This report describes collaboration among LHDs, community-based organizations, and emergency medical service agencies that provided flu vaccine to homebound individuals during a five-county pilot project in Oregon. The strategy involved nontraditional vaccinators: paramedics from local ambulance services. The practice was based on a collaboration of diverse stakeholders. Results from the survey administered by vaccinators and completed during the 15-minute wait period showed that lack of availability of vaccine presented the greatest barrier to initially being vaccinated for H1N1. The next greatest barrier to being vaccinated was lack of transportation, either from being homebound or from not having transportation assistance. This tool was identified through NACCHOs Resource Portfolio Project on the CDC Public Health Preparedness Capabilities. Through this project, NACCHO worked with the Center for Infectious Disease Research and Policy (CIDRAP) to identify, research, and validate tools, practices, and products that can assist LHDs to address challenges in meeting select PHEP capabilities.