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Three-county sheriffs back hybrid shared medical-director model; staff aim for 2028–2029 start
Summary
Staff reported the three sheriff's offices have tentatively agreed on a hybrid shared-medical-director model that would keep local nursing staff while contracting a single medical director (likely a physician) for regionwide oversight. Staff recommended further liability review and set a target implementation window between Jan. 1, 2028 and Jan. 1, 2029.
Staff briefed the joint meeting on exploratory plans for a shared medical director across three sheriff's offices.
Presenters said the three sheriffs who have met twice in recent months support pursuing a hybrid model that retains local nursing staff with a shared medical director providing regional oversight and clinical direction. Staff clarified the scope is currently the medical director role but that the JPA could be drafted to allow adding other shared positions later if warranted.
Dakota County risk management will report back on liability implications, and county staff are researching multi-county models elsewhere for recruitment, compensation and governance approaches. Commissioners discussed realistic target dates; staff suggested 01/01/2028 as an ambitious target and 01/01/2029 as a more conservative option for implementation. Participants emphasized the need to determine whether the shared medical director would be a physician and what additional clinical support (nurse practitioner or physician assistant) might be needed.
The meeting treated this as an informational update; staff will continue research and return with more detailed proposals for board consideration.
