Greetings from PHAB:
DNP, RN, FAAN
PHAB President & CEO
It is a tremendous honor to have been selected this past December by PHAB's Board of Directors to serve as PHAB's new President and CEO. I started at PHAB on January 2, and with each passing day I continue to be totally amazed at my good fortune to be able to work with such a great group of dedicated PHAB staff,
Board of Directors, partner organizations, and the many volunteers who share their expertise through committees, expert panels, think tanks, work groups, and as site visitors. I am so grateful to work with all of them in service to each of you: the ever-growing army of health departments committed to performance improvement, innovation and accountability through accreditation so that together we can make a difference in the health and lives of people across our country.
And while I am new to PHAB, I am not new to public health. I have worked in a wide variety of roles -- public health nurse, school nurse, pediatric nurse practitioner, program manager, executive leader -- in rural, suburban and urban settings in both governmental and community-based organizations. In my last governmental public health job I was honored to serve as the County Health Officer in Kane County, Illinois, one of the large metro-Chicago counties. There I worked with my county board members to make the policy decision in 2009-2010 to apply for PHAB accreditation. I worked with my staff to prepare for accreditation, which the department achieved in 2013 under the leadership of my successor, Barbara Jeffers, MPH. Director Jeffers and her team have just led the way to Kane being reaccredited this past fall.
So, I have had a sense of the issues that elected policymakers, health department leaders, and public health staff members grapple with when considering whether to pursue accreditation. Now, at PHAB, I am getting reacquainted with those issues -- and the resources and supports that PHAB and our partners can provide to support you in every phase of your accreditation journey. And, I am learning more about the true value and impact of accreditation on departments and the communities you serve. In fact, in this issue of our newsletter you can see evidence of that in a couple of different ways: First looking at a new report summarizing the value and impact of initial accreditation. You'll also read about PHAB's new Data Visualization Tool, which will allow the public health community to explore the data that is collected through the accreditation program. Then, from a more individual perspective, you will read a story about two of our site visitors in Missoula, Montana, who share what this process means to them, including why they choose to volunteer and give back to public health.
But I am eager to learn so much more. This spring and summer as I head out to various meetings around the country, I will have the opportunity to visit a number of state and local health departments and learn first-hand from Accreditation Coordinators, staff members and health directors what they are learning about their agencies, their partners and the impact on health and health equity in their communities through the accreditation process. I hope to hear suggestions about how PHAB can be most effective in working with health departments. I would love the opportunity to meet you, learn about your accreditation journey, and hear your suggestions. Please drop me a note if you would like me to visit or if you would like to meet for coffee at an upcoming NACCHO, ASTHO, NIHB, NALBOH or APHA meeting.
Thank you for the honor of being part of your work to secure fair, just and healthy futures for all in our communities. I look forward to our conversation.
Paul Kuehnert, DNP, RN, FAAN
PHAB President & CEO
PHAB NEWS, NOTES & UPDATES
PHAB Announces Launch of New Data Visualization Tool
PHAB is pleased to launch a new data visualization tool. Available at
the tool will allow the public health community to explore the data that are collected through the accreditation program. PHAB has the only collection of peer-reviewed information about the capacity of health departments to deliver the 10 Essential Public Health Services, as well as their ability to administer their agencies and to foster relationships with their governing entities.
This portal will make aggregate, de-identified information available about how health departments have been assessed on individual PHAB measures, as well as groups of measures categorized by domain, standard, or theme. This information can help health departments considering accreditation, as well as those entities that provide technical assistance and support to accredited health departments, learn about potential areas of challenge. It also includes links to resources related to the measures to foster continual improvement.
To protect the confidentiality of accreditation data, users will only be able to view data on groups of health departments, which you will be able to select using filters for health department type, region, population size, and budget. Accredited health departments will be able to view their own data and benchmark their performance against a group of similar agencies.
We have received feedback from accredited health departments throughout the development of this portal. Nikki Campbell, Accreditation Coordinator at the Utah Department of Health, said "The PHAB Data Visualization tool is an extremely useful tool in my meetings with executive leadership. The way the data are presented and filtered not only help us better understand exactly where our HD is very quickly, but it's helpful to see where we are in regard to other health departments as well. This tool is a gamechanger."
with feedback and suggestions. We are already planning additional enhancements to this site and welcome your ideas about how to make the site more useful.
New Report Summarizes the Value and Impact of PHAB Initial Accreditation
Since launching its national accreditation program in 2011, PHAB has amassed a substantial amount of quantitative and qualitative data that collectively provide insight into the value and impact of public health department accreditation. After nearly a decade of public health department accreditation, PHAB is pleased to announce the release of a new report summarizing the data gathered to date, along with contextual information to highlight why these findings matter to health departments and the communities they serve.
The report, The Value and Impact of Initial Accreditation: A Review of Quantitative and Qualitative Data, was compiled from a variety of data sources, including findings from surveys conducted by NORC at the University of Chicago, research findings from both comparative and longitudinal studies, and numerous case studies and qualitative stories. Key findings are organized into six themes: Quality Improvement, Partnerships, Accountability, Workforce, Resources, and Community Health/Equity.
"We are so excited and pleased to be able to release this new report today, which represents the fulfillment of PHAB's long-awaited wish to provide answers to a question PHAB is often asked about the value and impact of health department accreditation," said PHAB President and CEO Paul Kuehnert. "The numbers and stories in this document highlight how accreditation has had meaningful impacts in health departments and the communities they serve."
The Value and Impact of Initial Accreditation: A Review of Quantitative and Qualitative Data
is a living document that will be updated regularly as new quantitative and qualitative data are available.
to download the report.
VRHS Applicant Training Set for May 31, 2020 in Omaha, Nebraska
PHAB will hold a vital records/health statistics (VRHS) unit accreditation applicant training session on Sunday, May 31, 2020 from 1 p.m. to 4 p.m., just prior to the
NAPHSIS Annual Meeting
in Omaha, Nebraska. VRHS unit directors and their Accreditation Coordinators are invited to attend this training, which will be at the same location as the NAPHSIS conference and is a requirement for any VRHS unit that plans to apply between July 1, 2020 and June 30, 2021. This is the only VRHS applicant training that will be held in 2020. Registration is open now through May 18, and attendance is limited to 25 participants.
for more information or to register.
New 30-Second Ad Touts the Benefits of Accreditation
If you happened to be in the state of Illinois this past fall, you might have spotted a 30-second public service announcement about PHAB accreditation on your TV, mobile phone or tablet. PHAB has been partnering with the Community Partnership Division of CBS for some free messaging about the importance of public health department accreditation. Based on Nielsen data, the three-week campaign reached nearly 1.8 million adults ages 18 and older an average of three times each when it aired on CBS affiliate WBBM-TV in Chicago, during such popular shows as The CBS Evening News, The Late Show With Stephen Colbert, NFL Today, and Face the Nation. In addition, the digital portion of the campaign, which ran throughout the state, delivered 1.3 million impressions to mobile phones, laptops and tablets.
Share the link!
ew PHAB Documentation Cover Sheet Requirement
PHAB has created a set of cover sheets for health departments to use as they upload documentation. There is a cover sheet for each document or example that a health department submits to PHAB as documentation.
These cover sheets, which
can be accessed here
, were developed to help health departments be sure that the documentation they upload is appropriate and complete. They were also developed to help site visitors locate the specific piece of the documentation that provides the evidence that the health department is in conformity with the measures' requirements.
Additionally, throughout the cover sheets, specific words and phrases are underlined. These words and phrases are requirements that have been frequently missed by health departments as they select and submit documentation. Also, some measures include a "NOTE." These notes are from PHAB's Accreditation Specialists to help health departments with the interpretation of the requirement.
The use of these cover sheets was optional while they were being tested for effectiveness. The cover sheets have proven to be very helpful to both health departments and site visitors. PHAB is, therefore, requiring that these cover sheets be used for every document that is submitted for every Required Documentation, effective immediately. Health departments that are selecting and preparing their documentation should download these cover sheets and complete them for each Required Documentation. Further, it is recommended that health departments that are preparing for accreditation download these cover sheets to use for guidance as they work to ensure that they have the documentation that is required by the PHAB Standards and Measures.
STANDARDS & MEASURES DOCUMENTATION: Tips for Success
The Meaning and Requirements for Initial Accreditation Measures 5.4.1 and 5.4.2
In this column, PHAB staff share tips for successfully demonstrating conformity with various PHAB Standards and Measures. Here, PHAB Chief Program Officer Robin Wilcox discusses initial accreditation Measures 5.4.1 and 5.4.2. The difference between these mea
sures and their required documentation is sometimes confused.
Measure 5.4.1 is about the process of the development of the overall jurisdictional plan for the management of all types of potential emergencies. This plan will address an array of issues, such as levels of authority, continuity of public utilities, transportation, housing, communications, animal sheltering, as well as public health. This plan will include the roles on many governmental agencies and other organizations, for example, the fire and police departments, public affairs and information technology, hospitals' emergency departments, and organizations such as the Red Cross. The process for the development of an inclusive jurisdictional plan for the management of emergencies will be led by a government unit that has been designated as the emergency management agency. The process will not, of course, be led by the health department. Public health plays an important role in emergency management and the public health department must be at the table as the overall All Hazards Emergency Operations Plan (EOP) is developed. Therefore, this measure requires that the health department provide evidence that they participated in preparedness meetings.
Since emergency plans must be both tested and practiced in order to be effective, this measure also requires that the health department provide evidence that it participated in the testing of the plan through either a real emergency or an exercise. Included in the testing is the review of an After Action Report (AAR). A purpose of an AAR is to make post-exercise recommendations for improvements in the plan. So, the third requirement of this measure is evidence of a process to revise the plan in which the health department participated. Included in this requirement is a copy of the revised plan. The plan that is submitted here may be a totally revised plan or the original plan with an attachment or supplement that is the "improvement plan." The plan that is submitted here is not a department of health plan; it is a plan that was developed with the participation of the health department. Included in the overall jurisdictional EOP will be the roles and responsibilities of the health department.
QUALITY IMPROVEMENT CORNER
Quality Improvement Methodologies: Determining the Best Approach for Incorporating QI into Your Agency's Practice
Welcome to Quality Improvement Corner, where PHAB Accreditation Specialist April Harris shares information about a new QI resource for you health department.
PHAB is excited to share a new QI resource that your health department may find useful when trying to determine which QI methodology to deploy. With feedback garnered from PHAB's Evaluation and Quality Improvement Committee, and in consultation with Grace Gorenflo, a tool was developed to help health departments determine the most appropriate QI methodology for a project.
Kaizen, Lean, Six Sigma, and Lean Six Sigma methods are often used by health departments to make measurable improvements in their business processes. Some health departments may use a Plan-Do-Study-Act (PDSA) cycle. All these methods are interrelated and understanding the similarities can help distinguish the differences.
As a starting point, it's helpful to think of PDSA as a summary of the steps involved in the other four methods. Kaizen, Lean, Six Sigma, and Lean Six Sigma were created initially for the manufacturing industry, and PDSA is a more generic framework that captures the progression of thoroughly examining a current process and its problems, followed by developing solutions, then testing the solutions and measuring the results, and ending by institutionalizing a new process. The steps in the other four methods conceptually are quite similar and many differences largely are a matter of semantics.
However, there are some useful distinctions to understand, related to philosophy and specific objectives. This tool is intended to highlight these differences and help you determine the best approach for incorporating quality improvement into your agency's practice.
PHAB VOLUNTEER SPOTLIGHT
The Importance of "Giving Back" Through Service as a PHAB Site Visitor
From every corner of the nation, they answer the call: Jumping on airplanes, checking into motels in towns large and small, and piling into rental cars to head over to a health department where they will perform a central role in the national accreditation process. They are PHAB's volunteer site visitors, and from reviewing documentation submitted by health department applicants to conducting on-site interviews and writing Site Visit Reports, site visitors are critical to the achievement of PHAB's mission and goals.
Among the multitude of public health professionals who "give back" through service as PHAB site visitors, the
Missoula City-County Health Department
in Missoula, Montana, has attained a valuable distinction in that two of its employees -- Director & Health Officer Ellen Leahy, RN, MN, MPH; and Health Promotion Division Director and Accreditation Coordinator Cindy Farr, BSN -- have each completed five or more site visit assignments.
"To my knowledge, this is the only accredited health department where both the health department director and the accreditation coordinator have each completed at least five," said PHAB Volunteer Services Manager Jeff Lake, noting that the two were among the first to attend PHAB's Site Visitor Training Program. "Without the commitment of volunteers like Ellen and Cindy, the accreditation process would not work. PHAB greatly appreciates their commitment to improving public health through accreditation."
Contacted by PHAB this week, both Leahy and Farr referred to their volunteer service as a way of supporting PHAB's mission by giving back.
"Serving as a PHAB site visitor is rewarding on many fronts," Leahy said. "It is a privilege to meet public health peers across the nation, constantly learn creative approaches used by other health departments, and see PHAB evolve, too. Yes, the documents and details can seem daunting, but having a front-row-seat to public health's unmistakable improvement is well worth it."
Farr agreed, noting that each site visit brings new insights.
"I love serving as a site visitor," Farr said. "I learn something new from every health department that I review and from my fellow site visitors as well. Seeing the improvements that have been made by our public health colleagues as a result of meeting the PHAB standards and measures is incredible. It is exciting to watch the public health system continue to grow stronger as we move into the future."
Reflecting on PHAB's volunteer site visitor program, PHAB President and CEO Paul Kuehnert said the commitment demonstrated by staff at the Missoula City-County Health Department can be a model for other accredited health departments as they work to "give back" in support of PHAB's important mission.
"One thing I have learned already at PHAB is that volunteers like Ellen and Cindy are the lifeblood of what we do and who we are," Kuehnert said. "We, literally, could not do what we do without volunteers -- as site visitors, as committee members and as Board members. And our volunteers do more than tasks -- they help PHAB 'keep it real,' connecting us to what is happening on the frontlines of public health, each day."
For information about becoming a site visitor for PHAB, please contact
NEWS FROM THE PUBLIC HEALTH NATIONAL CENTER FOR INNOVATIONS
Apply Today to Attend and Share at the Public Health Innovation Summit & Showcase
We aim to bring together innovators from the field to share with, and learn from, each other and to shape the future of public health. There are two ways you can contribute:
- Participate: Please complete an application letting us know why you'd like to attend, what you bring to the Summit & Showcase, and what you can share with all of us. While all applications will be considered, we are not able to select everyone who applies due to limited space.
- Present: Please complete the application to participate and then submit an abstract describing your work and how it can best be shared with the rest of the participants.
Applications are being accepted now
through March 6, but you can expect a response from us by early April. If you are selected to attend and/or present, you will be invited by May 8 to register (available on a first come, first served basis) and/or present.
Update from the Futures Initiative: The 10 Essential Public Health Services
Through the Futures Initiative, PHNCI and the de Beaumont Foundation have engaged the public health field in a variety of opportunities. PHNCI is partnering with the de Beaumont Foundation to review and revise the 10 Essential Public Health Services (EPHS). The Futures Initiative is aimed at bringing the Essential Services national framework in line with current and future public health practice. This effort has engaged the public health community in activities to collect information and build consensus for an updated 10 EPHS framework that reflects current and emerging public health practice needs.
advising the Futures Initiative met at PHAB in January 2020 to guide the work going forward, review feedback collected during the data collection phase, and prepare for public vetting of a revised framework in March 2020. Based on the timeline below, a finalized framework is expected to be launched during the Public Health Innovation Summit & Showcase in June 2020. After its launch, the framework will
be disseminated broadly in the hopes that it will be adopted widely in the field.
Activities and dates are as follows:
- Public vetting open: March 2-April 2, 2020
- Data analysis and framework development: April 3-June 16, 2020
- Alignment and communication strategy: May 1-June 15, 2020
- Framework launch: June 23, 2020
The Task Force advising the 10 EPHS Futures Initiative met at PHAB on January 23, 2020 to guide the work going forward, review feedback collected during the data collection phase, and prepare for public vetting of a revised framework.
Cross-sector Innovation Initiative Grantees Announced
PHNCI and the
Center for Sharing Public Health Services
are excited to announce that grant awards totaling nearly $1.5 million have been awarded to 10 grantees to support collaborations between governmental public health, healthcare, and social services. Provided as part of the
Cross-sector Innovation Initiative
(CSII), the funds will advance the efforts of grantees to implement innovative multi-sector partnerships between governmental public health, healthcare, and social service organizations, along with the engagement of their communities, with the ultimate goal of aligning the three sectors' work to improve population health, well-being, and equity for all.
The 10 grant recipients are:
- Better Health Together (WA)
- Cabarrus County Partnership for Children (NC)
- Case Western Reserve University (OH) (pending execution of grant agreement)
- Chatham County Public Health Department (NC)
- Health Education Council, Serving Populations at Risk (CA)
- Hennepin County Public Health Department (MN)
- Ledge Light Health District (CT)
- Minneapolis Health Department (MN) (pending execution of grant agreement)
- Mountain Area Health Education Center (NC)
- Napa County Health and Human Services Agency, Public Health Division (CA)
Join PHAB at NIHB's 11th Annual National Tribal Public Health Summit in Omaha on March 18
The National Indian Health Board (NIHB) and PHAB recognize the important opportunity to strengthen public health in Indian Country, thereby ensuring that Native communities are safe and healthy places to live, work, learn, and play. Join PHAB for an important Roundtable Session at 1:30 p.m. CDT, March 18, during NIHB's 11th Annual National Tribal Public Health Summit in Omaha, Nebraska. The session, "Accreditation in Indian Country: Working Together for Healthy Native Communities," will provide an opportunity to learn about what's going on with accreditation across the country, particularly in Indian Country. Participants will also have the opportunity to meet PHAB's new President and CEO, Paul Kuehnert.
Help Chart the Future of Public Health: Register Today for the 18th Open
Forum for Quality Improvement and Innovation
Supported by the Robert Wood Johnson Foundation, the Open Forum is a place where attendees will learn all about the most interesting and emerging content from their peers around a wide variety of topics in performance improvement and innovation in public health. Open Forum content is targeted for public health practitioners who work in performance improvement, accreditation readiness, or are focusing on innovation in their health departments or their community. The Open Forum offers two learning tracks: Performance Improvement and Public Health Innovation. Don't miss this valuable opportunity for leaders, managers, and front-line staff.
Public Health Improvement Training Set for June 2 - 4 in San Antonio
Public Health Improvement Training
(PHIT) will be held June 2 - 4, 2020 in San Antonio,Texas and will feature hands-on, skill-building workshops designed for the public health improvement workforce as well as networking opportunities around public health performance improvement topics. Scholarship applications are now open and will be accepted until March 6. These scholarships cover registration, travel, and other associated costs.
to view the confirmed deep-dive workshops as well as to register.
Please share this information with your health department contacts, especially those who might not be able to attend without a scholarship.
NALBOH 2020 Annual Conference Brings Educational Opportunities to Your Board of Health Leaders
Make plans now to have your board of health leaders attend the National Association of Local Boards of Health (NALBOH) 2020 Annual Conference. Set for August 18-20 in Grand Rapids, Michigan, the event will provide education specifically for the special role board of health members play as the essential link between public health services and a healthy community. PHAB leadership will be on hand to present the New Essential Public Health Services Framework as well as a session on "What Boards of Health Need to Know About the Value and Impact of Public Health Department Accreditation." These sessions have been created to specifically speak to the information board of health members need to assure good governance where public health begins-- at the local level.
Board of health members are in a unique position to advocate for accreditation and quality improvement.
Visit the NALBOH website
to register your board of health today! Registrations received by June 30 will receive a discounted price.
Public Health Foundation to Host Interactive Webinar on Cross-Sector Collaboration: Making Partnerships Work for Your Community
Cross-sector collaboration is a term used to describe a process where various community organizations come together to collectively focus their expertise and resources on a complex issue of importance to a community they serve. If your health department is pursuing accreditation or is already accredited, you know that improving the health of your community requires that the public health department, healthcare institutions, and other community stakeholders providing health and health-related services break out of their comfort zones and work collaboratively. Join experts from the Public Health Foundation (PHF) on Tuesday, April 14, 2020, from 1-2 p.m. EDT for an interactive webinar, "Cross-Sector Collaboration: Making Partnerships Work for Your Community,"
and learn what it takes to build a successful cross-sector collaborative.
ASTHO Shares Practical Strategies for Implementing Performance Management Practices in Your Health Agency
Performance management is a systematic process that helps an organization achieve its mission and goals. Getting started can be the most daunting part of building performance management into your agency's culture. Register today to watch a new seven-minute learning video,
Implementing Performance Management in Your Health Agency, in which health agency leaders Dr. Mark Levine (SHO-VT), Dr. LaQuandra Nesbitt (SHO-DC), and Vermont Deputy Health Commissioner Tracy Dolan (SRD-VT),
describe their experiences with performance management and share practical strategies to adopt performance management practices within your health agency.
NACCHO Offers Peer Exchange Network to Advance Performance Improvement
Did you know that NACCHO hosts a peer exchange network for the performance improvement workforce in public health? NACCHO's Performance Improvement Peer Learning (PIPL, as in "people") Network is a virtual community for performance improvement practitioners, including people who work in the areas of accreditation preparation, quality improvement, performance management, CHA/CHIP, and health equity. Launched in 2019, PIPL brings together nearly 400 members from the public health and healthcare community to share resources, experiences, enhance knowledge, and discuss emerging performance improvement topics. In the coming months, participants in this forum will have the opportunity to discuss and learn more about various emerging topics, including Mobilizing for Action through Planning and Partnership, Quality Improvement, Change Management, and more.
Join a discussion around these topics by clicking on virtual communities and then "communities" in the main navigation, and then on "all communities" in order to see a list of available communities. For questions please email
New Online Course Offers Public Health Professionals a Convenient Way to Build Practical Business Skills
Registration is now open for the first online business certificate program created by public health professionals for public health professionals. Developed by the University of Miami, the de Beaumont Foundation, and other experts in business and public health, "Building Expertise in Administration & Management" (BEAM) equips public health professionals with practical skills in budgeting, finance, and management. Registration and other information are available at
FOR MORE INFORMATION
-Newsletter is distributed on a periodic basis to more than 6,500 public health professionals. The PHAB E-Newsletter is the best way to stay abreast of important news and updates related to PHAB's national accreditation program, as well as to learn about the activities, technical assistance, and resources available through PHAB's partner organizations. To subscribe to the newsletter, click here. S
uggestions or comments may be directed to PHAB E-Newsletter Editor
Learn more about PHAB at
For specific questions about PHAB or the national accreditation program, please contact:
(click here to see the complete staff list)
, Chief Administrative Officer, for information about fees and contractual information, or e-PHAB. He may be reached at
or 703-778-4549, ext. 104.
, Chief Program Officer, for information about the interpretation and meaning of the PHAB Standards and Measures as well as the accreditation process. She may be reached at
or 703-778-4549, ext.106.
Marita Chilton, Triona Gateley Neff, Jennifer Jimenez, Chelsey Saari, Brittan Williams,
Accreditation Specialists, for information about the accreditation process for health departments. Marita may be reached at
or 703-778-4549, ext. 114; Triona may be reached at
or 703-778-4549, ext. 124; Jennifer may be reached at
or 703-778-4549, ext. 107; Chelsey may be reached at
or 703-778-4549, ext. 130; and Brittan at
or 703-778-4549, ext. 115.
, Accreditation Specialist, to talk with accredited health departments about maintaining accreditation and to assist accredited health departments as they prepare for reaccreditation. She may be reached at
or 703-778-4549, ext.125.
, Executive Assistant/Office Coordinator, for general office inquiries and questions related to PHAB's governance. She may be reached at
or 703-778-4549, ext.100.
, Volunteer Services Manager, for information about the recruitment, selection, and assignment of Site Visitors and teams as well as PHAB's Accreditation Reserve Corps. He may be reached at
or 703-778-4549, ext. 110.
, Education Services Manager, for information about PHAB's education services, including orientations and learning events. He may be reached at
or 703-778-4549, ext. 105.
, Program Specialist, for questions about statements of intent, applications, and accreditation process issues. She may be reached at
or 703-778-4549 ext. 113.
, Director of Research and Evaluation, for information about public health accreditation-related research and evaluation, as well as student opportunities. She may be reached at
or 703-778-4549, ext. 117.
, Communications Manager, for media requests and questions related to PHAB's E-Newsletter, press releases, website, online store, marketing, and promotions. She may be reached at
or 703-778-4549, ext. 118.
Jessica Solomon Fisher
, Chief Innovations Officer, Public Health National Center for Innovations at the Public Health Accreditation Board, for all matters related to the Center. She may be reached at
or 703-778-4549, ext. 116.
, President/CEO, to talk about accreditation-related strategies, partnerships, long-range planning at PHAB, the Board of Directors, committees, and think tanks. He may be reached at
or 703-778-4549, ext. 103.
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For more information, visit www.phaboard.org
Public Health Accreditation Board