The proposed service model strives for increased YES NO NOT APPLICABLE and effectiveness. Comments: The sharing arrangement increases health YES NO department capacity to meet national accreditation Comments: standards or is neutral. There are existing and potential funding streams YES NO that can assure adequate and sustainable operational Comments: funding beyond 1 2 years. – implications The implementation plan assures a service level YES NO NOT APPLICABLE IF that meets or exceeds current levels of performance. NEW service Comments: and The implementation plan assures a quality of YES NO service that is satisfactory for expectations of our Comments: Fiscal jurisdiction. Flexibility is honored for services that need to be YES NO tailored to each jurisdiction. Comments: The type of agreement is acceptable (Informal, YES NO contract for service, MOU, Mutual Aid Agreement, Comments: Other). The agreement articulates who will have the YES NO NOT APPLICABLE authority to make decisions. Comments: The agreement is clear about who will have the YES NO NOT APPLICABLE agreement authority for staffing decisions. Comments: The agreement articulates who will have the YES NO NOT APPLICABLE sharing authority to allocate resources. Comments: Legal The agreement is clear about how and when a YES NO NOT APPLICABLE partner can opt out of the agreement. Comments:
Fiscal and service implications The proposed service model strives for increased and effectiveness. YES NO NOT APPLICABLE Comments: The sharing arrangement increases health department capacity to meet national accreditation standards or is neutral. YES NO Comments: There are existing and potential funding streams that can assure adequate and sustainable operational funding beyond 1 – 2 years. YES NO Comments: The implementation plan assures a service level that meets or exceeds current levels of performance. YES NO NOT APPLICABLE IF NEW Comments: The implementation plan assures a quality of service that is satisfactory for expectations of our jurisdiction. YES NO Comments: Flexibility is honored for services that need to be tailored to each jurisdiction. YES NO Comments: Legal sharing agreement The type of agreement is acceptable (Informal, contract for service, MOU, Mutual Aid Agreement, Other). YES NO Comments: The agreement articulates who will have the authority to make decisions. YES NO NOT APPLICABLE Comments: The agreement is clear about who will have the authority for staffing decisions. YES NO NOT APPLICABLE Comments: The agreement articulates who will have the authority to allocate resources. YES NO NOT APPLICABLE Comments: The agreement is clear about how and when a partner can opt out of the agreement. YES NO NOT APPLICABLE Comments:
planning-checklist-phase-two-prepare-and-plan.docx