Sharing Environmental Health Services Across Jurisdictional Boundaries
This brief paper provides an overview of cross-jurisdictional sharing and how it might be applicable to environmental health.
Article
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 […]
The Impacts of Local Health Department Consolidation on Public Health Expenditures: Evidence from Ohio
This paper examines the effects of local health department consolidations on the total and administrative expenditures of local health departments in Ohio from 2001 to 2011. Authors found consolidations resulted in reduced expenditures and improvements in services.
Transitioning to Alternative Models of Police Service
This articles discusses results of a study that explored cross-jurisdictional sharing among police services. It addresses issues that may be faced by organizations when they merge into a single unit or when they share services across multiple units. It also presents information from four case studies of forces that engaged in cross-jurisdictional sharing. While not […]
The Secret Benefits of Sharing Government Services
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 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: http://journals.lww.com/jphmp/pages/articleviewer.aspx?year=2016&issue=03000&article=00003&type=abstract
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: http://www.ncbi.nlm.nih.gov/pubmed/24399279
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 […]