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Accreditation

Accreditation is currently a voluntary process and applies only to the Public Health Unit of the Essex County Health Department.

WHAT IS IT?  Accreditation is the recognition of achievement by a national entity (the Public Health Accreditation Board) against a set of practice-focused and evidenced-based standards.

WHY DO IT? The process of being accredited and maintaining this status ensures our performance –

  • Efficiency—Do more with less
  • Effectiveness—Improve outcomes
  • Accountability—Improve communication & transparency with governing bodies, funding sources, community partners & other stakeholders
  • PLUS – it improves our competitiveness for outside funding AND ensures our continuous quality improvement!

WHAT’S THE PROCESS?  The process of becoming accredited includes 8 phases and is cyclical.  Once we achieve Accreditation, we need to continuously work to maintain this status.

More About Each Phase

1. Pre-Requisites

MUST HAVE ADOPTED (an we have!)

  • Community Health Assessment
  • Community Health Improvement Plan
  • Department Strategic Plan

2. Pre-Application

MUST HAVE IN PLACE OR SUBSTANTIALLY DEVELOPED (We have adopted all!)

  • Quality Improvement Plan
  • Performance Management Policy/System
  • Branding Strategy
  • Workforce Development Plan
  • Emergency Operations Plan (Continuity of Operations Plan)

3. Application

COMPLETE APPLICANT TRAINING & SUBMIT FEES – Completed August 2017!

4. Document Selection & Submission

MUST PROVIDE SUPPORTING DOCUMENTATION/EVIDENCE of practices that meet standards in 12 Domains & submit to the Public Health Accreditation Board (PHAB).

The Department worked diligently to identify documentation to meet standards and completed the submission August 14, 2018. 

 5. Site Visit

PHAB REPRESENTATIVES CONDUCT A SITE VISIT to review documents in person, ask questions and create a report of the site visit assessment.

6. Determination

PHAB ACCREDITATION COMMITTEE MAKES A DETERMINATION of Accreditation status based on the Site Visit assessment report.

7.  Reports

MUST SUBMIT ANNUAL REPORTS TO PHAB FOR REVIEW.

8. Re-Accreditation

ACCREDITATION IS MAINTAINED FOR 5 YEARS.  After this time the Department must re-apply and go through this process again.