Public Health Futures: Considerations for a New Framework for Local Public Health in Ohio

This report proposes a model for Ohio’s local governmental public health system. The model includes a mechanism for governance and sustainable financing that considers cross-jurisdictional sharing and/or regionalization, enhances quality, and assures value. The project, which is the result of a public health project guided by a steering committee of health commissioners, explored cross-jurisdictional sharing of services and consolidation as potential strategies for improving public health efficiency and quality.

Available online (pdf): http://www.scphoh.org/PDFS/PDF-Reports/PHF_FullReport_Final.pdf

It is included in the CJS Resource Library under the categories listed below. Select a link to find other resources in that category.

  • Background / History: The report provides an overview of the history of Ohio’s local public health system and its current status, including structure, governance, funding, and current collaboration.
  • Consolidation: The report identifies current forms of shared public health services in Ohio and assesses future opportunities.
  • Fiscal and Service Issues: The report identifies Ohio’s current funding structure and constraints and recommends ways to improve financing.
  • Governance: The report identifies stakeholder interests and concerns, provides a set of criteria for assessing new models of collaboration or consolidation, and creates a decision-making guide for LHDs to use when moving forward with a new framework.
  • Legal Issues: The report identifies rules, policies, and standards relating to local public health, including a chart of key statutes relevant to local health department governance and cross-jurisdictional sharing.
  • Quality Improvement: Stakeholder consensus recognized that enhancing quality and assuring value were as important as CJS and adopted a vision statement emphasizing the quality of public health services in Ohio.
  • Regionalization: The report identifies current forms of shared public health services in Ohio and assesses future opportunities.

 
This resource is also linked to the Roadmap. Select a link below to read more about each area.

  • Context and History / Phase Two: The report provides an overview of the history of Ohio’s local public health system and its current status, including structure, governance, funding, and current collaboration.
  • Fiscal and Service Implications / Phase Two: The report identifies Ohio’s current funding structure and constraints and recommends ways to improve financing.
  • Governance / Phase Two: the report identifies stakeholder interests and concerns, provides a set of criteria for assessing new models of collaboration or consolidation, and creates a decision-making guide for local health departments to use when moving forward with a new framework.
  • Legal Issues/ Phase Two: The report identifies rules, policies, and standards relating to local public health, including a chart of key statutes relevant to local health department governance and cross-jurisdictional sharing.
  • Implementation and Management / Phase Three: It reports on a proposed model for Ohio’s local governmental public health system.
  • Monitoring and Improving / Phase Three: The proposed model contains activities for improving efficiency and quality.

 

Health Policy Institute of Ohio. (2012). Public Health Futures: Considerations for a New Framework for Local Public Health in Ohio. Columbus, OH: Association of Ohio Health Commissioners, Inc.