The Center’s “Roadmap” Generates Interest at APHA’s Annual Meeting

Center Co-Directors Pat Libbey and Gianfranco Pezzino.

The last quarter of 2013 has been busy, filled with multiple site visits and national meetings. In early November, we attended the annual meeting of the American Public Health Association (APHA), where we presented the newly released Roadmap to Developing Cross-Jurisdictional Sharing Initiatives.

The Roadmap is the result of the first year of learning at the Center. This learning originated mostly from the work that our dedicated site teams are conducting. Preliminary findings were solidified through conversations with field experts and literature review.

The Roadmap includes a detailed description of the three phases of CJS development:

  • Explore: Focused on conceptual feasibility and expectations about what to pursue;
  • Prepare and Plan: Directed at operational decisions and implementation, including governance, structural and legal concerns, communications, change management, and timeline; and
  • Implement and Improve: Centered on implementing the planned activities and evaluating how the sharing arrangement is meeting specific outcomes for team participants.


Our description of the Roadmap at the breakout session and during personal conversations at APHA generated a lot of interest among our partners and other practitioners. In fact, we ran out of all the printed copies that we had brought to the event!

The Roadmap is on our website: While you review the Roadmap, please remember that although the individual teams’ names may not be printed on it, they are all co-authors. Without their work and input during the first year of sharing, this document would not exist.

The Roadmap is a tool and resource that will continue to be modified and improved as we learn more about CJS relationships and so, to that end, feedback and observations on the Roadmap would be most welcome. Please email us at