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 […]

Cross-sector Innovation Initiative: Environmental Scan Full Report

The Cross-sector Innovation Initiative (CSII) environmental scan compiles key findings from a literature review, secondary data analysis and key informant interviews on cross-sector collaboration between the public health, healthcare and social services sectors. Findings highlight the roles that different sectors can play in collaboration, a continuum of collaboration and factors that facilitate or impede cross-sector […]

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, […]

The Structure and Organization of Local and State Public Health Agencies in the U.S.: A Systematic Review

This systematic review provides a synthesis of the growing field of public health systems research related to the structure and organization of state and local governmental public health agencies. It includes an overview of research examining the influence of organizational characteristics on public health performance and health status and a summary of the strengths and […]

Composition and Duties of Local Boards of Health: Findings from a 2011 National Survey

This article describes the results of a 2011 national online and written survey of the composition and duties of local boards of health in the United States. Responses were received from 363 boards of health in 35 states and described the boards’ demographics, roles and responsibilities, orientation and training, and concerns and needs. Available online: […]

Public Health Services and Systems Research: Current State of Finance Research

This article discusses the current state of public health finance research through a review of public health finance literature. It chronicles important lessons learned from public health finance research to date, discusses the challenges faced by those seeking to conduct financial research on the public health system, and discusses the role of public health finance […]

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