In 2015 the Center for Sharing Public Health Services developed a model to measure the impact of cross-jurisdictional sharing (CJS) arrangements on service and program effectiveness and efficiency. The Center selected four projects that had recently implemented a CJS arrangement–located in Michigan, Minnesota, North Dakota and Wisconsin–with the goal of testing the model it had developed. Over a period of 18 months, these four sites conducted activities aimed at measuring changes in the effectiveness and efficiency of a program or service for which they had recently implemented a sharing agreement. All projects completed their work and demonstrated that the impact of CJS initiatives can be measured using the systematic approach developed by the Center.
A description of each project follows.
MI – Northern Michigan Public Health Alliance
This project focused on measuring gains in effectiveness and efficiency of conducting a common community health assessment (CHA) across jurisdictions. The project team compared cost and quality measures from a region of counties conducting a CHA versus those same jurisdictions conducting individual CHAs within single jurisdictions or smaller collaborations. Select this link to read about their impact measurement activities.
MN – Horizon Public Health
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 their impact measurement activities.
ND – North Dakota Department of Health
North Dakota has four regional networks that share environmental health activities related to on-site septic systems (OSS). The networks planned to develop uniform ordinances and share inspection and enforcement activities among public health units within each network. Select this link to read about their impact measurement activities.
WI – Washington-Ozaukee Health Department
The health departments in Washington and Ozaukee Counties in Wisconsin merged in 2016 into one health department that serves 220,000 residents. Their impact measurement plan included measuring changes in productive clinic time and in quality for areas such as access to data, staff support, and customer and staff satisfaction. Select this link to read about their impact measurement activities.
Read the full report by selecting this link: CJS Implementation and Impact Measurement Program: Final Report