Northern Michigan Cross Jurisdictional Sharing Team

National Association of Local Boards of Health Salt Lake City, Utah

August 14, 2013

Shelley Pinkleman, Chair, Board of Health

Linda Van Gills, Health Officer

District Health Department #10

Northern Michigan Cross Jurisdictional Sharing Team

6 local health departments

640,000 total population

14,124 square land miles

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Motivations for considering cross jurisdictional sharing (CJS)

arrangements

6 LHDs have long history of working together and have developed trusting relationships

By working together, cross jurisdictional sharing can achieve specific health outcomes

Smaller health departments need cross jurisdictional sharing in order to survive

CJS can increase and improve public health services

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Why should local boards ofhealth be interested in crossjurisdictional sharing?

Some thoughts from our recent

discussions in Northern Michigan…..

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Function: Policy Development

Lead and contribute to the

development of policies that

protect, promote and improve

public health while ensuring

that the agency remains

consistent with laws

and rules to which it is

subject

Respond to opportunities with implementation of health care reform

Negotiate with the multiple Medicaid health plans for more uniformity in rules and regulations

Advocate for reforms in the Michigan Legislature; (ie, NP scope of practice)

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Function: Resource Stewardship

Assure the availability of

adequate resources (legal,

financial, human,

technological and material) to

perform essential public

health services

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Share Medical Director, Epidemiologist, other staff

Share IT--software, hardware and expertise

Develop common job descriptions, orientation and trainings

Work together to develop major plans (ie Emergency Prep)

Prepare for State and National accreditation

Function: Legal Authority

Exercise legal authority

and understand the roles,

responsibilities, obligations

And functions of the

governing body, health

officer and agency staff

Share regulations such as Imminent Danger Order for “spice”

Conduct staff training together for certain Environmental Health programs

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Function: Partner Engagement

Build and strengthen

community partnerships

through education and

engagement to ensure the

collaboration of all

relevant stakeholders

Collaborate beyond jurisdiction with community partners

Nurture regional partnerships to reduce fragmentation and duplication

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Function: Continuous Improvement

Routinely evaluate, monitor

and set measureable

outcomes for improving

community health status and

the agency/governing

body ability to meet

its responsibilities

Conduct community health assessment and improvement together

Implement similar evidence-based interventions to common priorities identified in assessments

Submit joint proposals for funding to implement these interventions and for other major projects

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Function: Oversight

Assume ultimate responsibility

for public health performance

in the community by

providing necessary

leadership and guidance in

order to support the agency in

achieving measureable

outcomes

Develop common metrics for monitoring region-wide

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For additional informationShelley PinklemanChair--Board of HealthDistrict Health Dept. #10 tmsp26@yahoo.com 989-390-6222

Linda Van GillsHealth OfficerDistrict Health Dept. #10 lvangills@dhd10.org 231-9028530

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