1. Criteria for Cross-Jurisdictional Sharing in Public Health
Perspectives from a literature review, health officers interviews and policymakers discussion groups in the Northwoods Shared Services Project, April 2014

2. A Roadmap for Sharing: Explore Prepare & Plan Implement & Improve
Source: Center for Sharing Public Health Services
A Roadmap for Sharing: Explore Prepare & Plan Implement & Improve

3. Goals and Expectations:
Is in alignment with our mission and core values
Evidence based and when applicable, designed to improve population health
Accomplish at least one of the following:
Achieve an essential public health service
Advance initiatives in a priority area in our community health plan
Enhance the quality of the existing service
Improve capacity for achieving public health accreditation
Goals and Expectations:
Why Consider CJS?

4. Assures adequate service levels for the investment of resources for our agency
The agreement is clear about which services will NOT be shared, including:
Functions (e.g. billing, human resources, information technology)
Programs and Capacity (e.g. WIC, environmental health, epidemiology, lab)
Scope of the Agreement

5. Partners and Stakeholders
Have experience working together in CJS agreements, trust each other and have an understanding of the culture and history of each jurisdiction
Adequate support for the CJS from policymakers, constituents, clients, and other stakeholders who may be affected by it
Partners and Stakeholders
Relationships
Public Support

6. Partners and Stakeholders
The proposed outcomes, service model and delivery, and staffing model feasible and supported by the partners, stakeholders and others affected by the CJS initiative.
The partners are in agreement on their respective roles and responsibilities and they are willing to enter into a written agreement.
Partners and Stakeholders
Policymaker & Stakeholder Support
Written Agreements

7. Fiscal & Service Implications
Is there a service benefit such as:
New services for less money than could be achieved by doing it alone
Enhanced quality of service for an affordable investment?
Fiscal & Service Implications
Service

8. Fiscal & Service Implications
Is there a fiscal benefit such as:
Savings through avoiding capital costs over the medium and long term (3-10 years)
Reduced annual rates of increase in expenditures
Decreased annual operating cost
No increase in annual operating costs
Lower than expected rate of increase in annual operating costs?
Fiscal & Service Implications
Fiscal

9. Fiscal & Service Implications
Funding is adequate to support staff and resources needed to meet program/service outcomes
Funds pay for the increased indirect costs to the lead agency
Funding is at least 2 – 5 years versus one-time, one year funding that is unlikely to be sustainable
There is a plan for sustainable funding
Fiscal & Service Implications
Funding

10. The lead agency has experience managing CJS arrangements and the appropriate infrastructure in place for all reporting requirements
Leadership
Lead Agency

11. Can we recruit staff from the area workforce with the desired expertise in the location(s) needed?
Personnel

12. Criteria for Cross-Jurisdictional Sharing in Public Health
In Summary:
Goals and Expectations
Scope of the Agreement
Partners and Stakeholders
Fiscal and Service Implications
Leadership
Personnel
Criteria for Cross-Jurisdictional Sharing in Public Health

13. Acknowledgements: This work was funded by a grant from the Robert Wood Johnson Foundation and the Center for Sharing Public Health Services Fiscal Agent and Contact for the Grant: Marathon County Health Department
Northwoods Public Health Community: Shared Services Learning Community Grant

14. Grant Partners:
Ashland County Health & Human Services
Bayfield County Health Dept.
Florence County Health Dept.
Forest County Health Dept.
Iron County Health Dept.
Lac Courte Oreilles Band of Lake Superior Chippewa
LCO - send reminders to her also
Langlade County Health Dept.
Lincoln County Health Dept.
Marathon County Health Dept.
Marinette County Health & Human Services
Oneida County Health Dept.
Portage Co. Health & Human Services Dept.
Price Co. Health & Human Services
Sawyer County Health & Human Services
Shawano-Menominee Counties Health Department
Taylor County Health Dept.
Vilas County Health Dept.
Wood County Health Dept.
Northwoods Public Health Community: Shared Services Learning Community Grant