Note: This page is under construction.
Washington is served by a decentralized public health system where local governments retain authority over many decisions. There are 35 independent local health jurisdictions in the state that are led by local government staff. There also are four state-run regional or district offices.
The Center’s Resource Library contains additional resources on cross-jurisdictional sharing (CJS) in Washington. Click here for information about the legal basis for CJS in Washington from the Network for Public Health Law.
Examples of CJS Arrangements
Center for Sharing Public Health Services Grantees
This grantee was part of the Center’s Shared Services Learning Community.
The Southwest Washington Cross-Jurisdictional Sharing project was formed to explore the idea of implementing a governance structure that would support a shared approach to delivering efficient public health services in ways that respect the unique political, organizational and financial realities of four Southwest Washington counties and one tribal nation. The overall goal of the project was to explore a cross-jurisdictional sharing structure, develop an effective implementation plan and develop a basic set of procedures to ensure the provision of efficient public health services and better health outcomes across the Southwest Washington region. After several meetings, the team ultimately determined that further pursuit of the original goal would not be productive.
The Center published the following reports about this site:
- Case Study: This report includes details about how the effort progressed, factors that hindered the desired progress, and lessons that could inform other jurisdictions interested in similar pursuits.
- Summary Report: This report was published in 2015 and provides a summary of the site’s activities during the time it was a demonstration site for the Center. The information in this report also is included in the more comprehensive Case Study described above.
- Project Description: The site produced this report to describe its work.
Regional Pilot Immunization Program
This grantee was part of the Center’s Small Grant Program.
The Washington State Department of Health collaborated with the Washington Public Health Centers for Excellence and the Washington State Association of Local Public Health Officials to improve the statewide immunization program. The project partners developed a pilot test of a new, regional approach to administering the Vaccines for Children (VFC) program and the Assessment, Feedback, Incentives eXchange (AFIX) program’s quality improvement activities.
Note: This is not a complete list of all CJS arrangements in the state. If you have examples to submit, please contact us at email@example.com.