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Cross-Jurisdictional Sharing of Resources Helps Public Health Departments Deliver Better Services with More Limited Budgets.

Local public health departments are increasingly asked to provide more high-quality public health services, programs, and activities with a substantially limited budget. In response to this challenge, local health departments have developed strategies to continue their level of services and programs while reducing costs, including cross-jurisdictional sharing of resources--equipment, information, or staff--among one or more local health departments across geographic boundaries. Sharing personnel, positions, or services can address existing staff shortages, help jurisdictions make the most of available resources, enhance flexibility, improve communication and coordination, and even add capacity for more or improved services.

"Case Studies in Staff Sharing in Local Public Health," a new report developed by the Center for State and Local Government Excellence (SLGE) with support from the Center for Sharing Public Health Services, provides important insight on key challenges, how the effort was implemented, financial considerations, outcomes, and lessons learned through two case studies of staff-sharing arrangements in New Jersey and Minnesota. Also highlighted are two areas of focus that are critical as local leaders consider sharing staff across jurisdictions: building the business case for cross jurisdictional sharing and evaluating the success of the arrangement.

The first case study examines Gloucester and Salem counties in New Jersey. There, state law requires that counties have a full-time licensed health officer, but allows the flexibility for that health officer to be shared, which is what Gloucester and Salem counties have done since 2014. The case study reports that rather than each bearing the full expense of a health officer position, sharing a position made it both more economical and more efficient. Other benefits cited in the case study include more uniform and coordinated service delivery, stronger relationships among community partners, and streamlined operational oversight.

The second case study examines the rural counties of Brown, Nicollet, Cottonwood, and Watonwan, in south central Minnesota. These jurisdictions have been sharing the services of the Brown-Nicollet Environmental Health staff since the mid-1990s. The report indicates that all four counties find value in the collaborative approach. The staff-sharing arrangement allows staff to have a pulse on what is happening on at the local level, to respond quickly to local citizens and licensed establishments, and to maintain environmental public health expertise and capacity at the local level.

These two case studies are important because local health departments are looking for innovative approaches to contain costs while improving the efficiency and effectiveness of local public health services, according to SLGE. Staff-sharing arrangements are not yet common, but the strategy has the potential to be applied across a range of local government departments to save money and provide better public health services.

These case studies can help local health officials understand how to better communicate with county and city policy makers about the added service effectiveness, as well as the administrative and cost efficiencies that can be achieved in staff-sharing arrangements, according to th the Center for Sharing Public Health Services.

Read the report at

Caption: Case Studies in Staff Sharing in Local Public Health
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Publication:Government Finance Review
Date:Jun 1, 2019
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