HIGH LEVEL 4-YEAR CYCLE FOR RE-ACCREDITATION (ACCORDING TO HD RE-ACCREDITATION YEAR) This document is a high-level overview of the 4-year re-accreditation cycle for a NC Health Department. It is set up according to a health department’s re-accreditation year, beginning immediately after the State’s Site Visit. Each of the 4 years is divided into four quarters and shows a brief description of activities that take place throughout that year as well as recommended activities (such as quarterly QI communication meetings to foster accountability).
1 st Quarter YEAR 1 (ACCORDING TO HD‘s RE-ACCREDITATION YEAR, NOT CALENDAR YEAR) 2 nd Quarter 3 rd Quarter 4 th Quarter Quarterly Status Update (Policy Grid) – QI Quarterly Meeting Evidence Processing Training Submit KEY REPORT: SOTCH, CHA, Strategic Plan & Workforce Dev. Plan Review, etc. QI Quarterly Meeting Quarterly Status Update (Policy Grid) – Collect, Submit & Confirm Annual HDSAI Evidence Annual Requirements Planning & Team Organization Annual Requirements Training for Process Owners SITE VISIT
1 st Quarter YEAR 2, OR 3 YEARS PRIOR TO NOTIFICATION DATE (ACCORDING TO HD‘s RE-ACCREDITATION YEAR, NOT CALENDAR YEAR) 2 nd Quarter 3 rd Quarter 4 th Quarter Quarterly Status Update (Policy Grid) – QI Quarterly Meeting Evidence Processing Training, if needed QI Quarterly Meeting Quarterly Status Update (Policy Grid) – Collect, Submit & Confirm Annual HDSAI Evidence Annual Requirements Planning Annual Requirements Training for Process Owners Submit KEY REPORT: SOTCH, CHA, Strategic Plan & Workforce Dev. Plan Review, etc.
1 st Quarter YEAR 3, OR 2 YEARS PRIOR TO NOTIFICATION DATE (ACCORDING TO HD‘s RE-ACCREDITATION YEAR, NOT CALENDAR YEAR) 2 nd Quarter 3 rd Quarter 4 th Quarter Annual Requirements Training for Process Owners Quarterly Status Update (Policy Grid) – QI Quarterly Meeting Evidence Processing Training, if needed QI Quarterly Meeting Quarterly Status Update (Policy Grid) – Collect & Submit Annual HDSAI Evidence Annual Requirements Planning Submit KEY REPORT: SOTCH, CHA, Strategic Plan & Workforce Dev. Plan Review, etc.
1 st Quarter YEAR 4, OR <1 YEAR PRIOR TO NOTIFICATION DATE (ACCORDING TO HD‘s RE-ACCREDITATION YEAR, NOT CALENDAR YEAR) 2 nd Quarter 3 rd Quarter 4 th Quarter Annual Requirements Planning Annual Requirements Training for Process Owners Quarterly Status Update (Policy Grid) – QI Quarterly Meeting Evidence Processing Training, if needed QI Quarterly Meeting Quarterly Status Update (Policy Grid) – Collect & Submit Annual HDSAI Evidence Submit HDSAI to State Accred Ofc SITE VISIT Finalize HDSAI to Submit to State Submit KEY REPORT: SOTCH, CHA, Strategic Plan & Workforce Dev. Plan Review, etc. Receive Notification Date