Consolidating Local Health Departments in Ohio: Impacts on Externally Generated Revenues
However, relatively little attention has been paid to the impacts of consolidation on the ability of LHDs to attract external revenue to support their operations. Some may argue that consolidation is likely to have positive impacts on external revenues due to likely expansions of LHD capacities and geographic areas covered, while others may argue that there is little reason to believe that consolidation will have these kinds of effects.
This presentation will share the results of a mixed method study to assess the impact of LHD consolidation on external revenues. We use data submitted to the State of Ohio between 2001 and 2011, as well as interviews with local health officials to evaluate the impacts of consolidation on non-local revenues. We find that consolidating LHDs may experience reductions in non-local revenues in the short term and that this effect may disappear after about two years. We also discuss the implications of our findings for efforts to consolidate LHDs in the future.
Learning Areas:Administration, management, leadership
Public health administration or related administration
Public health or related public policy
Public health or related research
Describe the likely financial advantages and disadvantages of consolidating Local Health Departments (LHDs). Explain how LHD consolidations in Ohio have affected externally generated revenues. Discuss the implications of potential short term external revenue loss for consolidating LHDs.
Keyword(s): Local Public Health Agencies, Practice-Based Research
Qualified on the content I am responsible for because: I have served as principal or co-principal investigator on multiple federal and externally funded grants on issues relating to administration and public health. In recent years, my research has focused on issues associated with collaboration and consolidation of public entities, and -- as a part of these efforts -- I have focused particular attention on local health departments. I also served as Academic PI on the grant yielding the research presentation being proposed here.
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.