Local Strategies for Cross-Jurisdictional Sharing

This presentation is part of a panel of four, made during the annual meeting for the American Public Health Association on October 31, 2012, in San Francisco, California, by a county-level policymaker from Ohio who participated in the implementation of cross-jurisdictional sharing (CJS) of public health services in his county. He shares lessons learned from the CJS implementation process, discusses changes that occurred in public health services, outlines the overall impact of CJS implementation, and provides considerations for current and future collaborations.

Available online (pdf): //phsharing.org/wp-content/uploads/2013/02/APHA-Local-Gene-Nixon-final.pdf

It is included in the CJS Resource Library under the categories listed below. Select a link to find other resources in that category.

  • Change Management: The presentation discusses critical components for an effective change process.
  • Fiscal and Service Issues: The presentation discusses the impact of CJS on fiscal costs and savings.
  • Governance: The presentation discusses the different governance models utilized.
  • Legal Issues: The presentation mentions legal issues associated with CJS arrangements.
  • Research and Evaluation: The presentation discusses perceptions of change in a CJS process.

This resource is also linked to the Roadmap. Select a link below to read more about each area.


Gene Nixon. (2012). Local Strategies for Cross-Jurisdictional Sharing [presentation slides]. Akron, OH: Summit County Public Health.