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Sharing Resources Across Jurisdictions: A Roadmap to Success

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

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  1. Sharing Resources Across Jurisdictions: A Roadmap to Success Gianfranco Pezzino Co-DirectorAugust 19, 2014

  2. Overview of This Session

  3. Overview of This Session

  4. 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

  5. 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

  6. Shared Services Learning Community 16 sites 14 states 2-year grants (2013-2014)

  7. Overview of This Session

  8. 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

  9. Two Critical Questions • Who makes the decision to enter a CJS arrangement? • What are the drivers behind deciding to engage in CJS?

  10. The Key Players

  11. Drivers National Public Health Standards Emergency Preparedness CJS Agreements Increasing burden of chronic disease Lean fiscal environments Health care reform

  12. Balancing the Options Greater efficiency Enhanced capacity

  13. 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

  14. 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

  15. Overview of This Session

  16. Factors for Success

  17. Factors for Success

  18. Factors for Success

  19. Overview of This Session

  20. 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/

  21. 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!

  22. Phase 1: Explore Is CJS a feasible approach to address the issue you are facing? Who should be involved in this effort?

  23. Phase 2: Prepare and Plan How exactly would it work? (1 of 2)

  24. Phase 2: Prepare and Plan How exactly would it work? (2 of 2)

  25. Phase 3: Implement and Improve Let’s do it!

  26. The Roadmap on the Web Visit our website phsharing.org Select one of the circled links to get an Overview of the Roadmap.

  27. Overview of This Session

  28. 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

  29. Is There Sharing in Kansas? • Service sharing on program-by-program basis is long standing feature • Preparedness regions

  30. 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

  31. What is next?

  32. 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?

  33. www.PHSharing.orgPHSharing@KHI.org(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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