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Regionalization Initiative

Crowd of PeopleThere are many maps defining different regions for various public health activities within New Hampshire. In an effort to better align some of these regions, the Division of Public Health Services has convened a public health regionalization task force. The goal of the group is to develop a performance-based public health delivery system, which provides the 10 essential public health services throughout New Hampshire. The group is taking the following approach as it addresses this formidable task.

The task force and DPHS envision a system that will:

  • Be structured as a tiered system of public health regionalization that recognizes varying resources, infrastructure and capacity to carry out core public health functions and the 10 essential services at different levels;
  • Be organized in a way that recognizes geographic features, existing health care infrastructure and population;
  • Have one public health agency per region that must be - or be associated with - a governmental agency that coordinates or is responsible for the 10 essential services. The agency may subcontract or create memoranda of understanding for some essential services;
  • Be based on standards for agency infrastructure and performance; and
  • Be developed in an evolutionary process – some areas may not meet the first tier from the beginning but may move there in time.

We recognize that the creation of such a system may require statutory changes.

We will meet monthly to keep this project on track. Meetings are open to interested parties.

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852


copyright 2010. State of New Hampshire