News: National

NACCHO Forces of Change Findings Available

Monday, June 22, 2015  
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The results show local health departments (LHDs) face challenges and opportunities as the public health and clinical care environments evolve due to the ACA. 


Visit to view an infographic of the findings, state-level budget cuts and jobs losses, and to learn more.


Findings show that LHDs continue to experience budgetary challenges. Likely as a result, LHD leaders value budget management skills in their professional public health staff. The fiscal and political environments have had an impact on the type and scope of services LHDs provide: some have decreased clinical services to focus on population-based health activities, while others continue to provide these services in their communities with the help of revenue from billing third-party payers. LHDs have also explored new opportunities for collaboration as a result of health reform, including with non-profit hospitals and primary care providers.

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