This research brief examined cross-jurisdictional sharing (CJS) among local health departments (LHDs) to assess CJS impacts on the volume, intensity, and unit costs of public health services. Analysis revealed that LHDs with CJS do not appear to spend any more or less per capita on services than those without CJS. However, some LHDs appear to […]
There is a gap in research regarding the resources needed to deliver public health activities, which inhibits informed decision making around investments in public health and the allocation of funds among activities. When conducting cost analyses in public health, it is important to include costs from all cost components, including personnel, non-personnel, and indirect costs. […]
The purpose of this report was to provide empirical estimates of Local Health Departments’ (LHDs’) cost structure. Using cost information for 2012 from 15 LHDs in North Carolina for two public health services—food and lodging and onsite water—this report first presents estimates of the total costs per service provided. In a second step, total costs […]
This policy brief from the California Tribal Epidemiology Center at the California Rural Indian Health Board is intended for policymakers, tribal advisors and elected officials, multi-level offices of emergency services or homeland security, state departments of public health, and for the various emergency management and government associations, administrators, and related Native American agencies and their […]
The Northeast Kansas (NEK) Multi-County Health Department is a collaboration between three rural counties: Atchison, Brown and Jackson. It operates as a single agency, but provides public health services in each county. It also operates a home health agency, which is located in the city of Hiawatha and serves all three counties. The arrangement allows […]
The Southeast Kansas (SEK) Multi-County Health Department is a collaboration between four rural counties: Allen, Anderson, Bourbon and Woodson. It operates as a single agency, but provides public health services in each county. The arrangement allows the four counties to share one administrator, one accountant and one medical director between the four public health locations. […]
Portage County Health District expanded to include the city of Ravenna, resulting in enhanced services for Ravenna. Simultaneously, the health district and the city of Kent engaged in a joint community health improvement planning process that has successfully engaged numerous partners in countywide efforts to further protect and promote the health of all residents. This […]
Example of policy guidelines for creating letters of support from a CJS partnership.
This is an example of a human resources flow chart for resolving issues in a CJS partnership.
This case study features two county health departments in Kansas that considered sharing a family planning program. Although the CJS arrangement did not move forward, some important lessons were learned as a result of the process.