Cross-Jurisdictional Sharing of Public Health Services
Health departments of all types and sizes are sharing services and exploring cross-jurisdictional sharing and collaboration arrangements more frequently.
Cross-jurisdictional sharing (sometimes referred to as CJS) is a growing strategy used at state, tribal, local, and territorial levels to address opportunities and challenges such as tight budgets, increased burden of disease, and regional planning needs.
What Is Cross-Jurisdictional Sharing of Services in Public Health?
Cross-jurisdictional sharing is “the deliberate exercise of public authority to enable collaboration across jurisdictional boundaries to deliver essential public health services” (Center for Sharing Public Health Services, 2013).
Cross-jurisdictional sharing can range from supporting informal arrangements to more formal changes in structure. In public health, cross-jurisdictional sharing often occurs between health departments or agencies serving two or more jurisdictions. Collaboration allows communities to solve issues or problems that cannot be easily solved by a single organization or jurisdiction.
Examples of cross-jurisdictional sharing include
- Regionalization of health departments, such as through the consolidation of two or more health departments
- Sharing staff between two or more health departments, such as an epidemiologist or sanitarian that supports multiple health department jurisdictions
- Sharing defined services, such as laboratory testing services or inspection services
- Collaborative assessment and planning processes that include two or more health departments and leads to shared priorities; examples might include regional preparedness plans, cross-border plans, or community health improvement plans
Key Concepts & Definitions
Describes the concept of cross-jurisdictional sharing and how these approaches may vary in different locations
CDC Activities & Resources
Describes how CDC is advancing and promoting cross-jurisdictional sharing and highlights selected examples of CDC initiatives and tools
Stories & General Resources
Provides links to additional resources
- Page last reviewed: November 9, 2015
- Page last updated: November 9, 2015
- Content source:
- Office for State, Tribal, Local and Territorial Support