Given the numerous changes in   public health and healthcare delivery over the past decade, local health departments (LHDs) must  look at their position in providing both population-based and direct healthcare services. A changing public health environment has increasingly led LHDs to transition services and refocus resources to population-based services. LHDs have transferred responsibility to other parts of the healthcare system, including community health centers, hospitals, and universities. As a response to many of these changes in the public health system, NACCHO, with support from the Health Resources and Service Administration Bureau of Primary Health Care, developed the Partnerships Project to help LHDs find their niche in the continuum of healthcare service delivery. More »

»	Primary Care
	This project supports LHDs' activities related to increasing access to care, reducing health disparities, strengthening the relationship of community health centers with local public health, and helping agencies make strategic decisions about their service delivery systems.
»	Maternal and Child Health
	The MCH project assists local health officials in improving the health of women, children, and families by providing programs that ensure and assess women's and children's health and by developing policies to improve their health.
»	Performance Management Tools: Turning Point & Public Health Foundation
	Turning Point and the Public Health Foundation have released several tools and resources related to the Making Strategic Decisions About Service Delivery Workbook supplement section on measuring performance after transitioning.
»	National Public Health Performance Standards (NPHPSP)
	The National Public Health Performance Standards Program is a collaborative effort to enhance the nation’s public health systems.