A Self-Assessment Process for Accreditation Preparedness

A Practical Example for Local Health Departments

The Local Health Department Self-Assessment Tool (LHDSAT) provides “the big picture” to health departments preparing for accreditation.

The Knox County Health Department serves greater metropolitan Knoxville, Tenn. and Knox County. In 2008, its director appointed a 7-person workgroup to conduct a self-assessment using LHDSAT. LHDSAT employs a set of 45 standards and 224 indicators related to the Operational Definition of a Functional Local Health Department. The Knox County workgroup scored the health department for each indicator, calculated the range and mean for each indicator, and discussed their results. Following the self-assessment, workgroup members evaluated the process during in-depth interviews and using a self-administered evaluation.

Key Findings:

  • Workgroup members found the process flexible and cohesive.
  • While LHDSAT was comprehensive, the language was sometimes complicated and problematic.

The establishment of the National Public Health Accreditation Board opened the door to a national accreditation program for local and state health departments. This article presents an evaluation of the LHDSAT, as self-assessment tool that prepares health departments for accreditation.

April Issue of Health Affairs Focuses on Patient Safety and Health Care Quality

  1. 1. The Ongoing Quality Improvement Journey
  2. 2. A Road Map for Improving the Performance of Performance Measures
  3. 3. The Trade-Off Among Quality, Quantity, and Cost
  4. 4. Global Trigger Tool' Shows that Adverse Events in Hospitals May be Ten Times Greater Than Previously Measured
  5. 5. Preventing Bloodstream Infections
  6. 6. Measuring the Performance of Individual Physicians by Collecting Data from Multiple Health Plans
  7. 7. Measuring Health Care Performance Now, Not Tomorrow
  8. 8. Despite Improved Quality of Care in the Veterans Affairs Health System, Racial Disparity Persists for Important Clinical Outcomes
  9. 9. The Importance of Transitional Care in Achieving Health Reform
  10. 10. An Early Status Report on the Beacon Communities' Plans for Transformation Via Health Information Technology
  11. 11. A Comparative Study of 11 Local Health Department Organizational Networks
  12. 12. Public Health Performance
  13. 13. A Self-Assessment Process for Accreditation Preparedness
  14. 14. Public Health Delivery Systems
  15. 15. Regionalization in Local Public Health Systems
  16. 16. Public Health Services and Systems Research
  17. 17. A Shot in the Rear, Not a Shot in the Dark
  18. 18. What Predicts Local Public Health Agency Performance Improvement?
  19. 19. Growth of a Scientific Community of Practice
  20. 20. Evolution of Coauthorship in Public Health Services and Systems Research
  21. 21. Resources that May Matter
  22. 22. Evidence Links Increases in Public Health Spending to Declines in Preventable Deaths
  23. 23. Public Health Financial Management Competencies
  24. 24. Decision Science
  25. 25. Public Health Financial Management Needs
  26. 26. Data-Driven Management Strategies in Public Health Collaboratives
  27. 27. Using Geographic Information Systems to Match Local Health Needs with Public Health Services and Programs
  28. 28. Public Health Systems and Services Research
  29. 29. Local Public Health Capacities to Address the Needs of Culturally and Linguistically Diverse Populations
  30. 30. A Needs Assessment for Data and Methods in Public Health Systems Research
  31. 31. Mapping the Multidisciplinary Field of Public Health Services and Systems Research