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Accreditation Documents

The NCLHD Accreditation process begins with the Health Department Self-Assessment, followed by a Site Visit and finally, assignment of accreditation status by the NCLHDA Board. This page contains the documents and resources that local health departments need for the Health Department Self-Assessment and to prepare for a Site Visit.

NCLHD Accreditation Operational Guidelines

Health Department Self-Assessment Materials (2024)

HDSAI Interpretation Document 2024 (pdf):

  1. The HDSAI Interpretation document provides a detailed description of what is required to meet each of the Activities in the HDSAI. The HDSAI Interpretation Document 2024 is effective starting January 1, 2024.
  2. 2024 Summary of Changes summarize the changes made between the 2023 and 2024 HDSAI Interpretation Document versions.

Health departments have two updated HDSAI options:

  1. Standard Option: Always use the HDSAI Interpretation version that was in effect for the year a piece of evidence was collected (see archive).
  2. New Option: Use the current HDSAI for ALL years.

View Archived Health Department Self-Assessment Materials (2015-2023)

Health Department Site Visit Preparation Materials

Below is a list of materials that must be submitted with the completed HDSAI/evidence in the NCLHDA Dashboard under “Supplemental Materials” by the HDSAI due date (either June 1 or November 1). Where provided, please use the downloadable MS Word document templates for these materials.

  • signed HDSAI Cover Page
  • HDSAI Summary Checklist
  • 2024-2025 Programs List
  • the agency’s mission statement
  • the agency’s organizational chart
  • list of programs offered at agency (or agency brochure with this information)
  • a roster of the agency’s Management Team, with names, position titles and dates of appointment to the Management Team for each team member
  • Interviewed staff bios including Nursing Director, Environmental Health Director, and Health Director
  • a roster of the agency’s entire staff, with names, hire date and position titles (alphabetized by last name) – must be in a MS Excel spreadsheet and should be updated on day the LHD is locked out of the NCLHDA Dashboard before their site visit
  • a one-page double-spaced narrative related to information about what makes your local health department and the population you serve unique. Please include any special characteristics of the health department and the community (e.g., district structure, administrative/operations information, unique relationship with county government, presence or loss of major industry, seasonal population surges, socioeconomic status of community, predominance of a particular demographic group, etc.)
  • Governing Board roster – with appointment dates
  • Budget Summary (actual expenses, revenue and local allocation) for previous six years
  • Site Visit Schedule – please fill in the template that aligns with your site visit format
  • Draft Entrance Conference Agenda