Anatomy of a Public Health Agency Turnaround: The Case of the General Health District in Mahoning County

Document Type

Article

Publication Date

7-1-2012

Department

Community Health Sciences

School

Health Professions

Abstract

A turnaround describes an organization's ability to recover from successive periods of decline. Current and projected declines in US economic conditions continue to place local public health departments at risk of fiscal exigency. This examination focused on turnaround methodologies used by a local public health department to reverse successive periods of operational and financial declines. Illustrations are provided on the value added by implementing financial ratio and trend analysis in addition to using evidence-based private sector turnaround strategies of retrenchment, repositioning, and reorganization. Evidence has shown how the financial analysis and strategies aided in identifying operational weakness and set in motion corrective measures. The Public Health Uniform Data System is introduced along with a list of standards offered for mainstreaming these and other routine stewardship practices to diagnose, predict, and prevent agency declines.

Publication Title

Journal of Public Health Management and Practice

Volume

18

Issue

4

First Page

364

Last Page

371

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