This brief reports on the effects of 9/11 on preparedness and regionalization. It examines a series of comparative case studies in four areas that suggest regionalization can improve both preparedness and public health in general. Available online: https://www.rwjf.org/en/library/research/2011/04/april-issue-of-health-affairs-focuses-on-patient-safety-and-heal/regionalization-in-local-public-health-systems.html California Health Policy Forum. (2007). Regionalization in Local Public Health Systems.
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 […]
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 […]
This briefing report is a retrospective review of the process, challenges and outcomes of the consolidation of three health departments.
This report examines regionalization experiences of government services providers for lessons learned and best practices. It analyzes models in the fields of education, public safety, regional councils, water/waste management and economic development, and provides 17 detailed case studies. Kaufman, N. J. (2010). Regionalization of Government Services: Lessons Learned & Application for Public Health Service Delivery. […]
This report proposes a model for Ohio’s local governmental public health system. The model includes a mechanism for governance and sustainable financing that considers cross-jurisdictional sharing and/or regionalization, enhances quality, and assures value. The project, which is the result of a public health project guided by a steering committee of health commissioners, explored cross-jurisdictional sharing […]
This report, prepared by a steering committee comprised of county commissioners, health officers, public health administrators, medical directors and an outside consulting firm, provides results from a fiscal- and programs-related review focused on consolidation options for three health districts in Michigan. E-mail phsharing@khi.org for more information about this publication.
This report, funded in part by NALBOH, documents a feasibility study of issues and options involved in the creation of a city / county health district consolidation. Call the Center for Sharing Public Health Services for more information about this publication.
This presentation provides an overview of a larger report focused on the economies of scale and cost savings that could be achieved through consolidation of various public services. Kodrzycki, Y. K. (2013). The Quest for Cost-Efficient Local Government in New England: What Role for Regional Consolidation [presentation slides]. Boston, MA: Federal Reserve Bank of Boston.
This report provides projections on the economies of scale and cost savings that could be achieved through consolidation of various public services. Kodrzycki, Y. K. (2013). The Quest for Cost-Efficient Local Government in New England: What Role for Regional Consolidation? Boston, MA: New England Public Policy Center.