Barriers and Incentives to Rural Health Department Accreditation

Beatty, Kate E.; Mayer, Joseph L.; Elliott, Michael; Brownson, Ross C.; Abdulloeva, Safina; Wojciehowski, Kathleen

doi:10.1097/phh.0000000000000264

Cited by 18 publications

(11 citation statements)

References 26 publications

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“…Nurses in rural LHDs describe the need for basic technological software for transferring information, scheduling, monitoring patients, and developing client education materials (131). Lack of information technology can also hinder performance management and quality improvement activities in rural LHDs (10,11). As one example, executives from rural LHDs report difficulty accessing trainings on health disparities, thus exacerbating existing health disparities (144).…”

Section: Local Health Department Human Resourcesmentioning

confidence: 99%

The Double Disparity Facing Rural Local Health Departments

Harris

Beatty

Leider

et al. 2016

Annu. Rev. Public Health

121

104

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Residents of rural jurisdictions face significant health challenges, including some of the highest rates of risky health behaviors and worst health outcomes of any group in the country. Rural communities are served by smaller local health departments (LHDs) that are more understaffed and underfunded than their suburban and urban peers. As a result of history and current need, rural LHDs are more likely than their urban peers to be providers of direct health services, leading to relatively lower levels of population-focused activities. This review examines the double disparity faced by rural LHDs and their constituents: pervasively poorer health behaviors and outcomes and a historical lack of investment by local, state, and federal public health entities.

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Section: Local Health Department Human Resourcesmentioning

confidence: 99%

The Double Disparity Facing Rural Local Health Departments

Harris

Beatty

Leider

et al. 2016

Annu. Rev. Public Health

121

104

View full text Add to dashboard Cite

show abstract

“…Beatty et al (2018) noted that inadequate staffing presented a barrier to rural health departments receiving accreditation. Accreditation has been found to be an effective tool for generating improvement and change in public health departments, which has particular importance for rural areas (Beatty et al 2016 as cited in Beatty et al 2018). Lack of public health accreditation in rural departments also speaks to the larger problem of evidence-based practices being seen as too time-consuming and resource-intensive.…”

Section: Rural Areas Administrative Capacity and Countermeasure Managementmentioning

confidence: 99%

Rurality Versus Readiness: The Relationship Between State-Level Connection and Capacity Variables and the Management of Medical Stockpiles for a Public Health Emergency

Myers

2021

State and Local Government Review

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This study investigates what factors contributed to the score a state received for managing its medical countermeasures stockpile pre-COVID-19. It is particularly interested in the relationship between a state’s level of rural population and its countermeasure management capacity. A fixed-effects regression analysis was run using data from 2016 to 2019 to test for a relationship between the percentage of rural population in a state and the states’ countermeasures management score, while controlling for other relevant social, economic, and political variables such as level of social associations, the segregation index, and the level of income inequality. Rurality and physicians per capita proved to be significant and negative. A subsequent analysis found that states with higher levels of rural populations have lower levels of COVID-19 vaccinations, even accounting for effective countermeasure management. This points to rural states having challenges in regard to medical countermeasures that cannot be completely solved with technocratic solutions.

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“…Baker et al (2005) noted that the "bedrock" of the public's health is the strength of local public health agencies and that "a system for accrediting them is essential for assuring adequate organizational capacity" (p. 315). The Centers for Disease Control and Prevention described accreditation as essential for enhancing public health infrastructure (Beatty et al, 2016). Proceeding through the PHAB accreditation process offers public health departments the opportunity to assess their current capacity and performance quality and better manage process improvement.…”

Section: Importance and Function Of Phab Accreditationmentioning

confidence: 99%

State Health Department Accreditation Technical Assistance: A Focused Strategic Thinking Approach

Ginter

Wallace

Rucks

2017

Pedagogy in Health Promotion

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Public health departments provide many services critical to maintaining healthy populations, including communicable disease control, immunizations, primary care, and emergency preparedness. The Public Health Accreditation Board (PHAB) has established an accreditation process for public health departments that measures departmental performance against nationally recognized, evidence-based standards. The goal is to recognize departmental strengths and weaknesses, strengthen partnerships, and promote the prioritization of organizational goals to improve community health. Achieving accreditation from the PHAB requires health departments to develop Community Health Assessment (CHA), Community Health Improvement Plan (CHIP), and Strategic Plan processes. The intent of the CHA is to determine contributing factors for poor health outcomes and assess available resources. Building on the CHA, the CHIP establishes health priorities and improvement strategies, including measurable health outcomes and recommended policy changes. Finally, Strategic Plan defines the health department's strategic priorities, goals, and implementation plans. A number of methodologies are available to develop these plans, but many prove to be complicated and confusing, leading to suboptimal performance. The Alabama-Mississippi Public Health Training Center assisted the Alabama Department of Public Health with the creation of their plans by developing the Focused Strategic Thinking Approach, which supplied simple and effective processes to develop useful and successful plans. These processes provide useful guides for other public health departments developing their prerequisites as they pursue PHAB accreditation.

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Barriers and Incentives to Rural Health Department Accreditation

Cited by 18 publications

References 26 publications

The Double Disparity Facing Rural Local Health Departments

The Double Disparity Facing Rural Local Health Departments

Rurality Versus Readiness: The Relationship Between State-Level Connection and Capacity Variables and the Management of Medical Stockpiles for a Public Health Emergency

State Health Department Accreditation Technical Assistance: A Focused Strategic Thinking Approach

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