Colorado

Background Information on Public Health Cross-Jurisdictional Sharing in Colorado

Colorado is served by a decentralized public health system where local governments retain authority over many decisions. There are 54 independent local health agencies in the state that are led by local staff. There also are two state-run regional or district offices. For information about the legal basis for cross-jurisdictional sharing in Colorado, read this document from the Network for Public Health Law. The Center’s Resource Library contains additional resources on cross-jurisdictional sharing in Colorado.


Examples of CJS Arrangements


 


Center for Sharing Public Health Services Grantees

San Luis Valley Public Health Partnership
This grantee was part of the Center’s Shared Services Learning Community.
The San Luis Valley Public Health Partnership was formalized to facilitate cross-jurisdictional sharing (CJS) arrangements between and among three rural and three frontier counties, with a specific goal of optimizing the effectiveness, efficiency, capacity and performance of core public health services. For the complete story, visit the grantee’s web page to read the Center’s 2017 case report and to access several policies, procedures, tools and reports associated with their CJS initiative.

This grantee also is part of the Center’s 2017 Small Grant Program.
The San Luis Valley Public Health Partnership will develop and implement a cross-jurisdictional data collection and management system. The following counties participate in the partnership: Alamosa, Conejos, Costilla, Mineral, Saguache and Rio Grande.

West Central Public Health Partnership
This grantee is part of the Center’s 2017 Small Grant Program.
This partnership, which comprises six frontier and rural counties, is seeking to improve communications among member counties and to assess the effectiveness of and capacity for shared services and activities. The following counties participate in the partnership: Delta, Gunnison, Hinsdale, Montrose, Ouray and San Miguel.

This partnership also was the subject of a case study published by the Colorado Trust in September 2012.
Health officials from six counties along Colorado’s Western Slope came together with a common goal of strengthening the region’s public health infrastructure. Their effort culminated in the establishment of the West Central Public Health Partnership (WCPHP). In the years that followed, officials enacted intergovernmental agreements outlining partnership roles and responsibilities, and participants embarked on numerous cross-jurisdictional public health campaigns and programs. This case study describes an in-depth evaluation of the WCPHP to identify the organizational elements that contributed to the group’s successes.

Additional Examples

Prowers and Kiowa Counties, Colorado
Published by the International City/County Management Association (ICMA), in collaboration with the Center for Sharing Public Health Services.
This case study examines how an inter-governmental agreement (IGA) has been used to enable Prowers County, Colorado to provide public health administrative services for its neighbor, Kiowa County.


Note: This is not a complete list of all CJS arrangements in the state. If you have examples to submit, please contact us at phsharing@khi.org.