Exploring cross-jurisdictional sharing in Yellowstone and Carbon Counties in Montana

The Foundation's initiative, Cross-Jurisdictional Sharing, was designed to strengthen the ability of public health agencies to improve the health of the communities they serve by supporting efforts to explore, inform, and track the implementation of innovative regional or shared approaches to delivering public health services.Under this grant, the RiverStone Health Department, a self-governed, urban health district in Yellowstone County, and Carbon County, an adjacent rural/frontier county, will determine how to utilize a cross-jurisdictional sharing model to leverage the resources, expertise, and infrastructural strengths of each county to effectively and efficiently deliver public health services and develop policies. Deliverables include: (1) a written assessment of key stakeholder awareness and attitudes on cross-jurisdictional service sharing between urban and rural health departments; (2) a report on five priority service areas to apply CJS arrangements; (3) a written comparative analysis and recommendations on different service sharing models that address these five identified service areas; (4) a written analysis and report on the legal and policy issues to be considered based on these recommendations; (5) a written analysis and summary of the extent to which service sharing can improve capacity to achieve accreditation; and (6) a multi-year plan, based on the assessment and analysis, to implement service sharing strategies. In addition, the project grantee will designate a team lead to serve as the primary point of contact for the project and provide continuity by participating in all Learning Community activities; designate a communications coordinator to serve as the primary point of contact for the Center's communications staff; ensure that at least four team members participate in three in-person Learning Community meetings, four team members attend another project's site visit, participate in quarterly calls with the Learning Community, participate in quarterly calls with Center staff and host up to two site visits over the course of the project.

Grant Details

Amount Awarded $125,000.00

Awarded on: 1/2/2013

Time frame: 1/15/2013 - 4/30/2015

Grant Number: 70625


Yellowstone City-County Health Department dba RiverStone Health

123 South 27th Street
Billings, 59101-4200


John Felton
Project Director


Jennifer Staton
Project Director