Accreditation and Performance

National Public Health Performance Standards

National Public Health Performance Standards (NPHPS) logo

The National Public Health Performance Standards (NPHPS) is based on the ten Essential Public Health Services, and is designed to assist state and local public health systems, and local governance entities in assessing and improving their public health systems or boards of health. The State Public Health System Assessment Instrument focuses on the state public health system, which includes state public health agencies and other partners that contribute to public health services at the state level.

NPHPS Assessment (Version 3.0)

The State Public Health System Performance Assessment measures the capacity and infrastructure of state public health systems and helps states to recognize where improvements can be made. For more information on the background and benefits of the NPHPS, please visit this page.

The latest version of the Performance Standards, Version 3.0, is now available for download.

See also these additional materials:

The links above are for the State versions of the Performance Standards. The Local Public Health System Assessment is hosted by the National Association of County and City Health Officials (NACCHO). The Public Health Governing Entity Assessment is hosted by CDC.

For further information about the Performance Standards or for technical assistance, please contact ASTHO.

NPHPS Score Sheet and Report (Version 3.0)

To download the Score Sheet and Report file, please complete the form below. The Microsoft Excel spreadsheet files contain detailed instructions and descriptions.

See further instructions below for help in completing the score sheet:

For further assistance accessing or using spreadsheets, contact Joya Coffman.

Case Study

"Perfect Storm" Helps Kansas Complete Assessments and Move Toward Accreditation

Has your state used the NPHPS? If so, we'd love to hear about your experiences! Please share with us by emailing ASTHO. We look forward to featuring your stories!

NPHPS Partners

In addition to ASTHO, the NPHPS Partners consist of CDCNACCHO, NALBOHNNPHI, and PHF. Collectively, they contribute to the advancement of the program by providing technical assistance and support, and ensuring that the program and resources meet the needs of users.

There are a number of limitations to the NPHPS assessment data due to self-report, wide variations in the breadth and knowledge of participants, the variety of assessment methods used, and differences in interpretation of assessment questions. Data and resultant information should not be interpreted to reflect the capacity or performance of any single agency or organization within the public health system or used for comparisons between jurisdictions or organizations. Use of NPHPS generated data and associated recommendations are limited to guiding an overall public health infrastructure and performance improvement process for the public health system as determined by organizations involved in the assessment.