Report

Accounting for Indirect Costs in Public Health Cost Analyses

There is a gap in research regarding the resources needed to deliver public health activities, which inhibits informed decision making around investments in public health and the allocation of funds among activities. When conducting cost analyses in public health, it is important to include costs from all cost components, including personnel, non-personnel, and indirect costs. […]

Cross-Jurisdictional Data Sharing and Immunization Information Systems

Cross-jurisdictional data sharing requires the application of varying, and sometimes conflicting local, state and federal laws. These laws often present barriers and prevent the efficient and effective use of data to tackle important public health challenges. A national IIS cross-jurisdictional data-sharing memorandum of understanding (MOU) has been developed to help address these challenges and will […]

Emergencies Relevant to California Tribes and the Prevalence of Cross-Jurisdictional Sharing Between Tribes and Counties for Emergency Management

This poster presentation from the from the California Tribal Epidemiology Center at the California Rural Indian Health Board examined the types of emergencies relevant to tribal communities in California and the prevalence of cross-jurisdictional sharing (CJS) for emergency management (i.e., preparedness, mitigation, response, recovery) between California tribal and county governments. This study also explored whether […]

National Policy Matrix: Cross-Jurisdictional Sharing Arrangements Between Tribes and Counties

Staff from the California Rural Indian Health Board (CRIHB) interviewed representatives from the National Congress of American Indians (NCAI), the National Indian Health Board (NIHB), and each of the 12 Indian Health Service (IHS) Areas in order to gather information about knowledge of CJS arrangements between tribes and counties throughout the nation. Available online: https://crihb.org/wp-content/uploads/2015/04/CJSNationalPolicyMatrix.pdf

Accreditation Considerations for Shared Services and Mergers

The Public Health Accreditation Board (PHAB) is providing this tip sheet for local health departments who are considering or planning major organizational changes. Changes in the organization during or after accreditation may or may not impact the accreditation status of the health department(s). This tip sheet provides clarification of PHAB policies and procedures related to […]

Cross-Jurisdictional Sharing in Local Public Health Systems: Implications for Costs, Impact, and Management Capacity

This research brief examined cross-jurisdictional sharing (CJS) among local health departments (LHDs) to assess CJS impacts on the volume, intensity, and unit costs of public health services. Analysis revealed that LHDs with CJS do not appear to spend any more or less per capita on services than those without CJS. However, some LHDs appear to […]

Legal Completeness and Effectiveness in Cross-Jurisdictional Shared Service Agreements in Wisconsin

Shared service agreements are in widespread use in Wisconsin, especially in highly rural areas. Many people involved in shared service agreements view them as a way to enhance and expand capacity. While most key terms and provisions were found in most agreements reviewed, some important terms, such as regular review, update, and renewal procedures for […]

Case Study: Public Health Shared Services: Southeast Kansas (SEK) Multi-County Health Department

The Southeast Kansas (SEK) Multi-County Health Department is a collaboration between four rural counties: Allen, Anderson, Bourbon and Woodson. It operates as a single agency, but provides public health services in each county. The arrangement allows the four counties to share one administrator, one accountant and one medical director between the four public health locations. […]