Why Regionalize? Harold Cox Boston University. Responsibilities of Health Departments Animal/Vector control Disease Prevention Disease Reporting Environmental.

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Presentation transcript:

Why Regionalize? Harold Cox Boston University

Responsibilities of Health Departments Animal/Vector control Disease Prevention Disease Reporting Environmental Health Hazardous/Toxic Substances Community Sanitation Tobacco Control Emergency Preparedness

Challenges for Public Heath Most jurisdictions unable to perform the 10 essential services needed to protect a community

local health departments do not have adequate staffing

Public Health Issues Unevenness of Delivery Systems Cross-jurisdictional Issues

Benefits of regionalization Increases capacity Combines expertise and resources Ensures public health services across state

Massachusetts Population: 6.3 million Towns and Cities: 351 Local Boards of Health:351

Massachusetts Preparedness Coalitions Provide administrative structure to facilitate planning Enable timely and efficient allotment of resources Provide operational public health response system

Regional Flu Clinics

Massachusetts Next Steps Identify ways to consolidate health functions and health departments Multi-disciplinary committee 21 presentations throughout state Develop clear objectives and strategies

How does regionalization support public health? What are the benefits of regionalization What are the important components What are the challenges of regionalization State v. Local issues

Regionalization Questions What is a region? What are the structural, governance, and organizational challenges?