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PHI-11.6 Data Details

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PHI-11.6 Increase the proportion of tribal and state public health agencies that provide or assure comprehensive laboratory services that advance laboratory improvement and regulation

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Comprehensive Laboratory Services Survey
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
43 (2008)
Target: 
47
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of states participating in the survey that meet the defined standards/criteria for laboratory improvement and regulation

Denominator: 

Number of states participating in the survey

Comparable Healthy People 2010 Objective: 
Retained from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2008 Comprehensive Laboratory Services Survey:

    [NUMERATOR:]

    Does your state have laws or mandates for the licensure, certification or accreditation of laboratories? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    [If yes:] Does the responsibility for licensing, certifying and/or accrediting laboratories reside with the state public health laboratory? [Total possible points: 1]

    1. Yes (1)
    2. No (please state which agency within your state is responsible:) (0)

    Which types of laboratories does your state license, certify and/or accredit? [Please check all that apply. Total possible points: 1]

    • Clinical—Under federal (CMS) regulations
    1. License (0.16)
    2. Certify (0.16)
    3. Accredit (0.16)
  • Clinical—Under state regulations
    1. License (0.16)
    2. Certify (0.16)
    3. Accredit (0.16)
  • Forensic—e.g., Alcohol/drug testing
    1. License (0.16)
    2. Certify (0.16)
    3. Accredit (0.16)
  • Milk/dairy
    1. License (0.16)
    2. Certify (0.16)
    3. Accredit (0.16)
  • Environmental (NELAC)
    1. License (0.16)
    2. Certify (0.16)
    3. Accredit (0.16)
  • Environmental (NonNELAC)
    1. License (0.16)
    2. Certify (0.16)
    3. Accredit (0.16)
  • Other (Specify)
    1. License (0)
    2. Certify (0)
    3. Accredit (0)

    Which of the following provide certification or accreditation of your state public health laboratory? [Please check all that apply. Total possible points: 1]

    1. College of American Pathologists (CAP) (0.08)
    2. National Environmental Laboratory Accreditation Conference (NELAC) (0.08)
    3. Environmental Protection Agency (EPA) (0.08)
    4. Food and Drug Administration (FDA) (0.08)
    5. American Society of Crime Laboratory Directors (ASCLD) (0.08)
    6. Occupational Safety and Health Agency (OSHA) (0.08)
    7. Society of Forensic Toxicologists (SOFT) (0.08)
    8. American Industrial Hygiene Association (AIHA) (0.08)
    9. National Institute of Standards and Technology (NIST) (0.08)
    10. American Association for laboratory Accreditation (A2LA) (0.08)
    11. United States Department of Agriculture (USDA) (0.08)
    12. International Standards Organization (ISO) (0.08)
    13. Other (Please specify:) (0.08)
    14. None of the above (0)

    Is your state public health laboratory registered by CDC under the Select Agent Rule? [Total possible points: 1]

    1. Yes (1)
    2. No (0)
    3. Application pending (1)

    Does your state public health laboratory have a USDA/APHIS permit for the importation and transportation of controlled materials, and organisms and vectors? [Total possible points: 1]

    1. Yes (1)
    2. No (0)
    3. Application pending (1)

    Has your laboratory sponsored quality assurance forums, seminars or workshops for laboratory staff in your state or region within the last 2 years? [Total possible points: 1]

    1. Yes (1)
    2. No (0)

    Has your laboratory administered any proficiency testing, split samples or round robin exercises for laboratory staff in your state within the last 2 years? [Total possible points: 1]

    1. Yes (1)
    2. No (0)
Data Collection Frequency: 
Biennial
Methodology Notes: 

    The Comprehensive Laboratory Services Survey (CLSS) is a biennial evaluation of 50 state public health laboratories and the District of Columbia public health laboratory in the provision of comprehensive laboratory services. (For this objective, the term “State” includes the District of Columbia.) Survey questions were developed by a workgroup of the Laboratory Systems and Standards Committee of the Association of Public Health Laboratories (APHL). The Committee consists of current and retired public health laboratory directors, members of academia, and other laboratory practitioners.

    In the list of questions used to obtain the baseline data, the point values shown after each response are used to score the questions. A laboratory is determined to provide or assure comprehensive laboratory services in support of the essential public health service if it scores at least 70% of the possible points. The data shown are the percent of state public health laboratories that score at least 70% of the possible points.

Caveats and Limitations: 
At this time, data for Tribal agencies are not collected. However, if data should become available, the information will be included.
Trend Issues: 
Estimates from 2008 are based on DC and 48 states excluding ID and KS. 2010 estimates are based on 49 states excluding FL. DC did not participate in the 2010 survey. Estimates for 2012 are are based on 42 states and DC excluding AK, DE, MD, ND, NJ, SC, UT, and WA.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2013, the objective statement was revised so that it could "stand-alone" without the PHI-11 objective header. In 2014, the original baseline was revised from 41 percent to 43 percent to correct a calculation error. The target was adjusted from 45.0 percent to 47 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective

  1. Association of Public Health Laboratories (APHL).