Role of accreditation intent in local health departments' decision to collaborate with tax-exempt hospitals around the community health assessment
Research objective: We examined LHD-hospital collaborations around CHAs, including characteristics of LHDs involved in collaborations and the relationship between LHDs’ accreditation activities and their involvement in collaborations.
Data and sample: Data came from the 2013 National Association of County and City Health Officials (NACCHO) Profile Study and the Area Resource File. The sample included 1,492 LHDs.
Analysis: Descriptive and multivariate regression analyses were conducted. In the multivariate analysis, the dependent variable was a binary indicator of LHDs’ involvement in collaborations with nonprofit hospitals. PHAB accreditation intent - completion of a CHA, a community health improvement plan, and an agency-wide strategic plan - represented the primary independent variables.
Principal findings: LHDs that collaborated with hospitals were larger, more likely to be locally governed and to have a local board of health. The PHAB accreditation prerequisites were all significantly correlated with LHD-hospital collaborations. Accreditation intent also was an important factor in LHDs’ decisions to collaborate with hospitals around the CHA when controlling for other LHD, population, and community characteristics.
Conclusions: Accreditation efforts may be a positive influence on LHD-hospital collaborations. LHDs need to conduct a CHA as a prerequisite for PHAB accreditation and these LHDs may thus be in a good position to engage in collaborations with hospitals. Incentivizing voluntary accreditation among LHDs may help policymakers to encourage greater collaboration around CHAs.
Learning Areas:Administration, management, leadership
Public health administration or related administration
Describe the role that accreditation intent plays in local health departments' decision to collaborate with tax-exempt hospitals around the community health needs assessment
Keyword(s): Community Health Assessment, Local Public Health Agencies
Qualified on the content I am responsible for because: I have conducted research on hospital community benefit and their role in the public health system for five years. I have been a PI, co-PI, or investigator on several grants in this area and have authored and co-authored almost a dozen publications.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.