PMID- 27598711
OWN - NLM
STAT- MEDLINE
DCOM- 20180411
LR  - 20181202
IS  - 1550-5022 (Electronic)
IS  - 1078-4659 (Linking)
VI  - 23
IP  - 2
DP  - 2017 Mar/Apr
TI  - Exploring the Link Between Completion of Accreditation Prerequisites and Local 
      Health Departments' Decision to Collaborate With Tax-Exempt Hospitals Around the 
      Community Health Assessment.
PG  - 138-147
LID - 10.1097/PHH.0000000000000409 [doi]
AB  - CONTEXT: Community health assessments (CHAs) are a core function of local health 
      departments (LHDs). Recently, completing a CHA has become a prerequisite for LHDs 
      seeking accreditation by the Public Health Accreditation Board (PHAB). Similarly, 
      under the Affordable Care Act, nonprofit hospitals are required to conduct 
      periodic community health needs assessments (CHNAs). Opportunities thus exist for 
      LHDs and hospitals to jointly complete CHAs/CHNAs. OBJECTIVE: This study examined 
      existing LHD-hospital collaborations around CHAs/CHNAs, focusing specifically on 
      the relationship between LHDs' level of engagement with PHAB accreditation 
      activities and their collaboration with hospitals around CHAs/CHNAs. DESIGN: Data 
      came from the 2013 NACCHO (National Association of County & City Health 
      Officials) Profile Study and the Area Health Resource File. Complete data were 
      available for 1332 LHDs that participated in the 2013 NACCHO Profile Study. 
      Logistic regression explored the relationship between LHDs' completion of 
      accreditation prerequisites, in particular completion of a CHA, community health 
      improvement plan, and strategic plan, and their involvement in collaborations 
      with tax-exempt hospitals around CHAs/CHNAs. RESULTS: LHDs that collaborated with 
      tax-exempt hospitals on CHAs/CHNAs were larger, more likely to be locally 
      governed, and more likely to have a local board of health. Bivariate analysis 
      showed that CHA/CHNA-related collaboration with hospitals was significantly 
      correlated (P < .01) with an LHD's completion of accreditation prerequisites. In 
      multivariate regression analysis, completion of all 3 PHAB accreditation 
      prerequisites significantly increased the odds of LHDs collaborating with 
      hospitals when controlling for other LHD and community-level characteristics. 
      CONCLUSION: PHAB accreditation prerequisites together with IRS requirements for 
      hospitals foster potential for collaboration around CHAs/CHNAs. Joint completion 
      of CHAs/CHNAs not only allows partners to complete the assessment more 
      efficiently but has also been shown to produce higher-quality assessments, thus 
      building a strong foundation for continued collaboration to improve community 
      health.
FAU - Singh, Simone R
AU  - Singh SR
AD  - Department of Health Management and Policy, School of Public Health, University 
      of Michigan, Ann Arbor (Dr Singh); and Division of Health Systems Management and 
      Policy, School of Public Health, University of Memphis, Memphis, Tennessee (Dr 
      Carlton).
FAU - Carlton, Erik L
AU  - Carlton EL
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Public Health Manag Pract
JT  - Journal of public health management and practice : JPHMP
JID - 9505213
MH  - Accreditation/*methods/trends
MH  - *Cooperative Behavior
MH  - Hospitals/trends
MH  - Humans
MH  - Local Government
MH  - Needs Assessment/*statistics & numerical data
MH  - Organizations, Nonprofit/*organization & administration
MH  - Public Health/economics/*methods
MH  - Quality Improvement
MH  - United States
EDAT- 2016/09/07 06:00
MHDA- 2018/04/12 06:00
CRDT- 2016/09/07 06:00
PHST- 2016/09/07 06:00 [pubmed]
PHST- 2018/04/12 06:00 [medline]
PHST- 2016/09/07 06:00 [entrez]
AID - 10.1097/PHH.0000000000000409 [doi]
PST - ppublish
SO  - J Public Health Manag Pract. 2017 Mar/Apr;23(2):138-147. doi: 
      10.1097/PHH.0000000000000409.