Online Program

Shared service arrangements among local and tribal health departments in Wisconsin

Monday, November 4, 2013 : 10:30 a.m. - 10:50 a.m.

Kusuma Madamala, PhD, MPH, Public Health Systems Consultant, Vernon Hills, IL
Nancy Young, MPA, Institute for Wisconsin's Health, Madison, WI
Dustin Young, BA, Institute for Wisconsin's Health, Madison, WI
Elizabeth Giese, RN, MSPH, Western Regional Office, Wisconsin Division of Public Health, Eau Claire, WI
Dan Stier, JD, Network for Public Health Law
Terry Brandenburg, MPH, CPH, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI
Susan J. Zahner, DrPH, RN, FAAN, School of Nursing, University of Wisconsin-Madison, Madison, WI
The objective of this study was to explore current and future use of shared service arrangements as a management strategy to increase capacity to provide public health essential services in Wisconsin. An online cross-sectional survey of 99 local and tribal health departments in Wisconsin was conducted. Select variables from the 2010 Wisconsin Local Health Department survey were merged. Other data sources included results from a Board of Health governance analysis and the Wisconsin Department of Health Services region data. Ninety-one of 99 Wisconsin local and tribal health departments responded yielding a 92% response rate. Descriptive analysis was performed of current and future shared service arrangements and the characteristics of the types of arrangements and agreements in place. Seventy-one percent of respondents currently share services with one or more other health departments. More frequent shared arrangements occurred in programmatic areas than in departmental operations. Most frequently reported motivators for sharing services include making better use of resources, providing better services and responding to program requirements. Extensive qualitative comments indicate arrangements accomplished what the local health department hoped it would with perceived gains in efficiency and effectiveness.

Learning Areas:

Administration, management, leadership

Learning Objectives:
Describe the types of services currently shared and the nature of these arrangements Identify 3 motivators for sharing services Discuss what shared service arrangements have accomplished

Keyword(s): Service Delivery, Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 15 years of experience in public health practice and research settings and either led or assisted in all stages of this particular research project. I have also taught Public Health Program Planning and Evaluation, as well as worked in the field of community health assessment.
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.