| Accreditation
Board (AB) selects participating local health departments. |
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| Accreditation Administrator (AA) notifies
health director, commissioners, board of health chairs and
county manager of the pending site visit. |
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| Health
department should submit the Health Department Self-Assessment
Instrument (HDSAI) within 90 days after notification
by the Accreditation Administrator (AA) that the accreditation
process for the department has begun. The HDSAI
should be submitted to the AA at the North Carolina Institute
for Public Health. |
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| After receipt of
the HDSAI from the health department, the Site Visit Team
(SVT) reviews the HDSAI and supporting documentation, visits
the health department, interviews local health department
staff and other persons necessary to evaluate compliance
with the benchmarks and inspect the facilities in accordance
with the benchmarks. |
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| The SVT will prepare
a report that makes a determination as to whether the benchmarks
have been met and submit the report to the AB and the local
health department within 14 days of the end of the site visit. |
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| The
Accreditation Board meets, reviews the SVT’s report
and hears a presentation from the SVT. In addition,
the local health department director will have the opportunity
to respond. |
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| If the local health department
requests, the AB will grant the local health department an
additional twenty-one (21) calendar days to submit additional
written information to the AB. If the local health department
submits additional information, the AB shall take action
within 90 days of the presentation of the SVT to the AB. |
If no such request is made, the AB may take
action on the SVT’s recommendation or may request additional
information from the local health department and defer action
on the recommendation to a later meeting. The AB shall
take action within 90 days of the presentation of the SVT
to the AB. |
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| The
AB grants a status of Accredited or Conditionally Accredited. |
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Accredited |
Conditionally
Accredited |
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|
Accreditation
is awarded for four years. |
If the AB assigns a status
of Conditional Accreditation, the local health department
may make a written request within ten (10) calendar days
for reconsideration of the decision. The written request
should state the specific objections to the decision and
the basis for those objections. The AB will act on
the request within sixty (60) calendar days. |
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Conditional
Accreditation is available for up to two years, during
which time the health department implements a remediation
plan. During the Conditional Accreditation period, the
local health department may apply again for Accreditation
in accordance with the rules adopted by the Commission. |
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|
If the AB finds that the
conditions of the Remediation Plan have been met, the AB
will change the local health department status to Accredited. |
If at the end of two years,
Conditional Accreditation is not removed, the health department
will be deemed Unaccredited. |
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Local health departments
should submit the HDSAI no later than 6 months before the
expiration date of its accreditation. The AB will
initiate a site visit in accordance with subsection .0202
and take action in accordance with subsection .0203 before
the local health department accreditation expires. The
process begins again. |
Unaccredited |
