This master’s degree paper submitted to the University of North Carolina at Chapel Hill provides an overview of the issues surrounding consolidation of local health departments. The author discusses potential benefits (including cost savings, increased capacity to provide essential services, and increased preparedness), the concerns associated with consolidation (including loss of control, low priority of the needs for smaller partners, and the difficulty of change). The author concludes that consolidation may work for smaller health departments that are geographically close and have similar populations being served. Further the author notes the importance of strong leadership from elected officials, boards of health, and staff members, and the support of the community needed for efforts to be successful.
Available online (pdf): https://cdr.lib.unc.edu/record/uuid:74ad8e25-9042-4a17-8fbd-4f09b8596611
It is included in the CJS Resource Library under the categories listed below. Select a link to find other resources in that category.
- Accreditation / Essential Services: The paper discusses the impact of consolidation on increased capacity to provide essential services.
- Consolidation: The paper provides an overview of the issues surrounding consolidation of local health departments.
- Fiscal and Service Issues: The paper discusses the impact of consolidation on cost savings.
- Governance: The paper discusses loss of control as an impact of consolidation.
- Rural / Small Jurisdictions: The paper discusses the pros and cons for smaller partners in consolidation.
This resource is also linked to the Roadmap. Select a link below to read more about each area.
- Why? / Phase One: The paper discusses the impact of consolidation on cost savings and increased capacity to provide essential services.
Berg, J. (2011). Considering Consolidation to Build Stronger Local Health Departments [Master’s paper, submitted to the University of North Carolina at Chapel Hill].