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Public health shared services

Resources for cross-jurisdictional sharing of public health services and a description of the public health districts in Massachusetts

Massachusetts Public Health Excellence Grant Program

The Office of Local and Regional Health promotes and supports the development of inter-municipal shared service agreements (cross-jurisdictional sharing) that contribute to improvements in local public health capacity. By pooling resources, functions, and expertise, a consortium of cities and towns, especially those that are smaller or less prosperous, can improve compliance with their statutory and regulatory mandates and expand the public health protections and services they offer residents.

OLRH staff offers technical assistance to local public health officials in Massachusetts who are interested in exploring or currently participating in cross-jurisdictional sharing.

The following resources provide helpful information for exploring cross-jurisdictional sharing:

Public health districts and shared services in Massachusetts

Some Massachusetts cities and towns are organized in public health districts or other formal arrangements for sharing of local public health services. About 1.5 million Massachusetts residents (about 23% of the Massachusetts population) receive local public health services through fifteen groups of two or more municipalities (total of 117 cities and towns; many of these municipalities are rural). In contrast, over 75% of Massachusetts residents are served by standalone local public health authorities in 234 municipalities. The 15 districts or other shared services arrangements are listed here in alphabetical order.

Public Health District or Other Shared Services Arrangement Municipalities Contact
Barnstable County Department of Health and Environment Barnstable, Bourne, Brewster, Chatham, Dennis, Eastham, Falmouth, Harwich, Mashpee, Orleans, Provincetown, Sandwich, Truro, Wellfleet, Yarmouth Sean O'Brien
(508) 375-6615
Berkshire Public Health Alliance Adams, Alford, Becket, Cheshire, Clarksburg, Dalton, Egremont, Florida, Great Barrington, Hancock, Lanesborough, Mount Washington, New Marlborough, North Adams, Peru, Pittsfield, Richmond, Sandisfield, Savoy, Sheffield, Washington, West Stockbridge, Williamstown, Windsor Laura Kittross
(413) 442-1521
Central Massachusetts Regional Public Health Alliance Grafton, Holden, Millbury, Shrewsbury, West Boylston, Worcester Karyn Clark
(508) 799-8531
Cooperative Public Health Service - Franklin Regional Council of Governments Bernardston, Buckland, Charlemont, Colrain, Conway, Deerfield, Erving, Gill, Hawley, Heath, Leyden, Monroe, Northfield, Rowe, Shelburne Phoebe Walker
(413) 774-3167 x102
Eastern Franklin County Health District Erving, Northfield, Shutesbury Claudia Lucas
(413) 549-3710
Foothills Health District Goshen, Westhampton, Whately, Williamsburg Mark Bushee
(413) 268-8404
Melrose-Wakefield Melrose, Wakefield Ruth L Clay
(781) 979-4130
Montachusett Public Health Network Athol, Clinton, Fitchburg, Gardner, Hubbardston, Leominster, Phillipston, Princeton, Royalston, Sterling, Templeton, Westminster, Winchendon Stephen Curry
(978) 829-1870
Nashoba Associated Boards of Health Ashburnham, Ashby, Ayer, Berlin, Bolton, Boxborough, Dunstable, Groton, Harvard, Lancaster, Littleton, Lunenburg, Pepperell, Shirley, Stow, Townsend James Garreffi
(978) 772-3335
North Shore Shared Public Health Services Beverly, Danvers, Lynn, Marblehead, Nahant, Peabody, Salem, Swampscott David Greenbaum
(978) 741-1800
North Suffolk Public Health Collaborative Chelsea, Revere, Winthrop Kim Hanton
(781) 286-8176
Quabbin Public Health District Belchertown, Pelham, Ware Stephen Bell
(413) 967-9615
Tri-Town Health Department Lee, Lenox, Stockbridge James Wilusz
(413) 243-5540