Assessment, Evaluation, & Quality Improvement

Cross-Jurisdictional Sharing Implementation and Impact Measurement Program Final Report

In 2015 the Center for Sharing Public Health Services developed a model to measure the impact of cross-jurisdictional sharing (CJS) arrangements on service and program effectiveness and efficiency. The Center selected four projects that had recently implemented a cross-jurisdictional sharing arrangement ꟷ located in Michigan, Minnesota, North Dakota, and Wisconsin ꟷ with the goal of […]

Assessment Tools for Public Health

The Center offers several assessment tools for public health agencies and departments considering or implementing CJS arrangements. Collaborative Trust Scale This survey assesses levels of trust between partner organizations. It can make discussions about trust safer and more productive. The survey is a useful tool to help partners build stronger, more productive, collaborative relationships. Find […]

Final Recommendations for Consolidators

Based on an assessment of three local health departments, Kent State University personnel make recommendations for public health leaders who are consolidating local health agencies. Recommendations include 1) defining and collecting baseline information, 2) carefully planning the process of implementation, and 3) addressing challenges (i.e., leadership, credibility, assessment of progress). Call the Center for Sharing […]

Consolidating Health Departments in Summit County, Ohio: A One Year Retrospective

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 […]

Multistate Assessment of Public Health Surveillance Relevant to American Indians and Alaska Natives, 2007

This article focuses on the need to strengthen relationships among the multiple jurisdictions involved in the health of American Indians and Alaska Native populations. It reports the results of an online survey of state epidemiologists assessing collaboration between state health departments and AI/AN Tribes and agencies. The report’s findings align with previous work indicating that […]

Consolidating Health Departments in Summit County, Ohio: A One Year Retrospective

This presentation is part of a panel discussion entitled, “You’re Not Alone: Dialogue about Cross-Jurisdictional Sharing.” The discussion occurred during the National Association of County and City Health Officials annual meeting on July 12, 2012, in Los Angeles, CA. A county-level policymaker from Ohio who participated in the implementation of cross-jurisdictional sharing (CJS) of public […]

NACCHO Accreditation Preparation and Quality Improvement Resources

This website provides a variety of resources for accreditation preparation and quality improvement for local health departments. NACCHO’s Quality Improvement (QI) and Accreditation Preparation Webinar Series provides periodic webinars as part of NACCHO’s continued commitment to QI and preparing local health departments (LHDs) for national accreditation. Available online: