Regionalization and Consolidation

Combining Contracts to Fight Chronic Disease in Montana

In 2011, the Chronic Disease Prevention and Health Promotion Bureau received a CDC grant to closely examine their internal processes, so they could regionalize their work and combine individual contracts, with the ultimate goal of better addressing chronic disease prevention and health promotion at the local level. This publication is from the Center for Sharing Public Health Services.

Washington County Survey Data: Pre-Information System Implementation Satisfaction Survey

This example document, comprised of survey data, comes from the merger of the Washington County and Ozaukee County health departments in Wisconsin. A key component of the merger was the implementation of shared information system (IS) services, which included shared drives and electronic health records (EHR). A survey was administered to staff in both counties […]

Blueprint for Public Health Excellence: Recommendations for Improved Effectiveness and Efficiency of Local Public Health Protections (Executive Summary)

This report was developed by the Special Commission on Local and Regional Health, a 25-member body tasked with assessing the public health systems in Massachusetts. The executive summary documents key commission findings, as well as recommendations for how to improve public health in Massachusetts. The report makes the case for a more regional approach to […]

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 […]

Regional Consolidation of Local Government Services in New England: Opportunities and Challenges in Realizing Greater Cost Efficiencies

This policy forum featured new research by the New England Public Policy Center exploring if and how New England local governments could save through greater consolidation of public safety, public health, and high-level government administration services. Available online: http://www.bostonfed.org/economic/neppc/conferences/2013/regional-consolidation/index.htm

Regionalization of Local Public Health Systems in the Era of Preparedness

This article briefly examines the lessons learned from regionalization for police and fire services, and draws comparisons to public health. It includes case studies to highlight examples of regionalization outcomes related to networking, coordination, standardization, and centralization of public health services. Available online: http://www.ncbi.nlm.nih.gov/pubmed/18348711?dopt=Abstract Koh, H.K., Elqura, L.J., Judge, C.M., & Stoto, M.A. (2008). Regionalization […]

Regionalization in Local Public Health Systems: Public Health Preparedness in the Washington Metropolitan Area

This article examines case studies of regional preparedness structures in the Washington metro area to understand how they have been organized, implemented and governed, as well as to assess their likely impact on public health preparedness and public health systems generally. It reports on increased public health activities in the area since 9/11 and their […]