Reaccredited health departments

Public Health Accreditation Board (PHAB): Assessment of Processes and Outcomes

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Reaccredited health departments

OMB: 0920-1295

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Reaccreditation	Survey	(Survey	5)

Form	Approved
OMB	No.	XXXX-XXXX
Expiration	Date	XX/XX/XXXX
Welcome
NORC	at	the	University	of	Chicago	(NORC)	is	asking	health	departments	that	have	been	reaccredited	to	participate
in	a	survey	about	national	public	health	department	reaccreditation.	The	survey	includes	questions	about	the
reaccreditation	process,	challenges,	benefits,	and	short-term	outcomes	from	reaccreditation.	NORC	is	conducting
this	survey	on	behalf	of	the	Public	Health	Accreditation	Board	(PHAB)	and	the	Centers	for	Disease	Control	and
Prevention	(CDC)	to	evaluate	the	outcomes	of	the	national	public	health	accreditation	program.	The	questions	and
topics	in	this	survey	are	intended	for	the	Director	of	your	health	department,	or	a	designee,	if	the	Director	is
unable	to	complete	the	survey.	Thank	you	for	participating	in	this	survey.
Directions
Use	your	mouse	to	click	on	the	circle	or	box	to	indicate	your	answer.	Click	“Next”	to	advance	to	the	next	page,	and
scroll	to	the	bottom	of	each	page	and	click	“Previous”	to	return	to	the	previous	page.	On	the	last	page	of	the
questionnaire,	click	“Done”	to	complete	the	questionnaire.	Note:	once	you	click	“Done,”	you	will	not	be	able	to	edit
or	return	to	your	questionnaire	responses.
If	you	have	technical	difficulties,	contact	Megan	Heffernan	at	heff[email protected]	or	301-634-9412.	Thank
you	again	for	your	participation.
Background
The	survey	is	estimated	to	take	20	minutes	or	less	to	complete.	Your	open	and	honest	feedback	is	appreciated.
Findings	from	this	assessment	will	be	included	in	a	report	to	PHAB	and	CDC	and	may	be	publicly	available.	All	data
will	be	presented	in	the	aggregate.	Report	findings	will	not	be	linked	to	the	organization	that	completed	the	survey.
For	more	information	about	this	assessment,	please	contact	Project	Director	Michael	Meit	at	[email protected].

CDC	estimates	the	average	public	reporting	burden	for	this	collection	of	information	as	20	minutes	per	response,
including	the	time	for	reviewing	instructions,	searching	existing	data/information	sources,	gathering	and
maintaining	the	data/information	needed,	and	completing	and	reviewing	the	collection	of	information.	An	agency
may	not	conduct	or	sponsor,	and	a	person	is	not	required	to	respond	to	a	collection	of	information	unless	it	displays
a	currently	valid	OMB	control	number.	Send	comments	regarding	this	burden	estimate	or	any	other	aspect	of	this
collection	of	information,	including	suggestions	for	reducing	burden	to	CDC/ATSDR	Reports	Clearance	Officer;
1600	Clifton	Road	NE	MS	H21-8,	Atlanta	GA	30333	(ATTN:	PRA	(0920-xxxx).

Reaccreditation	Survey	(Survey	5)
Information	About	Your	Health	Department

* 1.	Name	of	Health	Department:

Note:	This	information	will	be	used	to	analyze	findings	by	health	department	structure,	size,	and	geographic
region;	responses	will	not	be	linked	to	any	specific	health	department.

* 2.	Respondent	Role:	
Director	of	Health	Department
Accreditation	Coordinator
Other,	please	describe:

Reaccreditation	Survey	(Survey	5)
PHAB	Reaccreditation	Standards	and	Measures

3.	For	each	statement	below,	consider	your	impressions	of	and	experiences	with	the	PHAB
Reaccreditation	Standards	and	Measures.	Please	check	the	appropriate	column	to	indicate
whether	you	Strongly	Agree,	Agree,	Disagree,	or	Strongly	Disagree.	If	you	are	unsure,	please
select	Don’t	Know.
Strongly
Agree

	
The	PHAB	Reaccreditation	Standards	and
Measures	allow	for	accurate	measurement
of	the	public	health	capabilities	and
performance	in	our	health	department.
The	PHAB	Reaccreditation	Standards	and
Measures	accurately	assess	health
departments’	improvements	and
advancements.
The	PHAB	Reaccreditation	Standards	and
Measures	accurately	reflect	the	practice	of
high-performing	health	departments.

Agree

Disagree

Strongly
Disagree

Don’t	Know

Reaccreditation	Survey	(Survey	5)
Reaccreditation	Process

4.	For	each	statement	below,	consider	your	impressions	of,	and	experiences	with,	the	PHAB
Reaccreditation	Process.
Strongly
Agree

	

Agree

Disagree

Strongly
Disagree

Don't	Know

The	Population	Health	Outcomes	Reporting
requirement	led	our	health	department	to
place	greater	emphasis	on	tracking	health
outcomes.
Preparing	for	reaccreditation	led	our	health
department	to	make	useful	changes	in	the
way	we	track	population	health	outcomes
(e.g.,	adding	new	metrics	or	benchmarks	or
changing	targets)
The	process	of	developing	the	Measure
narratives	provided	insights	on	how	to
improve	our	health	department’s
performance.
The	process	of	developing	the	Measure
narratives	led	us	to	assess	our	health
department	overall	(i.e.,	as	a	system	or
cross-departmental,	rather	than	program	by
program).
The	Reaccreditation	Report	provided
insights	about	how	to	improve	our	health
department’s	performance.

5.	Please	describe	any	strategic	changes	that	your	health	department	made	as	a	result	of	the
process	of	developing	the	Measures	narratives?

6.	Please	provide	any	additional	feedback	about	the	PHAB	Reaccreditation	Standards	and
Measures	and/or	process	to	help	inform	improvements.

Reaccreditation	Survey	(Survey	5)
Accreditation	Committee	Action	Requirements	(ACAR)

7.	Did	the	Accreditation	Committee	require	your	health	department	to	develop	any
Accreditation	Committee	Action	Requirements	(ACAR)?
Yes
No
Don’t	know

Reaccreditation	Survey	(Survey	5)
Accreditation	Committee	Action	Requirements	(ACAR)

8.	It	was	beneficial	for	our	health	department	to	implement	the	activities	identified	in	the
ACAR.
Strongly	agree
Agree
Disagree
Strongly	disagree
Don't	know

9.	Please	provide	additional	comments	about	the	ACAR	process,	if	desired.

Reaccreditation	Survey	(Survey	5)
Challenges

Please	answer	the	following	questions	about	the	challenges	your	health
department	experienced	as	you	completed	the	PHAB	Reaccreditation	Process.
10.	Did	your	health	department	experience	any	of	the	following	challenges	while	applying	for
reaccreditation?	
Select	all	that	apply.
Leadership	changes
Staff	turnover	or	loss	of	key	staff
Limited	staff	time	or	other	schedule	limitations
Decreased	perceived	value	or	benefit
Decreased	priority	for	our	health	department
Decreased	support	from	board	of	health	or	governing	entity
Decreased	support	from	other	elected	leaders
Decreased	support	from	health	department	leadership	team
Limited	funding	or	financial	constraints
Difficulty	writing	narrative	responses
Difficulty	identifying	population	health	outcomes	to	report
Unanticipated	costs
None
Other,	please	describe:

11.	For	each	of	the	challenges	selected	above,	please	describe	how	your	health	department
overcame	the	obstacle.

Reaccreditation	Survey	(Survey	5)
Benefits	and	Outcomes

12.	For	each	statement	below,	consider	the	benefits	or	outcomes	your	health	department	may
have	experienced:	1)	since	you	began	your	accreditation	journey	(including	preparing	for	and
gaining	accreditation	status)	and	2)	because	of	your	preparation	for	and	participation	in	the
reaccreditation	process.	Please	select	all	that	apply.	For	example,	if	your	health	department
experienced	a	particular	benefit	during	initial	accreditation	and	reaccreditation,	select	both
columns.

	

We	have	have	experienced
this	since	we	began	the
accreditation	journey
Stimulated	greater	collaboration	across	departments	or
units	within	our	health	department
Improved	integration	across	departments	or	units	in
our	health	department
Stimulated	greater	accountability	and	transparency
within	our	health	department
Strengthened	employee	pride	in	our	agency
Improved	our	health	department’s	overall	capacity	to
provide	high	quality	programs	and	services
Increased	the	extent	to	which	our	health	department
uses	evidence-based	practices	for	public	health
programs	and/or	business	practices
Improved	utilization	of	resources	within	our	health
department
Led	us	to	compare	our	health	department’s	programs,
processes,	and/or	outcomes	against	other	similar	health
departments	as	a	benchmark	for	performance
Led	our	health	department	to	apply	health	equity	to
internal	planning,	policies,	or	processes
Improved	our	health	department’s	ability	to	identify
and	address	gaps	in	employee	training	and	workforce
development
Strengthened	the	culture	of	QI	in	our	health
department
Improved	the	credibility	of	our	health	department
within	our	community	and/or	state
Improved	our	health	department’s	visibility	or
reputation	to	external	stakeholders
Led	to	new	opportunities	for	partnerships	and/or
collaborations
Strengthened	our	health	department’s	relationship
with	key	partners	in	other	sectors	(e.g.,	health	care,
social	services,	education)
Helped	us	to	build	relationships	with	new	partners
across	sectors	(e.g.,	health	care,	social	services,
education)
Helped	our	health	department	use	health	equity	as	a
lens	for	identifying	and	addressing	health	priorities
Led	to	improved	health	outcomes	in	our	community

We	have	experienced	this
because	of	our
preparation
for/participation	in	the
reaccreditation	process

Reaccreditation	Survey	(Survey	5)
Benefits	and	Outcomes

Consider	the	benefits	or	outcomes	your	health	department	may	have
experienced	because	of	your	preparation	for	and	participation	in	the
reaccreditation	process.
13.	Our	health	department	experienced	benefits	from	participating	in	the	reaccreditation
process	that	went	beyond	the	benefits	of	participating	in	the	initial	accreditation	process.
Strongly	agree
Agree
Disagree
Strongly	disagree
Don't	know

14.	Please	provide	additional	detail	regarding	the	benefits	of	the	reaccreditation	process,	if
desired.

Reaccreditation	Survey	(Survey	5)
Quality	Improvement	and	Performance	Management

Please	answer	the	following	questions	regarding	the	current	quality
improvement	(QI)	and	performance	management	culture	in	your	agency.
15.	Indicate	the	level	of	familiarity	your	health	department	staff	members	have	with	QI.
Have	no	knowledge	of	QI
Subset	of	staff	have	familiarity	with	QI
Majority	of	staff	have	familiarity	with	QI
Subset	of	staff	are	knowledgeable	and	practice	QI
Majority	of	staff	are	knowledgeable	and	practice	QI
Majority	of	staff	routinely	practice/use	QI
Don’t	know

16.	Currently	QI	in	my	agency	is…
Not	practiced	anywhere
Talked	about,	but	not	required
Conducted	informally;	sporadic	program	efforts
Conducted	formally	in	specific	areas
Conducted	formally	and	agency-wide
Our	culture
Don’t	know

17.	Approximately	what	percentage	of	staff	in	your	organization	have	received	training	in
performance	management	and/or	QI?
0–5%
6–25%
26–50%
51–75%
76–95%
96–100%
Don't	know

Reaccreditation	Survey	(Survey	5)
Workforce	Development	and	Training

Please	answer	the	following	question	about	your	health	department’s
workforce	development	and	training.
18.	Select	all	workforce	development	and	training	activities	currently	implemented	by	your
health	department.	Select	all	that	apply.
Include	education	and	training	objectives	in	performance	reviews
Allow	participation	in	training	during	working	hours
Pay	travel/registration	fees	for	trainings
Provide	on-site	training
Have	staff	position(s)	whose	responsibilities	include	coordinating	internal	training	for	employees
Provide	employee	reward	and	recognition	programs
Other,	please	describe:

Reaccreditation	Survey	(Survey	5)
Financial	Status

19.	For	each	statement	below,	consider	the	financial	benefits	or	outcomes	your	health
department	may	have	experienced	since	becoming	accredited.
Strongly
Agree

	

Agree

Disagree

Strongly
Disagree

Don't
Know

N/A

Accreditation	has	improved	our	health
department’s	competitiveness	for	funding
opportunities.
Accreditation	has	resulted	in	new	funding
for	our	health	department.
Accreditation	has	had	a	positive	impact	on
our	health	department	budget	(e.g.,	helped
us	demonstrate	our	value	and	needs	in
budget	discussions,	or	protected	the	health
department	against	budget	cuts).

20.	If	you	strongly	agree	or	agree	with	any	of	the	previous	statements	about	financial	status,
please	provide	specific	examples.

Reaccreditation	Survey	(Survey	5)
Additional	Feedback

21.	Our	health	department	made	the	correct	decision	to	apply	for	reaccreditation	through
PHAB.
Strongly	Agree
Agree
Disagree
Strongly	Disagree
Don't	Know

22.	Please	provide	additional	feedback	regarding	reaccreditation,	if	desired.

Reaccreditation	Survey	(Survey	5)
Thank	You

Thank	you	for	your	participation!


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