Responding to Public Health Emergencies on Tribal Lands: Jurisdictional Challenges and Practical Solutions

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.

A Case Study of Cross-Jurisdiction Resource Sharing: The Merger of Two Tuberculosis Clinics in East Tennessee

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 […]

Cross-Jurisdictional Resource Sharing in Changing Public Health Landscape: Contributory Factors and Theoretical Explanations ABSTRACT

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:

A Three-Way Approach to Evaluating Partnerships: Partnership survey, integration measure and social network analysis

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.

Current and Planned Shared Service Arrangements in Wisconsin Local and Tribal Health Departments

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:

Local Health Departments’ Costs of Providing Environmental Health Services

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 […]

Organizational Change: Motivation, Communication, and Leadership Effectiveness

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.