Sharing Public Health Functions and Capabilities: Critical Issues

Developed from the experiences of 16 teams across the country that are engaged in a range of activities related to exploring, developing, implementing, and/or improving cross-jurisdictional sharing, the goal of this session, presented at the 142nd Annual Meeting of the American Public Health Association, is to share the critical issues that local health officials can anticipate encountering when they engage in CJS work. Available online (pdf): https://apha.confex.com/apha/142am/webprogram/Paper307980.html It is included in the CJS Resource Library under the categories listed below. Select a link to find other resources in that category.

  • Fiscal and Service Issues: Financial issues are at the heart stakeholder concerns, and are most effectively tackled by addressing three distinct components in sequence: the cost of the capacity or function that will be shared; how that cost will be modified when the capacity or function is shared; and how the cost will be distributed among the participating jurisdictions. This work entails both accounting and negotiation skills.

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

  • Why? / Phase One: The exploring phase is focused on understanding why CJS is being pursued, and sets the stage for planning and preparing how it will work.
  • Fiscal and Service Implications / Phase Two: Financial issues are at the heart stakeholder concerns, and are most effectively tackled by addressing three distinct components in sequence: the cost of the capacity or function that will be shared; how that cost will be modified when the capacity or function is shared; and how the cost will be distributed among the participating jurisdictions. This work entails both accounting and negotiation skills.
  • Implementation and Management / Phase Three: In implementing and improving, the sharing begins, and the arrangement is evaluated and enhanced over time.