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Local Health Departments in a Managed Care Environment
Local Health Departments' Activities
In the Context of a Community-based Process
Janet Jackson Charles, M.S.W., Deputy Director, Southwest Washington Health District, Vancouver, WA.
Dale W. Galassie, M.A., M.S., Executive Director, Lake County Health
Department, Waukegan, IL.
Building upon the previous discussion, in this session representatives from two local health departments (LHDs) described
their own experiences in examining new roles and responsibilities in the context of community
Janet Jackson Charles described a very broad-based community assessment process that
was undertaken with the support of many of the key players in the community. Among other
things, this process led to the LHD shifting its focus from the delivery of personal health care
services and toward more population-based activities and to the establishment of an exciting
followup assessment and planning effort called Community Choices 2010 that involved the
Chamber of Commerce and includes the active involvement of the LHD.
then spoke of the LHDs community and self-assessment activities, including the county's use of
the Agency for Health Care Policy and Research (AHCPR) workbook for local health officials, and the resultant decisions to form the Lake
County Community Health Partnership and to pursue a role in the delivery of care to the
county's poor under the State's Medicaid managed care initiative.
Clark County, Washington: Community Choices 2010 (CC 2010) Strategic Plan, Executive Summary,
Southwest Washington Health District Operational Chart and Public Health Core Functions, 1997.
Milne T. Toward a Population Focus: The Transition of a Local Health Department. Journal of Public
Health Management Practice 1997;3(1):42-50.
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