Regionalization and Consolidation

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 […]

Regionalization in Local Public Health Systems

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.

Final Report on the Feasibility of the Consolidation of the Findlay City Health District and the Hancock County (Ohio) General Health District into a Combined General Health District

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.

Regionalization of Government Services: Lessons Learned & Application for Public Health Service Delivery

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. […]

Public Health Futures: Considerations for a New Framework for Local Public Health in Ohio

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 […]

Final Report on the Feasibility of Administration Consolidation Among Health Districts 2, 4, and Central Michigan

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.

The Quest for Cost-Efficient Local Government in New England: What Role for Regional Consolidation?

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.

The Quest for Cost-Efficient Local Government in New England: What Role for Regional Consolidation?

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.