245059 Regional Approaches to Public Health Service Delivery: Possibilities and Politics

Wednesday, November 2, 2011: 11:10 AM

Lisa VanRaemdonck, MPH, MSW , Colorado Association of Local Public Health Officials, Denver, CO
Kathleen Matthews, MPH , Office of Planning and Partnerships, Colorado Department of Public Health and Environment, Denver, CO
Lee Thielen, MPA , Public Health Consultant, Fort Collins, CO
Sharing services across local public health agencies is an approach for agencies to deal with the challenges of economic pressures, an aging workforce, and public health accreditation on the provision of public health services in rural communities. In Colorado, no local public health agencies have merged into district agencies in more than 60 years. However, a variety of “regional approaches” have been developed over time, in the form of sharing services, staff and funds across agencies. Until work over the past two years, these approaches had not been cataloged, mapped and analyzed. The Colorado Association of Local Public Health Officials and Colorado Department of Public Health and Environment have worked to understand the legal and political influences on the development and maintenance of regional approaches through projects including an agency annual reporting process, survey and key informant interview research, and a site visit-based assessment project. Combined, these projects, provide a multi-layered view of the regional approaches in Colorado, as well as insight into the influences and barriers to providing shared services. This presentation will highlight various types of regional approaches, describe the legal and political influences of current approaches and discuss potential approaches from the system level.

Learning Areas:
Administration, management, leadership
Public health administration or related administration
Public health or related public policy
Public health or related research

Learning Objectives:
Define various types of shared service approaches. Describe political influences on shared service approaches. Identify challenges and encouragements for shared service approaches.

Keywords: Partnerships, Service Delivery

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been co-PI or strategic partner in the three projects related to this topic. I am Executive Director of the state association of local public health in Colorado.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.