Technical Support Request Form

Technical Support Request Form

The Office of Local and Regional Health (OLRH) supports local public health in improving health for all. OLRH provides local public health with the resources, tools, and support needed to promote and protect the health of their communities. We offer training and technical assistance for local public health's unique challenges and needs.

The OLRH technical support program provides a comprehensive, collaborative approach to providing timely, high-quality programmatic guidance to local public health entities. Technical Support Providers offer support with a focus on promoting racial equity and employing an equity lens to enhance the effectiveness and capacity of local public health.

Please complete this form to request technical support. Following the submission of this form, a Technical Support Provider will be assigned based on the type of support requested. Once matched, you will receive an email connecting you with the assigned Technical Support Provider who will coordinate the initial meeting to discuss next steps.

If you have any questions about the process, please reach out to Katie Roane at kaitlin.roane@mass.gov.

Contact Information

Please enter your information below.

Please select the local public health entity you are requesting technical support for.*

Select Shared Services Arrangement, Municipality, or Other category

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Shared Services Arrangement*

Please select your shared services arrangement

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Municipality*

Please select the name of your municipality or regional entity

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Other LPH*

Please enter the name of your affiliated public health entity

Name (First and Last)*

Phone Number*

Phone

Email*

Position Title*

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Other Position Title*

Please enter your position title

Technical Support Descriptions

Communicable Disease Case Management*:

Communicable Disease: Questions regarding communicable disease case investigation, surveillance, MAVEN, and disease control activities should be directed to the MDPH Bureau of Infectious Diseases and Laboratory Sciences. (i.e., MAVEN, individual cases, outbreaks, etc.)
MDPH Epidemiology Division: (617) 983-6800
MAVEN Help Desk: mavenhelp@mass.gov, (617) 983-6801
Tuberculosis Case Management: Questions from LPH about Tuberculosis should be directed to a jurisdiction’s assigned DPH Tuberculosis Nurse. Contact information for TB staff at DPH can be found in the Communication Events section of MAVEN. If the assigned DPH Tuberculosis Nurse is unavailable, their email and voicemail will direct LPH to the covering DPH Tuberculosis Nurse.
For general tuberculosis questions unrelated to a diagnosed TB case, or for questions regarding an individual with a TB Class B designation, please call the general number (617) 983-6970 during business hours or email TBGeneral@mass.gov.
For urgent patient care questions after business hours, please call (617) 983-6800

Data Support*: Assistance with data analysis for the Capacity Assessment and the self-assessment/addendum tools. Shared Services Arrangements can explore strategies to leverage this data effectively to achieve the Performance Standards.

Intermunicipal Agreement (IMA) Support: Guidance and expertise to municipalities in developing, negotiating, executing, and implementing an IMA. The current TA vendor facilitates discussions among partners, provides IMA templates or examples, and offers guidance in establishing a legal agreement that promotes collaboration and cooperation.

Local Political Support*: Guidance and expertise provided to municipalities to secure political backing and support (buy-in) for shared municipal public health services and protections. The primary objective is to empower municipal leaders to navigate political environments effectively and facilitate the implementation of shared public health programs.

Local Public Health Nurse Consultant*: The Local Public Health Nurse Consultant Program’s overall goal is to advance the mission of the Blueprint for Public Health Excellence and support the advancement of Foundational Public Health Services (FPHS) for all communities. PHN Consultants provide support, technical assistance and guidance as needed to all PHNs and other health department staff to address the unique needs of each community. Examples include screening for hypertension, vaccination clinics or maternal visiting programs.

Organizational Competencies: Support related to contracting services (i.e., consolidation of existing SSA contracts), director-level support services such as grant management or staffing/hiring support, relationship management (e.g., ISD integration), and SSA strategic planning.

Performance Standards*: Support related to reviewing inspection documentation (e.g., inspection reports, inspection forms, orders to correct, complaint responses, etc.) for capacity and proficiency. For non-PHE grantees, assistance with meeting the mandated services required by local public health.

Racial and Health Equity*: One-on-one support for local public health to develop strategies for incorporating racial and health equity goals into their work. This includes addressing selected racial equity themes such as linguistic justice, environmental justice, workforce diversity, community engagement, and CLAS standards, as well as identifying practical action steps and strategies for implementation

Workforce Development*: Guidance provided to municipalities, local health departments, and Boards of Health on the Local Public Health Training Program, learning and development trainings, and credentialing in alignment with recommended Workforce Standards. Additionally, support offered for local public health career development, workforce recruitment, and technical assistance in achieving the Workforce Standards.

*This type of support is available to both PHE grantees and non-grantees

Select the type(s) of technical support you are requesting for your Shared Services Arrangement.*

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Please select all categories of documents you would like technical support in reviewing*

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Select the type(s) of technical support you are requesting for your Municipality.*

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Select the type(s) of technical support you are requesting.*

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Please provide a brief summary of the technical support you are requesting. In addition, if there is any background information you would like to share with the Technical Support Provider, please do so here.*

When would you like to start receiving support from the Technical Assistance Provider for these services?*

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