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Case Example: San Antonio Metropolitan Health District


Through the NACCHO Preparing for Accreditation and Quality Improvement Project, San Antonio Metropolitan Health District in Texas conducted a departmental self assessment and implemented a quality improvement initiative.

Results of the self-assessment led San Antonio to develop its first departmental strategic plan and align it with the standards in the NACCHO Operational Definition of a Local Health Department—the same standards that are providing the framework for the standards in the national accreditation program.

More information on their strategic planning process is available in this 10-page case example.

Primary Toolkit:

Accreditation Preparation Toolkit

Keyword Area:

Quality Improvement


Institutional Author:

San Antonio Metropolitan Health District





The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.