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PREPARE Project Spotlight: Two Rivers Health Department, NE

Sep 10, 2025 | Guest Author

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NACCHO funded six local health departments (LHDs) for the Pathways for Robust Equity in Preventive Actions and Response Efforts in Healthcare Settings (PREPARE) Project. The PREPARE Project was established to strengthen local health department (LHD) capacity in equitable outbreak prevention and response of healthcare-associated infections and antimicrobial resistance (HAI/AR) threats in healthcare settings. 

The aim of the project was for LHDs to pilot and operationalize the NACCHO-developed equity framework for Outbreak Response and Prevention in Healthcare Settings, as well as leverage the LHD Data Utilization and Management for Outbreak Response and Prevention in Healthcare Settings Guide and the Strategic Collaboration for Outbreak Response and Prevention in Healthcare Settings Guide to increase LHD capacity in the following areas:

  • Support LHD capacity for an equity-focused approach to outbreak response and prevention in healthcare settings;
  • Enhance skills to prevent, respond to, and monitor healthcare-associated infections and antimicrobial resistance (HAI/AR);
  • Strengthen effective data utilization and management to support outbreak prevention and response within healthcare settings;
  • Develop and identify resources, lessons learned, and best practices for other LHDs; and
  • Build and sustain strategic collaborations and partnerships.

Participating sites were asked to share their experiences with the project and lessons learned for other local health departments.

Summary of Two Rivers Health Department’s (TRPHD’s) Work

TRPHD sought participation in the PREPARE grant to strengthen outbreak readiness in long-term care facilities (LTCFs) through a strong equity lens. TRPHD aimed to reduce disparities by providing tailored toolkits, training, and communication strategies designed to reach diverse staff and residents, including those in rural or understaffed settings. This work aligns with TRPHD’s mission and vision: Healthier Communities for All.

You can view TRPHD’s full story here

TRPHD Contacts

Jacki Haley, Elizabeth Wiens, Jordan Anderson

Email: [email protected]

For more information on NACCHO’s PREPARE grant, email [email protected].

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About Guest Author

NACCHO periodically invites guest authors to write first-person accounts of their work in public health. To submit your own story for consideration, please visit our form.

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