PHAB Board of Directors Approves New Five-Tiered Fee Structure
On January 28, 2016, PHAB announced the upcoming implementation of a new fee structure to manage and maintain the national accreditation process. Approved by PHAB’s Board of Directors in December 2015, the new five-tiered structure bases accreditation fees on the size of the jurisdictional population served by the health department. Applicants who submit an application as a Tribal, state, local, or territorial health department after June 30, 2016 must use the new five-tiered fee schedule.
Applicant fees are necessary for PHAB to provide quality services to both applicants for accreditation and accredited health departments. The accreditation fee a health department pays supports the assessment of health department applicants against nationally adopted standards and measures and provides the health department with a full suite of ongoing accreditation services. The accreditation fees do not support the full PHAB operations.
PHAB’s five-tier accreditation fee schedule is totally new and is based on models similar to other accrediting organizations. Applicants who will be affected by the new fee structure should not compare this structure with the previous fee schedule since this one has been developed with different concepts in mind.
As has been done in the past, an updated fee amount under this structure will be published annually. For more information or to discuss your specific fee questions, please contact PHAB Chief Administrative Officer Mark Paepcke at email@example.com, or via phone at 703-778-4549, ext. 104.
As is typical in the accreditation industry, PHAB instituted a fee structure to manage and maintain the national accreditation process. Moderate applicant fees are necessary in order for PHAB to provide quality services to both applicants for accreditation and accredited health departments in the future. Public health department accreditation is not a “one-time” event; it is an ongoing quality improvement commitment.
What the Fees Support
The accreditation fee your health department pays supports the assessment of your health department against nationally adopted standards and measures and provides your health department with a full suite of ongoing accreditation services, including:
• An assigned Accreditation Specialist to guide your department through the accreditation and reaccreditation process;
• Training of your health department’s Accreditation Coordinator that includes airfare, hotel, per diem, training material, and expert trainers;
• Subscription to PHAB’s online accreditation information system (e-PHAB), making the process paperless which is easier and more cost-efficient for your health department to participate in accreditation;
• A PHAB staff Completeness Review of submitted documentation prior to its review by the site visit team and feedback to the health department so that the documents that the site visitors review are complete;
• A site visit, including approximately 250 hours of comprehensive review of your health department’s documentation against the national accreditation standards by a team of peer review experts;
• A site visit report with identified opportunities for improvements to help your health department better manage its activities to serve its population;
• PHAB staff review of the health department’s site visit report to insure the report captures “who” the health department is, “what” they do, and “how” they do it, all against the conformity of the standards and measures;
• A thoughtful and deliberative review of the site visit report by PHAB’s Accreditation Committee;
• If needed, a full Action Plan review process including review of the draft Plan by PHAB staff and the provision of technical assistance, additional peer review, and committee review of both the Action Plan and subsequent report of the Plan’s implementation;
• A communications support package to use to engage and educate stakeholders on your health department’s journey to accreditation and ongoing culture of quality improvement;
• Annual quality improvement guidance and support through each accreditation cycle to help continue the QI culture advanced by accreditation;
• Support in preparation for reaccreditation; and
• Exclusive contribution to a growing network of accredited health departments and best practices to enhance the evidence base for public health.
Current Fee Structure (effective until June 30, 2016)
Fees are based on the size of the jurisdictional population served by the health department. Jurisdictional population is used as a proxy for complexity of the review. PHAB’s Accreditation Fee Schedule will be published annually, one year in advance. The rate is applicable for the period and process of the application. Invoices will be provided by PHAB to the applicant health department based on the category and payment schedule they select. The total fee is required to be paid, regardless of the outcome of the accreditation decision.
Payment of Fees
PHAB understands that health department budgets are strained now more than ever. In order to ensure cost does not become a barrier to qualified health departments seeking and earning accreditation, PHAB has developed a variety of flexible ways for health departments to pay their fees.
- Health departments can pay in multiple-year increments, where 40 percent of the total fee is paid in the first year and the remaining 60 percent of the total fee is paid over the remaining years. (See 5-year payment plan example in table below.)
- Health departments can pay with end-of-the-year grant funds (with approval of grant project officer).