Shared Services Arrangements Between Local Health Departments and Health Centers

With support from the Health Resources and Services Administration (HRSA), the National Association of County and City Health Officials (NACCHO) partnered with the Center for Sharing Public Health Services to develop the following suite of tools that support the sharing of services – both clinical and nonclinical – between local health departments (LHDs) and health centers.

Roadmap to Develop Shared Services Arrangements Between Local Health Departments and Health Centers – A guide for those working on or considering a sharing arrangement between LHDs and health centers.

Collaboration Trust Scale for Shared Services Arrangements Between Local Health Departments and Health Centers – A conversation tool for LHDs and health centers containing a series of questions organized under headings which represent areas that should be considered when assessing trust.

Readiness Factors for Shared Services Arrangements Between Local Health Departments and Health Centers – A tool to help evaluate levels of readiness between LHDs and health centers that are considering or are already involved in collaborating through shared services arrangements.

Types of Shared Services Arrangements Between Local Health Departments and Health Centers – This document introduces four main types of shared services arrangements.

Factors that Contribute to Successful Shared Services Arrangements Between Local Health Departments and Health Centers – A guide to those factors or conditions that materially contribute to successful sharing arrangements between LHDs and health centers.

Guide for Developing Legal Documents Governing Shared Services Arrangements Between Local Health Departments and Health Centers – A guide to assist in developing legal agreements that govern shared services arrangements between LHDs and health centers.

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Collaboration Between Local Health Departments and Health Centers – NACCHO and the Center for Sharing Public Health Services collaborated to conduct key informant interviews with staff from local health departments (LHDs) and from health centers to identify resources that could support shared services arrangements between the two sectors. The information was used to identify and help inform the development and piloting of the service sharing tools above.