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.
Montgomery Township Health Department changed its staffing model to move from contracted nurses to a shared full-time public health nurse. This shift provides the capacity needed to effectively address outbreaks and otherwise enhances nursing functions for Montgomery and Branchburg Townships.
Recognizing great potential for mutual benefit, county commissioners in neighboring Hinsdale and Mineral counties agreed to merge their two health departments, forming the Silver Thread Public Health District.
The governing boards of five counties in Minnesota unanimously lent their support to the continued exploration of a new entity that would eventually be known as Horizon Public Health.
In 2011, the Chronic Disease Prevention and Health Promotion Bureau received a CDC grant to closely examine their internal processes, so they could regionalize their work and combine individual contracts, with the ultimate goal of better addressing chronic disease prevention and health promotion at the local level.
Six counties in Colorado's San Luis Valley began to explore ways to work together to provide environmental health services at the local level.