Washington State Joint Legislative Audit and Review Committee

Performance Audit of the Department of Health's Public Health Mission

In support of the Joint Legislative Audit and Review Committee’s performance audit of the public health mission of the Department of Health, BERK researched, documented, and evaluated the basic structure and organization of public health in all fifty states. In our review of public health systems across the country, we documented how responsibility and authority for public health activities is divided among state, local, and regional entities in all states, and identified promising practices and “current thinking” on key organizational issues.

We also developed in-depth profiles of the public health systems of ten states, in which we identified organizational characteristics that contribute to optimal system efficiency and effectiveness.