Cross-Jurisdictional Sharing of Public Health Services – Notice of Intent

The Massachusetts Department of Public Health intends to post a Request for Responses (RFR) on or about September 16, 2019 to support public health shared service arrangements across municipalities (“cross-jurisdictional sharing”). The shared services will be provided through new formal arrangements or through the expansion of existing arrangements in accordance with the recommendations of the Special Commission on Local and Regional Public Health.
The bidders’ conference is tentatively scheduled for September 25, 2019.
Click Here to view the Notice of Intent.

Regionalization is a consortium of local health departments collaborating under a formal agreement to provide a specific set of services.

The goal of the Massachusetts Public Health Regionalization Project is to strengthen the Massachusetts public health system by creating a sustainable, regional system for equitable delivery of local public health services across the Commonwealth.  Learn more.

The Need:

Over the past 15 years, resources for local health departments have diminished at the same time that responsibilities of local health practitioners have increased significantly, not least of which in the area of emergency preparedness. Massachusetts has over 300 Local Boards of Health, many of which are chronically underfunded and  these inverse trends have yielded a local public health workforce not always able to provide the 10 essential services of public health departments, putting their communities at risk and creating an environment of significant inequities across the Commonwealth in regards to access to public health services.  Click Here to Learn More

Regionalizing public health services offers the following benefits:

  • Consistency and equity: Regionalizing promotes consistent standard of care and equal level of servicesPHLogoBig
  • Breadth of services: Regionalization can equip each local health department to deliver the range of services their specific community requires
  • Best of the best: Regionalization allows communities to access the skills they need, when they need them (even if those skills are not resident within their own health department)
  • Economies of scale: Regionalization has been shown to offer economies of scale for communities who band together
  • Flexibility: Local jurisdictions can choose from different models to ensure the best fit for their unique circumstances
  • Access to funding: Larger districts have greater capacity to apply for grants and are more competitive in grant applications, potentially bringing additional resources to their communities
  • Workforce development: Sharing resources, greater cooperation and communication, and more standardized training, will yield a stronger and better prepared local public health workforce.