Regionalization and Consolidation

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

This conference focused on the opportunities and challenges in realizing cost efficiencies through regional consolidation of local government services, including public health. Website: Kodrzycki, Y. K. (2013). The Quest for Cost-Efficient Local Government in New England: What Role for Regional Consolidation Conference [website]. Boston, MA: Federal Reserve Bank of Boston.

Consolidating Health Departments in Summit County, Ohio: A One Year Retrospective

This presentation is part of a panel discussion entitled, “You’re Not Alone: Dialogue about Cross-Jurisdictional Sharing.” The discussion occurred during the National Association of County and City Health Officials annual meeting on July 12, 2012, in Los Angeles, CA. A county-level policymaker from Ohio who participated in the implementation of cross-jurisdictional sharing (CJS) of public […]

Considering Consolidation to Build Stronger Local Health Departments

This master’s degree paper submitted to the University of North Carolina at Chapel Hill provides an overview of the issues surrounding consolidation of local health departments. The author discusses potential benefits (including cost savings, increased capacity to provide essential services, and increased preparedness), the concerns associated with consolidation (including loss of control, low priority of […]

Regionalization: A Guide for Sharing Public Services in Massachusetts

This web article provides insight into thinking about regionalization of public services by focusing on municipal public health services in Massachusetts. It includes links to statutory requirements, types of sharing agreements, and other resources. Available online:

Regionalization: Collateral Benefits of Emergency Preparedness Activities

This article provides lessons from regionalized public health services for emergency preparedness in Kansas. It discusses the tangible and intangible benefits of regionalization as perceived by members of focus groups interviewed for this research. Available online: Wetta-Hall, R., RuBerg-Copas, G., Ablah, E., Herrmann, M. B., Kang, S., Orr, S. & Molgaard, C. (2007). Regionalization: […]

Public Health Cost Estimation Methods and Consolidation of Local Health Departments in Ohio: Motivation and Impacts

These presentation slides accompany a webinar hosted by the Public Health Practice-Based Research Networks National Coordinating Center. The webinar focused on the use of cost estimation methods to predict staffing and spending for public health improvement standards (using NACCHO core public health services). In addition, results were shared from a study of 20 city-county public […]