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 […]

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 […]

The Consolidation of the Health Departments in Summit County, Ohio

This report provides a historical narrative of the process of consolidating three local health departments into one for an entire county. It provides details of how the political, legal, fiscal and administrative challenges to obtaining approval of the merger and of implementing it were met. Harvard Kennedy School. (2012). The Consolidation of the Health Departments […]

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 […]