Cross-jurisdictional Sharing: How Small Health Departments Are Improving Services through Collaboration

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Health & Medicine

Published on March 11, 2014

Author: mschigoda_nnphi



This presentation from the November 2014 Open Forum describes the Center for Sharing Public Health Services’ work promoting cross-jurisdictional sharing (CJS) and how it helps health officials and policymakers improve the efficiency and effectiveness of local public health services. Two of the Center’s Learning Community sites, both of which involve partnerships among several small jurisdictions, describe how the concept of sharing services has turned into the reality of their daily work. Presenters also address connections between CJS, quality improvement, and accreditation.

Presenters: Sandy Tubbs, Horizon Community Health Board and Kenneth Oakley, Lake Plains Community Health Network, Inc.
Facilitator: Gianfranco Pezzino, Kansas Health Institute, Center for Sharing Public Health Services

Cross-Jurisdictional Sharing: Can it work in small jurisdictions? Gianfranco Pezzino, Co-Director, Center for Sharing Public Health Services Sandy Tubbs, Director of of Performance Improvement and Planning, Douglas County Public Health (MN) Kenneth L. Oakley, CEO, Lake Plains Community Care Network and Western New York Rural Area Health Education Center (NY).

Who Are We? Center for Sharing Public Health Services: Established in May 2012 Managed by the Kansas Health Institute, supported by the Robert Wood Johnson Foundation Assist public health agencies and policymakers as they consider and adopt CJS approaches by: Serving as national resource on CJS Building evidence on appropriate and successful approaches Producing and disseminating tools, methods and models 2

Shared Services Learning Community 3 16 sites 14 states 2-year grants

Phase 1: Explore Is CJS a feasible approach to address the issue you are facing? Who should be involved in this effort? Phase 2: Prepare and Plan How exactly would it work? Phase 3: Implement and Improve Let’s do it!

INTEGRATING LOCAL HEALTH DEPARTMENTS IN WEST-CENTRAL MINNESOTA Sandy Tubbs, PHN Director of Performance Improvement and Planning Horizon Community Health Board

Douglas County – Population 36,009 Grant County – Population 6,018 Pope County – Population 10,995 Stevens County – Population 9,726 Traverse County – Population 3,558 Total Population: 66,306

Will integration of three local health departments result in a more efficient and effective Public Health Department with greater capacity to meet the current and future challenges facing our communities? The Question

A Cross-Jurisdictional Sharing Team was formed in January 2012 to explore the potential benefits and drawbacks of consolidation. Information has been gathered in 6 primary focus areas including governance, programs and services, personnel and staffing, budget and finance, community partnerships and office facilities. The Process


Saratoga Nassau Queens Kings Suffolk Sullivan Ulster Hamilton Warren Lewis Madison Seneca Ontario Yates Cayuga Tompkins Livingston Monroe Chautauqua Cattaraugus Westchester Franklin St. Lawrence Essex Erie Steuben Broome Tioga Clinton Jefferson Herkimer Washington Oswego OneidaOrleans Niagara Wayne Fulton OnondagaGenesee Montgomery Rensselaer Schenectady Otsego Wyoming Schoharie AlbanyCortland Chenango Schuyler Allegany Delaware ColumbiaGreene Chemung Dutchess Orange Putnam Rockland Bronx New York Richmond Orleans Co. Pop. - 42,600 Land Mass - 391 Sq. Miles Pop. Density - 109 Genesee Co. Pop. - 60,000 Land Mass - 493 Sq. Miles Pop. Density - 111 Wyoming Co. Pop. - 42,000 Land Mass - 593 Sq. Miles Pop. Density - 71 Cows – 53,000 plus

Primary Genesee-Orleans CJS Drivers Diminishing Public Health resources Difficulties in workforce recruitment, retention and development Desire to explore readiness for potential accreditation either jointly or independently Desire to more effectively engage with the larger health care delivery system with an enhanced health and wellness focus

Principal Genesee-Orleans Objectives and Process Shared senior management Joint community health assessment, planning, and response implementation Joint purchasing Standardization of policies, procedures and fee schedules Cost containment and quality improvement

(855) 476-3671 - - Sandy Tubbs, PHN – (320) 762-3003 - Kenneth L. Oakley, Ph.D., FACHE – (585) 345-6110 - The Center for Sharing Public Health Services is a national initiative managed by the Kansas Health Institute with support from the Robert Wood Johnson Foundation. 13

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