Document C: Case Studies of Other Public Health Delivery Models in TexasDocument1.72 MBDec 15, 20

They have been shaped by multiple factors, including jurisdictional borders and administrative composition of the territories they serve; history of ownership of the public health agenda in the area; interpersonal relationships, political climate, and public attention to public health in the communities; demographic changes and economic growth of the area. [...] The second agreement assigns the role of Health Authority to the Medical Director of the District and is known as the Interlocal Agreement for the Designation of Health Authority7. [...] The county also appoints a Public Health Advisory Committee, composed of citizen members and representatives of municipal health departments within the county who review community needs in the areas of environmental health, health education and communicable diseases; provide leadership in establishing priorities for the various health issues facing Dallas County; and encourage the coordination and. [...] An Interlocal Cooperation Agreement between the City of Austin and Travis County for Public Health Services, first executed in 2007 and amended several times since then, defines the relationship between the city and the county in the area of public health. [...] Doing so should serve to build and strengthen relationships with local public health agencies, coordinate efforts for the delivery of the essential public health services and crisis response services, integrate essential health information, and respond to the changing health needs of the population.” Figure 3-1.