By working together – pooling resources, sharing staff, expertise, funds and programs – across boundaries, public health departments can accomplish more than they could do alone. That is the benefit of cross-jurisdictional sharing (CJS).
The Center for Sharing Public Health Services provides access to tools, techniques, expertise and resources that support better collaboration and sharing across boundaries. We help public health departments across the country protect and promote the health of the people they serve.
Spectrum of Cross-Jurisdictional Sharing Arrangements
Looser Integration
Tighter Integration
As-Needed Assistance
Information sharing
Equipment sharing
Assistance for surge capacity
Service-Related Arrangements
Service provision agreements (e.g., contract to provide immunization services)
Purchase of staff time (e.g., environmental health specialist)
Shared Programs or Functions
Joint programs and services (e.g., shared HIV program)
Joint shared capacity (e.g., epidemiology, communications)
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