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Cross Jurisdictional Sharing of Services


Cross-jurisdictional sharing of services is a term used to refer to the wide variety of means by which jurisdictions can collaborate around the provision of public health services. Local health departments (LHDs) across the country are looking to cross-jurisdictional sharing as a way to help them more efficiently and effectively deliver public health services.  

The Center for Public Health Sharing, a national initiative managed by the Kansas Health Institute with support from the Robert Wood Johnson Foundation, is currently supporting a learning community of 16 teams across the country, comprised of public health agencies, policymakers, their partners and key stakeholders that are collaborating to strengthen their ability to provide public health essential services, improve efficiency and control costs.. These teams are exploring how cross-jurisdictional sharing might help them fulfill their mission of protecting and promoting the health of the communities they serve. For more information about the Center for Public Health Sharing, as well as access to resources, visit

With funding from the Robert Wood Johnson Foundation, NACCHO previously worked with Kansas and Massachusetts to develop and consider regional models in order for LHDs in each state to more efficiently and effectively provide public health services. Overviews of each initiative, as well as case studies that provide participant insights are available on the Kansas and Massachusetts pages. An evaluation details the work that was accomplished and provides lessons learned in each state as a result of their experiences.

For more information, please contact Jessica Fisher at or 202-507-4265.