Approaching accreditation health departments

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

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OMB: 0920-1295

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Year	4	Accreditation	Survey	(Survey	4)

Form	Approved
OMB	No.	XXXX-XXXX
Expiration	Date	XX/XX/XXXX
Welcome
NORC	at	the	University	of	Chicago	(NORC)	is	asking	health	departments	that	are	approaching	reaccreditation	to
participate	in	a	survey	about	the	national	public	health	accreditation	program.	The	survey	includes	questions	about
the	benefits,	short-term	outcomes,	and	other	effects	of	accreditation,	as	well	as	your	intentions	to	apply	for
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).

Year	4	Accreditation	Survey	(Survey	4)
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:

Year	4	Accreditation	Survey	(Survey	4)
Annual	Reporting	Process

3.	These	questions	ask	you	to	reflect	on	your	experiences	completing	the	PHAB	Annual
Report	forms.	Please	select	the	appropriate	column	to	indicate	whether	you	Strongly	Agree,
Agree,	Disagree,	or	Strongly	Disagree	with	each	of	the	following	statements.	If	you	are
unsure,	please	select	Don’t	Know.
Strongly
Agree

	

Agree

Disagree

Strongly
Disagree

Completing	the	Annual	Report	forms	has
provided	our	health	department	an
opportunity	to	reflect	on	quality	and
performance	improvement	activities.
Completing	the	Annual	Report	forms	has
helped	our	health	department	consider	how
to	address	emerging	public	health	issues.

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

Don’t	Know

Year	4	Accreditation	Survey	(Survey	4)
Benefits	and	Outcomes

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

	
Accreditation	has	improved	our	health
department’s	overall	capacity	to	provide
high	quality	programs	and	services.
Accreditation	has	increased	the	extent	to
which	our	health	department	uses	evidencebased	practices	for	public	health	programs
and/or	business	practices.
As	a	result	of	accreditation,	our	health
department	has	applied	health	equity	to
internal	planning,	policies,	or	processes.
Accreditation	has	improved	our	health
department’s	ability	to	identify	and	address
gaps	in	employee	training	and	workforce
development.
Since	becoming	accredited,	our	health
department	has	used	the	PHAB	Standards
and	Measures	for	ongoing	improvement
efforts.
Accreditation	has	improved	the	credibility
of	our	health	department	within	our
community	and/or	state.
Accreditation	has	improved	our	health
department’s	visibility	or	reputation	to
external	stakeholders.
Since	becoming	accredited,	our	health
department	has	had	new	opportunities	for
partnerships	and/or	collaborations.
Since	becoming	accredited,	our	health
department	has	strengthened	its
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.
Since	becoming	accredited,	our	health
department	has	compared	our	programs,
processes,	and/or	outcomes	against	other
similar	health	departments	as	a	benchmark
for	performance.

Agree

Disagree

Strongly
Disagree

Don't	Know

Accreditation	has	strengthened	the	culture
of	QI	in	our	health	department.
Accreditation	has	helped	our	health
department	use	health	equity	as	a	lens	for
identifying	and	addressing	health	priorities.
Health	department	activities	implemented
as	a	result	of	being	accredited	have	led	to
improved	health	outcomes	in	our
community.

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

7.	Since	becoming	accredited,	what	has	been	the	most	important	positive	outcome	or	benefit
your	health	department	has	experienced	as	a	result	of	accreditation?

Year	4	Accreditation	Survey	(Survey	4)
Quality	Improvement	and	Performance	Management

Please	describe	the	current	quality	improvement	(QI)	and	performance
management	culture	in	your	agency.
8.	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

9.	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

10.	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

Year	4	Accreditation	Survey	(Survey	4)
Workforce	Development	and	Training

Please	answer	the	following	question	about	your	health	department’s
workforce	development	and	training.
11.	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:

Year	4	Accreditation	Survey	(Survey	4)
Financial	Status

12.	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	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).
Our	health	department	leadership	team
views	the	PHAB	annual	services	fee	as	a
good	value.
Accreditation	has	resulted	in	new	funding
for	our	health	department.

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

Year	4	Accreditation	Survey	(Survey	4)
Reaccreditation

Please	answer	the	following	questions	regarding	your	agency's	intent	to	apply
for	reaccreditation	through	PHAB.
14.	Does	your	health	department	intend	to	apply	for	reaccreditation?
Yes,	we	intend	to	apply	for	reaccreditation
No,	we	do	not	intend	to	apply	for	reaccreditation
Undecided

Year	4	Accreditation	Survey	(Survey	4)
Reaccreditation

Please	answer	the	following	questions	about	why	your	agency	has	decided	to
apply	for	reaccreditation.
* 15.	What	are	the	reasons	your	health	department	has	decided	to	apply	for	reaccreditation?
Please	select	up	to	five	reasons.
Maintain	our	status	as	an	accredited	health	department
Maintain	our	visibility	or	reputation	within	the	community	as	a	high-performing	health	department
Continue	to	demonstrate	conformity	with	PHAB	Standards	and	Measures
Engage	in	continuous	QI
Support	and/or	to	meet	expectations	from	health	department	leadership
Support	and/or	to	meet	expectations	from	elected	officials
Support	and/or	to	meet	expectations	from	partners
Potential	for	future	funding	opportunities	to	be	tied	to	accreditation	status
New	opportunity	to	complete	a	self-study	for	improvement
Improve	the	health	of	our	population	served
Other,	please	describe:

16.	Has	your	health	department	experienced	any	of	the	following	challenges	that	might	be
considered	barriers	to	reaccreditation?	
Select	all	that	apply.
Leadership	changes
Staff	turnover	or	loss	of	key	staff
Limited	staff	time	or	other	schedule	limitations
Reduced	funding	available	to	support	accreditation	activities
Decreased	perceived	value	or	benefit	of	accreditation
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
None
Other,	please	describe:

17.	Please	provide	additional	clarification	for	your	response,	if	desired.

Year	4	Accreditation	Survey	(Survey	4)
Thank	You

Thank	you	for	your	participation!

Year	4	Accreditation	Survey	(Survey	4)
Reaccreditation

Please	answer	the	following	questions	regarding	the	reasons	your	agency	has
decided	not	to	apply	for	reaccreditation.
18.	What	factors	contributed	to	your	decision	to	not	apply	for	reaccreditation?	
Select	all	that	apply.
Loss	of	key	staff	who	support	accreditation
Limited	staff	time	or	other	schedule	limitations
Reduced	funding	available	to	support	accreditation	activities
Lack	of	perceived	value	or	benefit	of	reaccreditation
Limited	return	on	investment	of	accreditation
Fees	for	reaccreditation
Low	priority	for	our	health	department
Limited	support	from	board	of	health	or	governing	entity
Limited	support	from	other	elected	leaders
Limited	support	from	health	department	leadership	team
Other,	please	describe:

19.	Do	you	anticipate	any	of	the	following	negative	effects	on	your	health	department	as	a
result	of	not	undergoing	reaccreditation?	
Select	all	that	apply.
We	do	not	anticipate	any	negative	effects
Decreased	emphasis	on	QI	and/or	performance	management
Reduced	documentation	of	public	health	programs,	processes,	and	policies
Decreased	capacity	to	provide	high	quality	programs	and	services
Decreased	competitiveness	for	funding	opportunities
Decreased	visibility	or	reputation	to	community	stakeholders
Other,	please	describe:

Year	4	Accreditation	Survey	(Survey	4)
Thank	You

Thank	you	for	your	participation!

Year	4	Accreditation	Survey	(Survey	4)
Reaccreditation

20.	Please	describe	the	factors	that	will	influence	your	health	department’s	decision	to
participate	in	reaccreditation.

Year	4	Accreditation	Survey	(Survey	4)
Thank	You

Thank	you	for	your	participation!


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