Observers have identified a strong need for states and tribes to coordinate responses to public health emergencies on Indian lands. This paper explores the need for such collaboration and the difficulties such cross-jurisdictional relationships face. Available online.
Cross-jurisdiction resource sharing is considered a possible means to improve efficiency and effectiveness of public health service delivery. A merger of the tuberculosis (TB) clinics of a rural and a metropolitan jurisdiction in East Tennessee provided an opportunity to study service provision changes in real time. A mixed methods approach was used, including quantitative data […]
Online article in Governing magazine that discusses the benefits of sharing, and suggests that costs savings may not result from shared services. Available online: http://www.governing.com/columns/public-money/gov-shared-government-services.html
Cross-jurisdictional resource sharing is a viable and commonly used process to overcome the challenges of new and emerging public health problems within the constraints of restricted budgets. LHDs, particularly smaller LHDs with limited resources, should consider increased resource sharing to address emerging challenges. Available online: http://journals.lww.com/jphmp/pages/articleviewer.aspx?year=2016&issue=03000&article=00003&type=abstract
Resource_Library: This paper explores three ways to evaluate cooperative relationships, including partnership surveys, an integration measure (to assess cooperation between partners) and social network analysis. This paper may assist those in cross-jurisdictional relationships identify ways to evaluate how well they are working.
This paper reports results of a cross-sectional survey examining current and future cross-jurisdictional sharing efforts across Wisconsin. Authors found wide-spread use of shared services across the state. Participant comments suggested they were satisfied with arrangements. Available online: http://www.ncbi.nlm.nih.gov/pubmed/24399279
The purpose of this report was to provide empirical estimates of Local Health Departments’ (LHDs’) cost structure. Using cost information for 2012 from 15 LHDs in North Carolina for two public health services—food and lodging and onsite water—this report first presents estimates of the total costs per service provided. In a second step, total costs […]
Research indicates that numerous variables have an impact on a leader’s effectiveness. This study explores the behaviors associated with leadership effectiveness in driving change. The findings confirm previous research that identifies change effectiveness skills, while isolating the specific leader behaviors deemed most valuable to implementing change: motivation and communication. Posted with permission: 3/10/2017.
This study assessed the capacity of multi-county health districts to serve as “Quality Improvement Collaboratives” and support local health departments to meet accreditation standards. Available online: https://www.ncbi.nlm.nih.gov/pubmed/23023281
Washington County Ohio’s two city health boards are merging in order to leverage their population representation for state funding, and strengthen the cities’ chances of receiving more state grant funding as it goes through the process of accreditation. Available online: http://www.mariettatimes.com/news/2018/05/marietta-belpre-health-departments-to-merge/