PMID- 29595592
OWN - NLM
STAT- MEDLINE
DCOM- 20191108
LR  - 20191108
IS  - 1550-5022 (Electronic)
IS  - 1078-4659 (Linking)
VI  - 24 Suppl 3
DP  - 2018 May/Jun
TI  - Has Voluntary Public Health Accreditation Impacted Health Department Perceptions 
      and Activities in Quality Improvement and Performance Management?
PG  - S10-S18
LID - 10.1097/PHH.0000000000000713 [doi]
AB  - CONTEXT: The Public Health Accreditation Board (PHAB) is now in its 10th year, 
      making it an ideal time to study the impact of PHAB accreditation on local health 
      departments (LHDs). OBJECTIVE: To examine whether applying for PHAB accreditation 
      affects perceptions and activities regarding quality improvement (QI) and 
      performance management (PM) within LHDs. DESIGN: Data from the National 
      Association of County & City Health Officials' 2010, 2013, and 2016 National 
      Profile of Local Health Departments and associated QI modules were linked to 
      PHAB-applicant data collected in e-PHAB in a cross-sectional and longitudinal 
      approach examining self-reported QI/PM activities. PARTICIPANTS: Local health 
      departments responding to National Association of County & City Health Officials 
      Profile questionnaires and QI modules in 2010, 2013, and 2016. MAIN OUTCOME 
      MEASURES: Implementation of formal QI program within agency, numbers of formal QI 
      projects in the past year, presence of elements indicating formal QI program 
      implementation, and changes over time by accreditation status as of June 2017. 
      RESULTS: Accredited and in-process LHDs showed greater gains over time in all of 
      the outcome measures than LHDs not registered in e-PHAB. Results of logistic 
      regression controlling for population served and governance type found accredited 
      LHDs more likely to report formal QI programs agency-wide (odds ratio: [OR] = 
      27.0; P < .001) and have implemented 6 to 8 elements of formal QI (OR = 27.0; P < 
      .001) in 2016, compared with nonaccreditation-seeking LHDs. Between 2013 and 
      2016, LHDs that responded to both survey waves that were registered in e-PHAB or 
      accredited were significantly more likely than nonaccreditation-seeking LHDs to 
      report any increase in overall level of QI implementation (OR = 4.89; P = .006) 
      and increase in number of elements of formal QI (OR = 16.1; P < .001). 
      CONCLUSIONS: Local health departments accredited by June 2017 and those in 
      process reported more formal QI activities and showed greater improvements with 
      QI/PM implementation over time than LHDs not undertaking accreditation. Public 
      Health Accreditation Board accreditation appears to influence QI/PM uptake. As 
      health departments are contemplating whether to apply for accreditation, the 
      potential for developing a more robust QI/PM system should be taken into account.
FAU - Beitsch, Leslie M
AU  - Beitsch LM
AD  - Department of Behavioral Sciences and Social Medicine, Florida State University 
      College of Medicine, Tallahassee, Florida (Dr Beitsch); Public Health 
      Accreditation Board, Alexandria, Virginia (Ms Kronstadt); and National 
      Association of County & City Health Officials, Washington, District of Columbia 
      (Mss Robin and Leep).
FAU - Kronstadt, Jessica
AU  - Kronstadt J
FAU - Robin, Nathalie
AU  - Robin N
FAU - Leep, Carolyn
AU  - Leep C
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Public Health Manag Pract
JT  - Journal of public health management and practice : JPHMP
JID - 9505213
MH  - Accreditation/*methods/standards/trends
MH  - Humans
MH  - Local Government
MH  - Longitudinal Studies
MH  - *Perception
MH  - Public Health/instrumentation/*standards
MH  - Quality Improvement/*standards/trends
MH  - Surveys and Questionnaires
EDAT- 2018/03/30 06:00
MHDA- 2019/11/09 06:00
CRDT- 2018/03/30 06:00
PHST- 2018/03/30 06:00 [entrez]
PHST- 2018/03/30 06:00 [pubmed]
PHST- 2019/11/09 06:00 [medline]
AID - 00124784-201805001-00003 [pii]
AID - 10.1097/PHH.0000000000000713 [doi]
PST - ppublish
SO  - J Public Health Manag Pract. 2018 May/Jun;24 Suppl 3:S10-S18. doi: 
      10.1097/PHH.0000000000000713.