Public Health Infrastructure and Systems

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Every tool and resource it takes to keep your local health department running.

Local public health infrastructure includes the systems, competencies, frameworks, relationships, and resources that enable public health agencies to perform their core functions and essential services. Infrastructure categories encompass human, organizational, informational, legal, policy, and fiscal resources.

NACCHO's infrastructure and systems programs create tools to build local health department infrastructure and systems; collect, analyze, and disseminate knowledge and insights from demonstration and pilot sites; lead trainings, informatics, and MAPP; and conduct research to strengthen local health department infrastructure by informing public policy and identifying needs.

Public Health Infrastructure

Health Equity and Social Justice

Learn about NACCHO's resources to help your department address health inequities

Public Health Infrastructure

Health Equity and Social Justice

Health Information Technology and Informatics

See how technology innovations are helping LHDs advance the use of informatics at their agencies.

Health Information Technology and Informatics

Public Health Infrastructure

Public Health Ethics

This page is designed to assist your department in better understanding public health ethics.

Public Health Infrastructure

Public Health Ethics

Public Health Finance

Read about our resources that help LHDs enhance their understanding of local public health finance.

Public Health Finance

Public Health Law and Policy

Learn more about our law-related resources that LHDs need to know.

Public Health Law and Policy

Public Health Transformation

NACCHO's program that supports transformation of LHDs into a more effective organization.

Public Health Transformation

Performance Improvement

This curriculum is designed to help LHD staff implement PI practice and standards.

Performance Improvement

Workforce Development and Training

Helpful resources, workshops, trainings and more for the public health workforce.

Workforce Development and Training

Public Health Infrastructure

Rural and Frontier Health

Expanding the public health capacity and capability of rural and frontier local health departments (LHDs) and communities.

Public Health Infrastructure

Rural and Frontier Health

Resources to Support Community Health Worker Programs

Two resources which can help local health departments and their partners plan, implement, and sustain Community Health Worker (CHW) programs. Together, these resources offer practical guidance for stakeholders at any stage of CHW program development, from initial planning through long-term sustainability. 

  • The Community Health Worker Program Implementation Plan Tool provides a structured framework for developing program goals, outlining implementation activities, engaging partners, identifying resources, and measuring progress.
  • The Community Health Worker Program Sustainability Compass is designed to help organizations assess the areas that support long-term program success. Through a collaborative self-assessment, teams can evaluate leadership support, partnerships, organizational capacity, program evaluation, strategic planning, and funding stability while identifying opportunities for continued growth.

Explore these new resources to support the continued development and sustainability of CHW programs.

 

Local Health Department-Community Health Center Collaboration Resources

These six tools have been adapted specifically to be applicable to resource sharing between local health departments (LHDs) and health centers (HCs) or federally qualified health center “look-alikes,” as defined by Section 330 of the Public Health Service Act. These tools were produced by the Center in collaboration with the National Association of County and City Health Officials (NACCHO).

 

Local Health Department-Community Health Center Collaboration Toolkit

The Local Health Department-Community Health Center Toolkit is a set of tools designed to support collaborations between local health department (LHDs) and community health centers (CHCs) to increase access to and quality of critical services for underserved populations. The toolkit contains three tools along with a description on how to use each and a list of related resources. It aims to help LHDs and CHCs work together so that they can make more effective use of limited resources and help make healthcare work better for everyone. Please download the tool HERE.
 

Cross Jurisdictional Sharing of Services

Cross-jurisdictional sharing of services is a term used to refer to the wide variety of means by which jurisdictions can collaborate around the provision of public health services. Local health departments (LHDs) across the country are looking to cross-jurisdictional sharing as a way to help them more efficiently and effectively deliver public health services.

The Center for Public Health Sharing, a national initiative managed by the Kansas Health Institute with support from the Robert Wood Johnson Foundation, is currently supporting a learning community of 16 teams across the country, comprised of public health agencies, policymakers, their partners and key stakeholders that are collaborating to strengthen their ability to provide public health essential services, improve efficiency and control costs. These teams are exploring how cross-jurisdictional sharing might help them fulfill their mission of protecting and promoting the health of the communities they serve. For more information about the Center for Public Health Sharing, as well as access to resources, visit http://www.phsharing.org.

With funding from the Robert Wood Johnson Foundation, NACCHO previously worked with Kansas and Massachusetts to develop and consider regional models in order for LHDs in each state to more efficiently and effectively provide public health services. An evaluation details the work that was accomplished and provides lessons learned in each state as a result of their experiences.

 

Tip Sheet: Partnerships between LHDs and Faith-Based Organizations

Local health departments and faith-based organizations partner together around many public health concerns. In 2016, NACCHO interviewed both groups in an effort to understand how to leverage the capacity of these partnerships to improve the health of the community. View the tip sheet on working together here. For more information, please email [email protected].

 

Introduction to Virtual Facilitation Guide

As NACCHO and our members adjust to teleworking during the COVID-19 response, we are all navigating new territory when it comes to finding virtual alternatives for in-person collaboration. To address this challenge, NACCHO has identified some resources, strategies, and tools that local health departments and their partners can use to design and facilitate virtual collaborative activities. Read the guide here.

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