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 […]
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 report provides shared service delivery examples and presents recommendations from experienced county officials from a view of county government as a strategic hub for shared services by answering: what are shared service projects; why counties are considering shared service delivery; and what shared service are not. The report identifies the preconditions necessary for successful […]
This report, prepared by a steering committee comprised of county commissioners, health officers, public health administrators, medical directors and an outside consulting firm, provides results from a fiscal- and programs-related review focused on consolidation options for three health districts in Michigan. E-mail phsharing@khi.org for more information about this publication.
This report, funded in part by NALBOH, documents a feasibility study of issues and options involved in the creation of a city / county health district consolidation. Call the Center for Sharing Public Health Services for more information about this publication.
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. […]