This one-hour webinar, which is part of the Hot Topics series, reviews how a large health department in Oregon reduced their clinical services to focus more on primary prevention.

Learning Objectives

  • Identify planning tools and strategies for considering a change from direct clinical care to population-based services.
  • Describe communication strategies for informing internal and external audiences about large organizational changes and collecting input from them about the transitions.
  • Identify evaluation measures to assess population health outcomes and organizational processes when changing the delivery of key public health services.

Intended Audiences

Local, state, and tribal public health professionals; federally qualified health center administrators and staff


Marni Kuyl, MS, RN, Health and Human Services Director, Washington County, Oregon

Discussion Questions

  1. As you consider this type of change in service delivery, what can you do to understand historic and current community relationships with your organization? What power dynamics should you keep in mind?
  2. Who are the key stakeholders in this change process? What are your strategies to collect input from them and keep them informed?
  3. How will you evaluate these large organizational changes and report on the results?
Photograph of a stethoscope and apple resting on a photo of a crowd of people.
Air Date: 
Tuesday, March 26, 2019, 1:00 pm to 2:00 pm PDT
Leadership & Management
1 hour
Hot Topics in Practice
Competency Domains: 
Analytical/Assessment Skills
Communication Skills
Community Dimensions of Practice Skills
Financial Planning and Management Skills
Leadership and Systems Thinking Skills
Policy Development/Program Planning Skills