Read Case 9: Hillsboro County Health Department in the text. Assess...

1. Read Case 9: Hillsboro County Health Department in the text.
2. Assess each recommendation.Assume all grants are transferable.
3. What should HCHD do why?Endorse a recommendation.Be sure to provide appropriatequantitative justificationto support your conclusions and recommendations.
4. When you have completed your assignment, save a copy for yourself and submit a copy to your instructor by the end of the workshop.

An independent review of HCHD described the department as operating in five semiautonomous silos, noting the divisions should consolidate and integrate their services.Then, they made three primary recommendations.

Recommendation 1: Close the department's Community Health and Health Promotion division and/or the Disease Prevention division and transfer all responsibilities and external funding to the Community Health Division of Hillsboro Health.The agency has indicated that it would accept these responsibilities if the transfer included a five-year commitment for a management fee equal to 15 percent of the external funding that accompanied the transfer.

Recommendation 2: Combine the department's Community Health and Health Promotion division and/or Disease Prevention division in a manner that would preserve their existing services but lower their operational costs by at least 20 percent.Your assessment of this recommendation must include an assessment of programmatic impacts and an explicit statement of the source of the financial savings.

Recommendation 3: Lower the department's operational expenses by 15 percent.Indicate a plan to achieve these savings including specific staffing reductions.