PMID- 31348156
OWN - NLM
STAT- MEDLINE
DCOM- 20200617
LR  - 20240229
IS  - 1550-5022 (Electronic)
IS  - 1078-4659 (Linking)
VI  - 25
IP  - 5
DP  - 2019 Sep/Oct
TI  - Impact of Local Boards of Health on Local Health Department Accreditation, 
      Community Health Assessment, Community Health Improvement Planning, and Strategic 
      Planning.
PG  - 423-430
LID - 10.1097/PHH.0000000000000847 [doi]
AB  - INTRODUCTION: Local health departments (LHDs) are increasingly using national 
      standards to meet the challenges presented by the complex environments in which 
      these agencies operate. Local boards of health (LBoHs) might play an instrumental 
      role in improving LHDs' engagement in activities to meet these standards. 
      OBJECTIVES: To assess the impact of LBoH performance of governance functions on 
      LHDs having a current (completed within 5 years) community health assessment 
      (CHA), community health improvement plan (CHIP), strategic plan, and level of 
      engagement in the Public Health Accreditation Board (PHAB) accreditation program. 
      METHODS: Binary and multinomial logistic regression models were used to analyze 
      linked data from 329 LHDs participating in both the 2015 Local Board of Health 
      Survey and the 2016 National Profile of LHDs Survey. RESULTS: Higher performance 
      of LBoH governance functions, measured by an overall scale of LBoH taxonomy 
      consisting of 60 items, had a significant positive effect on LHDs having 
      completed CHA (P < .001), CHIP (P = .01), and strategic plan (P < .001). LHDs 
      operating in communities with a higher score on the overall scale of LBoH 
      taxonomy had significantly higher odds (P = .03) of having higher level of 
      participation in the PHAB national voluntary accreditation program-that is, being 
      accredited, having submitted application for accreditation, or being in the 
      e-PHAB system (eg, by submitting a letter of intent). CONCLUSIONS: LBoHs serve as 
      governance bodies for roughly 71% of LHDs and can play a significant role in 
      encouraging LHDs' participation in these practices. That positive influence of 
      LBoHs can be seen more clearly if the complexity and richness of LBoH governance 
      functions and other characteristics are measured appropriately. The study 
      findings suggest that LBoHs are a significant component of the public health 
      system in the United States, having positive influence on LHDs having a CHA, 
      CHIP, strategic plan, and participation in accreditation.
FAU - Shah, Gulzar H
AU  - Shah GH
AD  - Health Policy and Management, Jiann-Ping Hsu College of Public Health, Georgia 
      Southern University, Statesboro, Georgia (Dr Shah); Office for State, Tribal, 
      Local and Territorial Support, Centers for Disease Control and Prevention, 
      Atlanta, Georgia (Ms Corso and Dr Sotnikov); and National Association of County & 
      City Health Officials, Washington, District of Columbia (Ms Leep).
FAU - Corso, Liza
AU  - Corso L
FAU - Sotnikov, Sergey
AU  - Sotnikov S
FAU - Leep, Carolyn J
AU  - Leep CJ
LA  - eng
PT  - Journal Article
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/*trends
MH  - Governing Board
MH  - Health Surveys
MH  - Humans
MH  - Logistic Models
MH  - Public Health/methods/trends
MH  - Public Health Administration/*methods/trends
MH  - *Quality Improvement
MH  - *Strategic Planning
MH  - United States
EDAT- 2019/07/28 06:00
MHDA- 2020/06/18 06:00
CRDT- 2019/07/27 06:00
PHST- 2019/07/27 06:00 [entrez]
PHST- 2019/07/28 06:00 [pubmed]
PHST- 2020/06/18 06:00 [medline]
AID - 00124784-201909000-00003 [pii]
AID - 10.1097/PHH.0000000000000847 [doi]
PST - ppublish
SO  - J Public Health Manag Pract. 2019 Sep/Oct;25(5):423-430. doi: 
      10.1097/PHH.0000000000000847.