Regionalization Project Principles and Critical Elements

Guiding Principles:

  • The system must respect existing legal authority of local health (home rule)
  • As a voluntary initiative, communities need incentives, not mandates, to participate
  • One size does not fit all; different models of regional structures and operations will allow communities to cluster in ways that will meet their needs
  • The system will require adequate and sustained state funding
  • The system will augment, not reduce, the existing local public health workforce.

Critical Elements of the Plan:

  • Provide the ten essential public health services to ALL residents of Massachusetts through an integrated public health system that offers a legal foundation, governance structures, and financial incentives for forming regions
  • Clarify the roles and responsibilities at local, regional and state agency levels to strengthen and support an integrated system
  • Establish standards for local, regional and state performance, including workforce credentials and agency performance measures
  • Recommend a system to routinely deliver comprehensive training programs for the local public health workforce. Training activities must include supervised field training and be coordinated with performance standards and measures.