Performance Improvement

Performance Improvement

Public health performance improvement is positive change in public health capacity, processes, or outcomes through the use of clear and aligned planning, monitoring, and improvement activities. Performance improvement relies on the use of evidence and continuous, formal activities that strengthen public health organizations and systems. It can occur and be measured at the system, organization, program, or employee level.

Our vision is that local health departments are mission-driven, high-performing organizations with cultures of quality that achieve and celebrate excellence.

NACCHO's Performance Improvement Team helps build the performance improvement capacity of health departments and their partners by providing tailored technical assistance and training, as well as tools, publications, and opportunities for peer networking and learning.

The Performance Improvement team at NACCHO has expertise in the following areas. Click on any of the links below to find our tools, resources, and current and past projects in each of these areas.

Public Health Infrastructure

Mobilizing for Action through Planning and Partnerships

MAPP is a community-driven strategic planning initiative. Find resources like the MAPP Handbook here

Public Health Infrastructure

Mobilizing for Action through Planning and Partnerships

Public Health Infrastructure

Healthy People 2020

Learn about NACCHO's work with Healthy People 2020 and find social determinants of health resources

Public Health Infrastructure

Healthy People 2020

Public Health Infrastructure

Quality Improvement

NACCHO offers local health departments resources for implementing quality improvement processes.

Public Health Infrastructure

Quality Improvement

The NACCHO PI team has a wide range of expertise and extensive experience with providing PI related technical assistance (TA) to LHDs. NACCHO staff are available to take ad-hoc TA requests via phone or e-mail.* Listed below are examples of common TA requests:

  • Expert guidance/consultation – NACCHO staff can provide guidance or advice as you are engaging in PI processes. For example, LHDs may need strategies for gaining partnership buy-in during a community health improvement planning process, completing a QI project, or designing a strategic planning agenda.
  • Peer-to-peer connections – With a multitude of LHD relationships and knowledge of PI activities across the field, our staff are well positioned to facilitate peer-to-peer connections, connecting LHDs working on similar PI goals or challenges.
  • Identifying resources – As LHDs begin to implement PI processes, we can assist in directing you to the most relevant resources based on your needs.
  • Accreditation documentation review – NACCHO staff may serve as an objective third party reviewer of your accreditation documentation, up to 2-3 hours of staff time. For example, we can provide feedback on strategic plans, community health assessments and improvement plans, QI plans, workforce development plans, or other documentation for the PHAB Standards and Measures.

*Please email pi@naccho.org for TA requests and questions. There may be a fee associated with more in-depth TA. NACCHO is also available to provide in-depth, fee based consultation services including in-person trainings and facilitation of performance improvement processes. For more information, please see NACCHO consulting.

See our PI Curriculum and Webinars page for the archived PI curriculum and our archived webinars on a variety of PI topics, listed in chronological order.

Public Health Infrastructure

Curriculum and Webinars

NACCHO's Performance Improvement Curriculum and archived webinars

Public Health Infrastructure

Curriculum and Webinars

Ci  Resources  Writing Utensils

Public Health Infrastructure

Mobilizing for Action through Planning and Partnerships

MAPP is a community-driven strategic planning initiative. Find resources like the MAPP Handbook here

Public Health Infrastructure

Mobilizing for Action through Planning and Partnerships

Performance Improvement Success Stories

Read our new Performance Improvement success stories from Columbus Public Health and Salt Lake City Public Health, where rigorous quality improvement (QI) led to enhanced teamwork and effective fiscal management.
Performance Improvement Success Stories August 2019

NACCHO Stories of PI Impact

Two local health departments share stories of PI impact in the videos below.

Columbus Public Health Success Story

Salt Lake County Performance Improvement Success Story

Addressing Social Determinants of Health: Stories from the Field

NACCHO's Stories from the Field highlights local health department successes, challenges, and innovations. Public health is evolving to take a more holistic approach to population health by focusing on the social determinants of health (SDOH)—the conditions in which people are born, live, work, and age, and which are shaped by the distribution of money, power, and resources. In 2019, NACCHO added Healthy People 2020 SDOH tags, according to the specific SDOH areas addressed through the initiatives, to the Stories from the Field. It is now possible for communities to see how SDOH are being addressed at the local level to ameliorate a broad range of health concerns. Find local examples of SDOH interventions here.

Additional Publications

NACCHO’s Performance Improvement team makes it a priority to monitor and contribute to the latest public health performance improvement research and editorials in the field. These publications, authored by NACCHO staff or related to NACCHO PI programs, are geared toward public health practitioners offering peer reviewed research, the latest trends, and various field perspectives on the latest performance improvement happenings at the local, state, and national levels. Find performance improvement literature here.

Featured Resource

A Rising Tide: Increasing Rural LHD Capacity to Address SDOH

Lessons learned from rural LHDs engaged in work to address the social determinants of health

Featured Resource

A Rising Tide: Increasing Rural LHD Capacity to Address SDOH

Featured Resource

Measuring What Matters in Public Health

NACCHO's practical guide to implementing performance management at your health department

Featured Resource

Measuring What Matters in Public Health

Public Health Infrastructure

Mobilizing for Action Through Planning & Partnerships

All about Mobilizing for Action Through Planning & Partnerships (MAPP)

Public Health Infrastructure

Mobilizing for Action Through Planning & Partnerships

Local Health Department-Health Center (LHD-HC) Collaboration

Local Health Department-Health Center Collaboration Toolkit: This set of tools is designed to support collaborations between local health departments (LHDs) and health centers to increase access to and quality of critical services for underserved populations.

Collaboration between Local Health Departments and Health Centers: NACCHO, with the Center for Sharing Public Health Services (CSPHS), collaborated to conduct key informant interviews with staff from local health departments (LHDs) and from health centers to identify resources that could support LHD‐health center sharing of services. The objective was to use this information in a future project phase to identify and help inform the development and piloting of service sharing tools between LHDs and health centers.

*NEW* Local Health Department-Health Center Services Sharing Tools

With support from HRSA, NACCHO partnered with the Center for Sharing Public Health Services (CSPHS) to develop the following suite of tools that support the sharing of services – both clinical and nonclinical – between local health departments (LHDs) and health centers.

Legal Checklist- A guide to assist in developing legal agreements that govern shared services arrangements between LHDs and health centers

Readiness Factors for Shared Services Arrangements- A tool to help evaluate levels of readiness between LHDs and health centers that are considering or are already involved in collaborating through shared services arrangements

Roadmap to Develop Shared Services Arrangements- A guide for those working on or considering a sharing arrangement between LHDs and health centers

Types of LHD-Health Center Shared Services Arrangements- This document introduces four main types of shared services arrangements

Success Factors for Shared Service Arrangements- A guide to those factors or conditions that materially contribute to
successful sharing arrangements between LHDs and health centers

Collaboration Trust Scale for Shared Service Arrangements- A conversation tool for LHDs and health centers containing a series of questions organized under headings which represent areas that should be considered when assessing trust

Applications are now open for the 2019-2020 cohort of the Strong Systems, Stronger Communities TA Cohorts for local health departments!

NACCHO, with support from the Center for State, Tribal, Local and Territorial Support within the Centers for Disease Control and Prevention (CDC), is pleased to offer year 2 of a technical assistance (TA) opportunity titled Strong Systems, Stronger Communities (SSSC) TA Cohorts for local health departments (LHDs). The SSSC initiative provides support to health departments in completing projects to improve their performance, meet national accreditation standards, and promote interconnection across the public health system to improve population health. Through the 2019-2020 SSSC TA Cohorts, NACCHO will support LHDs in moving upstream to address social determinants of health and health equity by improving the implementation of the community health improvement plan (CHIP) using principles of quality improvement. Each team will hold an Equity Action Lab with their communities, during which they will identify a meaningful goal and design rapid-cycle improvement tests to achieve gains within a short period of time. This training and TA opportunity will include travel to a workshop in Washington, DC, along with virtual training and TA throughout the project period.

NACCHO and CDC hosted a webconference on Tuesday, October 8th from 3:30-4:30 pm ET to provide an overview of the RFP and application. No new information was shared during the call; as such, applicants need not attend optional call to begin or submit applications. A recording over this call can be viewed here.

Applications are now open through 5 PM ET on Friday, October 25. Please see below for the RFP, application document, and link to the online application.

SSSC for LHDs RFP 2019-2020

NACCHO SSSC Application Document and Online application

You can read about past SSSC TA Cohorts Projects here.

Additional opportunities

Please subscribe to our newsletter, PI Compass, through the link at the bottom of this page to learn of future opportunities.

Join also join our Performance Improvement Peer Learning (PIPL) community to learn about resources and opportunities from NACCHO and our partners.

NACCHO's Performance Improvement team has combined the MAPP Network Update and AccreditNATION to create a single monthly newsletter now known as P.I. Compass! This newsletter will feature resources and events under the performance improvement umbrella, including the areas of accreditation, quality improvement, performance management, CHA/CHIP, and health equity.

Please forward this information to your colleagues and partners, and encourage them to subscribe. To subscribe, please log-in to your My NACCHO account. If you do not have a “My NACCHO” account you can sign up by clicking here.

  • Once logged on click on “My Subscriptions” in the left navigation menu
  • Check the box for “PI Compass”
  • Click “Save” at the bottom of the page

For more information about our Performance Improvement team, you can use the form above or email pi@naccho.org.

Public Health Infrastructure and Systems

Peter Holtgrave

Senior Director, PHIS

202-507-4234 / pholtgrave@naccho.org

Public Health Infrastructure and Systems

Pooja Verma

Lead Program Analyst, Performance Improvement

202-507-4206 / pverma@naccho.org

Public Health Infrastructure and Systems

Deya Greer

Senior Program Analyst, Performance Improvement

202-507-4286 / dgreer@naccho.org

Public Health Infrastructure and Systems

Barbara Laymon

Lead Program Analyst, Performance Improvement

202-507-4240 / blaymon@naccho.org

Public Health Infrastructure and Systems

Helena Dessie

Senior Program Assistant, PHIS

202-888-0438 / hdessie@naccho.org