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, plan implementation and alignment, 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
  • 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
  •  Providing opportunities to learn and apply model practices that strengthen infrastructure

2020 Participating Health Departments

ASTHO is using its collaborative Learning Community Model to provide technical assistance to five states and two territories. The learning community disseminates strategies and best practices to improve agency capacity around systems improvement activities. It consists of two workgroups focused on Performance Management Systems and Plan Implementation and Alignment, respectively.

Performance Management Systems Workgroup

  • Guam
  • Indiana
  • Massachusetts
  • North Carolina

Plan Implementation and Alignment Workgroup

  • Alaska
  • Commonwealth of the Northern Mariana Islands
  • Wyoming

2019 Participating Health Departments

Through this project, ASTHO is providing technical assistance to nine state and three 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:
         - Community Health Assessment Summary
  • 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 ASTHO.