Governance and Fiscal Issues

Sharing Administrative Services Across Jurisdictions

In the spring/summer of 2014, the International City/County Management Association (ICMA) conducted a national survey to determine how local governments share administrative services, such as billing, information technology, purchasing, and finance and accounting in conjunction with running their public health departments. From the survey results, three jurisdictions were identified for case studies examining in greater […]

Billing for Clinical Services Toolkit

The National Association of County and City Health Officials (NACCHO) created this toolkit for local health departments to use in developing capacity to bill third party payers for immunization, STD, TB, HIV, and other clinical services. The toolkit contains around 300 resources that have been collected from state billing guides, the Centers for Medicare and […]

Sharing Public Health Functions and Capabilities: Leadership Strategies

The goal of this session, presented at the 142nd Annual Meeting of the American Public Health Association, is to share strategies developed from the practice-based experiences of 16 teams developing cross-jurisdictional sharing across the country that can be applied in other jurisdictions that are exploring or pursuing CJS. Available online (pdf): https://apha.confex.com/apha/142am/webprogram/Paper297979.html

Sharing Public Health Functions and Capabilities: Critical Issues

Developed from the experiences of 16 teams across the country that are engaged in a range of activities related to exploring, developing, implementing, and/or improving cross-jurisdictional sharing, the goal of this session, presented at the 142nd Annual Meeting of the American Public Health Association, is to share the critical issues that local health officials can […]

Sharing Public Health Functions and Capabilities: Models of Full and Partial Integration

The goal of this session, presented at the 142nd Annual Meeting of the American Public Health Association, was to learn about two models of CJS arrangements supported by the Center for Sharing Public Health Services and that involve different levels of integration. Horizon Community Health Board (Minnesota) was in the process of pursuing full integration […]

Fiscal Lead Tool

This tool helps interested parties explore whether one agency in a shared services agreement should take the role as fiscal agent or fiscal lead. It was developed by the Northwoods Shared Services Project in Wisconsin, a member of the Center’s Shared Services Learning Community.