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Sharing Resources Across Jurisdictions: A Roadmap to Success. Gianfranco Pezzino Co-Director August 19, 2014. Overview of This Session. Overview of This Session. Center for Sharing Public Health Services. DOB: May 2012 National initiative Managed by the Kansas Health Institute

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Sharing resources across jurisdictions a roadmap to success

Sharing Resources Across Jurisdictions: A Roadmap to Success

Gianfranco Pezzino

Co-DirectorAugust 19, 2014




Center for sharing public health services
Center for Sharing Public Health Services

  • DOB: May 2012

  • National initiative

    • Managed by the Kansas Health Institute

    • Funded by the Robert Wood Johnson Foundation

  • Goal:

    • Explore, inform, track and disseminate learning about shared approaches to delivering public health services


Our audience
Our Audience

  • Public Health Officials

    • ASTHO

    • NACCHO

    • NALBOH

    • CDC

  • Policymakers

    • ICMA

    • NACo

    • USCM

    • NGA

    • NCSL

  • Learning community

    • 16 local projects

  • Both groups will

    • Learn

    • Share

    • Explore


Shared services learning community
Shared Services Learning Community

16 sites

14 states

2-year grants

(2013-2014)



Definitions
Definitions

  • Cross-jurisdictional sharing is the deliberate exercise of public authority to enable collaboration across jurisdictional boundaries to deliver essential public health services.

  • Collaboration means working across boundaries and in multi-organizational arrangements to solve problems that cannot be solved – or easily solved – by single organizations or jurisdictions.*

*Source: Rosemary O’Leary, School of Public Affairs and Administration, University of Kansas


Two critical questions
Two Critical Questions

  • Who makes the decision to enter a CJS arrangement?

  • What are the drivers behind deciding to engage in CJS?



Drivers
Drivers

National Public Health Standards

Emergency Preparedness

CJS Agreements

Increasing burden of chronic disease

Lean fiscal environments

Health care reform


Balancing the options
Balancing the Options

Greater efficiency

Enhanced capacity


Key points cjs qi accreditation
Key Points: CJS, QI, Accreditation

  • QI and PM tools can support successful CJS efforts

  • CJS can provide QI and PM documentation for accreditation

  • CJS may increase accreditation readiness

    • Some jurisdictions can achieve standards jointly, but not independently

  • Working jointly on accreditation may strengthen the coalition of sharing jurisdictions


Cross-Jurisdictional Sharing Spectrum

Shared Functions with Joint Oversight

Service Related Arrangement

Informal and Customary Arrangements

Regionalization

  • “Handshake”

  • MOU

  • Information sharing

  • Equipment sharing

  • Coordination

  • Service provision agreements

  • Mutual aid agreements

  • Purchase of staff time

  • Joint projects addressing all jurisdictions involved

  • Shared capacity

  • Inter-local agreements

  • New entity formed by merging existing LHDs

  • Consolidation of 1 or more LHD into existing LHD







Is there a good path
Is There a Good Path?

  • A roadmap to develop cross-jurisdictional sharing (CJS) initiatives

    • Developed by the CSPHS

    • Based on what we have learned from demonstration sites (and other published material)

    • See handout

    • Also available at: http://www.phsharing.org/roadmap/


Phase 1: Explore

Is CJS a feasible approach to address the issue you are facing? Who should be involved in this effort?

Phase 2: Prepare and Plan

How exactly would it work?

Phase 3: Implement and Improve

Let’s do it!


Phase 1: Explore

Is CJS a feasible approach to address the issue you are facing? Who should be involved in this effort?


Phase 2: Prepare and Plan

How exactly would it work?

(1 of 2)


Phase 2: Prepare and Plan

How exactly would it work?

(2 of 2)



The roadmap on the web
The Roadmap on the Web

Visit our website

phsharing.org

Select one of the circled links to get an Overview of the Roadmap.



Let s bring the learning home
Let’s Bring The Learning Home

  • KHI wants the learning from this project to benefit KS

  • The Center is literally round the corner from you!

    • Use its tools and expertise as needed

    • Reach out to us with questions


Is there sharing in kansas
Is There Sharing in Kansas?

  • Service sharing on program-by-program basis is long standing feature

  • Preparedness regions


Planned initiatives
Planned initiatives

  • Survey to assess extent of shared services

  • Identify some model projects in KS

  • Develop in-depth case studies

  • Make small start-up grants available



Many questions remain
Many questions remain:

  • Is this model applicable to CJS involving:

    • States?

    • Tribes?

    • System-wide changes?

  • What are fiscal implications?

    • Cost of sharing services

    • Apportionment

  • Is there a taxonomy that can be developed?

  • What are the long-term effects of CJS?

  • How do we measure success?


www.PHSharing.org[email protected](855) 476-3671

The Center for Sharing Public Health Services is a national initiative managed by the Kansas Health Institute with support from the Robert Wood Johnson Foundation.


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