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Information for Cross Jurisdictional Sharing

Cross-jurisdictional sharing, or regionalization, is a consortium of local health departments collaborating under a formal agreement to provide a specific set of services. The Office of Local and Regional Health works to improve local public health service delivery in a variety of ways including support for the development of inter-municipal and shared service agreements. In addition to technical assistance from Office of Local and Regional Health staff, local public health officials in Massachusetts who are interested in exploring cross-jurisdictional services will find the following resources helpful:

The Massachusetts Public Health Regionalization Project provides a toolkit to help communities assess opportunities for shared public health services and plan for implementation.

The Center for Sharing Public Health Services, funded by the Robert Wood Johnson Foundation and managed by the Kansas Health Institute offers a Roadmap to Develop Cross-Jurisdictional Sharing Initiatives.

Public Health Districts in Massachusetts

Massachusetts has several communities organized within public health districts that involve agreements to share services and resources to varying degrees.

*Public Health District Incentive Grant (PHDIG) Program

With funding from the U.S. Centers for Disease Control under the National Public Health Improvement Initiative in 2010, the Massachusetts Department of Public Health supported the formation of five new public health districts.


This information is provided by the Department of Public Health.