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Cross-jurisdictional sharing: advances in collaboration. An Introduction to the. Gianfranco Pezzino, Co-director Patrick Libbey, Co-director COPPHI - December 2012. Uncomfortable Questions. We have about 2,700 LHDs in the U.S. Do we need 2,700? Can we afford 2,700?
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An Introduction to the Gianfranco Pezzino, Co-directorPatrick Libbey, Co-director COPPHI - December 2012
Uncomfortable Questions • We have about 2,700 LHDs in the U.S. • Do we need 2,700? • Can we afford 2,700? • Can we imagine a day when all of them would meet accreditation standards? • Is it politically feasible to change the current LHD structure? Courtesy: Gene W. Matthews, JD, Network for Public Health Law
Who Are We? 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.
Center’s Goal • Increase the ability of public health agencies to improve the health of communities by helping explore, inform, track and share learning about regional and shared approaches to delivering public health services.
Center - Role 1:Support • Assist public health agencies and policymakers • Explore • Analyze • Plan • Implement • Monitor Approaches to share public health functions and services
Support Tools • Process and decision-making tools • Case studies • Translation of evidence • Expert consultation and TA models • Legal • Governance • Financial • Other
Center - Role 2:Share • Support a Shared Services Learning Community to understand the opportunity and impact of CJS on public health practice • Facilitate peer-to-peer sharing and learning • Identify and share successful processes, innovative approaches • Share documented examples of cross-jurisdictional sharing • Encourage discussion on crucial questions, barriers, challenges, solutions
Center Role 3:Evaluate and Improve • Sharing arrangements implementation • Grantee activities • Monitor • Evaluate • Improve
The Learning Community • The Broader Community, such as: • ASTHO • ICMA • NACCHO • NACo • NALBOH • CDC • Learning Sites • Local projects exploration • Both groups will • Learn • Share • Explore and more
Support for Learning Sites • 17 sites • Up to $125,000 for two years • Projects start in January 2013
Teams at Learning Sites • Teams funded will be • Exploring, implementing or improving CJS • Working with two or more PH agencies • Made up of PH officials, policy makers, others and will include a communications coordinator • Committed to • achieving greater efficiency • enhanced public health capacity • collaboration • A contributor to the Learning Community
Examples of Proposed CJS Activities • Exploration of CJS across 2-18 counties • Emergency preparedness response plan • TB control activities • Dental health program • I.D. control across tribes and counties • Environmental public health services • Consolidation of multiple agencies into one • Several applicants are interested in exploring relationship between CJS and accreditation
CJS and Accreditation • Two mechanisms to apply “sharing” to accreditation: • Multiple agencies apply independently • Multiple agencies apply jointly (MJ application) Demonstrate proficiency on shared elements through sharing agreements
Moving Forward Let’s look at things differentlyLet’s brainstorm possibilitiesLet’s explore options and alternativesThen, let’s SHARE
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.