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The NCLHD Accreditation Board began a strategic planning process in Fall 2020. In April 2021, the NCLHD Accreditation Board approved NCLHDA’s Strategic Roadmap, outlining the programs mission, vision, values, and priorities for the next four years (July 2021-June 2025). In August 2021, in alignment with the Strategic Roadmap, the NCLHDA Program released the Strategic Work Plan. The Work Plan outlines four-year measures to track progress on priorities and goals, as well as a detailed one-year plan to transparently communicate how the program is working towards each priority and goal. In June 2022, the NCLHD Accreditation Board reviewed Q4 Updates to the workplan and a Year 2 Strategic Overview to outline the continued work in 2022-2023.

The 2021-2021 Strategic Work Plan was updated quarterly to track updates and progress on activities:

Our Mission: Support North Carolina Local Health Departments in innovating and advancing public health through accreditation.


Our Vision: All North Carolina Local Health Departments utilize the accreditation process to continually build their capacity to equitably respond to the unique health needs of their communities.

Core Values and Practices:

Quality:  We view accreditation as a dynamic learning process, and we continually assess and revise our program to improve over time.
Partnership:  We engage with partners to share perspectives, effectively leverage our resources and maximize our collective impact.
Equity:  We work with partners to advance and improve system-level changes to promote and enhance diversity, equity and inclusion for all.
Adaptability:  We respond to changes in the field, balancing clarity, flexibility and consistency.
Reliability:  We provide reliable leadership, expectations and resources.
Transparency:  We communicate clearly and openly share program information and decisions.
Efficiency:  We streamline efforts to maximize impact and reduce duplication.

Strategic Priorities 

  1. Evolve NCLHDA standards, benchmarks and activities as state strategy and local capability progresses.
  2. Streamline the NCLHDA program for efficiency, interoperability and relevancy.
  3. Build quality improvement into the NCLHDA program structure.
  4. Lead efforts to improve diversity, equity and inclusion through the accreditation program.
  5. Intentionally engage partners, including but not limited to Health Directors, Boards of Health, County Commissioners, DPH, Commission for Public Health and State Legislature, in NCLHDA program impacts and accomplishments to support the capacity of the public health system overall.

One-Year Milestones 

  • Expand NCLHD Accreditation Dashboard use beyond evidence submission and review.
  • Roll out the HDSAI Interpretation Document v7.0.
  • Collaborate with LHDs to design quality improvement and equity supports.
  • Initiate the process of reviewing administrative rules.
  • Explore options for sustainable remote site visits.
  • Build an interactive system for visualizing data about accreditation activities.