Why CJS?

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

Download a PDF of the Spectrum of Arrangements