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TCHD will continue to provide public health services in Douglas County

TCHD signs agreement with Douglas County to provide services until end of 2022

Posted on September 28, 2021 2021Public Health


Douglas County Commissioners and Tri-County Health Department (TCHD) signed an Intergovernmental Agreement Sept. 28 for TCHD to continue providing public health services through the end of 2022.

The agreement comes after Douglas County decided to leave the TCHD to form its own health department, but needs the core services TCHD provides to continue until the new health department can provide those services or decides to continue to contract public health services.

“This agreement benefits all parties, but mainly ensures there is no gap in services for the residents of Douglas County,” said Dr. John Douglas, Tri-County Health Department executive director. “It also allows TCHD employees to focus on service delivery without distraction and provides some stability.”

The agreement provides that TCHD continue providing core public services such as Environmental Health, which includes inspections, consumer protections and hazardous materials, WIC, which provides food and healthcare safeguards for low-income women and children, Disease Control and Investigations, Vital Records, Nursing services such as sexual health and immunizations and more.

“This agreement provides fiscal stability and ensures continuity of core public health services for all three counties while the counties determine their next steps,” said TCHD Deputy Director Jennifer Ludwig.

The agreement also ensures that Douglas County pays for services in 2022 and will cover costs associated with leaving TCHD. “We recognize that there are costs associated with the departure from TCHD and this ensures that each party pays their fair share,” stated the Board of Douglas County Commissioners. “We also acknowledge that TCHD is a leader in public health services and we want to ensure that Douglas County residents continue to have excellent public health services well into the future.”

Finally, the agreement allows Douglas County to control public health policy for the county and TCHD to operate autonomously without direction from the Douglas County Board of Health. At the signing of this agreement, Douglas County will no longer have any seats on the TCHD Board of Health.

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