Confronting a Pandemic in a Home Rule State: The Indiana State Department of Health Responds to H1N1 Harvard Case Solution & Analysis

When Indiana State Health Commissioner Dr. Judy Monroe discovered of the materialization of H1N1 (commonly referred to as "Swine Flu") in later phase of April 2009, she must quickly figure out how to organize an effective retort within her state's exceedingly balkanized public health arrangement, in which more than 90 local health subdivisions wielded considerable autonomy.

Over the subsequent several months, she had come to rely greatly on relationships she had worked hard to begin with local health officials upon being designated as commissioner -- but she along with her senior advisors would also need to scramble to find new approaches to speak and organize with their local partners, who represented jurisdictions that fluctuated greatly in terms of size, population demographics, resources, and public health capability. Case Number 1974.0.

PUBLICATION DATE: December 03, 2012 PRODUCT #: HKS728-HCB-ENG

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