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This presentation from the November 2014 Open Forum describes the Center for Sharing Public Health Services’ work promoting cross-jurisdictional sharing (CJS) and how it helps health officials and policymakers improve the efficiency and effectiveness of local public health services. Two of the Center’s Learning Community sites, both of which involve partnerships among several small jurisdictions, describe how the concept of sharing services has turned into the reality of their daily work. Presenters also address connections between CJS, quality improvement, and accreditation. Presenters: Sandy Tubbs, Horizon Community Health Board and Kenneth Oakley, Lake Plains Community Health Network, Inc. Facilitator: Gianfranco Pezzino, Kansas Health Institute, Center for Sharing Public Health Services
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Cross-Jurisdictional Sharing: Can it work in small jurisdictions?
Gianfranco Pezzino, Co-Director, Center for Sharing Public Health Services
Sandy Tubbs, Director of of Performance Improvement and Planning, Douglas County Public Health (MN)
Kenneth L. Oakley, CEO, Lake Plains Community Care Network and Western New York Rural Area Health Education Center (NY).
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Who Are We?Center for Sharing Public Health Services:
Established in May 2012Managed by the Kansas Health Institute, supported
by the Robert Wood Johnson FoundationAssist public health agencies and policymakers
as they consider and adopt CJS approaches by:Serving as national resource on CJSBuilding evidence on appropriate and successful
approachesProducing and disseminating tools, methods and
models
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Shared Services Learning Community
16 sites
14 states
2-year grants
Phase 1: ExploreIs 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!
INTEGRATING LOCAL HEALTH DEPARTMENTS IN WEST-CENTRAL MINNESOTA
Sandy Tubbs, PHNDirector of Performance Improvement and PlanningHorizon Community Health Board
Douglas County – Population 36,009
Grant County – Population 6,018
Pope County – Population 10,995
Stevens County – Population 9,726
Traverse County – Population 3,558
Total Population: 66,306
Will integration of three local health departments result in a more efficient and effective Public Health Department with greater capacity to meet the current and
future challenges facing our communities?
The Question
A Cross-Jurisdictional Sharing Team was formed in January 2012 to explore the
potential benefits and drawbacks of consolidation. Information has been
gathered in 6 primary focus areas including governance, programs and services,
personnel and staffing, budget and finance, community partnerships and office facilities.
The Process
PURSUING INTEGRATION OF PUBLIC HEALTH SERVICES IN GENESEE AND ORLEANS COUNTIES, NY
Kenneth L. Oakley, Ph.D. FACHE
Chief Executive Officer
Lake Plains Community Care Network
Saratoga
NassauQueens
Kings
Suffolk
Sullivan
Ulster
HamiltonWarren
Lewis
MadisonSeneca
Ontario
Yates
Cayuga
Tompkins
Livingston
Monroe
ChautauquaCattaraugus
Westchester
Franklin
St. Lawrence
Essex
Erie
SteubenBroome
Tioga
Clinton
Jefferson
HerkimerWashington
Oswego
OneidaOrleansNiagara Wayne Fulton
OnondagaGeneseeMontgomery
Rensselaer
Schenectady
OtsegoWyomingSchoharie AlbanyCortland
ChenangoSchuyler
AlleganyDelaware
ColumbiaGreene
Chemung
Dutchess
Orange Putnam
Rockland
BronxNew York
Richmond
Orleans Co. Pop. - 42,600 Land Mass - 391 Sq. Miles Pop. Density - 109
Genesee Co. Pop. - 60,000 Land Mass - 493 Sq. Miles Pop. Density - 111
Wyoming Co. Pop. - 42,000
Land Mass - 593 Sq. Miles Pop. Density - 71 Cows – 53,000 plus
Primary Genesee-OrleansCJS Drivers
Diminishing Public Health resourcesDifficulties in workforce recruitment,
retention and developmentDesire to explore readiness for potential
accreditation either jointly or independentlyDesire to more effectively engage with the
larger health care delivery system with an enhanced health and wellness focus
Principal Genesee-Orleans Objectives and Process
Shared senior managementJoint community health assessment,
planning, and response implementationJoint purchasingStandardization of policies, procedures and
fee schedulesCost containment and quality improvement
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(855) 476-3671 - www.PHSharing.org - PHSharing@KHI.orgSandy Tubbs, PHN – (320) 762-3003 - sandyt@co.douglas.mn.us Kenneth L. Oakley, Ph.D., FACHE – (585) 345-6110 - koakley@lakeplains.org
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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