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Pursuing Public Health Accreditation: A Focus on HOW.

Angela L Carman1, F Douglas Scutchfield, Margaret L McGladrey

  • 1Health Behavior & Society, University of Kentucky, College of Public Health, Lexington, Kentucky (Dr Carman); Health, Services Research and Policy, Colleges of Public Health and Medicine, Lexington, Kentucky (Dr Scutchfield); Department of Sociology and Tisch College of Civic Life, Tufts University, Medford, Massachusetts (Dr McGladrey); and Jessamine County Health Department, Nicholasville, Kentucky (Mr Vorbeck).

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PubMed
Summary
This summary is machine-generated.

Local health departments can improve efficiency in pursuing public health accreditation by following a logical, sequenced road map. This approach helps optimize resource use and adapt to varying capacities for smaller or larger organizations.

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Area of Science:

  • Public Health
  • Health Services Research
  • Organizational Management

Background:

  • Local health departments (LHDs) face challenges balancing resource conservation with performance and community health improvement.
  • National public health accreditation is a voluntary guide for improvement, but efficient pursuit remains a challenge for many LHDs.

Purpose of the Study:

  • To identify an efficient sequence for completing accreditation deliverables for local health departments.
  • To develop a road map for LHDs pursuing national public health accreditation.

Main Methods:

  • A participatory action research approach was used with LHD directors and accreditation coordinators.
  • Participants sequenced accreditation deliverables and researchers coded similarities and differences.

Main Results:

  • Most LHDs lacked workforce, quality improvement, and performance management plans before accreditation.
  • A common sequence for deliverables emerged: quality improvement plan, performance management plan, Community Health Assessment, Community Health Improvement Plan, strategic plan, and workforce development plan.
  • Factors influencing readiness include staff availability, skills, training, and financial resources.

Conclusions:

  • A flowchart of interconnected accreditation deliverables can serve as an efficient road map for LHDs.
  • This sequential approach is particularly valuable for small LHDs with limited resources but adaptable for larger ones.
  • Accreditation readiness can be optimized through a logical, efficient ordering of tasks.