This master’s degree paper submitted to the University of North Carolina at Chapel Hill provides an overview of the issues surrounding consolidation of local health departments. The author discusses potential benefits (including cost savings, increased capacity to provide essential services, and increased preparedness), the concerns associated with consolidation (including loss of control, low priority of […]
This presentation explores public health in the United States, including: its activities and how they fit within the health system; delivery; economic effects; and ways of improvement. One of the possibilities explored is regionalization.
This presentation provides a framework for thinking about regionalization: what it is, its benefits, target audiences, and secondary audiences.
This report describes how the Minnesota Department of Health (MDH) and 50 locally governed community health boards work together to protect and improve health. It discusses the public health partnership’s strengths, as well as issues and challenges facing the public health system. It also includes brief vignettes of each region in Minnesota, which highlight unique […]
These presentation slides accompany a webinar hosted by the Public Health Practice-Based Research Networks National Coordinating Center. The webinar focused on the use of cost estimation methods to predict staffing and spending for public health improvement standards (using NACCHO core public health services). In addition, results were shared from a study of 20 city-county public […]
This policy brief reviews motivations and impacts for consolidation of local public health departments in Ohio. It indicates that health departments often seek to save money and improve services through consolidation, and that overall city government factors such as budget deficits and the structure of the city leadership are influential in promoting consolidations. Available online […]
This report examines the motivations for and impacts of consolidations of local public health departments in Ohio. Since 2001, there have been twenty cases of city health departments merging their public health services with those of a county health department or another city health department in Ohio, and this has resulted in a 13 percent […]
This presentation provides an overview of the Central Massachusetts Regional Public Health Alliance whose mission is to improve, promote and protect the health and safety of residents in six Central Massachusetts municipalities through the formation of strong community partnerships, data-driven decision-making and delivery of high quality public health services.
This Letter of Agreement for a Public Health Shared Services Pilot Project is between two New York counties outlining their commitment to provide quality essential public health services effectively to their residents but acknowledges that fiscal pressures necessitate collaborative measure. The parties agree to share a public health director and deputy public health director and […]
This implementation work plan developed by the Horizon (Minnesota) restructuring committee outlines next step issues for ongoing discussion, their priority levels, who is responsible, target dates, and status notes for moving forward with consolidating three local public health departments that cover five counties. This document can be used as a template and example for jurisdictions […]