Public health shared services

Information about cross-jurisdictional sharing and the public health districts of Massachusetts

Cross-jurisdictional sharing

The Center for Sharing Public Health Services defines cross-jurisdictional sharing (CJS) as "the deliberate exercise of public authority to enable collaboration across jurisdictional boundaries to deliver public health services.” 

The Office of Local and Regional Health encourages the development of inter-municipal shared service agreements that contribute to improvements in local public health capacity. 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 and shared services in Massachusetts

Some Massachusetts communities 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 sixteen groups of two or more communities (total of 116 communities). In contrast, over 75% of Massachusetts residents are served by standalone local public health authorities in 235 communities. The 16 groups of communities are listed here in alphabetical order.

Amesbury-Salisbury

Communities (Population): Amesbury (16817), Salisbury (8845)
Contact:  John Morris | morrisj@amesburyma.gov | (978) 388-8134
Number of Communities: 2
Population Served: 25,662

Barnstable County

Communities (Population): Barnstable (44542), Bourne (20721), Brewster (9663), Chatham (5909), Dennis (13471), Eastham (4576), Falmouth (31264), Harwich (12372), Mashpee (14871), Orleans (5536), Provincetown (2755), Sandwich (21022), Truro (1936), Wellfleet (2722), Yarmouth (23713)
Contact: Sean O'Brien | sobrien@barnstablecounty.org | (508) 375-6615
Lead Entity: Barnstable County Department of Health and the Environment
Number of Communities: 15
Population Served: 215,073

Berkshire Public Health Alliance

Communities (Population): Adams (8425), Alford (550), Becket (1764), Cheshire (3106), Clarksburg (1694), Dalton (6677), Egremont (1138), Florida (775), Great Barrington (7015), Hancock (687), Lanesborough (3033), Mount Washington (180) New Marlborough (1465), North Adams (13345), Peru(850), Pittsfield (44488), Richmond (1388), Sandisfield (943), Savoy (675), Sheffield (3147), Washington(520), West Stockbridge (1218), Williamstown (7421), Windsor (878)
Contact:  Laura Kittross | lkittross@berkshireplanning.org | (413) 442-1521
Lead Entity: Berkshire Regional Planning Commission
Number of Communities: 24
Population Served: 111,382

Central Massachusetts Regional Public Health Alliance

Communities (Population): Grafton (19147), Holden (18147), Leicester (11131), Millbury (13429), Shrewsbury (37223), West Boylston (7671), Worcester (185318)
Contact:  Karyn Clark | clarkke@worcesterma.gov | (508) 799-8531
Lead Entity: Worcester Division of Public Health
Number of Communities: 7
Population Served: 292,066

Concord-Lincoln

Communities (Population): Concord (18387), Lincoln (9390)
Contact:  Susan Rask | srask@concordma.gov | (978) 318-3275
Lead Entity:  Concord Health Division
Number of Communities: 2
Population Served: 27,777

Cooperative Public Health Service - Franklin Regional Council of Governments

Communities (Population): Buckland (1838), Charlemont (1197), Conway (1866), Deerfield (5240), Gill (1580), Hawley (349), Heath (637), Leyden (657), Monroe (140), Rowe (404), Shelburne (1818)
Contact:  Phoebe Walker | walker@frcog.org | (413) 774-3167 x102
Lead Entity: Franklin Regional Council of Governments
Number of Communities: 11
Population Served: 15,726

Eastern Franklin County Health District

Communities (Population): Erving (1939), Northfield (2997), Shutesbury (1678)
Contact:  Claudia Lucas | healthagent86@gmail.com | (413) 549-3710
Number of Communities: 3
Population Served: 6,614

Foothills Health District

Communities (Population): Goshen (1087), Westhampton (1629), Whately (1438), Williamsburg (2491)
Contact:  Valerie Bird| vbird113@gmail.com | (413) 268-8404
Number of Communities: 4
Population Served: 6,645

Marion-Rochester

Communities (Population): Marion (4777), Rochester (5509)
Contact:  Karen Walega | kwalega@marionma.gov | (508) 748-3530
Lead Entity:
Number of Communities: 2
Population Served: 10,286

Melrose-Wakefield

Communities (Population): Melrose (28375), Wakefield (26073)
Contact:  Ruth L Clay | rclay@cityofmelrose.org | (781) 979-4130
Lead Entity: Melrose
Number of Communities: 2
Population Served: 54,448

Montachusett Public Health Network

Communities (Population): Athol (11830), Clinton (13740), Fitchburg (40980), Gardner (19942), Leominster (40276), Phillipston (1682), Princeton (3338), Royalston (1230), Sterling (7907), Templeton (8614), Westminster (7379)
Contact:  Stephen Curry | scurry@ci.fitchburg.ma.us | (978) 829-1870
Lead Entity: City of Fitchburg
Number of Communities: 11
Population Served: 156,918

Nashoba Associated Boards of Health

Communities (Population): Ashburnham (6256), Ashby (3144), Ayer (7853), Berlin (3237), Bolton (5364), Boxborough (5174), Dunstable (3391), Groton (11215), Harvard (7086), Lancaster (8763), Littleton (9524), Lunenburg (10314), Pepperell (11877), Shirley (8040), Stow (7039), Townsend (9142)
Contact:  James Garreffi | jgarreffi@nashoba.org | (978) 772-3335
Number of Communities: 16
Population Served: 117,419

North Shore Shared Public Health Services

Communities (Population): Beverly (41193), Danvers (28197), Lynn (96025), Marblehead (19641), Nahant (3423), Peabody (55499), Salem (44162), Swampscott (13875)
Contact:  Larry Ramdin | lramdin@salem.com | (978) 741-180
Lead Entity: Salem Board of Health
Number of Communities: 8
Population Served: 302,015

North Suffolk Public Health Collaborative

Communities (Population): Chelsea (37314), Revere (57586), Winthrop (17909)
Contact:  Jeff Stone | jstone@revere.org | (781) 286-8176
Lead Entity:  Revere
Number of Communities: 3
Population Served: 112,809

Quabbin Public Health District (WarePelhamBelchertown)

Communities (Population): Belchertown (15576), Pelham (1270), Ware (9967)
Contact:  Judy Metcalf | jmetcalf@townofware.com | (413) 967-9615
Number of Communities: 3
Population Served: 26,813

Tri-Town Health Department

Communities (Population): Lee (5967), Lenox (5069), Stockbridge (1766)
Contact:  James Wilusz | jim@tritownhealth.org | (413) 243-5540
Lead Entity: Lee
Number of Communities: 3
Population Served: 12,802

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