Important Publications


The Center’s Roadmap is available online.

The Center for Sharing Public Health Services has developed two important publications to assist communities as they consider and adopt cross-jurisdictional sharing (CJS) approaches. Communities that are considering applying to become part of the CJS Implementation and Impact Measurement Program will be required to include an assessment of the strength of the CJS initiative that is the basis of the impact measurement project. That assessment relies heavily on the information contained in these two publications.

A Roadmap to Develop Cross-Jurisdictional Sharing Initiatives

The Center’s Roadmap to Develop Cross-Jurisdictional Sharing Initiatives is a guide for jurisdictions considering or establishing CJS arrangements. There are three distinct phases on the Roadmap: explore, prepare and plan, and implement and improve. Each phase contains specific areas to consider and issues to address. Resources and tools are linked to areas along the Roadmap and provide additional guidance.

While the progression of phases should take place in the order presented, the areas and issues within each phase do not necessarily have to follow the same order as listed on the Roadmap. If it becomes apparent during the process that some key areas or issues from an earlier phase were overlooked, it is important to go back to that phase and resolve them before moving forward.

Success Factors in Cross-Jurisdictional Sharing Arrangements

The Center’s Success Factors in Cross-Jurisdictional Sharing Arrangements describes several factors that can increase the likelihood that a CJS arrangement will be successful. It categorizes these Success Factors as prerequisites, facilitating factors and project-specific characteristics.

Prerequisites should be in place before partners begin work on a sharing arrangement. They include clarity of objectives, a balanced approach to improving both efficiency and effectiveness, and mutual trust.

Facilitating factors can be leveraged, if present, and include success in prior collaborations, a sense of regional identity, and positive interpersonal relationships.

Project-specific characteristics can help a CJS arrangement succeed. Partners in a CJS initiative should make sure that these elements are addressed in the project plan and implementation. They include senior-level support, strong project management skills, strong change management plans, and effective communication.

Health officials and policymakers considering and adopting CJS initiatives should consider the success factors that are present in order to leverage them. They should also be aware of the potential impact of those that are lacking.