reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0100 - GENERAL PROVISIONS › Section 48B .0101 - PURPOSE

Current through Register Vol. 39, No. 2, July 15, 2024
The rules in this Subchapter establish the accreditation
					 standards for local health departments pursuant to
					 G.S.
					 130A-34.1.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0100 - GENERAL PROVISIONS › Section 48B .0102 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The following definitions shall apply throughout this
					 Subchapter:
(1) "Activities" means
				  specific, documentable actions taken by a local health department or a local
				  board of health.
(2) "Consolidated
				  agreement and agreement agenda" means the contract used by the Division to
				  distribute state and federal public health funds to local health
				  departments.
(3) "Division" means
				  the North Carolina Division of Public Health.
(4) "Evidence-based health promotions/disease
				  prevention strategies" means endeavors in which there is an informed and
				  explicit use of evidence that has been derived from any of a variety of science
				  and social science research and evaluation methods.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0100 - GENERAL PROVISIONS › Section 48B .0103 - ACCREDITATION REQUIREMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) To
				  receive an accreditation status of "accredited," a local health department must
				  satisfy all of the accreditation standards contained in this Subchapter. In
				  order to satisfy the accreditation standards, the local health department shall
				  satisfy activities under the standards according to the following proportions:
(1) Standard 1. Agency core functions and
				  essential services:
(A) The local health
				  department must satisfy at least 26 of the 29 activities listed in the
				  benchmarks contained in Sections .0200 and .0300 of this Subchapter;
(B) The local health department must satisfy
				  at least 23 of the 26 activities listed in benchmarks contained in Sections
				  .0400 through .0600 of this Subchapter;
(C) The local health department must satisfy
				  at least 34 of 38 activities listed in the benchmarks contained in Sections
				  .0700 through .1100 of this Subchapter;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0200 - MONITOR HEALTH STATUS › Section 48B .0201 - BENCHMARK 1

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: A
				  local health department shall conduct and disseminate results of regular
				  community health assessments:
(b)
				  Activities:
(1) The local health department
				  shall conduct a comprehensive community health assessment every 48 months. The
				  community health assessment must fulfill each of the following requirements:
(A) Provide evidence of community
				  collaboration in planning and conducting the assessment
(B) Reflect the demographic profile of the
				  population
(C) Describe
				  socioeconomic, educational and environmental factors that affect
				  health
(D) Assemble and analyze
				  secondary data (collected by someone other than the health department) to
				  describe the health status of the community
(E) Collect and analyze primary data
				  (collected by the health department) to describe the health status of the
				  community
(F) Compile and analyze
				  trend data to describe changes in community health status and in factors
				  affecting health
(G) Use scientific
				  methods for collecting and analyzing data
(H) Identify population groups at risk for
				  health problems
(I) Identify
				  existing and needed health resources
(J) Compare selected local data with data
				  from other jurisdictions (e.g., local to state, local to local)
(K) Identify leading community health
				  problems
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0200 - MONITOR HEALTH STATUS › Section 48B .0202 - BENCHMARK 2

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall work with health care providers in the community
				  to report reportable diseases and other health-related events and
				  data.
(b) Activities:
(1) The local health department shall collect
				  local vital records of births and deaths and transmit them to the
				  Division.
(2) The local health
				  department shall report annual childhood immunization data as required by
				  statute and rule.
(3) The local
				  health department shall collect reports of communicable diseases and other
				  reportable health conditions from community health care providers and transmits
				  them to the Division.
(4) The local
				  health department shall analyze and note reportable events occurring within the
				  community and shall report atypical incidence, if any, to the Division and the
				  local board of health.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0200 - MONITOR HEALTH STATUS › Section 48B .0203 - BENCHMARK 3

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall maintain skills and capacity to collect, manage,
				  integrate and display health-related data.
(b) Activities:
(1) The local health department shall assure
				  agency staff has expertise and training to collect, manage, integrate and
				  display health-related data.
(2)
				  The local health department shall conduct an annual evaluation of the agency's
				  data system (hardware and software) and plans for upgrades to improve the
				  accessibility, quality and utilization of health data.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0300 - DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY › Section 48B .0301 - BENCHMARK 4

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall engage in surveillance activities and assess,
				  investigate and analyze health problems, threats and hazards, maintaining and
				  using epidemiological expertise.
(b) Activities:
(1) The local health department shall assure
				  that a surveillance system is in place for identifying health problems, threats
				  and hazards that occur in the community.
(2) The local health department shall monitor
				  exposure to environmental health risks.
(3) The local health department shall have
				  access to, and consult with a Masters or Doctoral level epidemiologist when
				  necessary to fully investigate and diagnose health problems and hazards within
				  the community.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0300 - DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY › Section 48B .0302 - BENCHMARK 5

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall establish and maintain a system to receive and
				  provide health alerts and public health response for health care providers,
				  emergency responders, and communities on a 24-hour-a-day, 7-day-a-week
				  basis.
(b) Activities:
(1) The local health department shall have a
				  system in place to receive reports of communicable diseases or other public
				  health threats on a 24-hour-a-day, 7-day-a-week basis.
(2) The local health department shall use two
				  or more methods to disseminate health alerts and other advisories on real or
				  potential disease threats, as they occur, to the local medical community,
				  including pharmacists and veterinarians.
(3) The local health department shall provide
				  health alerts or advisories to the news media to inform the public when disease
				  outbreaks or other potential public health threats occur.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0300 - DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY › Section 48B .0303 - BENCHMARK 6

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall be able to respond to a public health emergency
				  on a 24-hour-a-day, 7-day-a-week basis.
(b) Activities:
(1) The local health department shall be
				  involved in a local emergency planning committee.
(2) The local health department shall have a
				  defined role in the county emergency operations plan to protect the public's
				  health.
(3) The local health
				  department shall participate in regional emergency preparedness exercises and
				  activities.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0300 - DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY › Section 48B .0304 - BENCHMARK 7

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall maintain and implement epidemiological case
				  investigation protocols providing for rapid detection and containment of
				  communicable disease outbreaks; environmental health hazards; potential
				  biological, chemical and radiological threats.
(b) Activities:
(1) The local health department shall have
				  epidemiological case investigation protocols in place.
(2) The local health department shall conduct
				  communicable disease investigations, follow-up, documentation and reporting
				  activities.
(3) The local health
				  department shall investigate and respond to environmental health complaints or
				  referrals.
(4) The local health
				  department shall have a public health preparedness and response plan that:
(A) corresponds to existing local and state
				  emergency and bioterrorism plans
(B) establishes roles and responsibilities of
				  plan participants
(C) identifies
				  training for participants in those roles
(D) establishes a chain of command among plan
				  participants
(E) describes a system
				  of emergency notification to local and state public health staff and other key
				  decision makers based upon the nature of the event
(F) is available to staff on site
(5) The local health director
				  shall maintain periodic communication with local emergency managers.
(6) The local health department shall
				  annually test or implement the local public health preparedness and response
				  plan.
(7) The local health
				  department shall have one of the following:
(A) public health preparedness and response
				  coordination team with an environmental health member and a public health
				  preparedness response coordinator, or
(B) an epidemiology team with an
				  environmental health member and an epidemiology team coordinator.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0300 - DIAGNOSE AND INVESTIGATE HEALTH PROBLEMS AND HEALTH HAZARDS IN THE COMMUNITY › Section 48B .0305 - BENCHMARK 8

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall provide or have access to laboratory capacity
				  capable of providing for rapid detection and containment of communicable
				  disease outbreaks; environmental health hazards; potential biological, chemical
				  and radiological threats.
(b)
				  Activities:
(1) The local health department
				  shall have written policies and procedures for handling clinical and
				  environmental laboratory samples.
(2) The local health department laboratory
				  and external laboratories utilized by the local health department shall comply
				  with all applicable federal regulations for clinical and environmental
				  laboratory testing.
(3) The local
				  health department shall provide or have access to laboratory services capable
				  of meeting routine diagnostic and surveillance needs.
(4) The local health department shall provide
				  or have access to laboratory services to support investigations of public
				  problems, hazards, and emergencies.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0400 - INFORM, EDUCATE, AND EMPOWER PEOPLE ABOUT HEALTH ISSUES › Section 48B .0401 - BENCHMARK 9

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall provide the general public and elected and
				  appointed officials with information on health risks, health status, and health
				  needs in the community as well as information on policies and programs that can
				  improve community health.
(b)
				  Activities:
(1) The local health department
				  shall publish and disseminate data and information on current local health
				  issues to the general public, community partners, and elected and appointed
				  officials.
(2) The local health
				  department shall have a mechanism by which the public can access community data
				  and health status information maintained in the agency in accordance with
				  applicable laws and rules.
(3) The
				  local health department shall provide information to the public on the
				  availability and location of health data that are accessible in the public
				  domain.
(4) The local health
				  department shall have written guidelines that it follows in responding to
				  requests for information.
(5) The
				  local health department shall inform affected community members of changes in
				  department policies or operations.
(6) The local health department shall assure
				  that information disseminated by the agency reflects the cultural and
				  linguistic character of the local population as required by Title VI of the
				  Civil Rights Act.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0400 - INFORM, EDUCATE, AND EMPOWER PEOPLE ABOUT HEALTH ISSUES › Section 48B .0402 - BENCHMARK 10

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall provide, support, and evaluate health promotion
				  activities designed to influence the behavior of individuals and
				  groups.
(b) Activities:
(1) The local health department shall
				  develop, implement and evaluate population-based health promotion/disease
				  prevention programs and educational materials for the general public.
(2) The local health department shall carry
				  out or assist other agencies in the development, implementation and evaluation
				  of health promotion/disease prevention programs and educational materials
				  targeted to groups identified as at-risk in the community health
				  assessment.
(3) The local health
				  department shall employ evidence-based health promotions/disease prevention
				  strategies, when such evidence exists.
(4) The local health department shall promote
				  and support the use of evidence-based health promotion/disease prevention
				  strategies by other community agencies and organizations.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0500 - MOBILIZE COMMUNITY PARTNERSHIPS TO IDENTIFY AND SOLVE HEALTH PROBLEMS › Section 48B .0501 - BENCHMARK 11

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall convene key constituents and community partners
				  to identify, analyze, and prioritize community health issues.
(b) Activities:
(1) The local health department shall
				  participate in a collaborative community steering committee to identify health
				  issues and needs.
(2) The local
				  health department shall involve community members in assessing, setting
				  priorities and establishing desired outcomes for addressing community health
				  issues and needs.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0500 - MOBILIZE COMMUNITY PARTNERSHIPS TO IDENTIFY AND SOLVE HEALTH PROBLEMS › Section 48B .0502 - BENCHMARK 12

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall develop strategies in collaboration with
				  community partners to solve existing community health problems.
(b) Activities:
(1) The local health department shall
				  participate in a collaborative process to identify strategies for addressing
				  community health problems.
(2) The
				  local health department shall participate in a collaborative process to assess
				  resources needed, including personnel, funding, policy changes, and system
				  change, to address community health problems.
(3) The local health department shall
				  participate in a collaborative process to implement population-based programs
				  to address community health problems.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0500 - MOBILIZE COMMUNITY PARTNERSHIPS TO IDENTIFY AND SOLVE HEALTH PROBLEMS › Section 48B .0503 - BENCHMARK 13

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall identify and build upon community assets and
				  direct them toward resolving health problems.
(b) Activity: The local health department
				  shall broaden existing partnerships by cultivating innovative and new community
				  contacts, such as businesses and industries, healthcare practitioners, faith
				  communities, and grassroots organizations, and increasing their awareness of
				  public health through outreach and training.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0600 - DEVELOP POLICIES AND PLANS THAT SUPPORT INDIVIDUAL AND COMMUNITY HEALTH EFFORTS › Section 48B .0601 - BENCHMARK 14

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall work with local, state and federal policymakers
				  to enact policies, laws, rules, and ordinances that support individual and
				  community health efforts.
(b)
				  Activities:
(1) The local health department
				  shall disseminate information relative to public health needs to elected and
				  appointed officials.
(2) The local
				  health department shall provide information and recommendations to support the
				  local board of health and the board(s) of county commissioners in setting
				  public health priorities and planning public health programs.
(3) The local health department shall
				  evaluate, with the local board of health, the need for additional rules or
				  ordinances to protect the health of the public.
(4) The local health department shall assist
				  the local board of health in drafting local ordinances and rules as needed and
				  presenting them to elected officials in order to implement or enforce needed
				  local public health prevention and protection activities.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0600 - DEVELOP POLICIES AND PLANS THAT SUPPORT INDIVIDUAL AND COMMUNITY HEALTH EFFORTS › Section 48B .0602 - BENCHMARK 15

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall develop plans to guide its work.
(b) Activities:
(1) The local health department shall develop
				  or update annually an agency strategic plan that:
(A) includes a review and analysis of factors
				  influencing the health department's ability to improve the community's
				  health,
(B) uses local health
				  status data and information to set goals and objectives,
(C) uses community input where
				  applicable,
(D) states desired
				  outcomes for each element,
(E) sets
				  priorities, and
(F) uses community
				  collaborations to implement activities.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0700 - ENFORCE LAWS AND REGULATIONS THAT PROTECT HEALTH AND ENSURE SAFETY › Section 48B .0701 - BENCHMARK 16

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department staff shall have knowledge of public health law and an
				  understanding of the relationship between the law and public health
				  practice.
(b) Activities:
(1) The local health director and unit
				  directors, such as directors of communicable disease, nursing, clinical
				  services and environmental health, shall receive ongoing training in current
				  public health law and its application.
(2) Local health department new employee
				  orientation shall address public health laws and rules.
(3) Environmental health staff shall be
				  trained in the implementation of laws, rules and ordinances that they enforce
				  and shall have access to copies of the laws, rules and ordinances.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0700 - ENFORCE LAWS AND REGULATIONS THAT PROTECT HEALTH AND ENSURE SAFETY › Section 48B .0702 - BENCHMARK 17

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall monitor compliance with public health laws and
				  rules.
(b) Activities:
(1) The local health department shall conduct
				  inspection and permitting activities for state mandated environmental health
				  regulatory programs.
(2) The local
				  health department shall conduct inspection and permitting activities assigned
				  to the local health department by local rules, ordinances, or
				  policies.
(3) The local health
				  department shall monitor compliance with communicable disease control laws and
				  rules.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0700 - ENFORCE LAWS AND REGULATIONS THAT PROTECT HEALTH AND ENSURE SAFETY › Section 48B .0703 - BENCHMARK 18

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall enforce public health laws, rules and
				  ordinances.
(b) Activities:
(1) The local health department shall have
				  written policies and procedures addressing enforcement of public health laws,
				  rules and ordinances.
(2) The local
				  health department shall take enforcement action for violations of public health
				  laws, rules and ordinances.
(3) The
				  local health department shall have written policies and procedures for handling
				  complaints related to enforcement of laws, rules and ordinances.
(4) The local health department shall address
				  complaints in accordance with its policies and procedures.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0800 - LINK PEOPLE TO NEEDED PERSONAL HEALTH SERVICES TO ASSURE THE PROVISION OF HEALTH CARE WHEN OTHERWISE UNAVAILABLE › Section 48B .0801 - BENCHMARK 19

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall identify populations that are not receiving
				  preventive services or are otherwise underserved with respect to health
				  care.
(b) Activities:
(1) The local health department shall assess
				  use of public health programs and health care services by underserved, at-risk
				  and vulnerable populations identified in the community health assessment
				  process.
(2) The local health
				  department shall take actions to include linguistically and culturally
				  representative persons in planning and implementing programs intended to reach
				  underserved population groups.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0800 - LINK PEOPLE TO NEEDED PERSONAL HEALTH SERVICES TO ASSURE THE PROVISION OF HEALTH CARE WHEN OTHERWISE UNAVAILABLE › Section 48B .0802 - BENCHMARK 20

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall mobilize the community to address health care
				  resource needs.
(b) Activities:
(1) The local health department shall
				  collaborate with community health care providers to provide personal and
				  preventive health services.
(2) The
				  local health department shall collaborate with community health care providers
				  and agencies to reduce barriers to access to care.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0800 - LINK PEOPLE TO NEEDED PERSONAL HEALTH SERVICES TO ASSURE THE PROVISION OF HEALTH CARE WHEN OTHERWISE UNAVAILABLE › Section 48B .0803 - BENCHMARK 21

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall lead efforts in the community to link individuals
				  with preventive, health promotion, and other health services.
(b) Activities:
(1) The local health department shall make
				  available to the general public a current, comprehensive list of community
				  health and wellness resources.
(2)
				  The local health department shall make available complete and up-to-date
				  information about local health department programs, services and
				  resources.
(3) The local health
				  department shall develop and implement strategies to increase use of public
				  health programs and services.
(4)
				  The local health department shall assure that the program planning and
				  implementation involve community health advocates that represent populations
				  being served in the local health department.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0800 - LINK PEOPLE TO NEEDED PERSONAL HEALTH SERVICES TO ASSURE THE PROVISION OF HEALTH CARE WHEN OTHERWISE UNAVAILABLE › Section 48B .0804 - BENCHMARK 22

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall serve as a health care provider when local needs
				  and authority exist, and the agency capacity and resources are
				  available.
(b) Activities:
(1) When the local health department
				  determines that there are compelling unmet health care needs in the community,
				  the local health department shall develop a plan with community leaders and
				  providers to meet the unmet needs, which may include the establishment and
				  provision of such services by the local health department if the department has
				  the authority, capacity and resources to address the unmet needs.
(2) The local health department shall comply
				  with laws, rules and contractual requirements for programs and services
				  provided pursuant to the local health department's consolidated agreement and
				  agreement addenda, including requirements for corrective action.
(3) The local health department shall comply
				  with laws and rules relating to programs and services offered by local health
				  department but not covered by the consolidated agreement and agreement
				  addenda.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0900 - ASSURE A COMPETENT PUBLIC HEALTH WORKFORCE AND PERSONAL HEALTH WORKFORCE › Section 48B .0901 - BENCHMARK 23

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department staff shall meet statutory and regulatory
				  qualifications for their positions.
(b) Activities:
(1) The local health department shall have,
				  or be recruiting, a health director who meets the legal requirements for the
				  position.
(2) The local health
				  department staff shall meet all registration, certification or licensure
				  requirements for positions held and duties assigned.
(3) The local health department shall employ
				  or contract with one or more physicians licensed to practice in North Carolina
				  to serve as medical director.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0900 - ASSURE A COMPETENT PUBLIC HEALTH WORKFORCE AND PERSONAL HEALTH WORKFORCE › Section 48B .0902 - BENCHMARK 24

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall regularly evaluate staff training and development
				  needs and provide opportunities for continuing education, training and
				  leadership development.
(b)
				  Activities:
(1) The local health department
				  shall have policies that promote and provide staff access to
				  training.
(2) The local health
				  department shall have a staff development plan that includes identifying and
				  addressing the training and continuing education needs of the staff.
(3) The local health department staff shall
				  participate in orientation and on-going training and continuing education
				  activities required by law, rule or contractual obligation.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0900 - ASSURE A COMPETENT PUBLIC HEALTH WORKFORCE AND PERSONAL HEALTH WORKFORCE › Section 48B .0903 - BENCHMARK 25

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall build relationships with entities that conduct
				  education or research to enrich public health practice.
(b) Activities:
(1) The local health department shall work
				  with academic institutions and other programs such as universities, colleges,
				  community colleges, Area Health Education Centers, CDC and professional
				  associations to provide training opportunities for current staff and future
				  public health practitioners.
(2)
				  The local health department shall work with at least two academic institutions
				  and other programs such as universities, colleges, community colleges and Area
				  Health Education Centers to facilitate research and evaluation of public health
				  programs and issues.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .0900 - ASSURE A COMPETENT PUBLIC HEALTH WORKFORCE AND PERSONAL HEALTH WORKFORCE › Section 48B .0904 - BENCHMARK 26

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall promote diversity in the public health
				  workforce.
(b) Activities:
(1) The local health department shall have
				  and implement a non-discrimination policy as required by state and federal law
				  and train staff in its application.
(2) The local health department shall develop
				  and implement a plan consistent with the health department's non-discrimination
				  policy to recruit and retain a management team and staff that reflects the
				  population of the service area.
(3)
				  The local health department shall assure that agency staff receives training in
				  cultural sensitivity and competency.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1000 - EVALUATE EFFECTIVENESS, ACCESSIBILITY AND QUALITY OF PERSONAL AND POPULATION-BASED HEALTH SERVICES › Section 48B .1001 - BENCHMARK 27

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall evaluate all services it provides for
				  effectiveness in achieving desired outcomes.
(b) Activities:
(1) The local health department shall have in
				  place a process for assessing consumer and community satisfaction with its
				  services.
(2) The local health
				  department shall use data from the consumer and community satisfaction
				  assessment to make changes to improve its services.
(3) The local health department shall employ
				  a quality assurance and improvement process to assess the effectiveness of
				  services and improve health outcomes.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1100 - RESEARCH FOR NEW INSIGHTS AND INNOVATIVE SOLUTIONS TO HEALTH PROBLEMS › Section 48B .1101 - BENCHMARK 28

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall use research to develop and evaluate public
				  health programs.
(b) Activity:
				  Before implementing a proposed public health program, the local health
				  department shall review, when available, research evaluating the potential
				  effectiveness of the program.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1100 - RESEARCH FOR NEW INSIGHTS AND INNOVATIVE SOLUTIONS TO HEALTH PROBLEMS › Section 48B .1102 - BENCHMARK 29

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall ensure that its participation in research meets
				  ethical standards.
(b) Activity:
(1) The local health department shall develop
				  and implement policies ensuring that state and federal requirements are
				  followed regarding the rights of participants in local public health research
				  programs and requiring that any requests to access health department clients
				  have Institution Review Board approval obtained by the host research
				  organization.
(2) The local health
				  department shall develop and implement policies for participation in research
				  activities that impact its clients or community members.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1200 - PROVIDE FACILITIES AND ADMINISTRATIVE SERVICES › Section 48B .1201 - BENCHMARK 30

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall provide safe and accessible physical facilities
				  and services.
(b) Activities:
(1) The local health department shall have
				  facilities that are clean, safe and secure for the specific activities being
				  carried out in the facility or any area of the facility, such as laboratory
				  analyses or patient examinations.
(2) The local health department shall have
				  facilities that are accessible to persons with physical disabilities and
				  services that are accessible to persons with limited proficiency in the English
				  language.
(3) The local health
				  department shall have examination rooms and direct client service areas that
				  are configured in a way that protects client privacy.
(4) The local health department shall ensure
				  privacy and security of records containing privileged patient medical
				  information or information protected by the federal Health Insurance
				  Portability and Accountability Act.
(5) The local health department shall comply
				  with OSHA regulations.
(6) The
				  local health department shall ensure cleaning, disinfection and maintenance of
				  clinical and laboratory equipment and service areas and shall document all
				  cleanings, disinfections and maintenance.
(7) The local health department shall have
				  and comply with policies and procedures for infection control required by law
				  in providing clinical services.
(8)
				  The local health department's hours of operation shall be based on documented
				  community need.
(9) The local
				  health department shall prohibit the use of tobacco in its facility.
(10) The local health department shall make
				  efforts to prohibit the use of tobacco in all areas and grounds within 50 feet
				  of the health department facility.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1200 - PROVIDE FACILITIES AND ADMINISTRATIVE SERVICES › Section 48B .1202 - BENCHMARK 31

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall develop and implement administrative policies and
				  procedures.
(b) Activities:
(1) The local health department shall develop
				  and implement policies and procedures regarding the administration of the local
				  health department and shall assure policies and procedures are accessible to
				  staff.
(2) The local health
				  department shall have a current organizational chart showing lines of
				  authority.
(3) The local health
				  department shall have written personnel policies that address disciplinary,
				  grievance and harassment issues.
(4) The local health department shall have
				  current written position descriptions and qualifications for each staff
				  position.
(5) The local health
				  department shall implement a performance appraisal system for all
				  staff.
(6) The local health
				  department shall have an inventory of equipment that includes a plan for
				  replacement.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1200 - PROVIDE FACILITIES AND ADMINISTRATIVE SERVICES › Section 48B .1203 - BENCHMARK 32

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall operate a secure and effective management
				  information system.
(b) Activities:
(1) The local health department shall have
				  computer equipment and software needed to interface with state data management
				  systems.
(2) The local health
				  department shall ensure that staff are able to use the management information
				  system to participate in electronic communications and public health program
				  implementation.
(3) The local
				  health department shall have a written policy regarding authorized and
				  prohibited use of computer equipment, email and Internet.
(4) The local health department shall have
				  policies and procedures to assure management information system security, and
				  use passwords and screensavers to safeguard the privacy of electronic
				  information.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1200 - PROVIDE FACILITIES AND ADMINISTRATIVE SERVICES › Section 48B .1204 - BENCHMARK 33

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local health department shall assure its financial accountability.
(b) Activities:
(1) The local health department shall
				  demonstrate that it receives financial support from a local taxing
				  authority.
(2) The local health
				  department shall operate under a budget approved by the appropriate authority
				  under state statute.
(3) The local
				  health department shall follow generally accepted accounting
				  principles.
(4) The local health
				  department shall have policies that assure segregation of financial management
				  duties and accountability for funds.
(5) The local health department shall
				  determine the cost of services in setting fees.
(6) The local health department shall develop
				  and present periodic budget, expenditure and other financial tracking reports
				  to the board of health for its review.
(7) The local health department shall have a
				  financial risk management system in place to address uncollected fees and bad
				  debt.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1300 - GOVERNANCE › Section 48B .1301 - BENCHMARK 34

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local board of health shall exercise its authority to adopt and enforce rules
				  necessary to protect and promote the public's health.
(b) Activities:
(1) The local board of health shall have
				  operating procedures which shall comply with state law.
(2) The local board of health shall have
				  access to legal counsel.
(3) The
				  local board of health shall follow the procedures for adopting rules in
				  G.S.
				  130A-39.
(4) The local board of health shall evaluate
				  the need for the adoption or amendment of local rules or ordinances.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1300 - GOVERNANCE › Section 48B .1302 - BENCHMARK 35

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local board of health shall assure a fair and equitable adjudication
				  process.
(b) Activity: The local
				  board of health shall assure it follows the procedures for adjudications in
				  G.S.
				  130A-24.
Authority
					 G.S.
					 130A-34.1;
Temporary Adoption
					 Eff. January 1, 2006;
Eff. October 1, 2006;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. January 5,
					 2016.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1300 - GOVERNANCE › Section 48B .1303 - BENCHMARK 36

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local board of health members shall be trained regarding their service on the
				  board.
(b) Activities:
(1) The local health department shall provide
				  board of health members with a written board handbook developed or updated
				  within the past 12 months.
(2) The
				  local health department shall assure new board of health members receive
				  training and reference materials on the authorities and responsibilities of the
				  local board of health within the first year after appointment to the
				  board.
(3) The local health
				  department shall assure on-going training for board of health members related
				  to the authorities and responsibilities of local boards of health.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 48 - LOCAL HEALTH DEPARTMENT ACCREDITATION › Subchapter B - LOCAL HEALTH DEPARTMENT ACCREDITATION STANDARDS › Section .1300 - GOVERNANCE › Section 48B .1304 - BENCHMARK 37

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Benchmark: The
				  local board of health shall assure the development, implementation, and
				  evaluation of local health services and programs to protect and promote the
				  public's health.
(b) Activities:
(1) The local board of health or the
				  consolidated human services director shall assure that a qualified local health
				  director has been appointed in accordance with
				  G.S.
				  130A-40 or
				  G.S.
				  130A-40.1.
(2) The local board of health shall approve
				  policies for the administration of local public health programs.
(3) The local board of health or the
				  consolidated human services director shall describe and define the knowledge,
				  skills, and abilities that must be met by the local health director, consistent
				  with the requirements in
				  G.S.
				  130A-40.
(4) The local board of health or the
				  consolidated human services director shall review and approve the job
				  description of the local health director.
(5) The supervisor shall conduct an annual
				  performance review of the health director.
(6) The local board of health or the
				  consolidated human services director shall approve policies for the
				  recruitment, retention and workforce development for agency staff.