Accreditation and Performance


Accreditation Support Initiative (ASI)

ASTHO, with support from CDC/OSTLTS, offers the Accreditation Support Initiative (ASI) technical assistance opportunity to health departments in the U.S. territories and freely associated states. Through ASI, ASTHO works with the insular areas to build capacity, strengthen public health infrastructure, and advance the readiness and ability of these jurisdictions to apply for and achieve Public Health Accreditation Board (PHAB) accreditation. Health departments initiate and complete self-identified accreditation readiness projects and activities in the areas of:

  • Community health assessments
  • Health improvement planning
  • Strategic planning
  • Workforce development planning
  • Performance management and quality improvement
  • Accreditation road-mapping and organizational self-study

ASTHO guides the work and activities of ASI sites by: facilitating and providing direct one‐on‐one technical assistance; utilizing subject matter experts to train staff and provide capacity building support; offering opportunities to participate in national trainings; disseminating and implementing accreditation readiness resources and tools; leading webinars and conference calls; facilitating peer-to-peer networking and mentoring; and reviewing and providing feedback on documents and deliverables.

2017 – 2018 ASI Sites

ASTHO has selected three territorial and freely associated state health agencies for the 2017 – 2018 ASI technical assistance project:

Commonwealth Health Corporation, Commonwealth of the Northern Mariana Islands (CNMI)
CNMI will focus on PHAB Standards 9.1 and 9.2. During ASI, CNMI will perform a performance management gap analysis, develop a performance management system workplan, investigate electronic dashboard systems/platforms for agency use, select and implement QAPI indicators, finalize an agency quality improvement (QI) plan, and develop a staff QI training plan.

Guam Department of Public Health Services and Social Services
Guam will focus on completing accreditation readiness activities. During ASI, Guam will develop a PHAB accreditation timeline and roadmap that incorporates staff and leadership orientation and training, actionable steps, and an assessment of organizational capacity and documentation.

Palau Ministry of Health
Palau will focus on PHAB Standard 8.2. During ASI, Palau will assess its public health workforce, identify and select agency-wide and position specific job competencies, implement a workforce training plan, and determine strategies to address retention and succession planning.

ASI will run from November 2017 – June 2018. Check back for updates and progress from this year’s ASI sites.

2016 – 2017 ASI Sites

From November 2016 – July 2017, the Commonwealth of the Northern Mariana Islands, Guam, and the Republic of the Marshall Islands participated in ASI. ASTHO supported each health agency to develop key plans and lead activities that resulted in documentation for the following PHAB domains:

  • PHAB Standard 8.2: Ensure a Competent Workforce Through Assessment of Staff Competencies, the Provision of Individual Training and Professional Development, and the Provision of a Supportive Work Environment
  • PHAB Standards 9.1 and 9.2: Use a Performance Management System to Monitor Achievement or Organizational Objectives and Develop/Implement Quality Improvement Processes Integrated into Organizational Practice, Programs, Processes, and Interventions

Success From The Field

Health Department Members from Commonwealth of the Northern Mariana Islands and GuamBuilding Agency Capacity Through Workforce Development Planning: Creating a workforce development plan was not an easy task for health departments in the Commonwealth of the Northern Mariana Islands and Guam. Both wanted to learn more about their public health workforce and identify opportunities for growth, but had minimal staff and resources to support these efforts. Through ASI, the agencies gained the skills needed to identify and adopt core competencies for their staff, deploy a workforce needs assessment, and develop a training plan to fulfill the needs of their workforce. Collaboration between the two agencies, building on work from established internal workgroups, and utilizing their public health leaders as champions contributed to the success of their ASI work.


Health Department Members at Republic of Marshall IslandsProcess Mapping and Improvement in the Republic of the Marshall Islands: In an effort to increase the efficiency with which federal funds are spent, the Ministry of Health (MOH) identified opportunities to utilize performance management and quality improvement to better manage grants, streamline recruitment and procurement processes, and increase collaboration with external partners. During ASI, ASTHO worked with CDC and the Pacific Island Health Officers’ Association (PIHOA) to facilitate an on-site process mapping workshop. Next steps include developing new standard operating procedures for grants management, recruitment, and procurement processes.

  • Process Maps (coming soon)
  • Revised Standard Operating Procedures (coming soon)

For more information on the Accreditation Support Initiative, please contact Joya Coffman, Director of Accreditation and Performance Management.