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Organization-wide QI: West Virginia LHDs & Bureau for Public Health: Working Relationship Agreement


This 12-page PDF contains guidelines and processes related to developing an effective working relationship among all local/county/regional public health departments and the West Virginia Bureau for Public Health.  A diagram is included that depicts:

  • the working relationships;
  • entity responsibilities;
  • a consensus decision-making overview; and
  • guiding principles for shared understanding.

Primary Toolkit:

Quality Improvement Toolkit

Keyword Area:

Quality Improvement, Strategic Planning


Institutional Author:

West Virginia Local Health Departments and Bureau for Public Health





The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.