Sample Agreements
The Center’s Spectrum of Cross-Jurisdictional Sharing Arrangements identifies four main types of CJS arrangements.
Generally, moving from left to right along the Spectrum, as the level of service integration increases, the level of jurisdictional autonomy decreases, and implementation becomes more complex, as can governance. The governance model, financial structure and decision-making process can be different for each type of arrangement on the Spectrum.
Because there is not a one-size-fits-all approach to CJS, it is important to refer to the Spectrum early and often during the CJS process that is outlined in the Center’s Roadmap to Develop Cross-Jurisdictional Sharing Initiatives.
List of Sample Agreements by Type
Assessment, Evaluation, & Quality Improvement
Governance and Fiscal Issues
- Agreement Between Portage County Combined General Health District and City of Ravenna for Public Health Services
- Agreement for Public Health Services
- Agreement to Share Public Health Services (between two jurisdictions)
- By-Laws of Horizon Community Health Board
- Cumberland District Coordinating Council for Public Health By-Laws
- Intergovernmental Agreement (San Luis Valley Public Health Partnership in Colorado)
Legal Issues and Resources
- Agreement Between Polk County Public Health and Norman-Mahnomen Public Health as part of the Polk-Norman-Mahnomen Community Health Board for shared staffing to provide public health services
- Agreement Between Portage County Combined General Health District and City of Ravenna for Public Health Services
- Agreement for Public Health Services
- Agreement to Share Public Health Services (between two jurisdictions)
- By-Laws of Horizon Community Health Board
- Intergovernmental Agreement (San Luis Valley Public Health Partnership in Colorado)
- Interlocal Contract Between Public Agencies
- Letter of Agreement Public Health Shared Services Pilot Project
- MALPH Cross-Jurisdiction Sharing Medical Director Workgroup Memorandum of Understanding (MOU) Templates
- Memo of Understanding between Northern Health Centers, Inc., and Marinette County Public Health
- Memorandum of Agreement for Cross-Border Tuberculosis Services
- Memorandum of Understanding (MOU) Between Marathon County Health Department and Oneida County Health Department
- Memorandum of Understanding Between Ashland County Health Department and Bad River Health Services
- Memorandum of Understanding Between Marathon County Health Department and HIV Partner Services Jurisdiction Members
- Memorandum of Understanding Northwoods Collaborative
- Memorandum of Understanding Public Health Emergency Preparedness Services Between Marinette County Public Health and Oconto County Public Health
- Memorandum of Understanding: Northwoods Preparedness Collaborative
- Northern Michigan Public Health Alliance Memorandum of Understanding
- Operating Agreement (San Luis Valley Public Health Partnership in Colorado)
- Ordinance Authorizing the Provision of Health Services: Portage County/City of Ravenna
- Public Health Department Mutual Aid Agreement for Incident Response
- Public Health Interjurisdictional Immunization Information System Memorandum of Understanding Template
- State of Maine Department of Health and Human Services Agreement to Purchase Services
- Terms of Agreement and Instructions for Acting as an Agent for the Wisconsin Department of Agriculture, Trade and Consumer Protection
- Waushara/ Green Lake/ Marquette Environmental Health Consortium Agent Memorandum of Understanding
Preparedness & Emergency Response
Regionalization and Consolidation
Rural/Small Jurisdictions
Tribal Issues
Spectrum of Sharing Arrangements
Looser Integration
Tighter Integration
As-Needed Assistance
Information sharing (e.g., infectious disease testing protocols, health education messaging)
Equipment sharing
Assistance for surge capacity (e.g., assisting with food delivery during a crisis, providing temporary contact tracing capacity)
Assisting with enrolling in public benefit programs
Service-Related Arrangements
Service provision agreements (e.g., contract to provide immunization services, providing grants to community members to implement population health strategies)
Purchase of staff time (e.g., environmental health specialist)
Shared Programs or Functions
Joint programs and services (e.g., shared HIV program, shared data platform)
Joint shared capacity (e.g., epidemiology, communications)
Group purchasing / procurement processes
Joint management and governance of grants
Regionalization / Consolidation
New entity formed by merging existing local public health agencies
Consolidation of one or more local public health agencies into an existing local public health agency
Consolidating health and human services into one agency
Consolidating public health and behavioral health services into one agency