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Effects of performance improvement programs on preparedness capacities.

Mary V Davis1, Christine A Bevc2, Anna P Schenck2

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Participation in accreditation and performance improvement programs significantly enhances public health preparedness capacities. These programs are vital for strengthening local health departments (LHDs) and improving response readiness.

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Area of Science:

  • Public Health Systems and Services Research
  • Health Services Administration
  • Emergency Preparedness

Background:

  • Public health systems research prioritizes understanding factors that enhance preparedness.
  • Local health departments (LHDs) are crucial for community health and emergency response.
  • Accreditation and performance improvement programs are potential mechanisms to bolster LHD capacities.

Purpose of the Study:

  • To assess the impact of accreditation and performance improvement programs on LHD preparedness capacities.
  • To determine if program participation correlates with improved scores across eight preparedness domains.

Main Methods:

  • Utilized data from the Local Health Department Preparedness Capacities Assessment Survey.
  • Employed weighted least-squares models to analyze program participation effects.
  • Compared four groups: NC accredited LHDs, NC non-accredited LHDs, national comparison LHDs in programs, and national comparison LHDs not in programs.

Main Results:

  • Program participation showed statistically significant positive effects on six to seven of eight preparedness domains.
  • NC accredited LHDs and national LHDs in performance programs demonstrated notable gains.
  • NC non-accredited LHDs also showed some positive effects, though fewer than accredited groups.

Conclusions:

  • Accreditation and performance improvement initiatives positively impact public health preparedness.
  • No significant difference in preparedness scores was found between accredited and non-accredited NC LHDs, likely due to statewide program strength and exposure effects.