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Presentations and Publications

Ready or Not? Examines Budget Cut Impacts on Preparedness

Trust for America''s Health and the Robert Wood Johnson Foundation have released "Ready or Not? Protecting the Public''s Health from Diseases, Disasters, and Bioterrorism." This report finds that key programs that detect and respond to bioterrorism, new disease outbreaks, and natural or accidental disasters are at risk due to federal and state budget cuts. More »

Lawyers, Guns, and (No) Money: Public Health Management Decisions in the Wild West

This presentation, originally featured at the 2011 NACCHO Annual Conference, describes substantial budget cuts and consequential, unusual management decisions that impacted Maricopa County Department of Public Health''s tuberculosis program, school-based influenza activities, and policy efforts. Please see the NACCHO Spotlight for a copy of the slides and an audio recording of a repeat presentation of the same material. More »

Research Brief: The Impact of the Economy on Maternal, Child, and Adolescent Health Programs and Services in Urban Local Health Departments 

This brief details finding from a focus group of urban local health departments staff that explored how the economic recession has impacted maternal, child, and adolescent health program services and cuts in urban local health departments. More »


Making the Best of a Bad Situation: One LHD''s Restructuring for Sustainability and Accreditation

This webinar featured Paul Kuehnert, executive director of the Kane County Health Department in Illinois. Kuehnert used the PHAB draft standards for a local health department as a framework to guide the redesign and reorganization of his agency after a significant reduction in funding and workforce. Kuehnert described his strategy and the new organizational structure of his agency, which is set up around the ten essential services of public health and the PHAB standards. More »

Hard Choices in Hard Times: Defining Local Health Department Priorities

Three Illinois health administrators---from Adams, Kane, and Peoria counties---gave brief presentations on their approaches to making tough choices on local health priorities in these tough times. The presentations illustrated how they addressed aligning local health department primary mission with available resources, using core public health philosophies to guide the decision making process, and applying the national public health accreditation standards as a guide for reorganization and staffing decisions when making funding recommendations to their boards. More »