Abstract
The quality of CHAs and CHIP documents varies among Kentucky LHDs, highlighting the need for more robust guidance and standardized criteria, particularly for LHDs not yet pursuing accreditation. Strengthening hospital-LHD collaboration and focusing on evidence-based strategies can improve public health outcomes. High-quality CHA/CHIP reporting is essential for effective public health interventions and improved health outcomes. Enhancing CHA/CHIP processes through legislative changes, departmental guidance, and the pursuit of public health accreditation are promising avenues for improvement.