northwoods shared services project: discussions with policymakers ashland county health & human...
TRANSCRIPT
Northwoods Shared Services Project: Discussions with Policymakers
Ashland County Health & Human Services Committee
September 18, 2013
A Roadmap for Government Transformation,
February 2010, Baker Tilly Virchow Krause, LLP, Local Government Institute.
“Cooperation takes many forms.”
3
• “Handshake”
• MOU• Information
sharing• Equipment
sharing• Coordinatio
n
• 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
Informal and Customary Arrangements
Service Related Arrangement
Shared Functions with Joint Oversight
Regionalization
Cross-Jurisdictional Sharing Spectrum
Graphic courtesy of the Center for Sharing Public Health Services: http://www.phsharing.org/
4
Cross-Jurisdictional Sharing Ashland County
What is the Shared Service? Who Participates in the Sharing Arrangement? Who Pays for it? Type of Agreement?
Bay Area WIC Program Bayfield County
Iron County
Federal money passed through state
Contract
Emergency Preparedness and Planning
In existence since 2011
Bayfield County Health Department (lead agency)
Red Cliff Indian Tribe
Federal public health preparedness allocation
Contract
Nutrition Education
Bayfield County Health Department (lead agency)
Reimbursed services Contract
TN Well Testing Program Price County DNR grant Contract
Birth to Three Services Bayfield County Long-Term Care
Bayfield County Contract with Ashland Co Health & Human Services
Wisconsin Well Woman Program
Bad River Indian Tribe WWWP State funding Contract with the state of WI
Emergency Response Bad River Indian Tribe
Bayfield County HD
Federal public health preparedness allocation
Formal agreement
Reproductive Health Bayfield County
Health Care Clinic
Reimbursed services Formal agreement
How do you see shared services improving what the health department does?
.
“Diseases don’t care about borders.”
A Roadmap for Government Transformation, February 2010, Baker Tilly Virchow Krause, LLP, Local Government
Institute
• Based on best practices or successful models for shared services
• Improves public health capacity, effectiveness, and accountability
• Collaborative leadership structure is used and decision-making processes are pre-determined
• Clear fiscal benefit
Criteria for Successful Shared Service Arrangements
As a policymaker, what would you look for in a cross-jurisdictional sharing agreement?
“How services are delivered is more important
than who.”
A Roadmap for Government Transformation, February 2010, Baker Tilly Virchow Krause, LLP, Local Government
Institute
A Roadmap for Government Transformation,
February 2010, Baker Tilly Virchow Krause, LLP, Local Government Institute.
“Cooperation takes many forms.”
What level of involvement do you want in shared services?