Case Study – Public Health Shared Services: Northeast Kansas (NEK) Multi-County Health Department

Three counties share services through the Northeast Kansas Multi-County Health Department

1 Min Read

Aug 27, 2015


Sarah M. Hartsig, M.S.,

Shawna Chapman, Ph.D., M.P.H., M.A.,

Jennifer Boden, M.A.


Three rural counties in Northeast Kansas are pooling resources in order to make a larger impact on health. By working together, these counties are able to deliver public health services effectively and efficiently.

The Northeast Kansas (NEK) Multi-County Health Department is a collaboration between Atchison, Brown and Jackson Counties. It operates as a single agency, but provides public health services in each county. It also operates a home health agency, which is located in the city of Hiawatha and serves all three counties. The arrangement allows the counties to share one administrator and one accountant between all four locations. The counties receive many benefits by offering public health services through this sharing arrangement, such as staffing efficiencies, a revenue stream from the home health agency (which contributes to the financial stability of the entire health department), and moral support among peers from different counties.

The Kansas Health Institute has prepared a case study about the NEK Multi-County Health Department because it provides a good example of how counties can work together to deliver public health services effectively and efficiently.

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About Kansas Health Institute

The Kansas Health Institute supports effective policymaking through nonpartisan research, education and engagement. KHI believes evidence-based information, objective analysis and civil dialogue enable policy leaders to be champions for a healthier Kansas. Established in 1995 with a multiyear grant from the Kansas Health Foundation, KHI is a nonprofit, nonpartisan educational organization based in Topeka.

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