Local public health units around the country are under significant financial constraints. Seven counties in the Southeast Central Region of North Dakota established a cross-jurisdictional collaborative to increase financial efficiency through shared delivery of public health services. This paper reports on the cost-benefit analysis instrument designed by the collaborative and the ways it was used to analyze current financial efficiency with regard to service delivery. The instrument allowed for the cost-per-beneficiary to be calculated, as well as the portion of the cost of delivering the service that was dependent on public subsidization. Emergency preparedness and tobacco prevention were determined to be the lowest cost per beneficiary, while the Ryan White program and chronic disease management were determined to be the highest cost per beneficiary. These results were used by the collaborative to do strategic planning with regard to service delivery and opportunities for collaboration.
It is included in the CJS Resource Library under the categories listed below. Select a link to find other resources in that category.
- Change Management: Information provided in this paper may be useful to identify the best services for CJS arrangements and help CJS champions demonstrate the benefits of sharing those services to others.
- Communications: The analysis done in this paper is useful for starting conversations about what services are best to share.
- Fiscal and Service Issues: This paper provides an example of a way to explore fiscal issues related to providing services.
This resource is also linked to the Roadmap. Select a link below to read more about each area.
- Why? / Phase One: This paper might assist jurisdictions interested in sharing to explore how sharing could benefit them.
- What? / Phase One:This paper could help jurisdictions identify what services to share.
- Fiscal / Phase Two: This paper provides an example of a way to explore fiscal issues related to providing services.