Online Program

Initial Results and Identification of Factors Associated with Successful Cross-Jurisdictional Initiatives

Tuesday, November 3, 2015 : 9:06 a.m. - 9:18 a.m.

Patrick Libbey, Center for Sharing Public Health Services, Topeka, KS
Gianfranco Pezzino, MD, MPH, Center for Sharing Public Health Services, Topeka, KS
The Center for Sharing Public Health Services is a national resource on cross-jurisdictional sharing (CJS) in public health. CJS occurs when public jurisdictions share services and capacities to build economies of scale allowing more effective and efficient operations. The Center builds evidence and produces and disseminates tools, methods and models to assist public health agencies and policymakers as they consider CJS approaches.  As part of its work the Center supports a learning community including 20 demonstration projects comprised of 75 health departments serving 125 political jurisdictions in 14 states.  Information gathered from these sites combined with information from other surveys, case studies and a broad review of public sector literature shows there is growing qualitative and quantitative evidence that CJS models can be successful in improving efficiency and effectiveness in delivering public health services. Evidence collected suggests that CJS initiatives can achieve outcomes such as reduced costs, greater productivity, enhanced grant eligibility, increased range and availability of public health services, and improved quality of services.  Further, the Center has identified and categorized three groups of factors that can help maximize success in CJS initiatives: prerequisites, facilitating factors, and project characteristics. Prerequisites that should be in place in every project include clarity of objectives, balanced approach to improve both efficiency and effectiveness, and mutual trust. Facilitating factors include success in prior collaborations, a sense of regional identity, and positive interpersonal relationships. Project-specific characteristics that can help include senior-level support, strong project management skills, strong change management plans, and effective communication. CJS models can help improve the effectiveness and efficiency of public health service delivery. Health officials and policymakers considering CJS initiatives should examine what success factors are present and can be leveraged, while being aware of the potential impact of those that are lacking.

Learning Areas:

Administration, management, leadership
Program planning
Public health administration or related administration
Public health or related organizational policy, standards, or other guidelines
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Identify factors associated with successful cross-jurisdiction sharing initiatives. Describe preliminary results from cross-jurisdictional sharing initiatives.

Keyword(s): Public Health Administration, Public Health Infrastructure

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the Center for Sharing Public Health Services co-director since May 2012. For three years prior I worked examining issues, perceptions, readiness, opportunities and barriers associated with using cross-jurisdictional sharing as a means of improving local public health performance, effectiveness and efficiency. This work was informed throughout from the perspectives of federal, state and local public health officials as well as those of state and local elected officials and policy makers.
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.