Minnesota: Cross-Jurisdictional Sharing

Background Information

Minnesota is served by a decentralized public health system. There are 49 independent local health agencies in the state that are led by local staff. There also are eight state-run district offices.

The theme of local public health governance change has been prevalent across the state since 2010, when “Updating Minnesota’s Blueprint for Health” was released. In particular, Appendix F of the Blueprint is “A Discussion Guide for Exploring Public Health Governance and Structure Change.” The Center’s Resource Library contains this and other resources on cross-jurisdictional sharing in Minnesota. Click here for information about the legal basis for CJS in the state from the Network for Public Health Law. Specific examples of CJS in Massachusetts can be found below.


Examples of CJS Arrangements


Center for Sharing Public Health Services Grantees

Horizon Public Health
This grantee was part of the Center’s Shared Services Learning Community and also the Center’s Implementation and Impact Measurement Program.

In 2015, three previously independent health departments in West Central Minnesota consolidated into one new health department called Horizon Public Health. This five-county, regional public health organization serves approximately 67,000 people. Select this link to read about this grantee and to access policies, procedures, tools and reports related to their consolidation. Select this link to read about their impact measurement activities.

Minnesota System Wide
This grantee was part of the Center’s Shared Services Learning Community.

The Minnesota Department of Health studied several pilot sites throughout the state to explore options for assisting local health departments with CJS efforts. Select this link to access policies, procedures, tools and reports associated with their CJS initiative. Select the links below to learn more about some of the pilot sites:

 

PartnerSHIP 4 Health
This grantee was part of the Center’s Shared Services Learning Community, under the umbrella of the Minnesota System Wide initiative. It also was part of the Center’s Small Grant Program.

PartnerSHIP 4 Health, one of the Minnesota System Wide pilot sites, is a new community health board that governs the four local health departments serving Becker, Clay, Otter Tail and Wilkin Counties. Since its establishment, PartnerSHIP 4 Health has undertaken a four-county community health improvement planning process, developed sequential strategic plans and implemented a branding strategy. Four programs are now shared among all departments, with staffing models, policies and procedures designed by the involved staff. It is anticipated that more programs will be shared in the future as opportunities arise with staff turnover and new grants. For the complete story, read the Center’s 2018 CJS Case Report about the site. Select this link to access policies, procedures, tools and reports associated with their CJS initiative.
 


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.