Spectrum of Cross-Jurisdictional Sharing Arrangements

The Center for Sharing Public Health Services has identified four main types of CJS arrangements, as depicted on the Spectrum of Cross-Jurisdictional Sharing Arrangements. Moving from left to right along the Spectrum, the level of service integration increases, the level of jurisdictional autonomy decreases, and implementation becomes more complex, as can governance. The Spectrum was updated by the Center in 2017.

For more information, read the Center’s Issue Brief about the Spectrum.

This document 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 Spectrum of Cross-Jurisdictional Sharing Arrangements describes the types of CJS arrangements.