Governance and Fiscal Issues

Webinar Recording: The Value of Cross-Jurisdictional Sharing (September 2019)

The Center for Sharing Public Health Services held a webinar, the Value of Cross-Jurisdictional Sharing, on September 13, 2019. Watch a recording of the webinar below: Description: While it’s not unusual for decision-makers to consider cross-jurisdictional sharing (CJS) primarily as a tool to reduce costs, in reality the greatest value of these arrangements comes in […]

The Economic Cost of Communicable Disease Surveillance in Local Public Health Agencies

This article assessed the financial implications of communicable disease surveillance in Colorado local public health agencies to identify possible economies of scale. Communicable disease surveillance is a core public health service required by local public health agencies in Colorado, and this study used staff salaries and time logs to estimate the amount of time devoted […]

Financial and Legal Characteristics of Cross-Jurisdictional Shared Service Agreements Between Local Public Health Agencies

This article examines cross-jurisdictional sharing (CJS) arrangements used by local and tribal public health departments in Wisconsin. It focuses on specific financial and legal elements and highlights the wide variation in the style and content of CJS arrangements. It also raises questions about the completeness of some existing CJS arrangements from a legal perspective and […]

Lessons learned from a policy decision to coordinate a multijurisdiction H1N1 response with a single incident management team

This article provides a case review describing the creation of a single incident management team by five independent local public health agencies to respond to the 2009 H1N1 influenza pandemic. Available online: http://www.ncbi.nlm.nih.gov/pubmed/21135658

Governance Typology: A Consensus Classification of State-Local Health Department Relationships

Public health practitioners and researchers often refer to state public health systems as being centralized, decentralized, shared, or mixed. These categories refer to governance of the local public health units within the state and whether they operate under the authority of the state government, local government, shared state and local governance, or a mix of […]

Governing Interlocal Cooperation: City Council Interests and the Implications for Public Management

Local government managers are described as key participants in the development of interlocal cooperation, but the interests of city councils in this process have gone largely unstudied. Here, the author addresses the theoretical importance of council-manager relations in interlocal public service cooperation. The evidence refines assumptions about council-manager roles in the formation of cooperative agreements, […]