|Mandatory Requirements Met and Implemented in Regard
to the Accreditation
• 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.
— In the report, the site team found that orientation checklists for two employees hired within the past 12 months were not complete. The orientation checklist for one other employee hired within the last 12 months was not provided.
• Shall participate in orientation and ongoing training and continuing education activities required by law, rule or contractual obligation
— In the report, the site team stated that the department’s Staff Development Plan lists "Title VI" and "Email as Public Record" policies as being mandatory annual training for staff. The team cited that the department was not able to provide evidence of training on those two topics for any of the personnel records selected. According to the report, the department was not able to provide evidence of completion of "Introduction to Principles & Practices of Public Health Nursing" for one of the nurse records selected.
• Implement a non-discrimination policy as required by state and federal law and train staff in its application.
— The department was not able to provide evidence of non-discrimination policy training within the last two years for the 12 records selected.
• Implement a performance appraisal system for all staff
— A performance appraisal has not been conducted for one of the personnel records selected. Additionally, the department did not provide a policy/ procedure regarding conducting annual performance appraisals for all staff.
All of these mandatory items have been addressed and implemented, according to the Board of Health meeting held on Tuesday night.
This past spring, the Wilson County Health Department received its accreditation. The state accreditation administrator said in August that the health department "far exceeded the minimum accreditation requirements and did a phenomenal job."