Case Studies and Reports


Shared Services Learning Community Case Studies

The Center for Sharing Public Health Services convened the Shared Services Learning Community in January 2013. It was comprised of 16 demonstration sites that were considering or adopting CJS arrangements. The sites represented 76 public health departments, districts and tribal health agencies that provided services to 126 different geo-political jurisdictions and tribes. The Centers work with this group ended in 2015. In 2016, the Center began a new initiative to follow up with a subset of the original demonstration sites for an 18-month period. Case studies and reports about some of these sites are below.

CJS Case Report: San Luis Valley Public Health Partnership
Published May 2017
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.

CJS Case Report: Ohio’s Portage County
Published April 2017
Portage County Health District expanded to include the city of Ravenna, resulting in enhanced services for Ravenna. Simultaneously, the health district and the city of Kent engaged in a joint community health improvement planning process that has successfully engaged numerous partners in countywide efforts to further protect and promote the health of all residents. 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.

Southwest Washington
Published October 2014
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. This case study details how the effort progressed, factors that hindered the desired progress and lessons that could inform other jurisdictions interested in similar pursuits.


ICMA Case Studies in Collaboration with the Center

Sharing Administrative Services across Jurisdictions
Published December 2014
The International City/County Management Association (ICMA), in collaboration with the Center for Sharing Public Health Services, conducted a national survey of local governments in early 2014 to study the use of shared administrative service agreements across local health department jurisdictions. ICMA conducted three follow-up case studies to examine in greater depth how the collaborations worked and to identify specific elements that make such agreements successful.

Crittenden County, Kentucky
This case study presents a five-county public health district that provides all administrative and program services for the participating counties.

Prowers County, Colorado
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.

Mansfield, Connecticut
This case study features a regional public health district formed by ten towns in Eastern Connecticut, the largest of which provides many administrative services through a long-term service agreement.


Other Case Studies

West Central Public Health Partnership: A Case Study in Public Health Collaboration
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 report describes an in-depth evaluation of the WCPHP to identify the organizational elements that contributed to the group’s successes.