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National Public Health Performance Standards (NPHPS)

The National Public Health Performance Standards (NPHPS) provide a framework to assess capacity and performance of the local public health system, which can help identify areas for system improvement, strengthen partnerships, and ensure that a strong system is in place for addressing public health issues. Please contact with questions or comments.

Completion of the Assessment answers:

  • What are the components, activities, competencies, and capacities of our public health system?
  • How well are the 10 Essential Public Health Services being provided in our system?

Benefits of Conducting the Assessment:

  • Identification of partners and community members in the local public health system
  • Increased partner and community member engagement in health assessment and improvement planning efforts
  • Improved communication and collaboration between community members and partners
  • Improved understanding about public health and the interconnectedness of community activities
  • Identification of local public health system strengths and weaknesses
  • Identification of benchmarks for public health practice improvements
  • Strengthened local public health system
Guidance Available

NPHPS Local Assessment Instrument Version 3.0

This assessment is a 97 page PDF document with model standards to guide completion of the assessment. The questions in the assessment are used to determine how well the standards are being met. 


Modifications introduced in Version 3.0 instruments have been field tested and/or reviewed by subject matter experts or select members of the target audience.


NPHPS Local Assessment Facilitator Guide Version 3.0

This 269 page PDF document is for the NPHPS Local Assessment facilitators. The purpose of this guide is to provide facilitators with practical guidance, helpful tips, and sample tools for facilitating completion of the NPHPS Local Instrument.


NPHPS Local Assessment Implementation Guide Version 3.0

This 96 page PDF document can be used to plan conducting the NPHPS Local Assessment. The Implementation Guide provides guidance, helpful tips, and sample tools for planning, implementing, and using results from the Local Instrument.


Please note data limitations. 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 of performance of any single agency 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.


NPHPS Glossary Version 3.0

This 20 page PDF document lists acronyms and defines terms used in the NPHPS local, state and governance instruments.


NPHPS Voting Cards

Use this Word document to make copies of the participant voting cards. 


Integrating Performance Improvement Processes: MAPP, NPHPS, and Accreditation 

This document explores the connections among several performance improvement processes and standards, including Mobilizing for Action through Planning and Partnerships (MAPP), NPHPS, and the Public Health Accreditation Board's (PHAB's) Standards and Measures Version 1.0. Communities can use this document to plan how best to leverage their MAPP and NPHPS efforts toward accreditation preparation.

NPHPS-Related Programs
Mobilizing for Action through Planning and Partnerships (MAPP)
MAPP is a community-wide strategic planning and implementation process for improving community health. More »
Assessment Protocol for Excellence in Public Health (APEXPH)
APEXPH is a comprehensive public health assessment and planning process for local health departments. More »