1. Ohio PHAB Survey Results Bringing Together Ohio Local Health Departments on their Journey to PHAB Accreditation

2. This survey was conducted by the Ohio Public Health Association (OPHA), the Association of Ohio Health Commissioners (AOHC), and the Ohio Department of Health (ODH). The project is funded through a grant to OPHA from the American Public Health Association. For further information on data, please contact Amy Holthusen at aholthus@gmail.comaholthus@gmail.com or 206.617.3173 OHPA/APHA

3. Survey Responses Total responses: 92 (13 were duplicates) Responses used in analysis: 79 Unique LHDs: 76 (3 anonymous) 46 online responses, 33 paper responses OHPA/APHA

4. % Response Per Region (n=76) 9/1623/3815/2414/2215/2476/124 OHPA/APHA

5. % Response Per Size Category (n=75) 17/3022/4116/2520/2875/124 OHPA/APHA

6. Responses divided into : High readiness Moderate readiness Low readiness (N=79) OHPA/APHA

7. How soon do you anticipate applying for accreditation? (n=74; 2 chose multiple responses) OHPA/APHA

12. How familiar are you with national public health accreditation? (N=79) OHPA/APHA

13. How familiar are you with national public health accreditation? (N=79) OHPA/APHA

14. Have you discussed accreditation with your Board of Health? (n=79) OHPA/APHA

15. Have you discussed accreditation with your Board of Health? (n=79) OHPA/APHA

16. Where have you received helpful information on accreditation? Please select all that apply. (n=79) OHPA/APHA

17. Where have you received helpful information on accreditation? Please select all that apply. (n=79) OHPA/APHA

18. Where have you received helpful information on accreditation? Other (please specify) (N=14) ODH Resources – NPHPSP Process – Self-Assessment Tool Conferences – Public Health Combined Conference – AOHC Conference Ohio Voluntary Accreditation Team (OVAT) University Resources OHPA/APHA

19. If you've received helpful information, what was the most important tool or item you found? (N=41) PHAB website, standards, and tools – “The PHAB website has the breakdown document with all the specifics for each domain.” NACCHO website, toolkit, self-assessment – “Examples of strong evidence to meet the measures.” Networking and peer learning – “Site visit from a fellow health commissioner sharing success stories with my leadership team.” Revised ODH standards OHPA/APHA

20. What has your agency done to educate staff about accreditation? Please select all that apply. (n=78) OHPA/APHA

21. What has your agency done to educate staff about accreditation? Please select all that apply. (n=78) OHPA/APHA

22. What has your agency done to educate staff about accreditation? Other (please specify) (N=12) Appointed committee/coordinator Newsletter updates Shared Ohio Standards Report Scheduled Fall Management Training ODH Performance Improvement OPH Standards OHPA/APHA

23. How would you prefer to receive information about accreditation? Please check all that apply. (n=79) OHPA/APHA

24. HIGH READINESS: How would you prefer to receive information about accreditation? Please check all that apply. (n=20) OHPA/APHA

25. MODERATE READINESS: How would you prefer to receive information about accreditation? Please check all that apply. (n=33) OHPA/APHA

26. LOW READINESS: How would you prefer to receive information about accreditation? Please check all that apply. (n=26) OHPA/APHA

27. How would you prefer to receive information about accreditation (for yourself)? Please check all that apply. (n=79) OHPA/APHA

28. How would you prefer to receive information about accreditation (for your staff)? Please check all that apply. (n=79) OHPA/APHA

29. How would you prefer to receive information about accreditation? Other (please specify) (N=1) “specific trainings” OHPA/APHA

30. ‘How much does each of the following represent a barrier to accreditation for your organization?’ Percent of LHDs rating each barrier as high (4 or 5 on a 5-point scale) (n=79) OHPA/APHA

31. ‘How much does each of the following represent a barrier to accreditation for your organization?’ Percent of LHDs rating each barrier as high (4 or 5 on a 5-point scale) (n=79) OHPA/APHA

32. How much help do you need with each element below as you consider accreditation? (% of LHDs who rated each element ‘high’) (n=79) OHPA/APHA

33. How much help do you need with each element below as you consider accreditation? (% of LHDs who rated each element ‘high’) (n=79) OHPA/APHA

34. “We work with neighboring LHDs on accreditation preparation” “You didn't ask about financial responsibility -- that will be difficult -- but maybe in 3-5 years, the economy will have improved.” “Accreditation working group for small LHDs” “Encouragement/expectations from ODH” How much help do you need with each element below as you consider accreditation? Other (please specify) (N=4) OHPA/APHA

35. If you could share information with those who are considering accreditation in the future, what would be the three most important things you'd tell them? (N=19) Financial Cost – “Keep track of expenses…this is an expensive process when you start to consider staff time.” – “How to pay.” Time Cost – “Expect additional work and plan for the time.” – “Start early, if it's a multi-year process and an ongoing commitment.” – “Requires a lot of time and commitment on everyone's part… a hard obstacle to overcome if yours is a small department.” OHPA/APHA

36. Documentation – “You most likely have more documents than you think. They just need to be updated for PHAB standards (dates, labels)” – “Keep emails.” Benefits – “While it is time consuming, it does make you a better health department. It is worth the effort simply if it raises your awareness.” – “The value is in the process, not the outcome.” – “Use accreditation to improve and market your LHD.” If you could share information with those who are considering accreditation in the future, what would be the three most important things you'd tell them? (N=19) OHPA/APHA

37. Other – “Don't recreate the wheel. There are templates out there to use that will help you in many areas.” – “EPI services is a very key requirement in the process.” – “Think PH system, not LHD.” – “Outreach and education must become your primary focus rather than direct services.” If you could share information with those who are considering accreditation in the future, what would be the three most important things you'd tell them? (N=19) OHPA/APHA

38. Which of the following actions has your organization taken to move toward accreditation readiness? Please select all that apply. (n=79) OHPA/APHA

39. Which of the following actions has your organization taken to move toward accreditation readiness? Please select all that apply. (n=79) OHPA/APHA

40. “Review of requirements” “Completed community health assessment / currently updating strategic plan” “Not sure where we are” “No $ to move forward. Only have 1.5 PH nurses!” “Discussed it at board meetings” “Info gathering” Which of the following actions has your organization taken to move toward accreditation readiness? Please select all that apply. Other (please specify) (N=6) OHPA/APHA

41. Summary 61% survey response; generally representative of Ohio LHDs The largest number of respondents are in the “moderate” readiness category, followed by “low”, then “high” readiness Respondents are moderately familiar with national accreditation; greater readiness corresponds with greater familiarity Respondents have received useful information from AOHC newsletters, NACCHO, and friends/colleagues. Health departments with high readiness were most likely to have used the PHAB website OHPA/APHA

42. Summary Most LHDs have discussed accreditation at staff meetings; almost half have attended workshops/conferences Highest barriers to accreditation are cost and time commitment Respondents need help with accessing sample documents, accessing best practices in the PHAB domain, and training on the accreditation process OHPA/APHA

43. THANK YOU! For more information, please contact: Amy Holthusen aholthus@gmail.com 206.617.3173