Recently accredited health departments

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

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OMB: 0920-1295

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Accredited	Survey	(Survey	2)

Form	Approved
OMB	No.	XXXX-XXXX
Expiration	Date	XX/XX/XXXX
Welcome
NORC	at	the	University	of	Chicago	(NORC)	is	asking	recently	accredited	health	departments	to	participate	in	a
survey	about	the	national	public	health	accreditation	program.	The	survey	includes	questions	about	your
experiences	with	the	process,	the	benefits	of	accreditation,	and	short-term	outcomes	and	other	effects	from
accreditation.	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).

Accredited	Survey	(Survey	2)
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:

Accredited	Survey	(Survey	2)
PHAB	Standards	and	Measures

3.	For	each	statement	below,	consider	your	impressions	of	and	experiences	with	the	PHAB
Standards	and	Measures.	Please	select	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

	
As	currently	written,	the	PHAB	Standards
and	Measures	for	accreditation	allow	for
accurate	measurement	of	the	public	health
capacities	and	processes	in	our	health
department.
As	currently	written,	the	PHAB	Standards
and	Measures	for	accreditation	accurately
reflect	the	practice	of	high-performing
health	departments.

Agree

Disagree

Strongly
Disagree

Don't	Know

Accredited	Survey	(Survey	2)
Action	Plan

4.	Did	the	Accreditation	Committee	require	your	health	department	to	develop	an	Action
Plan?
Yes
No
Don't	know

Accredited	Survey	(Survey	2)
Action	Plan

Please	provide	additional	information	about	the	Action	Plan	process.
5.	It	was	beneficial	for	our	health	department	to	implement	the	activities	identified	in	the
Action	Plan.
Strongly	agree
Agree
Disagree
Strongly	disagree
Don't	know

6.	Please	provide	additional	comments	about	the	Action	Plan	process,	if	desired.

Accredited	Survey	(Survey	2)
Preparation

7.	Select	any	of	the	following	documents,	plans,	or	systems,	that	you	developed	for	the	first
time	to	prepare	for	accreditation.	Select	all	that	apply.
Community	health	assessment
Community	health	improvement	plan
Health	department	strategic	plan
Workforce	development	plan
Public	health	emergency	operations	plan
Quality	improvement	plan
Performance	management	policy	and/or	system
Organizational	branding	strategy

8.	Please	provide	additional	comments	about	developing	these	documents,	plans,	or	systems.

9.	Did	your	health	department	hire	a	consultant	to	assist	with	the	accreditation	process?
Yes
No
Don't	know

Accredited	Survey	(Survey	2)
Preparation

10.	What	role	did	the	consultant	play?

Accredited	Survey	(Survey	2)
Internal	Benefits	and	Outcomes

11.	For	each	statement	below,	consider	the	internal	benefits	and/or	outcomes	your	health
department	has	seen	as	a	result	of	applying	for	PHAB	accreditation.
Strongly
Agree

	
The	accreditation	process	has	stimulated
greater	accountability	and	transparency
within	our	health	department.
Undergoing	accreditation	has	stimulated
greater	collaboration	across	departments	or
units	within	our	health	department.
Because	of	our	participation	in	the
accreditation	process,	integration	across
departments	or	units	in	our	health
department	has	improved.
Accreditation	has	improved	our	health
department’s	ability	to	identify	and	address
gaps	in	employee	training	and	workforce
development.
Accreditation	has	improved	our	health
department’s	overall	capacity	to	provide
high	quality	programs	and	services.
Accreditation	has	increased	our	health
department’s	capacity	to	identify	and
address	health	priorities.
Accreditation	has	increased	the	extent	to
which	our	health	department	uses	evidencebased	practices	for	public	health	programs
and/or	business	practices.
Because	of	our	participation	in	the
accreditation	process,	our	health
department’s	staff	competencies	have
improved.
Accreditation	has	strengthened	employee
pride	in	our	agency.

Agree

Disagree

Strongly
Disagree

Don’t	Know

Accredited	Survey	(Survey	2)
Quality	Improvement

12.	For	each	statement	below,	consider	the	changes	in	your	health	department’s	quality
improvement	(QI)	activities	because	of	your	participation	in	the	accreditation	process.
Strongly
Agree

	

Agree

Disagree

Strongly
Disagree

Because	of	our	participation	in	the
accreditation	process,	our	health
department	has	implemented	or	plans	to
implement	new	strategies	for	QI.
Because	of	our	participation	in	the
accreditation	process,	our	health
department	has	implemented	or	plans	to
implement	new	strategies	to	monitor	and
evaluate	our	effectiveness	and	quality.
Because	of	our	participation	in	the
accreditation	process,	our	health
department	has	used	or	plans	to	use
information	from	our	QI	processes	and/or
performance	management	system	to	inform
decisions.
Because	of	our	participation	in	the
accreditation	process,	our	health
department	has	created	or	improved
operational	or	public	health	policies.

13.	Please	provide	additional	clarification	for	any	of	your	responses,	if	desired.

Don’t	Know

Accredited	Survey	(Survey	2)
Quality	Improvement	and	Performance	Management

Please	answer	the	following	questions	regarding	other	changes	in	quality
improvement	(QI)	and	performance	management	culture	within	your	agency.
14.	Has	your	health	department	established	an	organization-wide	process	for	QI?
Yes,	established	while	participating	in	the	accreditation	process	(after	registering	in	e-PHAB)
Yes,	established	prior	to	participating	in	the	accreditation	process,	but	updated	while	undergoing	the	process
Yes,	established	prior	to	participating	in	the	accreditation	process	and	not	updated	while	undergoing	the
process
No,	but	under	development
No,	not	working	on	it
Don't	know

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	in	the	agency
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.	Engaging	in	QI	has	affected	my	agency	by...	
Select	all	that	apply.
Decreasing	time	spent	completing	processes	and	cost
Improving	process	quality
Improving	public	health	outcomes
Strengthening	our	performance	management	system
Making	us	better	prepared	for	public	health	accreditation
It	has	not	made	much	of	an	impact
We	are	not	engaging	in	QI
Don’t	know

18.	Please	provide	additional	clarification	for	any	of	your	responses,	if	desired.

19.	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

20.	If	there	was	a	change	in	knowledge	and	practice	of	QI	in	your	health	department	because
of	participation	in	the	accreditation	process,	please	describe	the	change	and	indicate	how	the
accreditation	process	contributed	to	this	change.

Accredited	Survey	(Survey	2)
Workforce	Development	and	Training

Please	answer	the	following	question	about	your	health	department’s
workforce	development	and	training.
21.	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:

Accredited	Survey	(Survey	2)
Communication	and	Relationship	with	Stakeholders

22.	Please	describe	how	accreditation	has	improved	your	relationship	with	stakeholders.
	

Strongly	Agree

Agree

Disagree

Strongly
Disagree

Accreditation	has	improved	our	board	of
health	or	governing	entity’s	working
knowledge	of	our	health	department’s
roles	and	responsibilities.
Accreditation	has	improved	our	local
policymakers’	(other	than	our	governing
entity)	working	knowledge	of	our	health
department’s	roles	and	responsibilities.
Accreditation	has	improved	the	public's
working	knowledge	of	our	health
department’s	roles	and	responsibilities.
Accreditation	has	improved	our	partners’
working	knowledge	of	our	health
department’s	roles	and	responsibilities.
Accreditation	has	improved	our	health
department’s	relationship	with	key
partners	in	other	sectors	(e.g.,	health	care,
social	services,	education).
Accreditation	has	helped	us	to	build
relationships	with	new	partners	across
sectors	(e.g.,	health	care,	social	services,
education).
Accreditation	has	led	to	increased
collaboration	with	other	health
departments.

23.	Please	provide	additional	clarification	for	any	of	your	responses,	if	desired.

Don't	Know

Accredited	Survey	(Survey	2)
Financial	Status

24.	Please	answer	the	following	questions	to	provide	feedback	about	fees,	financial	status,
and	your	health	department.
Strongly
Agree

	
Our	health	department	leadership	team
views	the	PHAB	accreditation	fees	as	a
good	value.
Accreditation	has	improved	the	utilization
of	resources	within	our	health	department.
Accreditation	has	had	a	positive	impact	on
our	health	department	budget	(i.e.,	helped
us	demonstrate	our	value	and	needs	in
budget	discussions,	or	protected	the	health
department	against	budget	cuts).

Agree

Disagree

Strongly
Disagree

Don't
Know

N/A

Accredited	Survey	(Survey	2)
Additional	Feedback

Please	answer	the	following	questions	to	provide	additional	feedback	about
your	health	department’s	experiences	as	you	completed	the	PHAB
accreditation	process.
25.	Our	health	department	made	the	correct	decision	to	apply	for	national	accreditation
through	PHAB.
Strongly	agree
Agree
Disagree
Strongly	disagree
Don't	know

26.	Throughout	the	process	of	applying	for	accreditation,	did	your	health	department
experience	any	of	the	following	challenges?	
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
Unanticipated	costs
None
Other,	please	describe:

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

28.	Were	there	any	unanticipated	benefits	or	outcomes	to	planning,	undergoing,	and
becoming	an	accredited	health	department?	If	so,	please	explain.
Yes
No
Don't	know

Accredited	Survey	(Survey	2)
Additional	Feedback

29.	Please	describe	the	unanticipated	benefits	or	outcomes	your	health	department
experienced.

Accredited	Survey	(Survey	2)
Thank	You

Thank	you	for	your	participation!


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