1. Update to Board of Health May 22, 2014

2. Recommended by Northern Michigan CJS Team Approved by Center for Sharing Public Health Services Approved by BOH, County Boards of Commissioners Approved by MDCH to extend Interim Health Officer tern Made up of policy-makers, Health Officers and stakeholders Four meetings to complete the Roadmap to Develop Cross Jurisdictional Sharing Initiatives

3.  Reduce administrative costs through sharing specialized staff and services  Assure accountability and planning  Collaborate and cooperate to increase opportunities  Improve and expand services to clients  Preserve local culture and address local needs

4.  Prefer Benzie and Leelanau counties stay together  Seek contract agreement with a local health department (not merger)  Align Health Officer, Medical Director, information technology and billing  Issue request-for-proposal

5.  July 18Review RFP with Plan of Organization committee  July 24Request approval to issue RFP from BLDHD Board of Health  Aug 1Issue RFP  Sept 1Deadline for Notice of Intent  Oct 1Deadline for proposals  Jan 1Implementation

6.  Assessment of current CJS arrangements  Development of Strategic Plan  Decision to consider a multi-jurisdiction application for national accreditation  Engagement of policy-makers  Participation in meetings, conference calls and webinars  Assessment of Essential Public Health Services capacity of the LHDs