Accreditation Outcomes: Getting to the Right Indicators

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A key strategy to improve the functioning and performance of local health departments (LHDs) is to institute a public health accreditation system, requiring measurement of LHD capacity and performance against benchmarks or standards. The North Carolina Local Health Department Accreditation program (NCLHDA) was signed into law in 2005, with the final rules approved in 2006.  Building on previous research on factors that are associated with LHD performance, North Carolina Institute of Public Health (NCIPH) researchers examined the preliminary effects of participation in the NCLHDA program on service delivery indicator performance and the association between leadership, community engagement and policies on NC LHD performance.

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