This comparison tool helps multiple jurisdictions compare the fiscal, service and staffing implications of providing a public health service within their own jurisdiction versus in a shared arrangement. It was developed by the Northwoods Shared Services Project in Wisconsin, a member of the Center’s Shared Services Learning Community.
This website provides information about how counties, cities, schools and special districts as distinct legal entities can work together to share services. Available online: http://www.ca-ilg.org/shared-services-and-joint-use
This section of the Institute for Local Government’s website provides a number of sample agreements that can be used for developing intergovernmental collaborations. Although most of the agreements are based on California examples, much of the information is generalizable. Available online: http://www.ca-ilg.org/post/interagency-collaboration-sample-agreements
This is a template that can be used by jurisdictions to formalize the provision of and specify reimbursement for the costs for sharing public health services. It was developed by the Central Massachusetts Regional Public Health Alliance, which was part of the Center’s Shared Services Learning Community.
This tool reviews service and community characteristics in order to help local leaders determine whether cross-jurisdictional sharing arrangements could achieve community goals. Available online: https://icma.org/documents/collaborative-service-delivery-matrix
The agreement outlines the responsibilities of the governing board that oversees operation of the new public health entity called Horizon Public Health.
This agreement to provide public health services is between a city health department and county health district. It specifies the public health services that will be provided and includes a set dollar amount for those services.
This webpage from the Network for Public Health Law provides information on the laws in each state that could impact formation of a cross-jurisdictional sharing public health arrangement. Available online: https://www.networkforphl.org/resources_collection /2013/12/02/388/ resource_intergovernmental_cooperation_agreements_map
This comprehensive report documents public health sharing efforts in Wisconsin, including an explanation of what shared services are, why services are shared, barriers to sharing services, and examples of successful sharing arrangements. In addition, authors review each phase of the Center’s Roadmap to Develop Cross-Jurisdictional Sharing Initiatives.
This document from the Center for Sharing Public Health Services is a primer to assist policymakers and public health officials as they determine the full cost of sharing services and decide how to distribute that cost across or among jurisdictions.