Accreditation and Performance


Accreditation Readiness and Performance Improvement Technical Assistance to States

ASTHO’s performance and quality activities strengthen the public health infrastructure and improve the performance of state health departments by encouraging participation in Public Health Accreditation Board’s (PHAB) national accreditation program, facilitating performance management and quality improvement (QI), and increasing systems assessments and strengthening states’ abilities to deliver essential public health services.

With the support of the CDC’s Office of State, Tribal, Local and Territorial Support, the Accreditation Readiness and Performance Improvement Technical Assistance to States project is a flexible, direct, non-monetary technical assistance opportunity offered to state health departments to help them address self‐identified accreditation preparation needs. At the end of the project, participating states can demonstrate a measurable increase in their health agency’s readiness to achieve PHAB accreditation or reaccreditation. Between 2010 and 2017, ASTHO provided technical assistance to 43 states. As of November, 2017 30 state health departments and the District of Columbia are accredited.

2017 – 2018 Participating States

Through this project, ASTHO is providing technical assistance to 10 state health departments to help them carry out a variety of accreditation activities.  

May 2018 Progress Updates

The Iowa Department of Health recently had an on-site mock site visit with ASTHO consultant, Susan Ramsey. The mock-site visit helped to identify areas for the agency to prioritize as they prepare for the PHAB site visit in June. 

Indiana and Pennsylvania
ASTHO reviewed over 60 pieces of documentation for Indiana and Pennsylvania and provided feedback on alignment with PHAB standards and measures guidance and requirements. Both states are using this information to update their final documentation before submitting to PHAB.

North Dakota
The North Dakota Department of Health, (accredited in 2017), utilized ASTHO’s TA to redefine the agency’s performance management model, identify a process to develop programmatic performance measures, and revise the state’s process for state health improvement planning. This technical assistance was provided in collaboration with the Public Health Foundation (PHF).

New Mexico
The New Mexico Department of Health is working towards a culture of continuous quality improvement (QI). The department has revamped their QI Council Charter and Performance Management System Guide. Additionally, the department has provided select staff with a series of trainings to support their ongoing PM/QI efforts. 

New York
The New York State Department of Health is spearheading efforts toward reaccreditation. Through ASTHO’s TA, the department has developed a reaccreditation charter, timeline and communications, and staff engagement plan. The ‘Reaccreditation Coordinating Team’ provided a reaccreditation orientation training to domain teams members and ASTHO is providing training on writing narratives for reaccreditation. 

The Ohio Department of Health (accredited in 2015) sought to maintain progress achieved through the initial accreditation process. Ohio used ASTHO’s technical assistance to redesign their performance management system, lead programmatic teams in work to develop performance measures, and to strengthen internal processes that assess customer feedback. This technical assistance was provided in collaboration with the Public Health Foundation (PHF).

South Carolina
The South Carolina Department of Health and Environmental Control is making strides towards establishing a performance management (PM) system and developing procedures and processes to guide quality improvement (QI) efforts across the agency. Building off previous TA provided by ASTHO, South Carolina is also utilizing the results from their workforce needs assessment to identify staff’s PM and QI competency needs. 

The Wyoming Department of Health lead a collaborative process to develop a state health assessment. With guidance from ASTHO, Wyoming identified a process for assets mapping and used the National Public Health Performance Standards to complete a public health system capacity assessment. Additionally, through direct assistance from ASTHO on qualitative analysis (NPHPS), Wyoming will use results to engage community partners Wyoming’s health improvement planning process.

West Virginia
The West Virginia Department of Health and Human Resources, Bureau for Public Health is developing their accreditation roadmap and supporting leadership awareness with a public health accreditation readiness training. Through an onsite technical assistance and training, ASTHO provided agency staff with an overview of PHAB accreditation, the roles, responsibilities, and expectations of leadership, and strategies on how to use accreditation to achieve a culture of quality. This work was provided in collaboration with the Public Health Foundation (PHF).

Technical Assistance Provided by ASTHO (2015 – 2017)

Map of Technical Assistance Provided by ASTHO

Want to learn more? Contact Jamie Ishcomer, Senior Analyst of Quality Improvement and Performance Management, at