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/

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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

Why enter into a cr0ss-jurisdictional sharing 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?

What additional information do you need related to shared services?

“Pooling resources just makes sense.”