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Performance Improvement

This topic page contains links to resources produced by grantees and partners of CDC’s Water, Food, and Environmental Health Services Branch (WFEHSB).

To explore branch tools, training, and publications to help you improve your environmental health program, make sure to check out our EHS Performance Improvement Resources page.

Tools and Guidance

CDC Evaluation Framework – CDC-recommended evaluation framework with steps and standards for practical evaluation of public health programs

Graphic of the 10 Essentials Services Wheel

Improving Environmental Public Health Services Performance to Meet Community Needs [PDF – 1 MB] – explore approaches to improve and align your program with broader public health department initiatives

Role of Environmental Health Programs in Public Health Accreditation [PDF – 76 KB] (National Association of County and City Health Officials, NACCHO) – document showing how local health departments prepare for the accreditation process, including the types of environmental health documentation they use (produced in collaboration with NACCHO)

Vector Control Performance Assessment and Improvement Reports (Public Health Foundation, PHF) – reports from local vector control programs using the Environmental Public Health Performance Standards to improve their performance (produced through a larger project between PHF and CDC)


Northwest Center for Public Health Practice

Publications and Investigations

A Performance Management Initiative for Local Health Department Vector Control Programs – article by CDC and PHF staff about assessing vector control program performance and improving services, such as responding to mosquito complaints and educating the public about prevention of vectorborne diseases

Evaluation of a Neighborhood Rat-Management Program — New York City, December 2007–August 2009. MMWR – report describing how neighborhood inspections, prompt communication with owners, publication of findings, and fines for noncompliance reduced the prevalence and severity of rat infestations

Impact of Budget Cuts on Environmental Health Services at Local Health Departments [PDF – 295 KB] (NACCHO) – survey on the impact of budget cuts on the funding, workforce, and services provided by environmental health service programs at local health departments

Profile of State Environmental Health: Summary and Analysis of Workforce Changes from 2010-2012 (ASTHO) – Snapshot of the environmental health workforce and environmental health activities performed by state and territorial health agencies

General Information and Other Useful Links

Association of State and Territorial Health Officials (Quality Improvement)

CDC National Public Health Performance Standards Program

CDC Office for State, Tribal, Local and Territorial Support (Performance Management and Quality Improvement Resources)

National Association of County and City Health Officials (Performance Improvement)

National Network of Public Health Institutes (Accreditation and Performance Improvement Resources)

Public Health Accreditation Board

Public Health Foundation (Performance Management and Quality Improvement)