Section .0100 - General Provisions

Link to law: http://reports.oah.state.nc.us/ncac/title 10a - health and human services/chapter 48 - local health department accreditation/subchapter b/subchapter b rules.html
Published: 2015

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Subchapter 48B - Local Health Department Accreditation

Standards

 

SECTION .0100 - General Provisions

 

10A NCAC 48B .0101   PURPOSE

The rules in this Subchapter establish the accreditation

standards for local health departments pursuant to G.S. 130A-34.1.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

10A NCAC 48B .0102       DEFINITIONS

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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0103       ACCREDITATION REQUIREMENTS

(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;

(2)           Standard 2.  Facilities and administrative services:

The local health department must satisfy at least 24 of the 27 activities

listed in the benchmarks contained in Section .1200 of this Subchapter; and

(3)           Standard 3.  Board of health: The local

health department must satisfy at least 24 of the 27 activities listed in the

benchmarks contained in Section .1300 of this Subchapter.

(b)  In order to satisfy an activity, the local health

department must satisfy all of the requirements prescribed for that activity. 

Failure to complete any activity requirement associated with an activity means

that the activity is not satisfied.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006;

Amended Eff. April 1, 2015; February 1, 2013.

 

SECTION .0200 - Monitor Health Status

 

10A NCAC 48B .0201       BENCHMARK 1

(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

(2)           The local health department shall update

the community health assessment with an interim "State of the County's

Health" report (or equivalent) annually. The report shall demonstrate that

the local health department is tracking priority issues identified in the

community health assessment, identifying emerging issues, and shall identify

any new initiatives.

(3)           The local health department shall disseminate

results of the most recent community health assessment and "State of the

County's Health" report to individuals and groups that participated in the

community health assessment process, community partners and the general

population.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0202       BENCHMARK 2

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0203       BENCHMARK 3

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

SECTION .0300 - Diagnose and Investigate Health Problems and

Health Hazards in the Community

 

10A NCAC 48B .0301       BENCHMARK 4

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0302       BENCHMARK 5

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0303       BENCHMARK 6

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0304       BENCHMARK 7

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0305       BENCHMARK 8

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

SECTION .0400 - Inform, Educate, and Empower People About

Health Issues

 

10A NCAC 48B .0401       BENCHMARK 9

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0402       BENCHMARK 10

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

SECTION .0500 - Mobilize Community Partnerships to Identify

and Solve Health Problems

 

10A NCAC 48B .0501       BENCHMARK 11

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0502       BENCHMARK 12

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0503       BENCHMARK 13

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

SECTION .0600 - Develop Policies and Plans That Support

Individual and Community Health Efforts

 

10A NCAC 48B .0601       BENCHMARK 14

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0602       BENCHMARK 15

(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.

(2)           The local health department shall develop

and adopt program policies and procedures that meet the following criteria:

(A)          refer to the federal and state legislation, rules or

regulations, or local rules or ordinances that provide the authority to carry

out agency programs and activities, and

(B)           delineate desired outcomes.

(3)           The local health department shall have a

written procedure providing for annual review, and revision if necessary, of

all policies.

(4)           The local health department shall assess

the internal and external resources that are available or needed to implement

proposed new or updated policies and procedures.

(5)           The local health department shall ensure that

new staff is oriented to program policies and procedures and existing staff

receives training on any updated or revised program policies and procedures.

(6)           The local health department shall ensure

that program policies and procedures are accessible to all staff.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

SECTION .0700 - Enforce Laws and Regulations That Protect

Health and Ensure Safety

 

10A NCAC 48B .0701       BENCHMARK 16

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0702       BENCHMARK 17

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0703       BENCHMARK 18

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

SECTION .0800 - Link People to Needed Personal Health Services

to Assure the Provision of Health Care When Otherwise Unavailable

 

10A NCAC 48B .0801       BENCHMARK 19

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0802       BENCHMARK 20

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0803       BENCHMARK 21

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0804       BENCHMARK 22

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

Section .0900 - Assure a Competent Public Health Workforce and

Personal Health Workforce

 

10A NCAC 48B .0901       BENCHMARK 23

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0902       BENCHMARK 24

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0903       BENCHMARK 25

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .0904       BENCHMARK 26

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

SECTION .1000 - Evaluate Effectiveness, Accessibility and

Quality of Personal and Population-Based Health Services

 

10A NCAC 48B .1001       BENCHMARK 27

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1 2006;

Eff. October 1, 2006.

 

SECTION .1100 - Research for New Insights and Innovative

Solutions to Health Problems

 

10A NCAC 48B .1101       BENCHMARK 28

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .1102       BENCHMARK 29

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

section .1200 - Provide Facilities and Administrative Services

 

10A NCAC 48B .1201       BENCHMARK 30

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .1202       BENCHMARK 31

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .1203       BENCHMARK 32

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .1204       BENCHMARK 33

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

section .1300 – governance

 

10A NCAC 48B .1301       BENCHMARK 34

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006;

Amended Eff. April 1, 2015.

 

10A NCAC 48B .1302       BENCHMARK 35

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .1303       BENCHMARK 36

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006.

 

10A NCAC 48B .1304       BENCHMARK 37

(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.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006;

Amended Eff. April 1, 2015.

 

10A NCAC 48B .1305       BENCHMARK 38

(a)  Benchmark: The local board of health shall participate

in the establishment of public health goals and objectives.

(b)  Activities:

(1)           The local board of health shall annually

review reports provided by the local health department on the community's

health.

(2)           The local board of health or the advisory

committee on health shall review community health assessment data and citizen

input used to plan and monitor progress toward health-related goals.

(3)           The local board of health or the advisory

committee on health shall assure that individuals, agencies, and organizations

have the opportunity to participate in the development of goals, objectives and

strategies for community health improvement.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006;

Amended Eff. April 1, 2015.

 

10A NCAC 48B .1306       BENCHMARK 39

(a)  Benchmark: The local board of health shall assure the

availability of resources to implement the essential services described in G.S.

130A-34.1(e)(2).

(b)  Activities:

(1)           The local board of health or the advisory

committee on health shall communicate with the board of county commissioners,

units of government and private foundations in support of local health

department efforts to secure national, state and local financial resources.

(2)           The local board of health shall review

fiscal reports to assure essential services of public health are being provided

in accordance with local, state and federal requirements.

(3)           The local board of health shall annually

review and approve the local health department budget and approve fees in

accordance with G.S. 130A-39(g).

(4)           The local board of health or the advisory

committee on health shall communicate with the board of county commissioners,

units of government and private foundations in support of the development,

implementation and evaluation of public health programs and a community health

improvement process.

(5)           The local board of health shall assure that

the proposed budget for the local health department meets maintenance of effort

requirement in the consolidated agreement between the Division of Public Health

and local health department.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006;

Amended Eff. April 1, 2015.

 

10A NCAC 48B .1307       BENCHMARK 40

(a)  Benchmark: The local board of health or the advisory

committee on health shall advocate in the community on behalf of public health.

(b)  Activities:

(1)           The local board of health or the advisory

committee on health shall inform elected officials and community boards about

community health issues.

(2)           The local board of health or the advisory

committee on health shall communicate support for the enactment and retention

of laws and rules and the development of public health interventions that

protect health and ensure safety.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006;

Amended Eff. April 1, 2015.

 

 

10A NCAC 48B .1308       BENCHMARK 41

(a)  Benchmark: The local board of health or the advisory

committee on health shall promote the development of public health

partnerships.

(b)  Activities:

(1)           The local board of health or the advisory

committee on health shall take actions to foster community input regarding

public health issues.

(2)           The local board of health or the advisory

committee on health shall take actions to foster local health department

partnership-building efforts and staff interactions with the community.

(3)           The local board of health or the advisory

committee on health shall take actions to foster the coordination of resources

to enhance partnerships and collaboration to achieve public health objectives.

 

History Note:        Authority G.S. 130A-34.1;

Temporary Adoption Eff. January 1, 2006;

Eff. October 1, 2006;

Amended Eff. April 1, 2015.