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CJS by State

CJS by State

Cross-jurisdictional sharing (CJS) models vary based on state and local characteristics. This new interactive map from the Center for Sharing Public Health Services provides state-specific CJS examples and resources. Learn more.

COMPASS Now Available!

COMPASS Now Available!

The Center for Sharing Public Health Services has launched a new interactive tool called COMPASS: Comprehensive Assistance for Shared Services. No matter where you are in the cross-jurisdictional sharing (CJS) process, COMPASS will help guide you through each step. Select this link to visit COMPASS.

2018 Small Grants Program

2018 Small Grants Program

Ten teams have been selected to participate in the Center's 2018 Small Grants Program. Learn more about the teams and the Center's learning objectives for the program.

CJS by State

Cross-jurisdictional sharing (CJS) models vary based on state and local characteristics. This new interactive map from the Center for Sharing Public Health Services provides state-specific CJS examples and resources. Learn more.

2018 Small Grants Program


Ten teams have been selected to participate in the Center's 2018 Small Grants Program.

Learn more about the teams and the Center's learning objectives for the program.

Interactive COMPASS now available!

The Center has launched a new interactive tool called COMPASS: Comprehensive Assistance for Shared Services. No matter where you are in the CJS process, COMPASS will help guide you through each step. Visit our overview to learn more! Find COMPASS online: compass.phsharing.org.

Measuring the Impact of CJS in Public Health

This report, details the findings from the CJS Implementation and Impact Measurement Program, in which the Center tested the model it had developed to measure the impact of CJS arrangements on program effectiveness and efficiency.

Tools to Assist with CJS Arrangements

This handout lists some of our favorite tools and resources to assist public health officials and policymakers as they consider and adopt CJS approaches.

Technical Assistance

The Center provides technical assistance, usually free of charge, to jurisdictions considering or adopting CJS approaches. Click to learn more.

CJS Resource Library

The Center's website contains a large resource library on cross-jurisdictional sharing (CJS). View recently added resources or select a category by using the button below.

  • Select a Category: CJS Resource Library
    • Accreditation / Essential Services
    • Background / History
    • Change Management
    • Communications
    • Consolidation
    • Environmental Issues
    • Fiscal and Service Issues
    • Governance
    • Legal Issues
    • Monitoring and Improving
    • Preparedness / Emergency Response
    • Quality Improvement
    • Research and Evaluation
    • Rural / Small Jurisdictions
    • Surveillance / Data Sharing
    • Tribal Issues
    • All Resources in the CJS Resource Library
    • Roadmap
    • Phase One / Explore
    • Phase Two / Prepare and Plan
    • Phase Three / Implement and Improve
    • All Resources Linked to the Roadmap

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Co-Director’s Message

Gianfranco Pezzino, KHI senior fellow and strategy team leader, serves as co-director of the Center with Patrick Libbey, a former local public health official and former executive director of the National Association of County and City Health Officials. Here they talk about cross-jurisdictional sharing.

learn more ›

CJS Roadmap

The Center's Roadmap helps guide jurisdictions through the process of considering or establishing CJS arrangements.

Help Us Find CJS Examples!

Do you know of two or more local health departments that collaborate in any way? If so, please tell us about it by emailing us at phsharing@khi.org.

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Support provided by Robert Wood Johnson Foundation