Accreditation and Performance


State and Territory Public Health Systems Improvement Capacity Building and Technical Assistance Project

With support from the CDC’s Center of State, Tribal, Local and Territorial Support, ASTHO’s Public Health Systems Improvement Capacity Building and Technical Assistance project supports health departments to build health agency capacity around performance management, quality improvement, systems improvement, and meet national Public Health Accreditation Board (PHAB) standards.

Through this opportunity, ASTHO supports health departments by:

  • Providing one-on-one technical assistance and training from national subject matter experts,
  • Connecting health departments to a national peer-network of colleagues working in health departments with similar goals,
  • Facilitating virtual and in-person evidence-based cohort learning, and
  • Providing opportunities to learn and apply model practices that strengthen infrastructure.

2019 Participating Health Departments

Through this project, ASTHO is providing technical assistance to 9 state and 3 territorial health departments through a cohort format to help carry out various public health systems improvement activities. 

Final Deliverables

Cohort 1: Foundational Documents for PHAB Accreditation

  • Commonwealth of the Northern Mariana Islands (CNMI)
    By engaging stakeholders to assess health, CNMI made significant progress on its Community Health Assessment. The CNMI Team gathered comprehensive data using an internal data team, convened a new umbrella Public Health Advisory Committee, and hosted a large, interactive community forum. Through ASTHO’s TA with support from ASTHO consultant, Sonja Ambruster, the department has developed the following:
         - CHA Outline (coming soon)
         - Plan for Stakeholder Engagement (coming soon)
  • Guam
    The Guam Department of Public Health and Social Services is working towards a culture of continuous quality improvement (QI). With ASTHO’s TA and in alignment with PHAB guidance, the department developed the following:
         - Revised its QI Plan (coming soon)
         - Draft Key Performance Indicators (KPIs) (coming soon)

Cohort 2: PHAB Accreditation Sustainability & Reaccreditation

  • Arizona
    The Arizona Department of Health Services is spearheading efforts toward reaccreditation. Through ASTHO’s TA, Arizona created a visual tracking tool using MS Excel to illustrate progress on all reaccreditation requirements by domain. The department developed the following resources to support their reaccreditation process:
         - Reaccreditation Visual Tracking Tool (Excel)
         - Reaccreditation Narrative Writing Training (coming soon)
  • Connecticut
    The Connecticut State Department of Public Health is integrating accreditation roles and responsibilities into “succession binders” to help each employee plan for succession and pending retirements. This will be added as an appendix to the state’s accreditation sustainability plan. Connecticut developed the following resource to support their reaccreditation process:
         - Sustainability and Reaccreditation Plan with Gap Analysis Tools and Succession Planning Worksheets (coming soon
  • New Jersey
    Through ASTHO’s TA, New Jersey developed an accreditation awareness campaign that includes internal and external communication materials and timelines:
        - Accreditation Awareness Implementation Plan (PDF)
        - Talking Points (PDF)
        - Sustainability Planning Slides (PDF)
        - Reaccreditation Timeline (Excel)
  • Ohio
    Ohio Department of Health has developed an Accreditation Sustainability Plan by capturing required and appropriate feedback from staff who participated in the initial accreditation process. Based on this input, Ohio developed the following resource as part of this project:
        - (Draft) Accreditation Sustainability Plan (coming soon)
  • Wisconsin
    In preparation for its first annual report, the Wisconsin Department of Health Services created a workplan and survey tool to collect data from staff and ensure continued accreditation engagement with relevant contributors.
        - Keep Us Better Work Plans
        - Staff Annual Report Survey

Cohort 3: Performance Management Systems & Metrics

State and Territory Public Health Systems Improvement CBTA Map

Want to learn more? Contact Heidi Westermann.