Regionalization and Consolidation

Report–Consolidation of Local Health Departments in Ohio: Motivations and Impacts

This policy brief reviews motivations and impacts for consolidation of local public health departments in Ohio. It indicates that health departments often seek to save money and improve services through consolidation, and that overall city government factors such as budget deficits and the structure of the city leadership are influential in promoting consolidations. Available online […]

Policy Brief–Consolidation of Local Health Departments in Ohio: Motivations and Impacts

This report examines the motivations for and impacts of consolidations of local public health departments in Ohio. Since 2001, there have been twenty cases of city health departments merging their public health services with those of a county health department or another city health department in Ohio, and this has resulted in a 13 percent […]

Letter of Agreement Public Health Shared Services Pilot Project

This Letter of Agreement for a Public Health Shared Services Pilot Project is between two New York counties outlining their commitment to provide quality essential public health services effectively to their residents but acknowledges that fiscal pressures necessitate collaborative measure. The parties agree to share a public health director and deputy public health director and […]

Horizon Implementation Work Plan 2014

This implementation work plan developed by the Horizon (Minnesota) restructuring committee outlines next step issues for ongoing discussion, their priority levels, who is responsible, target dates, and status notes for moving forward with consolidating three local public health departments that cover five counties. This document can be used as a template and example for jurisdictions […]

Horizon Community Health Board Restructuring Committee Meeting Minutes

This series of minutes from the Horizon (Minnesota) restructuring committee provides a detailed overview of the process undertaken to address issues related to governance, budget and finance, programs and services, personnel/staff issues, community partnerships, and physical facilities/offices while exploring consolidation of three public health departments covering five counties.

Horizon Community Health Board 2012 Organizational Structure Committee

This document outlines the 2012 organizational restructure committee’s starting principles of agreement, primary areas of consideration (i.e., governance, budget and finance, programs and services, personnel/staff issues, community partnerships, and physical facilities/offices), and proposed timeframe for exploring restructuring three health departments covering five counties in order to assure the current and future presence of a strong […]

Horizon Community Health Board 2012 Quality Improvement Plan Goals

This document outlines the 2012 quality improvement plan goals established for the Horizon Community Health Board (Minnesota): 1) assess and address quality improvement as it relates to the broad five-county community health board; 2) explore organizational structure options to identify the structure that will support the organization’s capacity to meet national accreditation standards and measures; […]

Horizon Performance Management System

This chart provides a visual overview of service program team leads and oversight committee responsibility for the Horizon Community Health Board (Minnesota) Performance Management System. The document is part of a package that details activities by five counties exploring restructuring of their public health departments in order to assure the current and future presence of […]