Environmental Public Health Performance Standards

Assessment Analysis Tool You can use this tool to help you analyze responses from the
Environmental Public Health Performance Standards
(EnvPHPS) Self-Assessment Instrument. The worksheet
titled "Responses" contains instructions for calculating your
organization's activity level for each essential service. The
worksheet titled "Org Information" is optional (see "Additional
Options" below).

Instructions for the Responses Enter responses for the EnvPHPS assessment questions into
Worksheet the "Value" column (taken from pages 3–12 of the Self-
Assessment Instrument). Enter a 0–4 value based on the
following definitions:
0 = No Activity
1 = Minimal Activity
2 = Moderate Activity
3 = Significant Activity
4 = Optimal Activity

The spreadsheet will automatically calculate the average

activity level for each essential service and an overall activity
level across all services. You can then use this information to
identify strengths and weaknesses and set priorities.

Additional Options To view or change the weighting used to determine the

essential service averages in the "Responses" worksheet,
"unhide" columns D through H, and amend as desired. To
unhide, select columns C through I, right-click, and select
"Unhide."

To keep organizational information in the same file (e.g., if

you are a state health department tracking information across
multiple jurisdictions), use the "Org Information" worksheet.
This information is taken from pages 1-2 of the self-
assessment instrument.
Environmental Public Health Performance Standards
Assessment Analysis Tool
Do not change these three columns.
Question Value (0-4) Final % Weight Percent Response
1.1A — 0.125 0 0
1.1B — 0.0625 0 0
1.1C — 0.0625 0 0
1.1D — 0.25 0 0
1.1E — 0.25 0 0
1.1F — 0.25 0 0
1.2A — 1 0 0
1.3A — 0.5 0 0
1.3B — 0.5 0 0
Sum — — 3 — 0
Essential Service #1 Average 0% ES #1 0.0000
Question Value (0-4) Final % Weight Percent Response
2.1A — 0.25 0 0
2.1B — 0.25 0 0
2.1C — 0.25 0 0
2.1D — 0.25 0 0
2.2A — 0.34 0 0
2.2B — 0.33 0 0
2.2C — 0.33 0 0
2.3A — 0.5 0 0
2.3B — 0.5 0 0
Sum — — 3 — 0
Essential Service #2 Average 0% ES #2 0.0000
Question Value (0-4) Final % Weight Percent Response
3.1A — 0.25 0 0
3.1B — 0.083 0 0
3.1C — 0.083 0 0
3.1D — 0.084 0 0
3.1E — 0.5 0 0
3.2A — 1 0 0
Sum — — 2 — 0
Essential Service #3 Average 0% ES #3 0.0000
Question Value (0-4) Final % Weight Percent Response
4.1A — 0.5 0 0
4.1B — 0.5 0 0
4.2A — 1 0 0
Sum — — 2 — 0
Essential Service #4 Average 0% ES #4 0.0000
Question Value (0-4) Final % Weight Percent Response
5.1A — 1 0 0
5.2A — 0.33 0 0
5.2B — 0.33 0 0
5.2C — 0.34 0 0
5.3A — 1 0 0
5.4A — 1 0 0
Sum — — 4 — 0
Essential Service #5 Average 0% ES #5 0.0000
Question Value (0-4) Final % Weight Percent Response
6.1A — 1 0 0
6.2A — 0.5 0 0
6.2B — 0.5 0 0
6.3A — 0.33 0 0
6.3B — 0.33 0 0
6.3C — 0.34 0 0
Sum — — 3 — 0.0000
Essential Service #6 Average 0% ES #6 0 0.0000
Question Value (0-4) Final % Weight Percent Response
7.1A — 1 0 0
7.2A — 0.33 0 0
7.2B — 0.33 0 0
7.2C — 0.34 0 0
Sum — — 2 — 0
Essential Service #7 Average 0% ES #7 0.0000
Question Value (0-4) Final % Weight Percent Response
8.1A — 0.2 0 0
8.1B — 0.2 0 0
8.1C — 0.2 0 0
8.1D — 0.2 0 0
8.1E — 0.2 0 0
8.2A — 0.33 0 0
8.2B — 0.33 0 0
8.2C — 0.34 0 0
8.3A — 0.5 0 0
8.3B — 0.5 0 0
8.4A — 0.5 0 0
8.4B — 0.5 0 0
Sum — — 4 — 0
Essential Service #8 Average 0% ES #8 0
Question Value (0-4) Final % Weight Percent Response
9.1A — 0.33 0 0
9.1B — 0.33 0 0
9.1C — 0.34 0 0
 9.2A — 1 0 0
Sum — — 2 — 0
Essential Service #9 Average 0% ES #9 0
Question Value (0-4) Final % Weight Percent Response
10.1A — 0.25 0 0
10.1B — 0.25 0 0
10.1C — 0.25 0 0
10.1D — 0.25 0 0
10.2A — 1 0 0
Sum — — 2 — 0
Essential Service #10 Average 0% ES #10 0
Overall Average 0% Overall 0.0000
Environmental Public Health Performance Standards
Instructions: Insert your information in the third column.

Information about Agency, department, program

Organization name
Information about
Organization Address line 1
Information about
Organization Address line
Information about
Organization City
Information about
Organization State
Information about
Organization Zip code
Information about Self-
Assessment Team Lead Name of self-assessment team
lead
Information about Self-
Assessment Team Lead
Team lead telephone number
Information about Self-
Assessment Team Lead
E-mail address
Organization Area served (possible values 1-
Demographics 8)
Organization
Demographics Square miles of service area
Organization
Demographics Total population served
Organization Total budget of public health
Demographics department or parent agency
Organization Total environmental health
Demographics budget
Organization Estimate proportion of EH
Demographics budget from each category (total
100%)
Organization
Demographics Service fees
Organization
Demographics Local/city/county support
Organization
Demographics State support
Organization
Demographics Grants
Organization
Demographics Federal support
Organization
Demographics Other
Organizational Staffing Total number of EH program
FTEs available
Organizational Staffing Total number of EH program
FTEs working
Organizational Staffing Number of contract FTEs with
EH program
Organizational Staffing Number seasonal/temporary
staff
Organizational Staffing Total number of support staff
FTEs
Self-Assessment Team Total number of self-assessment
Demographics team members
Self-Assessment Team Titles of staff completing self-
Demographics assessment (attach list if
necessary)
Self-Assessment Team Total number of hours to
Demographics complete self-assessment and
report
Self-Assessment Team
Demographics
Self-Assessment Team
Demographics
Self-Assessment Team
Demographics
Self-Assessment Team
Demographics
Self-Assessment Team
Demographics
Self-Assessment Team
Demographics Date instrument completed
mance Standards