develop and implement a plan for distributing CHA findings to the public by reviewing different methods for collecting input, ways to effectively market and promote availability of the CHA, and venues for distribution.
  • Establish a system to collect, monitor, and refresh CHA data by identifying data sources, set frequency of reports and creating a spreadsheet template.
  • Complete the CHA document with all required components by collecting, analyzing and synthesizing data from MAPP assessments and organizing data.

Deliverables and documentation submitted during this initiative:


 
Category 3 - Progress Towards Developing and Implementing an Agency Strategic Plan (related PHAB Domain: 5)

Applicants to this category may use this award to conduct activities that will show progress towards developing the agency strategic plan that will fulfill one or more predetermined deliverables (e.g., a SWOT analysis, process for conducting visioning, etc.).
 

Black Hawk County Health Department (IA)

Funded to:

  • Conduct a strategic planning process including an environmental scan, mission/vision development, priority setting, and other required components; complete the strategic plan document.

Deliverables and documentation submitted during this initiative:

Coconino County Public Health Services District (AZ)

Funded to:

  • Research methodologies for and select strategic planning process.
  • Review and revise agency vision, mission and values ensuring review of the CHA, CHIP and other contextual factors.
  • Identify agency strategic priorities, goals and objectives with measurable and time-framed targets using an external facilitator.

Deliverables and documentation submitted during this initiative:


Douglas County Health Department (NE)

Funded to:

  • Conduct a strategic planning process using the steps outlined in NACCHO's Strategic Planning Guide .
  • Engage staff to review and revise agency mission, vision and guiding principles/values.
  • Develop and implement a process for identifying agency strategic priorities, goals, objectives, and time-framed targets by conducting a SWOT analysis using staff input; identify emerging issues; and, set strategic priorities.
  • Describe the process for reviewing progress related to assessing department capacity and support functions required, external trends, and create a summary of findings.
  • Conduct a SWOT analysis and determine the strategic priorities.
  • Develop a strategic plan by Form affinity teams for each strategic area that will develop goals, objectives and action steps.

Douglas County Health & Social Services - Public Health Division (OR)

Funded to:

  • Conduct a strategic planning process including a SWOT analysis, reviewing current data and PHAB Standards and Measures, selecting measurable goals and objectives, performing interviews with external stakeholders, and more.
  • Develop an agency strategic plan document with all required components.

Kanabec/Pine Community Health Services (MN)

Funded to:

  • Conduct a strategic planning process with staff and board members including researching effective participatory meeting processes, performing an environmental scan, developing and using SMART goals and objectives, and more; complete the strategic plan document.

Deliverables and documentation submitted during this initiative:

Category 4 - Establishing and Monitoring a System of Performance Management (related PHAB Domain: 9)

Applicants to this category may use this award to conduct activities that will show progress towards establishing and monitoring a system of performance management that will fulfill one or more predetermined deliverables (e.g., completed performance management self-assessment, performance dashboard and text that shows evidence of an adopted performance management system, etc.).

Barron County Department of Health & Human Services (WI)

Funded to:

  • Convening Performance Management team members to develop a performance management plan including creating a standardized template that will be used to evaluate and standardize program monitoring.
  • Using a subject matter expert, implement performance management training with staff and community partners.

Deliverables and documentation submitted during this initiative:

Flathead City-County Health Department (MT)

Funded to:

  • Complete a performance management self-assessment at both the start and end of the project period.
  • Establish a performance management plan using the DPHHS model by creating programmatic logic models and workplans (using a template) for each public health program.

Deliverables and documentation submitted during this initiative:

Lake County Health Department and Community Health Center (IL)

Funded to:

  • Develop a performance management plan that unites other agency documents (CHIP, SP, etc.) by: forming a Performance Improvement Team that will assure performance measures are met and guide QI efforts; analyzing different types of quality efforts that are ongoing; assigning roles and responsibilities to ensure accountability; standardizing methods for measuring, identifying, and reporting performance; and identifying and filling training gaps...
  • Train staff on performance management principles using an existing e-learning tool (Articulate Storyline).
  • Develop of a formal process to select and implement an information system by meeting with programs to discuss data needs, assess current reporting methods, and identify key performance indicators that will form the basis of the system.
  • Create a general blueprint step-by-step guide to assist other health departments with the alignment of their CHIP, the strategic plan and programmatic performance measures.

Deliverables and documentation submitted during this initiative:

    Apply to PHAB by May 31, 2014; this funding will support payment of up to 50% of the PHAB fee.

Washington County Public Health Division (OR)

Funded to:

  • Develop a detailed performance management plan that outlines methods, tools and processes for measuring and tracking performance data.
  • Host a leadership training and one hands-on workshop open to all programs that includes guidance and training on developing, monitoring and reporting meaningful performance measures.
  • Adopt a system of performance management by developing division-wide and program-specific goals, objectives, and indicators; and, use Klipfolio software to monitor and report on performance data.

Deliverables and documentation submitted during this initiative:

Worcester Division of Public Health/Central Massachusetts Regional Public Health Alliance (MA)

Funded to:

  • Complete a performance management self-assessment using the Turning Point framework.
  • Complete a performance management planning process that results in a tool for implementation of the performance management system and a complete performance management plan.
  • Conduct a two-tiered training program that takes place during a one-day session for all staff focused on understanding the value and utility of the performance management system, and a second 1-2 day session for senior management to build skills in performance management design and implementation.

Deliverables and documentation submitted during this initiative:

    Apply to PHAB by May 31, 2014; this funding will support payment of up to 50% of the PHAB fee.




Category 5 - Building a Culture of Quality Improvement (related PHAB Domain: 9)

Quality improvement (QI) is the result of leadership support and requires staff commitment at all levels to build a culture of quality and ensure it is fully integrated into organizational structures, processes, services, operations, and more. Applicants to this category may use this award to conduct activities that will show progress towards building a culture of QI that will fulfill one or more predetermined deliverables (e.g., assessment of current QI culture and description of desired future state, plan for regularly communicating about QI activities, etc.).

Jessamine County Health Department (KY)

Funded to:

  • Assess the current QI culture of the organization using NACCHO's Roadmap to a Culture of Quality Improvement.
  • Host, with a contractor from an accredited local health department, eight full-day sessions for staff that include an introduction to QI, QI tools, building an improvement plan, conflict resolution, ten essential services, and more.

Deliverables and documentation submitted during this initiative:

Kittias County Public Health Department (WA)

Funded to:

  •  Develop a QI plan by creating a QI governance structure and charter; complete an assessment of current QI practices and knowledge; and research best practices.

Deliverables and documentation submitted during this initiative:

Knox County Health Department (IL)

Funded to:

  • With a consultant, hold a ½ day training for leadership and management teams on developing a QI infrastructure, developing a QI plan and building a QI culture; after this the agency will develop a QI plan that describes their vision for a culture of quality; key elements of QI governance structure; plans for training staff capacity in QI; and a description of the approach to monitoring and evaluating QI activities.
  • Provide an example of a completed QI project that is a result of six-month learning collaborative which will result in moving through the PDCA cycle and the completion of two programmatic QI projects.

Deliverables and documentation submitted during this initiative:

Madison County Health Department (IL)

Funded to:

  • Develop and submit for Board approval a QI plan that includes all required components.
  • Host a half-day training on developing QI infrastructure; plan and building a QI culture; and, a full day staff training on QI process, PDCA cycle and QI tools.

Deliverables and documentation submitted during this initiative:

Toledo-Lucas County Health Department (OH)

Funded to:

  • Develop a QI plan that is designed to meet the current and future quality improvement needs of the agency.
  • Develop and execute a QI Training Plan / Curriculum for all staff, and use post-training evaluations to identify training gaps.

Deliverables and documentation submitted during this initiative:


Category 6 - Workforce Development (related PHAB Domain: 8)

Applicants to this category may use this award to conduct activities that will show progress towards training and development of the LHD workforce that will fulfill one or more predetermined deliverables (e.g., job descriptions that include core competencies, a workforce development plan, etc.).

Bloomington Public Health (MN)

Funded to:

  • Developing and implementing a plan for adopting relevant core competencies by selecting, implementing and analyzing results from a competency assessment tool, conducting a gap analysis, developing a training schedule to address identified gaps, develop tools to evaluate competencies, developing a communication strategy for workforce development, and developing an agency-wide policy regarding staff core competencies.
  • Develop a workforce development plan by compiling competency assessments and training plans, and will include an outline of staff competencies against prioritized competencies, training curricula and schedules, and potential barriers to successful implementation.

Deliverables and documentation submitted during this initiative:

    The health department will apply to PHAB by May 31, 2014; this funding will support payment of up to 50% of the PHAB fee.

Central Connecticut Health District (CT)

Funded to:

  • Develop a plan for adopting relevant core competencies by orienting the Board and staff to the process and plan; identifying current training opportunities, policies and procedures, and desired core competencies; creating training plans and evaluations; and offer recommended to the changes in HR system to support these efforts.
  • Assess staff competencies against core competencies by conducting a gap analysis, surveys to understand training needs, and assessments of cultural competency of the agency as a whole to develop training programs and revised job descriptions.
  • Develop a training plan for staff, volunteers and Board members that addresses identified gaps. Each staff will develop an individual development plan.
  • Use the results from the assessments and components of training to develop and implement a workforce development plan.

Deliverables and documentation submitted during this initiative:

Columbia/Boone County Department of Public Health & Human Services (MO)

Funded to:

  • Develop a workforce development plan that includes adopted core competencies for staff and assessment of staff competencies against adopted competencies, curricula and training schedules based on a gap analysis, and potential barriers and strategies to overcome these barriers.

Deliverables and documentation submitted during this initiative:

Elkhorn Logan Valley Public Health Department (NE)

Funded to:

  • Develop a workforce development plan by adopting core competencies for staff and having staff complete an assessment to understand areas of proficiency and needs, developing a policy for staff training and development, and creating an agency-wide training schedule.
  • Develop individualized staff training plans that encompass the core competencies of public health, emergency preparedness and safety training, training on internal policies and laws relating to licensure requirements.

Deliverables and documentation submitted during this initiative:

Florence County Health Department (WI)

Funded to:

  • Develop a workforce development plan by discussing and reviewing materials on public health core competencies, having staff complete self-assessments and reviewing these to identify gaps, planning curricula and trainings for the year, and identifying potential barriers.

Deliverables and documentation submitted during this initiative:

2012-2013 Awardees

In fall 2012, the Centers for Disease Control and Prevention’s Office for State, Tribal, Local and Territorial Support provided funding to NACCHO to renew the Accreditation Support Initiatives (ASI) for a second year. The ASIs are intended to stimulate quality improvement and promote the readiness of health departments to seek voluntary national accreditation through the Public Health Accreditation Board (PHAB). Project activities include efforts to meet the

identified application requirements, achievement of PHAB standards and measures, and offsetting accreditation fees (up to 50 percent of the total fee). These two initiatives, which are providing direct, targeted funding of approximately $1.2 million across 31 total recipients, demonstrate how relatively small amounts of funding can be of great interest and value to health departments in their accreditation readiness efforts. Descriptions of the two initiatives, and the activities of the sites funded through them, are provided below.



This opportunity was available to all public health departments (state, local, territorial and tribal) as well as support organizations that assist local and tribal health departments (e.g., state health departments, public health institutes, state associations of county and city health officials) to undertake accreditation activities. Approximately 130 applications were received, illustrating heavy interest. Twenty awardees were identified to receive funding between $5,000 and $40,000 each:

Local Health Departments (LHDs)

1. City of Pasadena Health Department (CA)
Funded to complete a community health improvement plan; produce a performance measurement plan; and develop a comprehensive plan for reviewing laws and documentation examples.

2. Eastern Band of Cherokee Indians (NC)

Funded to complete a Tribal community health assessment and an agency strategic plan.

3. Erie County Health Department (OH)
Funded to complete a community health improvement plan and an agency strategic plan; design an example process for reviewing, dating and signing documentation for PHAB; and conduct a gap analysis of strengths and weaknesses in documentation across the domains. The health department plans to apply for accreditation by May 1, 2013.

4. Gallatin City-County Health Department (MT)
Funded to develop a performance management system; complete an agency strategic plan; and provide accreditation training to agency staff.

  • Gallatin City-County Health Department Final Report
  • Strategic Plan
  • Performance Management Plan
  • Documentation for the Strategic Planning Process (PHAB Standards and Measures Version 1.0 5.3.1L)
  • Accreditation Preparation Tools

5. Henry County Health Department (OH)
Funded to create and implement an electronic documentation storage system and preparation process, and develop a list of possible documentation for Domains 1-12. The health department plans to apply for accreditation by July 1, 2013.

6. Kent County Health Department (MI)
Funded to develop a performance management system; provide quality improvement training to staff; and develop an organizational cultural competency policy. The health department plans to apply for accreditation by May 1, 2013.

7. Malheur County Health Department (OR)
Funded to provide quality improvement training to staff; develop a quality improvement policy; and write a report on a completed quality improvement activity.

8. New Orleans Health Department (LA)
Funded to complete an agency strategic plan; develop a performance management system; complete communication policies; and complete the application process to PHAB. The health department will apply for accreditation by May 1, 2013; this funding will support payment of the PHAB fee.

9. Norwalk Health Department (CT)
Funded to complete a workforce development plan; complete the agency strategic plan; develop a performance management system; and complete the application process to PHAB. The health department will apply for accreditation by May 1, 2013; this funding will support payment of the PHAB fee.

  • Norwalk Health Department Final Report
  • Workforce Development Plan
  • Workforce Training Needs Assessment 2/26/13
  • Agency Strategic Plan 2013 - 2015
  • Performance Management Program Policy
  • Accreditation Preparation Documents

10. Ponca Tribe of Nebraska (NE)
Funded to develop a mechanism for TribalTrack communications; train content area experts to use TribalTrack with tribal health departments; complete outreach sessions and train 17 tribal health department representatives; and modify and deliver an assessment tool to capture tribal health department education needs.

11. Sedgwick County Health Department (KS)
Funded to complete a community health improvement plan and complete the application process to PHAB. The health department will apply for accreditation by May 1, 2013; this funding will support payment of the PHAB fee.

12. St. Clair County Health Department (IL)
Funded to complete the application process to PHAB. The health department will apply for accreditation by May 1, 2013; this funding will support payment of the PHAB fee.

13. St. Lawrence County Health Department (NY)
Funded to complete an agency strategic and written protocol for reviewing/updating the plan.

  • St. Lawrence County Health Department Final Report
  • Agency Strategic Plan
  • Documentation for the Strategic Planning Process

14. Town of Stratford Health Department (CT)
Funded to complete an agency strategic plan.

  • Town of Stratford Health Department Final Report
  • Agency Strategic Plan
  • Documentation for the Strategic Planning Process

Support Organizations

1. Indiana Public Health Association
Funded to provide tailored assistance and resources on accreditation preparation and community health assessments to Indiana LHDs and local boards of health, and provide targeted technical assistance to three Indiana LHDs.

2. Institute for Wisconsin’s Health

Funded to conduct an Accreditation Summit for 12-15 Wisconsin LHDs; and provide targeted technical assistance, via matched "mentor" agencies, to three LHDs that are preparing to submit applications to PHAB by May 2013.

  • Institute for Wisconsin's Health Final Report
  • Promotional Materials and Evaluations from the Accreditation Summit Event
  • Training Materials and Resources for Mentor/Mentee Technical Assistance
  • Mentee CHAs and CHIPs
  • Mentee Strategic Plans

3. Inter-Tribal Council of Arizona
Funded to provide quality improvement training for tribal health departments; conduct a tribal/state/federal accreditation roundtable; and provide targeted technical assistance to three tribal HDs.

4. Mid-America Center for Public Health Practice at the University of Illinois-Chicago
Funded to produce a report on factors contributing to Illinois LHDs’ ability to address Domain 8; develop a comprehensive online Accreditation Workforce Development Toolkit; and provide targeted technical assistance on workforce development to three Illinois LHDs.

5. North Dakota State Association of County and City Health Officials
Funded to provide technical assistance on accreditation preparation to 13 local health departments in North Dakota.

6. Public Health Institute (CA)
Funded to provide targeted technical assistance to two California LHDs and conduct two statewide teleconference accreditation sharing sessions.

Through the Affordable Care Act Prevention and Public Health Fund (ACA-PPHF), specific funding was made available to support the accreditation readiness efforts of local health departments (LHDs) serving large metropolitan jurisdictions. Applications to this initiative were solicited by invitation only and the opportunity was limited to health departments not directly receiving funding through the CDC National Public Health Improvement Initiative. Sites in this initiative will benefit from additional networking opportunities throughout the project period. Eleven jurisdictions were selected as awardees, receiving up to $65,000 each:
 
1. Baltimore City Health Department (MD)
Funded to complete the community health assessment and improvement plan; complete the agency strategic plan; and implement an electronic documentation storage process. The health department will also provide related technical assistance to a smaller LHD in their jurisdiction.

2. Boston Public Health Commission (MA)
Funded to produce an accreditation readiness assessment/gap analysis; complete a written roadmap for addressing accreditation requirements; and support progress toward completing a community health improvement plan and quality improvement plan.  The health department will also provide related technical assistance to a smaller LHD in their jurisdiction.

3. City of El Paso Department of Health (TX)
Funded to update its community health assessment and improvement plan; produce a written roadmap for addressing accreditation requirements; draft a workforce development plan; and complete manuals needed for documentation in Domains 2 and 3. The health department will also provide technical assistance on accreditation to a smaller LHD in their jurisdiction.

4. Columbus Public Health (OH)
Funded to develop processes related to implementation of the community health improvement plan and developing competency-based job descriptions; finalize a workforce development plan and training curriculum plan; and update its quality improvement training plan. The health department will also provide technical assistance on accreditation to a smaller LHD in their jurisdiction, and will develop a start-up kit to help LHDs just beginning the accreditation process. The health department applied for accreditation in 2012.

5. Cuyahoga County Board of Health (OH)
Funded to complete significant portions of the community health improvement process and develop documentation for several PHAB domains. The health department will also provide related technical assistance to a smaller LHD in their jurisdiction.

6. Denver Health & Hospital Authority (CO)
Funded to hire a quality improvement coordinator; establish the infrastructure and complete planning for an agency performance management system; and finalize a quality improvement plan. The health department will also provide related technical assistance to a smaller LHD in their jurisdiction.

7. Fresno County Department of Public Health (CA)
Funded to develop and implement a functioning performance/quality management system and complete documentation needed for Domain 9.1. The health department will also share these learnings and provide related technical assistance to other LHDs in their jurisdiction.

8. Multnomah County Health Department (OR)
Funded to develop plans and policies for a functioning performance/quality management system; finalize the quality improvement and communications plans; and provide staff and leadership training. The health department will also provide technical assistance on accreditation to smaller LHDs in their jurisdiction.

9. Orange County Health Department (CA)
Funded to complete a community health assessment using the Mobilizing for Action through Planning and Partnerships framework; complete a quality improvement plan; and provide quality improvement training to staff.

10. Public Health-Seattle & King County (WA)
Funded to support development of and implement a workforce training needs assessment instrument; document strategies for engaging staff in workforce surveys; produce draft workforce development and training evaluation plans; and develop a system for tracking staff professional development activities. The health department will also provide related technical assistance to smaller LHDs in their jurisdiction.

11. Salt Lake County Health Department (UT)
Funded to: complete the community health improvement plan; complete the agency strategic plan; and complete the application process to PHAB. The health department will apply for accreditation July 1, 2013; this funding will support payment of the PHAB fee.

2011-2012 Awardees

This opportunity was available to all public health departments (state, local, territorial and tribal) as well as organizations that assist local and tribal health departments (e.g., state health departments, public health institutes, state associations of county and city health officials) to prepare for or undertake accreditation activities. Approximately 130 applications were received, illustrating heavy interest.  Twelve awardees were identified to receive funding between $14,000 and $40,000 each:

Local Health Departments (LHDs)

1. Erie County Department of Health (PA)
Funded to create a workforce development plan, develop a performance management system, and implement at least one quality improvement process within the health department.

2. Madison County Health Department (KY)
Funded to update and complete the agency’s strategic plan, establish and maintain electronic documentation storage processes, and pay part of the PHAB application fees. The health department has applied for accreditation.

3. Missoula City-County Health Department (MT)
Funded to support the accreditation coordinator position and pay part of the PHAB application fees. The health department has applied for accreditation.








4. Public Health–Idaho North Central District (ID)

Funded to establish a formal quality improvement (QI) program with a written plan and a documentation process for QI activities, and train staff in core QI principles.  

5. Oneida County Health Department (WI)
Funded to support staff time needed to finalize PHAB documentation requirements and update policies and procedures.

6. Worcester County Health Department (MD)
Funded to complete and publish the three PHAB prerequisites, documentation of compliance with PHAB standards, and increase staff competencies related to identifying PHAB documentation needs. The health department has applied for accreditation.

7. Yellowhawk Tribal Health Center (OR)
Funded to complete a departmental strategic plan and integrate it into the tribal health improvement plan; evaluate public health laws and develop a guide to assist staff and providers in understanding their roles and responsibilities in enforcement; and ensure that staff workforce competencies meet the needs of the community.

Support Organizations

1. InterTribal Council of Arizona, Inc.
Funded to increase awareness about public health accreditation and the application process among tribes in Arizona, Utah, and Nevada; to develop a tribal-specific accreditation readiness tool for conducting a community health assessment; and to increase opportunities for tribal public health systems in Arizona to communicate and coordinate about public health accreditation.

2. Iowa Department of Public Health (supporting work of multiple LHDs)
Funded to conduct formative research to identify current practices of Iowa LHDs relating to their performance management systems, and provide technical assistance on how current activities may either be formalized or adjusted to meet PHAB standards. Findings will be used to inform the development of a performance management curriculum for all of Iowa’s LHDs.

3. Missouri Institute for Community Health (MICH)
Funded to provide technical assistance and consulting services, focused on strategic planning and quality improvement, to five Missouri LHDs preparing for PHAB accreditation. The five LHDs include: two rural LHDs that are accredited by MICH, two rural LHDS not accredited by MICH, and one semi-metro LHD not accredited by MICH.

  • Missouri Institute for Community Health Final Report
  • Mock site visit agenda
  • Accreditation readiness survey

4. New York State Association of County Health Officials
Funded to provide technical assistance to facilitate and complete a strategic planning process in four model LHDs of different sizes and types. These strategic plans will serve as models for the other 54 LHDs in New York state served by this organization.

  • NY State Association of County Health Officials Final Report
  • Final Report - Chautauqua County
  • Final Report - Dutchess County
  • Final Report - Herkimer County
  • Final Report - Westchester County

5. North Dakota State Association of City and County Health Officials
In a joint collaboration with the North Dakota department of health, funded to create a public health accreditation infrastructure serving 28 health departments; review PHAB standards and measures and familiarize LHDs with examples of acceptable documentation; support seven LHDs in developing a CHIP; and complete a performance improvement plan.

Through ACA funding, a total of $600,000 was available to support accreditation readiness efforts in large metropolitan jurisdictions. The opportunity was limited to health departments serving populations of more than 1.5 million but not directly receiving funding through the CDC national public health improvement initiative. In addition to the work described below, each LHD must also engage a “connector site,” (i.e., smaller LHD) to assist them in preparing for accreditation. Six jurisdictions were selected as awardees, receiving up to $62,000 each:

 
1. Columbus Public Health (OH) (collaborating with Franklin County Public Health)**
Funded to strengthen its existing QI plan, develop a training annex to the existing workforce development plan, and link both documents to its strategic plan. Additional project activities include providing targeted QI training for staff and partially funding an accreditation coordinator position. The health department has applied for accreditation.

2. Harris County Public Health and Environmental Services (TX)
Funded to update and improve its current performance management system to enhance accountability; to identify and formalize existing performance management and QI processes; and to expand efforts to create a culture of QI in the department.

3. Miami-Dade County Health Department (FL)
Funded to support staffing and travel needs for the accreditation coordinator and other staff, and pay part of the PHAB application fees. The health department has applied for accreditation.

  • Miami-Dade County Health Department Final Report
  • Miami-Dade County Health Department - Strategic Plan

4. Public Health–Seattle & King County (WA)
Funded to support dedicated staff to develop a department-wide performance management system that includes a process to determine, collect, and report on achievement of goals, objectives, and measures.

  • Public Health - Seattle and King County Final Report
  • Performance Measures Product Chart (blank)          
  • Performance Measures Training (PDF)           
  • Quality Council Charter

5. Southern Nevada Health District (NV)
Funded to receive training on and complete significant portions of the MAPP process that will result in a completed first draft of the community health assessment.

6. St. Louis County Department of Health (MO)**
Funded to begin working on a community health improvement plan based on the MAPP framework, draft a strategic plan for the department, and implement the first phase of a continuous performance management system.

**Applied via Initiative #1, but received funding ACA funding under Initiative #2.