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 […]
This brief reports on the effects of 9/11 on preparedness and regionalization. It examines a series of comparative case studies in four areas that suggest regionalization can improve both preparedness and public health in general. Available online: https://www.rwjf.org/en/library/research/2011/04/april-issue-of-health-affairs-focuses-on-patient-safety-and-heal/regionalization-in-local-public-health-systems.html California Health Policy Forum. (2007). Regionalization in Local Public Health Systems.
The purpose of this study was to examine the level of involvement by local health departments in practice-based research activities and determine factors associated with variation in such involvement. The researchers administered questions to a nationally representative random sample of 625 local health departments. Available online: http://www.ncbi.nlm.nih.gov/pubmed/23023277
This three-page brief overviews current and planned shared service arrangements among local and tribal health departments in Wisconsin. It reports on rate of sharing, motivations, and reported outcomes. Available online (pdf): http://www.publichealthsystems.org/projects/current-and-planned-shared-service-arrangements-among-wisconsins-local-and-tribal-health Related journal article available online: http://www.ncbi.nlm.nih.gov/pubmed/24399279
This report, from the Task Force for Improving Public Health in Portage County (Ohio), presents the culmination of the first phase of an initiative to strengthen the public health system in Portage County. Slenkovich, K., Boulter, J., & Budnik, A. (2012). Improving Public Health in Portage County. Kent, OH: Kent State University, College of Public […]