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).

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Who Are We?Center for Sharing Public Health Services:

Established in May 2012Managed by the Kansas Health Institute, supported

by the Robert Wood Johnson FoundationAssist public health agencies and policymakers

as they consider and adopt CJS approaches by:Serving as national resource on CJSBuilding evidence on appropriate and successful

approachesProducing and disseminating tools, methods and

models

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Shared Services Learning Community

16 sites

14 states

2-year grants

Phase 1: ExploreIs 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, PHNDirector of Performance Improvement and PlanningHorizon 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

PURSUING INTEGRATION OF PUBLIC HEALTH SERVICES IN GENESEE AND ORLEANS COUNTIES, NY

Kenneth L. Oakley, Ph.D. FACHE

Chief Executive Officer

Lake Plains Community Care Network

Saratoga

NassauQueens

Kings

Suffolk

Sullivan

Ulster

HamiltonWarren

Lewis

MadisonSeneca

Ontario

Yates

Cayuga

Tompkins

Livingston

Monroe

ChautauquaCattaraugus

Westchester

Franklin

St. Lawrence

Essex

Erie

SteubenBroome

Tioga

Clinton

Jefferson

HerkimerWashington

Oswego

OneidaOrleansNiagara Wayne Fulton

OnondagaGeneseeMontgomery

Rensselaer

Schenectady

OtsegoWyomingSchoharie AlbanyCortland

ChenangoSchuyler

AlleganyDelaware

ColumbiaGreene

Chemung

Dutchess

Orange Putnam

Rockland

BronxNew 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-OrleansCJS Drivers

Diminishing Public Health resourcesDifficulties in workforce recruitment,

retention and developmentDesire to explore readiness for potential

accreditation either jointly or independentlyDesire 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 managementJoint community health assessment,

planning, and response implementationJoint purchasingStandardization of policies, procedures and

fee schedulesCost containment and quality improvement

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(855) 476-3671 - www.PHSharing.org - PHSharing@KHI.orgSandy Tubbs, PHN – (320) 762-3003 - sandyt@co.douglas.mn.us Kenneth L. Oakley, Ph.D., FACHE – (585) 345-6110 - koakley@lakeplains.org

 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.