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.

Call for Applications for the 2020 Cross-jurisdictional Systems Improvement Partnership Opportunity

If you are a state ready to collaborate with local and tribal peers, consider submitting a letter of interest to participate in the new Cross-jurisdictional Systems Improvement Partnership. CDC has partnered with the National Indian Health Board, the National Association of County and City Health Officials, and ASTHO to support a collaborative technical assistance opportunity to strengthen cross jurisdictional partnerships among local, tribal, and state health entities to develop and implement a shared public health systems improvement action plan. The instructions are available online until Dec. 6 for regional partnerships to submit their joint letter of interest.

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)

Cohort 2: PHAB Accreditation Sustainability & Reaccreditation

Cohort 3: Performance Management Systems & Metrics

State and Territory Public Health Systems Improvement CBTA Map

Want to learn more? Contact Heidi Westermann.