There are many kinds of cross-jurisdictional sharing (CJS) arrangements, from simple handshake agreements to full-scale consolidation or mergers of health departments. Throughout this wide spectrum of arrangements, there are several factors that can increase the likelihood that a CJS arrangement will be successful.
With support from the Health Resources and Services Administration (HRSA), the National Association of County and City Health Officials (NACCHO) and the Center for Sharing Public Health Services partnered to develop the following suite of tools that support the sharing of services – both clinical and nonclinical – between local health departments (LHDs) and health centers.
The Cross-sector Innovation Initiative (CSII) environmental scan compiles key findings from a literature review, secondary data analysis and key informant interviews on cross-sector collaboration between the public health, healthcare and social services sectors. Findings highlight the roles that different sectors can play in collaboration, a continuum of collaboration and factors that facilitate or impede cross-sector […]
In 2015 the Center for Sharing Public Health Services developed a model to measure the impact of cross-jurisdictional sharing (CJS) arrangements on service and program effectiveness and efficiency. The Center selected four projects that had recently implemented a cross-jurisdictional sharing arrangement ꟷ located in Michigan, Minnesota, North Dakota, and Wisconsin ꟷ with the goal of […]
This study examines the approaches used by public health practice-based research networks (PBRNs) to expand delivery system research and evidence-based practice in public health settings. Although some networks have already made progress in translating PBRN research findings into policy and delivery system changes, many additional opportunities exist for PBRNs to move research into meaningful public […]
The purpose of this study was to advance the science of improvement in public health departments with the objectives of establishing a taxonomy of quality improvement (QI) projects in public health, categorizing QI projects undertaken in health departments using the taxonomy, and creating an opportunity modes and effects analysis. Researchers analyzed data from 51 QI projects […]
Based on an assessment of three local health departments, Kent State University personnel make recommendations for public health leaders who are consolidating local health agencies. Recommendations include 1) defining and collecting baseline information, 2) carefully planning the process of implementation, and 3) addressing challenges (i.e., leadership, credibility, assessment of progress). Call the Center for Sharing […]
This report provides a historical narrative of the process of consolidating three local health departments into one for an entire county. It provides details of how the political, legal, fiscal and administrative challenges to obtaining approval of the merger and of implementing it were met. Harvard Kennedy School. (2012). The Consolidation of the Health Departments […]
This briefing report is a retrospective review of the process, challenges and outcomes of the consolidation of three health departments.
This report provides an overview of the eight major strategic and operational challenges the newly formed Summit County Public Health Department faced as it worked through its first year of transition after consolidating three local public health districts into a unified public health organization. The challenges involved implementing new overall strategic decisions, adjusting personnel and […]