Staff Sharing Arrangements for Local Public Health


Public health challenges, such as disease outbreaks and substance abuse problems, do not recognize jurisdictional boundaries. This report examines case studies of three cross-jurisdictional staff sharing arrangements in local public health organizations as a means to expand organizational capacity, better manage expenditures, and contain or address existing or emerging issues.

Gerald Young, Joshua Franzel
Publication date:
November 2017
Filed under:
Case Studies, Research Studies
Key findings:
The case studies showed that benefits of staff sharing to address challenges related to public health service delivery include:
  • More effective planning and response for common infections as well as rare diseases;
  • Ability to qualify for grant funding that may not have been available to an individual jurisdiction on its own;
  • Ability to offer additional services, such as call-in assistance lines, that would otherwise not have been economical; and
  • Dependable backup coverage and coordinated scheduling for skilled clinical positions.

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