Public Health Research Department, NORC at the University of Chicago, Bethesda, Maryland.
J Public Health Manag Pract. 2018 May/Jun;24 Suppl 3:S3-S9. doi: 10.1097/PHH.0000000000000692.
To identify the quality improvement (QI) and performance management benefits reported by public health departments as a result of participating in the national, voluntary program for public health accreditation implemented by the Public Health Accreditation Board (PHAB).
We gathered quantitative data via Web-based surveys of all applicant and accredited public health departments when they completed 3 different milestones in the PHAB accreditation process.
Leadership from 324 unique state, local, and tribal public health departments in the United States.
Public health departments that have achieved PHAB accreditation reported the following QI and performance management benefits: improved awareness and focus on QI efforts; increased QI training among staff; perceived increases in QI knowledge among staff; implemented new QI strategies; implemented strategies to evaluate effectiveness and quality; used information from QI processes to inform decision making; and perceived achievement of a QI culture. The reported implementation of QI strategies and use of information from QI processes to inform decision making was greater among recently accredited health departments than among health departments that had registered their intent to apply but not yet undergone the PHAB accreditation process. Respondents from health departments that had been accredited for 1 year reported higher levels of staff QI training and perceived increases in QI knowledge than those that were recently accredited.
PHAB accreditation has stimulated QI and performance management activities within public health departments. Health departments that pursue PHAB accreditation are likely to report immediate increases in QI and performance management activities as a result of undergoing the PHAB accreditation process, and these benefits are likely to be reported at a higher level, even 1 year after the accreditation decision.
确定参与公共卫生认证委员会（PHAB）实施的全国性、自愿性公共卫生认证计划后，公共卫生部门报告的质量改进（QI）和绩效管理收益。
我们通过 PHAB 认证过程中的 3 个不同里程碑完成时，对所有申请和认证的公共卫生部门进行了基于网络的调查，收集了定量数据。
美国 324 个独特的州、地方和部落公共卫生部门的领导层。
获得 PHAB 认证的公共卫生部门报告了以下 QI 和绩效管理收益：提高了对 QI 工作的认识和关注；增加了员工的 QI 培训；员工的 QI 知识有所提高；实施了新的 QI 策略；实施了评估有效性和质量的策略；使用 QI 流程信息来辅助决策；并认为已经建立了 QI 文化。最近获得认证的卫生部门比仅注册申请但尚未经过 PHAB 认证过程的卫生部门报告实施 QI 策略和使用 QI 流程信息来辅助决策的情况更多。已经认证了 1 年的卫生部门的受访者报告说，员工的 QI 培训水平更高，并且认为 QI 知识有所提高，而最近获得认证的卫生部门则报告说 QI 知识有所提高。
PHAB 认证刺激了公共卫生部门的 QI 和绩效管理活动。追求 PHAB 认证的卫生部门可能会报告由于进行 PHAB 认证过程而导致的 QI 和绩效管理活动的立即增加，并且即使在认证决定后的 1 年内，这些收益也可能会以更高的水平报告。
