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Accreditation Related Position Papers, Presentations and Toolkits

A position paper exploring the National Indian Health Board's (NIHB) initial analysis of public health accreditation in Indian Country. This paper explains accreditation, its role in Tribal public health and recommendations made to the Public Health Accreditation Board (PHAB) from Tribal health directors and Tribal public health stakeholders.
An NIHB position paper recognizing culturally varied concepts of evidence and introducing the terminology of practice-based and promising practices in light of the increasing emphasis on evidence-based practices in public health.
A primer from the Association of State and Territorial Health Officials (ASTHO) that describes the state/local health department governance classification system, important statutory considerations, and guidance on fostering Tribal - state relations.
A primer from ASTHO that describes treaties and laws that relate to public health, health challenges faced by American Indian and Alaska Native (AI/AN) populations, and how to work successfully with Tribes and Tribal organizations.
A growing online collection of tools, including trainings, sample products, and templates developed by public health practitioners.
This presentation includes an introduction to the development of Tribal public health departments and summarizes the progress on Tribal public health accreditation.



Learn more

NIHB invites Tribal leaders, Tribal health officials, Tribal health department staff, local partners, non-profits and other stakeholders who are interested in advancing quality improvement and voluntary public health accreditation to learn more.
For more information about how NIHB is working to help Tribes prepare for accreditation and how you can get involved, please contact Carolyn Angus-Hornbuckle, NIHB Director of Public Health Programs via email at or via phone at 202-507-4084.
For more information about NIHB’s Exploring Tribal Public Health Accreditation Project funded by the Robert Wood Johnson Foundation, please click here.
For more information about the Public Health Accreditation Board and the accreditation standards and measures, please visit the PHAB website:


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