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首页> 外文期刊>Journal of public health management and practice: JPHMP >Pursuing Public Health Accreditation: A Focus on HOW
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Pursuing Public Health Accreditation: A Focus on HOW

机译：追求公共卫生认证：专注于如何

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Introduction: Balancing competing imperatives of conserving scarce resources while improving organizational performance and community health, many local health departments (LHDs) have decided to pursue national, voluntary public health accreditation as a guide to improvement, but how to do so in the most efficient way possible remains a question for many. Methods: This study employed a participatory action research approach in which LHD directors and accreditation coordinators from 7 accredited and 3 late-stage accreditation ready Kentucky LHD jurisdictions participated. Participants organized a set of accreditation deliverables into a chronological sequencing of each site's accreditation readiness process, which was then coded by researchers to identify similarities and differences. Results: All participating jurisdictions had all-hazards emergency operations plans and public health emergency operations plans while none had workforce development plans, quality improvement plans, or performance management plans before launching accreditation readiness activities. Also identified were the number of accreditation deliverables attempted, simultaneously, by each site and the importance of specific deliverables having a singular focus. Sequences of work on specific deliverables by the majority of participants included completing work on the quality improvement plan immediately, followed by the performance management plan, the Community Health Assessment before the Community Health Improvement Plan, and a strategic plan, followed by a workforce development plan. Factors influencing accreditation readiness processes, elements for sustaining processes, and lessons learned throughout the pursuit of accreditation were also provided by participants. Conclusions: Recognizing the impact of staff availability, staff skill sets, training, and available financial resources on the pursuit of accreditation, participants determined that aggregating lessons learned into a flowchart highlighting the interconnectedness of accreditation deliverables could produce a road map for LHDs. Accreditation deliverables could be attempted in a logical, efficient order particularly valuable to small LHDs with limited resources and yet adaptable for those jurisdictions able to devote more resources to the process.
机译：介绍：平衡竞争竞争资金的争夺资源，同时提高组织绩效和社区卫生，许多当地卫生部门（LHD）决定追求国家，自愿公共卫生认证作为改进的指导，但如何以最有效的方式这样做可能仍然是许多问题。方法：本研究采用了参与式行动研究方法，其中LHD董事和7名认可的董事和认证协调员和3阶段认证准备肯塔基州LHD司法管辖区参加。参与者组织了一系列认证可交付成果，以每个站点的认证准备过程的时间顺序排序，然后由研究人员编码，以确定相似性和差异。结果：所有参与司法管辖区都有全部危险的紧急行动计划和公共卫生应急行动计划，而在启动认证准备期活动之前，没有劳动力发展计划，质量改进计划或绩效管理计划。还确定了每个站点尝试的认证可交付成果的数量，以及每个站点和具有单数焦点的特定可交付成果的重要性。大多数参与者的特定可交付成果的工作序列包括在社区卫生改进计划之前立即完成质量改善计划，其次是绩效管理计划，社区健康评估以及战略计划，其次是劳动力发展计划。参与者还提供了影响认证准备过程的因素，持续过程的持续过程的要素以及在整个追求认证的过程中学到的经验教训。结论：认识到员工可用性，员工技能，培训和可用财务资源对追求认证的影响，参与者确定将学习经验教训突出，突出了认证可交付成果的相互连接，可以生产LHD的路线图。可以在逻辑，高效的订单中尝试认证可交付成果对具有有限资源的小LHD，但对于那些能够为该过程提供更多资源的司法管辖区来说也适应。

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