Cross-jurisdictional sharing (CJS) has proven effective in a variety of situations across the country. A few case examples of CJS in action are below.
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Collaborating for Improved Information Technology Services in Florida
Ten county health departments in Florida formed a regional information technology center that provides them with high quality, timely and affordable services that none of the counties could afford on their own.

Enhancing Public Health Preparedness in Southern New York
Nine counties in the southern tier of New York discovered the value of developing detailed supporting documents to ensure smooth and efficient operations when their mutual aid agreement was activated.

Creating a “Hub and Spoke” Model for a Statewide Immunization Program in Washington
Washington State Department of Health Immunization Program staff worked closely with the local health jurisdictions throughout the state to redesign program administration and enhance program integrity.

Making 1+1+1 = Public Health 3.0 in Wisconsin
When the vision to consolidate three health departments became a reality, Public Health 3.0 was fully realized in Winnebago County.

Enhancing Environmental Health by Sharing Services in Nevada
In Nevada, an agreement between Douglas County and Carson City Health and Human Services, which began providing inspections in Douglas County, generated a strong environmental health services program that benefits both jurisdictions.