The Middleboro Casebook, case 9. Based on your review of this chapter:

1. An independent review of the Hillsboro County Health Department (HCHD) described it as 5 semiautonomous silos and recommended that the divisions consolidate and integrate their services. The independent review include the following primary recommendation:
   1. Lower the department's operational expenses by 15%. Indicate a plan to achieve these savings including specific staffing reductions.

Why should HCHD consider this? Why this recommendation is most appropriate for HCHD, incorporate and provide a detailed rationale for why this would be the best option for HCHD.