Budget stress in the wake of the recent recession has been an incentive for many U.S. local officials to explore new cooperative relationships with neighboring jurisdictions. County governments are in a strategic position to develop shared service projects and interlocal agreements for service delivery. This web-based article provides an overview of and introduction to shared […]
This presentation, made during the National Association of Local Boards of Health annual meeting on August 8, 2012 in Atlanta, GA, provides an overview of public health’s past and present, highlights current issues facing local health departments, discusses cross jurisdictional sharing (CJS) of public health services efficiencies and capacities, and introduces the Center for Sharing […]
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 firstname.lastname@example.org for more information about this publication.
This presentation is part of a panel of four, made during the annual meeting for the American Public Health Association on October 31, 2012, in San Francisco, California, by a county-level policymaker from Ohio who participated in the implementation of cross-jurisdictional sharing (CJS) of public health services in his county. He shares lessons learned from […]
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.
This presentation describes the roll-out of a regionalization program in Massachusetts to reduce the number of its public health districts and create a number of shared districts that would provide equal access to health care and retain the authority of local public boards of health. The presentation describes reasons for the process and how it […]
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 […]