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National Association of County and City Health Officials

Contact information

National Association of County and City Health Officials
1100 17th Street, NW
7th Floor
Washington, DC 20036

Executive Director
Robert M. Pestronk, MPH

Associate Executive Director
Lori Tremmel Freeman, MBA

Partner description

The National Association of County and City Health Officials (NACCHO) is the national membership organization representing the nation’s 2,800 local governmental public health departments (LHDs). As a leader, partner, catalyst, and voice for LHDs ensuring the conditions that promote health and equity, combat disease, and improve the quality and length of all lives, NACCHO helps LHDs continuously improve their work and workforce, infrastructure, and services to their communities through a variety of technical assistance and tools.

Selected OSTLTS-funded projects

  • Advisory groups and state associations of county and city health officials: NACCHO engages LHDs through a network of over 40 advisory groups, which identify opportunities and challenges facing LHDs and develop policy statements and recommendations that guide public health practice. NACCHO supports state associations of county and city health officials (SACCHOs) which represent LHDs or local health officials at the state level. SACCHOs often host regular meetings of local public health officials and are very involved with local public health issues at the state level.
  • Conference management: NACCHO’s conferences, trainings, and meetings provide an interactive setting for LHD officials, staff, and their public health partners nationwide to examine strategies to improve health, share ideas, and plan actions necessary for public health leaders to create and grow a forward-looking vision for the role of LHDs. Conferences include the NACCHO Annual Conference, Informatics Conference, Public Health Preparedness Summit, and Integrated Medical, Public Health, Preparedness and Response Training Summit.
  • Database management: NACCHO provides up-to-date information to LHDs, federal, and other partners by maintaining an effective and highly trafficked electronic information and communication system. Its database provides a platform for the development and maintenance of NACCHO’s online abstract and peer-review process, publications sales, and event registration all through a single sign-on process. The database allows for the creation of queries and reports to support LHDs and also facilitates importing, managing, and maintaining the data stored within the system. The database also allows for the creation of robust online applications and tools that meet the needs of LHDs and NACCHO staff.
  • Emerging issues: NACCHO periodically synthesizes existing internal and external information sources to strategically select priority emerging issues on which to focus or recommend focus to others. These sources include daily news about the public health system, and other publications and media in coordination with expertise from LHDs, CDC, and other key partners. These syntheses guide investment in emerging issues and integration of emerging issue topics into ongoing activities.
  • Media and public affairs: Some of NACCHO’s most common public affairs strategies and tactics increase the visibility of LHD achievements and activities. NACCHO regularly distributes web-accessible, user-friendly resources; engages print, social, and electronic media; and identifies messaging and engagement opportunities.
  • Model practices: NACCHO's Model Practice Program collects, honors, and recognizes outstanding local public health practices from across the nation and shares and promotes these practices among LHDs.
  • Public health ethics: NACCHO is working with CDC to build public health ethics awareness and application among LHDs.  NACCHO also seeks to increase opportunities for LHD participation in CDC’s development of public health ethics tools, trainings, and resources for health officials. Activities include promotion of tools and resources to LHDs, engagement of LHDs in the growing public health ethics community, and maintenance of a network of individual local health officials applying public health ethics.
  • Publications: Developed with strong involvement from LHDs, NACCHO ensures a practice-relevant approach to making information, practical field-tested tools, and innovative model public health practices easily accessible. Resources include training programs, peer assistance programs, career postings, event calendars, electronic list services, teleconferences, and webinars. NACCHO uses traditional print publications as well as e-publications to promote its own resources, services, and activities and those of CDC and other public health partners.
  • Research and evaluation: NACCHO provides up-to-date information about LHD infrastructure and activities and contributes to the evidence base for public health by conducting a variety of assessment and surveillance activities. NACCHO conducts surveys, key informant interviews, focus groups, and other data collection activities; analyzes the data collected; and communicates the findings to a variety of audiences to ensure strategic decision-making about the nation’s local governmental public health departments.
  • Toolbox: NACCHO provides LHD staff with a centralized location to share and find tools to help in their work. NACCHO Toolbox is a free, easily accessible, online collection of local public health tools produced by members of the public health community. Materials and resources within the Toolbox can be used by public health professionals and other external stakeholders to inform and improve their work in the promotion and advancement of public health objectives.
  • Website: NACCHO’s website provides LHD staff with public health information and interactive resources. Each year, NACCHO conducts a usability study to assess the site and to recommend improvements. The website contains a public area and offers the ability to segment certain content by users upon login. The My NACCHO collaboration site allows CDC, LHDs, other partners, and NACCHO staff to collaborate on documents, share a calendar, and post announcements.
  • Workforce development: NACCHO supports research and program efforts for federal, state, and local-level activities that ultimately improve service delivery and community health outcomes by focusing on six key workforce areas: 1) coordinated local, state, and national workforce development; 2) support for and development of a competent and capable LHD workforce; 3) ensuring that LHD workforce supply meets the needs of local communities; 4) support for and development of an efficient and effective public health workforce; 5) development of committed and skilled local public health workforce leadership; and 6) development of evidence-based public health workforce practice.

Selected CDC-funded projects

  • Accreditation: NACCHO is committed to preparing LHDs for successful applications to the first voluntary, national accreditation program for public health departments, which is scheduled to launch in fall 2011. Activities in this project year are intended to support the continued development and refinement of the program; promote continued awareness and enhanced understanding of the accreditation process; and support successful applications through the provision of technical assistance. Technical assistance is essentially geared toward three areas: achieving specific standards and measures, engaging in performance and quality improvement, and facilitating understanding in cross‐jurisdictional sharing of services.
  • Assessment and surveillance: NACCHO’s National Profile of Public Health Departments study is the nation’s best source of data about local health department infrastructure, finance, governance, services, workforce, and technology. NACCHO also conducts periodic scans of the local health department environment, such as its economic surveillance survey.
  • Performance standards — hospital and LHD community health assessments: NACCHO supports LHD partnerships with nonprofit hospitals in their efforts to meet state and federal public health and hospital community health assessment requirements. Existing state nonprofit hospital and public health assessment requirements; pending federal nonprofit hospital assessment requirements; and the community health assessment and community health improvement plan national accreditation prerequisites have elevated the importance of collaboration between LHDs and nonprofit hospitals on these efforts.
  • Performance standards: LHDs rely on NACCHO to help them build their capacity to use performance standards for local public health system performance improvement. To support the nationwide use of the National Public Health Performance Standards Program and Mobilizing for Action through Planning and Partnerships, NACCHO focuses its efforts on marketing and promotion, technical assistance, training, resource development and distribution, partnership development, and project evaluation.
  • Public health law: The purpose of this program is to improve LHD understanding and use of the law as a tool for effective public health interventions and all‐hazards preparedness. This program is designed to support LHDs to broadly incorporate law into public health policy and practice overall and strengthen LHD capability to plan for, respond to, and recover from public health emergencies.
  • Roots of health inequity: NACCHO is working with CDC to produce a dozen reports on themes related to the root causes of health inequity. All the reports will be reviewed with an advisory panel of public health professionals and academics. In a second phase of the project, NACCHO will develop a systematic methodology and guidelines for exploring the structures, processes, and patterns of decision-making within local institutions that contribute to or generate social and economic inequities that in turn lead to health inequity.

Contact Us:
  • Centers for Disease Control and Prevention
  • Office for State, Tribal, Local and Territorial Support
  • Mailstop: E-70
    4770 Buford Highway, NE
    Atlanta, GA 30341
  • Email OSTLTS The U.S. Government's Official Web PortalDepartment of Health and Human Services
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