Spectrum of Cross-Jurisdictional Sharing Arrangements

Resource Summary

The Center for Sharing Public Health Services has identified four main types of CJS arrangements, as depicted on the Spectrum of Cross-Jurisdictional Sharing Arrangements. Moving from left to right along the Spectrum, the level of service integration increases, the level of jurisdictional autonomy decreases, and implementation becomes more complex, as can governance. The Spectrum was updated by the Center in 2017.