PHAB Slide Set 2013 The slides in this set are made available for use in presentations and educational sessions by health departments. The information is provided for use in your own presentations and is not intended to be used as a stand-alone PHAB presentation.

Introduction Completing the accreditation process will take: Support of the Health Department Leadership Involvement of staff throughout the department Time to properly prepare for each step Recognition that Accreditation is about Quality Improvement Process is paperless and online through the e- PHAB Information System

What is Public Health Accreditation?  The measurement of health department performance against a set of nationally recognized, practice-focused and evidenced- based standards.  The issuance of recognition of achievement of accreditation within a specified time frame by a nationally recognized entity.  The continual development, revision, and distribution of public health standards.

The Public Health Accreditation Board (PHAB)  PHAB is a non-profit, voluntary public health accreditation organization founded in 2007 whose goal is to advance public health performance by providing a national framework of standards for Tribal, state, local, and territorial health departments.  PHAB is the national organization charged with administering the public health accreditation program.  PHAB’s office is located in Alexandria, VA.

The Public Health Accreditation Board (PHAB) PHAB is funded through grants from the Robert Wood Johnson Foundation (RWJF), the Centers for Disease Control and Prevention (CDC) and accreditation fees from applicants. PHAB’s governance structure is a board of directors composed of public health leaders. PHAB can be contacted for additional information at or

Importance of Accreditation Accreditation can help your health department: identify successes and opportunities for improvement promote quality initiatives energize the workforce and develop a strong team focus the health department on common goals evaluate your health department’s performance align your resources with your strategic objectives deliver results

Accreditation looks at: Leadership Strategic planning Community engagement Customer focus Workforce development Evaluation and quality improvement Governance

Goal of Accreditation The goal of the national public health department accreditation program is to improve and protect the health of the public by advancing the quality and performance of Tribal, state,local, and territorial public health departments.

Why Seek Accreditation? Become Responsive to Change Shared Decision-Making Implement Workforce Development Evaluate Services and Programs Increase Performance Improvement Develop Strong Partnerships

Incentives National recognition for public health practice Opportunity to engage the public health workforce Access to network of public health experts Focus on improving the health department Potential access to new funding streams Potential streamlining of grant reporting Participation in developing a strong data base for exploring best practices

Accreditation Process Steps Step 1 – Pre-Application Step 2 – Application Step 3 – Documentation Selection and Submission Step 4 – Site Visit Step 5 – Accreditation Decision Step 6 – Reports Step 7 – Reaccreditation

All applicant Health Departments must designate an Accreditation Coordinator. The Coordinator cannot be the Health Director. The Coordinator must have the support of Health Department Leadership and staff. An Accreditation Team is strongly recommended to assist the Accreditation Coordinator in his/her duties. Accreditation Coordinator

Readiness Checklists There are four sections of the Readiness Checklists Initial Checklist Prerequisite Checklist Process Readiness Checklist Organizational Readiness Checklist

Composed of Four Modules that must be completed by the Accreditation Coordinator and the Health Director prior to submission of a Statement of Intent (SOI) An online quiz and evaluation must be completed to receive a Personal Identification Number (PIN) submitted with the SOI Gives good base of knowledge to anyone interested in or involved with PHAB accreditation Located at Online Orientation

Statement of Intent (SOI) Must be submitted by a health department with interest in applying for accreditation Submission does not commit the health department to applying After receipt and acceptance by PHAB, health department will be granted access to the application

The Three Prerequisites Community Health Assessment Standard 1.1 Health Improvement Plan Standard 5.2 Department Strategic Plan Standard 5.3 Submitted with the application

Community Health Assessment Collaborative process Mobilizes the community Develops priorities Gathers resource needs Collects and analyzes data

Community Health Improvement Plan Long-term effort Address issues from the Community Health Assessment Broad participation Set community priorities

Department Strategic Plan Internal to the health department Sets what the health department plans to achieve and how it will do that Guide to: Making decisions Allocating resources Taking action

Standards & Measures Version 1.0 The standards and measures can be used to: Review and revise processes, procedures, and programs Develop capacity and performance excellence Guide the internal development of quality Prepare for documentation selection and submission and site visit

Standards and Measures, Version 1.0 The Standards and Measures are organized into: Domains Standards Measures Required Documentation

Structural Framework of the Standards & Measures Domain Standard Measure Documentation Guidance Purpose Significance

Twelve Domains Conduct assessments focused on population health status and health issues facing the community Investigate health problems and environmental public health hazards to protect the community Inform and educate about public health issues and functions Engage with the community to identify and solve health problems Develop public health policies and plans Enforce public health laws and regulations Promote strategies to improve access to healthcare services Maintain a competent public health workforce Evaluate and continuously improve processes, programs, and interventions Contribute to and apply the evidence base of public health Maintain administrative and management capacity Build a strong and effective relationship with governing entity

Measures for: All health departments are designated “A” Tribal health departments are “T” State health departments are “S” Local health departments are “L”

The Standards and Measures, Version 1.0, are currently under review and will be revised in The new version will be released on January 1, 2014 and will be effective July 1, Standards and Measures

The Site Visit The site visit lasts 2-3 days The health department’s documentation is reviewed by team of peer public health professionals prior to the on-site visit The site visit team, usually three individuals, will then conduct an on-site review The Site Visit Report is written by the full Site Visit Team and is due to PHAB two weeks after the site visit concludes

Accreditation Decision The Accreditation Decision is made by the Accreditation Committee based upon the report of the Site Visit Team. The Accreditation Committee, a committee of the Board of Directors, is composed of board members and non-board members. Decisions of the Accreditation Committee are reported to the full board. Accreditation Decisions will be sent in writing and by to applicants.

Accreditation Decision There are two possible decisions of the Accreditation Committee – Accredited or Not Accredited. If designated as Not Accredited, the health department may submit an action plan within 90 days. If the plan is approved, the health department will have up to a year to implement it.

Technical Assistance Association of State and Territorial Health Officials (ASTHO): National Association of County and City Health Officials (NACCHO): National Association of Local Boards of Health (NALBOH): National Indian Health Board (NIHB): National Network of Public Health Institutes (NNPHI): Public Health Foundation (PHF):

Resources PHAB Guide to National Public Health Department Accreditation Version 1.0 PHAB Standards and Measures Version 1.0 PHAB Fee Schedule ( ) Fact Sheet PHAB National Public Health Department Accreditation Documentation Guidance Version 1.0 PHAB National Public Health Department Accreditation Readiness Checklists Version 1.0 PHAB Standards and Measures Documentation Selection Spreadsheet Version 1.0 (Excel) Accreditation Coordinator Handbook See for a full listing of resources.

Public Health Accreditation Board 1600 Duke Street, Suite 440 Alexandria, VA T: F: