PMID- 29324566 OWN - NLM STAT- MEDLINE DCOM- 20210222 LR - 20210222 IS - 1550-5022 (Electronic) IS - 1078-4659 (Linking) VI - 26 IP - 1 DP - 2020 Jan/Feb TI - Maintaining a Competent Public Health Workforce: Lessons Learned From Experiences With Public Health Accreditation Domain 8 Standards and Measures. PG - 57-66 LID - 10.1097/PHH.0000000000000750 [doi] AB - CONTEXT: Public health accreditation is an ongoing national movement to improve the quality of public health departments and the public health system in the United States; however, calls have been made for more evidence regarding best practices in the accreditation process. OBJECTIVE: The purpose of this work is to provide evidence about best practices in the accreditation process, specifically within the workforce development domain. It is the first in-depth investigation into workforce development using data collected by Public Health Accreditation Board (PHAB). DESIGN: Using deidentified accreditation application data from PHAB, this study employs a mixed-methods approach to examining practices, lessons learned, challenges, and strategies pertaining to workforce development planning for Domain 8. SETTING: United States. PARTICIPANTS: US state (n = 19) and local health departments (n = 115). MAIN OUTCOME MEASURES: Public Health Accreditation Board assessment scores for the workforce measures and the relationship between the health department's approach to meeting a PHAB measure criteria and the PHAB assessment score. RESULTS: Of the 9 different approaches identified as ways of encouraging the development of a sufficient number of qualified public health workers (version 1, measure 8.1.1), only 1 approach (local health department internship programs with schools of public health; B = 0.25, P < .03) was significantly related to higher scores. An opportunity for improvement identified for measure 8.2.1 was that plans missing a clear identification of the gap between current staff competencies and staff needs were associated with a 0.88-point decrease in the 4-point score (P < .001). CONCLUSIONS: Findings suggest that there are approaches adopted for meeting PHAB domain 8 measures that will impact the overall conformance assessment and score of a health department pursuing accreditation. There are several opportunities for improvement that health departments might consider when planning for accreditation or assessing their activities. FAU - Yeager, Valerie A AU - Yeager VA AD - Department of Health Policy and Management, Indiana University Fairbanks School of Public Health, Indianapolis, Indiana (Dr Yeager); Department of Global Health Management & Policy, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana (Ms Wharton); and Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, Florida (Dr Beitsch). FAU - Wharton, M Kristina AU - Wharton MK FAU - Beitsch, Leslie M AU - Beitsch LM 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/*standards MH - Cross-Sectional Studies MH - Health Workforce/*standards/trends MH - Humans MH - Quality Improvement MH - *Reference Standards MH - United States EDAT- 2018/01/13 06:00 MHDA- 2021/02/23 06:00 CRDT- 2018/01/12 06:00 PHST- 2018/01/13 06:00 [pubmed] PHST- 2021/02/23 06:00 [medline] PHST- 2018/01/12 06:00 [entrez] AID - 00124784-202001000-00011 [pii] AID - 10.1097/PHH.0000000000000750 [doi] PST - ppublish SO - J Public Health Manag Pract. 2020 Jan/Feb;26(1):57-66. doi: 10.1097/PHH.0000000000000750.