PMID- 35045009
OWN - NLM
STAT- MEDLINE
DCOM- 20220530
LR  - 20230929
IS  - 1550-5022 (Electronic)
IS  - 1078-4659 (Linking)
VI  - 28
IP  - 4
DP  - 2022 Jul-Aug 01
TI  - Local Health Departments' Characteristics and Their Performance Scores in PHAB 
      Accreditation Standards.
PG  - 375-383
LID - 10.1097/PHH.0000000000001458 [doi]
AB  - CONTEXT: Local health departments (LHDs) function to promote and protect 
      population health by executing programs and activities through the 10 essential 
      public health (PH) services in their operationalization of the core functions of 
      PH systems-assessment, policy development, and assurance. PH accreditation 
      supports LHDs by assessing their ability to promote community well-being through 
      a set of standards and measures based on the 10 essential PH services. Prior 
      studies show variation in LHD characteristics relative to their likelihood of 
      participating in accreditation, but no studies have examined the variation in LHD 
      accreditation scores to understand how LHD characteristics relate to performance 
      improvement. OBJECTIVE: This work examines variation in LHD accreditation scores 
      relative to their organizational and jurisdiction characteristics. DESIGN: 
      Cross-sectional data were obtained from 250 LHDs from 38 states that underwent 
      Public Health Accreditation Board (PHAB) accreditation review. ANALYSIS: We used 
      exploratory cluster analysis to identify and group LHDs with similar performance 
      scores in PHAB accreditation standards. Descriptive analyses were undertaken to 
      characterize each LHD cluster group's organizational structure, jurisdiction 
      characteristics, and core PH function activity levels. We then employed 
      multivariate regression analysis to confirm the cluster analysis results. 
      RESULTS: The analysis showed 3 clusters of PHAB accreditation performance scores 
      (cluster 1 = 0.95; cluster 2 = 0.87; and cluster 3 = 0.71). Subtle differences in 
      organizational and jurisdiction characteristics across clusters, notably in 
      population size of the jurisdictions served, were observed. LHDs in cluster 3 
      tended to have jurisdictions with less than 250000 population size and serve more 
      than 1 county. CONCLUSIONS: Performance scores in PHAB accreditation can be a 
      useful standardized metric for assessing LHD ability to promote community 
      well-being. LHDs serving less than 20000 population size, which exhibit 
      relatively lower performance than other LHDs, may require more targeted supports 
      to close the gap in their performance score.
CI  - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Dada, Oluwatosin Omolara
AU  - Dada OO
AD  - University of Washington School of Nursing, Seattle, Washington (Drs Dada, 
      Bekemeier, and de Castro); and University of Washington Department of Global 
      Health, Seattle, Washington (Dr Flaxman).
FAU - Bekemeier, Betty
AU  - Bekemeier B
FAU - Flaxman, Abraham
AU  - Flaxman A
FAU - de Castro, Butch
AU  - de Castro B
LA  - eng
PT  - Journal Article
DEP - 20220118
PL  - United States
TA  - J Public Health Manag Pract
JT  - Journal of public health management and practice : JPHMP
JID - 9505213
MH  - Accreditation/methods
MH  - Cross-Sectional Studies
MH  - Humans
MH  - *Local Government
MH  - *Public Health/methods
MH  - Quality Improvement
COIS- No conflicts of interest associated with this publication.
EDAT- 2022/01/20 06:00
MHDA- 2022/05/31 06:00
CRDT- 2022/01/19 19:25
PHST- 2022/01/20 06:00 [pubmed]
PHST- 2022/05/31 06:00 [medline]
PHST- 2022/01/19 19:25 [entrez]
AID - 00124784-202207000-00008 [pii]
AID - 10.1097/PHH.0000000000001458 [doi]
PST - ppublish
SO  - J Public Health Manag Pract. 2022 Jul-Aug 01;28(4):375-383. doi: 
      10.1097/PHH.0000000000001458. Epub 2022 Jan 18.