Roles and Responsibilities of Boards of Health Related

Roles and Responsibilities of Boards of Health Related

Roles and Responsibilities of Boards of Health Related to North Carolina Local Health Department Accreditation (NCLHDA) Version Update: 1.1.19 Presentation Overview 1. Review of purpose of accreditation 2. Identification of activities related to Board of Health involvement 1. 2. 3. 4. 5.

Finance Community Health Health Director/Staff Rules and Ordinances Board Function 3. Questions and Comments North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION

All LHDs in North Carolina have been accredited and reaccredited at least once. North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION Basic Components of the Process Self-Assessment by the Agency 147 Activities & 41 Benchmarks Site Visit Peer volunteers Administration, Environmental Health, Nursing, Board of Health (BOH) Review documentation, tour facilities and conduct interviews Site Visit Report recommendation

Board Adjudication North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION Activities and Scoring Requirements Agency Core Functions and Essential Services Assessment: Policy Development: Assurance: Department must meet 26 of 29 activities Department must meet 23 of 26 activities Department must meet 34 of 38 activities Facilities and Administrative Services Department must meet 24 of 27 activities

Governance Department must meet 24 of 27 activities North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION NCIPH notifies LHD that HDSAI is due within 90 days LHD is between accreditation cycles

The Life Cycle of Accreditation LHD submits HDSAI and documentation evidence to NCIPH Notification to official award takes ~ 9.5 months Preparation

for next accreditation cycle begins Reports finalized and sent to LHD with accreditation recommendation NCLHDA Board votes on accreditation recommendation and awards status LHD has 10 days to

provide written response to findings North Carolina Site visit conducted LOCAL HEALTH DEPARTMENT ACCREDITATION Purpose of NCLHDA Program The focus of NCLHDA is on the capacity of the local health department (LHD)to perform at a prescribed,

basic level of quality North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION Strengthens state and local partnerships Brings staff together around a common purpose Helps to link

agency mission and community needs to services provided Identifies areas for improvemen t Community and partners see value of PH North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION

Benefits of Accreditation Determines performance capacity Reinforces emphasis on CQI Recognizes an agencys strengths Assures a

strong public health system is in place Helps staff understand other functions/roles within agency Great things you already do are documented & more visible Accreditation provides a framework for a health

department to: identify performance improvement opportunities, improve management, develop leadership, and improve relationships with the community. The process is one that will challenge the health department to think about what business it does and how it does that business.

Public Health Accreditation Board, 2013 North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION Being accredited helps position health departments and give them credibility as a respected player in the future of integrated healthcare and population health initiatives. North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION The Law

Senate Bill 804 Established NCLHDA Board within N.C. Institute for Public Health (17 members appointed by N.C. Department of Health and Human Services Secretary) Directs Commission to adopt rules establishing standards for LHDs Mandates all LHDs to obtain (by December 1, 2014) and maintain accreditation 10A NCAC 48B Defines scoring requirements by core function Describes Benchmarks and Activities North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION

North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION Important Notes Italics: requirement may apply depending on governance structure, whether other documentation options are chosen/not chosen and whether there is a Health Director vacancy. *Health Director may serve, or be directed by the Board to serve, as the designee for the BOH for correspondence. However, it is expected that there be some type of link to and from the BOH showing their involvement and engagement. North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION

Board Role 1. Ensure you have required policies, procedures or materials. 2. Hear or review LHD reports. 3. Discuss service costs, need for new/amended rules or ordinances. 4. Approve fees and budgets. 5. Take other actions or be involved with efforts to assure the health department has what it needs to do its job. North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION Finance The Board must: Review financial reports. Discuss service costs as well as

approve fees and final budget. Advocate with a wide array of funders in support of LHD efforts to secure financial resources to provide essential services. North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION Community Health The Board must: Ensure input on community health improvement efforts. Hear reports on community health. Support partnership and coordination of resources. Educate and advocate with community leaders about community health issues and support for these issues.

North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION Health Director/Staff The Board must: If the Health Director position becomes vacant, make and implement plans to recruit and secure a credentialed and qualified new Health Director. Review and approve the Health Directors job description and performance evaluation. North Carolina

LOCAL HEALTH DEPARTMENT ACCREDITATION Board Function Board members must receive initial (within the first year of appointment) and ongoing training on BOH roles and responsibilities. Board must have Operating Procedures, an annually updated handbook and a training policy/procedure. North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION Rules & Ordinances

The Board must: Have access to legal counsel and statutes. Have policies for rulemaking and appeals and demonstrate it is following said policies. Along with the LHD, evaluate the need for additional or amended rules/ordinances. Support prohibition of tobacco within 50 feet of all LHD facilities. North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION What can you do to be a good BOH member?

1. Attend meetings regularly, so quorums are reached and, thus, required items can be approved on schedule. 2. Document your activities regarding community health and contribute to discussion during Board meetings. a. Carefully review meeting minutes to make sure your comments were captured. 3. Complete required trainings promptly. North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION North Carolina Questions & Comments

LOCAL HEALTH DEPARTMENT ACCREDITATION For additional information about the NCLHDA Program visit: NCLHDaccreditation.unc.edu For questions please email: [email protected] The North Carolina Local Health Department Accreditation Program is part of the North Carolina Institute for Public Health at the UNC Gillings School of Global Public Health. North Carolina LOCAL HEALTH DEPARTMENT ACCREDITATION

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