Beyond Borders: Benefits and Challenges of Leading a Multi-County Health Department


Foundation: Commonwealth Fund

There are only about 250 multi-county health departments in the USand only two in Kansasbut that's where Becky Johnson, administrator of the SEK Multi-County Health Department in Kansas' Allen, Anderson, Bourbon, and Woodson counties, finds herself.

"I've seen many health department administrators and health officers leave because they don't have the support like I do," she tells the Atlantic.

That's why she created the SEKMCHD, which has a board of health comprised of one county commissioner, one consumer, and one provider from each of its four counties, all of whom volunteer for the role.

"They have an interest in these roles, rather than just being appointed," Johnson says.

"A lot of health departments don't have that," she adds.

"I've seen many health department administrators and health officers leave because they don't have the support like I do."

What makes the SEKMCHD different is that its board of health is actually governed by the same board of county commissioners, rather than a single board of county commissioners, which Johnson says has "torn down administrators from other health departments."

The department's 14 full-time and four contract employees provide a range of public health services, including

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