This paper addresses the need for effective coordination of legal authorities across local, state, tribal and federal jurisdictions, as well as across sectors such as public health, health care, emergency management, education, law enforcement, community design and academia to achieve effective public health emergency preparedness. It further discusses gaps in legal preparedness concerning the use […]
This study examines jurisdictional, organizational, and structural characteristics associated with capacity to deliver 10 essential public health services in Massachusetts, a state where most local public health departments serve small municipalities. Hyde, J., Arsenault, L., Waggett, J., Mills, B., Cox, H., MacVarish, K., et. al. (2012). Structural and organizational characteristics associated with performance of essential […]
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
An overview of current and planned shared service arrangements among local and tribal health departments in Wisconsin. Reports on rate of sharing, motivations, and reported outcomes.
This is a report on a feasibility study for the Summit County Health District (Ohio) and the Akron Health Department that examined the critical issues that could support or impede a successful merger with guidance from the health care community. The critical issues addressed include: governance, personnel, finance, public health services, facilities, legal issues, timetable […]
This report examines regionalization experiences of government services providers for lessons learned and best practices. It analyzes models in the fields of education, public safety, regional councils, water/waste management and economic development, and provides 17 detailed case studies. Kaufman, N. J. (2010). Regionalization of Government Services: Lessons Learned & Application for Public Health Service Delivery. […]
This report presents key success factors that can be employed by government in implementing shared services. Research participants were individuals currently or previously involved in shared service implementation. The authors found five key success factors, 1) Strong project management skills, 2) Senior-level support, 3) Effective communication, 4) Strong change management, and 5) A phased approach […]
This report proposes a model for Ohio’s local governmental public health system. The model includes a mechanism for governance and sustainable financing that considers cross-jurisdictional sharing and/or regionalization, enhances quality, and assures value. The project, which is the result of a public health project guided by a steering committee of health commissioners, explored cross-jurisdictional sharing […]
This ICMA sponsored paper rests on the assumption that persisting economic hard times will eventually require managers and governing boards to adopt service delivery and budget balancing strategies beyond the typical “business as usual” approaches used in past recessions. According to the results of the research: 1) Most approaches are aimed at cutting expenditures rather […]