This report explores the current landscape of investments targeting the social determinants of health (SDH) as well as approaches to accelerate the uptake of SDH investments into healthcare business operations through key informant interviews with healthcare payer and provider executives, an extensive literature review, and the convening of an Advisory Council and a Social Services… Read more »
rwjf-tag: Partnership lessons
The SCAN Foundation. (2019). Blueprint for health plans: Integration of community-based organizations to provide social services and supports. Long Beach, CA: The SCAN Foundation.
This report examines the challenges and opportunities that health plans serving the dual eligible population face and a roadmap for how plans can develop networks that reflect both the social and medical needs of members. Health plans are only one part of the system that serves the dual eligible population, and coordination efforts by all… Read more »
The Commonwealth Fund. No date. HNHC Payments for Social Services Calculator (BETA) [Web site].
This calculator is designed to assist community-based organizations and their medical partners in creating mutually advantageous financial arrangements for funding the delivery of social services to high-need, high-cost (HNHC) populations. These populations, which account for a disproportionately large share of health care expenditures, often have clinically complex conditions, cognitive or physical limitations, and/or behavioral health… Read more »
Romero, D., Echeverria, S.E., Du, M., Roberts, L., & Pozen, A. (2018). Development of a wellness trust to imprve population health: Case-study of a United States urban center. Preventive Medicine Reports, 2018(10), 292-298.
This study aimed to understand the necessary tenets for a wellness trust in Brooklyn, New York and examined community interest and political will; administrative, financing, and leadership structures; and metrics and data sources to monitor and assess impact. Wellness trusts, modeled after financial trusts support primary health prevention in community settings, provide an innovative opportunity… Read more »
Powers, M. (2018). The community’s emerging role in value-based health and social services. Generations: Journal of the American Society on Aging, 2018(Spring), 4-9.
This article examines how healthcare organizations are exploring closer partnerships with community-based organizations (CBOs), especially for high-need, high-cost populations. Social determinants of health are known to impact health outcomes, and there is growing recognition that non-medical services are as important as those received in a provider’s office. The article describes payment methods for these populations,… Read more »
Oostra, R., & Zuckerman, D. (2018, May). Embracing an anchor mission: ProMedica’s all-in strategy. Toledo, OH and Washington, DC: ProMedica and The Democracy Collaborative.
This report describes ProMedica’s (a mission-based, not-for-profit healthcare organization serv- ing northwest Ohio and southeast Michigan) shift to an Anchor Mission. This mission is embedded in an overall strategy related to addressing the social determinants of health as a whole. With that in mind, ProMedica has made a commitment to apply its economic power and… Read more »
Moving Healthcare Upstream. (2018). Policy Leadership for Health Care: Transformation Formalizing Our Commitment to Communities. Wilmington, DE; Author.
This paper identifies specific institutional policies and civic engagement strategies that can be used by hospitals and health systems to codify, sustain, and scale practices that address social determinants of health (SDH) in local communities. This paper synthesizes these exemplars using a framework of key principles and associated activities and policies required for system transformation… Read more »
Hostetter, M., & Klein, S. (2017, June 21). Creating pathways and partnerships to address patients’ social needs. Washington, DC: The Commonwealth Fund.
This article examines how new technologies and payment models can support efforts by health care providers and plans to assess patients’ nonmedical risks and work with nonprofit agencies, social services providers, and other community partners to help address them. The article provides examples of how hospitals/health systems address nonmedical needs, how to build clinical-non-clinical partnerships,… Read more »
Freda, B., Kozick, D., & Spencer, A. (2018, January). Partnerships for health: Lessons for birdging community-based organizations and health care organizations. Boston, MA and Hamilton, NJ: Blue Cross Blue Shield of Massachusetts & Center for Health Care Strategies, Inc.
This brief draws on insights gleaned from the Robert Wood Johnson Foundation’s Partnership for Healthy Outcomes project and the Blue Cross Blue Shield of Massachusetts Foundation June 2017 conference which convened several health care organizations (HCO) – community-based organization (CBO) partnerships to share promising partnership models. It outlines characteristics of successful HCO-CBO partnerships and provides… Read more »
Durovich, C.J., & Roberts, P.W. (2018). Designing a community-based population health model. Population Health Management, 21(1), 13-20.
This article outlines a suggested road map and practical considerations for health systems that are building or planning to build population health capabilities to meet the needs of their local markets. Traditional core capabilities needed to address the medical determinants of health for a population are reviewed. An innovative approach to community service integration to… Read more »
Berkowitz, S.A., Brown, P., Brotman, D.J., Deutschendorf, A., Dunbarb, L., Everetta, A., … On behalf of the J-CHIP Program. (2016). Healthcare case study: Johns Hopkins Community Health Partnership: A model for transformation. Healthcare, 2016(4), 264-270.
This article describes the Johns Hopkins Community Health Partnership (J-CHiP), a partnership between Johns Hopkins Medicine (JHM) and two grassroots community-based organizations (CBO). J-CHiP is a novel care coordination program that provides services in homes, community clinics, acute care hospitals, emergency departments, and skilled nursing facilities. J-CHiP was formed as a regional approach to transformation… Read more »
Amarasingham, R., Xie, B., Karam, A., Nguyen, N., & Kapoor, B. (2018, January 5). Using community partnerships to integrate health and social services for high-need, high-cost patients. Washington, DC: The Commonwealth Fund.
This brief profiles and classifies burgeoning community-level efforts to integrate the activities of disparate social service organizations with local health care delivery systems in order to identify common challenges and solutions to address the challenges. A mixed-methods approach, including literature search, surveys, and semi-structured interviews with program leaders, and consultation with expert panels was used…. Read more »
Barr, P. (2015). Public partners in population health. Hospitals and Health Networks, 89(4), 34-37.
This article discusses how the the Accountable Care Act provision of community health assessments has prompted more cooperation between nonprofit hospitals, public health departments, and other community organizations. The article focuses primarily on public health departments. Driven by the increasingly shared vision of managing population health, officials for hospitals and public health departments are working… Read more »
Bazzoli, G. (1997). Public-private collaboration in health and human service delivery: Evidence from community partnerships. Milbank. 75(4):533-561.
In this article, the collaboration among public–private partnerships that applied to the Community Care Network (CCN) demonstration program of the Hospital Research and Educational Trust is examined. These partnerships link broad-based community coalitions with health and human service providers in efforts to improve community health and local service delivery. Although they willingly collaborated in identifying… Read more »
Oftelie, A.M. (2010). Report from the 2010 Human Services Summit at Harvard University: The next generation of human services: Realizing the vision. Cambridge, MA: Leadership for a Networked World.
This paper, a product of the 2010 Human Services Summit at Harvard University, aimed to help human services leaders envision a transformation journey for their own organization and realize their vision through concrete actions. To inspire and guide efforts, the paper coupled insights from the Human Services Summit at Harvard with case-based examples from human… Read more »
The Annie E. Casey Foundation. (2014). Creating opportunity for families: A two-generation approach. Baltimore, MD: Author.
Nearly half of the nation’s families with young children struggle to make ends meet. This policy report makes the case for creating opportunity for families by addressing the needs of parents and their children simultaneously. Creating Opportunity for Families: A Two-Generation Approach describes a new approach to reducing poverty, which calls for connecting low-income families… Read more »
Twombly, E. (2003). What Factors Affect the Entry and Exit of Nonprofit Human Service Organizations in Metropolitan Areas? Nonprofit and Voluntary Sector Quarterly, 32(2), 211-235.
The goal of this article is to advance the literature on nonprofit organizational adaptation by assessing the factors that significantly contribute to the entry and exit of human service organizations in metropolitan areas. More specifically, this study uses nonprofit, economic and demographic data and information on welfare reform implementation patterns to examine the causes of… Read more »
Hyman, D. (1990). Six models of community intervention: A dialectical synthesis of social theory and social action. Sociological Practice, 8(1), Article 5.
Two dominant theoretical perspectives-systems theory and conflict theory-underlie major approaches to community intervention. This paper presents a conceptual linkage between models of intervention for planning and organizing as developed by Rothman and elaborated by Stockdale and major sociological theories of society. Two additional models are presented to address issues of management and administration. The six… Read more »
Homer, C. (2017, June 16). Human services help communities make the most of safety net programs [Web log post].
This blog posts considers how to move beyond questions of how to increase access to and quality of health care services to consider health system transformation in communities as a strategy to achieve better health. Community transformation can only occur when the federal and state policies on which communities can build are aligned. Human services… Read more »
Boris, E.T., de Leon, E., Roeger, K., & Nikolova, M. (2010). Human service nonprofits and government collaboration: Findings from the 2010 National Survey of Nonprofit Government Contracting and Grants. Washington, DC: Urban Institute.
This report explores the results of the 2010 National Survey of Nonprofit-Government Contracting and Grants, a study of human service organizations designed to document the extent of nonprofit-government contracting, processes and problems. It also examines the impact of the recession on these organizations and the cutbacks they have made to keep their programs operating. While… Read more »
Hester, J. A., Auerbach, J., Seeff, L., Wheaton, J., Brusueals, K., & Singleton, C. (2016). CDC’s 6|18 Initiative: Accelerating evidence into action. Washington, DC: National Academy of Medicine.
This paper presents a conceptual framework for the 6|18 Initiative and summarizes the criteria and process for selecting the 6 conditions and 18 interventions. Next, it describes how the CDC is building deeper partnerships: one with eight state Medicaid programs through the creation of a learning collaborative, and the second with a group of private… Read more »
Carey, E., Hollingsworth, J., & Reed, A. (2014). Forces shaping the human services sector in the early 21st century. In M. Mortell & T. Hansen-Turton (Eds.), Making strategy count in the health and human services sector: Lessons learned from 20 organizations and chief strategy officers (39-62). New York, NY: Springer.
This chapter follows a historical perspective of the human services sector and begins to lay the foundation for where the broader health and human services sector is going. The chapter begins with Embracing the Industry of Courage, which is an adaptation of a position paper first prepared for the board of directors at Michigan-base Starr… Read more »
Never, B. (2016). The changing context of nonprofit management in the United States. In D.O. Renz & R.D. Herman (Eds.), The Jossey-Bass handbook of nonprofit leadership and management 4th Edition (80-101). San Francisco: John-Wiley & Sons.
This chapter provides a foundation for understanding the nature of the nonprofit sector in America today, explain the context within which the sector operates, and offer some observations about how the sector may continue to evolve and change in the coming five to ten years. One of the most important insights about the American nonprofit… Read more »
McGuire, J., Ranade, R., & Shellenberger, K. (2018). Paying for population health: Case studies on the role of the health system in addressing social determinants of health. Washington, DC: Academy Health.
This report includes four case studies of sites where health systems were actively involved in addressing social determinants of health including housing, employment, education, food security, transportation, healthy behaviors, and neighborhood and built environment. Case studies focus on interventions for medically complex homeless individuals, people with chronic diseases, pregnant women and their newborns, and uninsured… Read more »
Brown, C., & Cintron, L. (2016). The New Brunswick Ciclovia evaluation report. New Brunswick, NJ: The Alan M. Voorhees Transportation Center.
This report documents and evaluates the overall success and effectiveness of New Brunswick’s first Ciclovia, an event where roads are closed to motorized vehicle to create a free-form event that welcomes participants of all ages and abilities to enjoy physical activity and recreation in a safe and inclusive environment. The research team collected data by… Read more »
Health Research and Education Trust. (2012). Managing population health: The role of the hospital. Chicago, IL: American Hospital Association.
This guide is designed to define population health, describe strategies to improve the health of a hospital’s patient population, inform leaders why these initiatives are essential, and explore potential partnerships that can help achieve the desired goal as illustrated in the diagram below. Short case examples provide supporting evidence and show that every health care… Read more »
Golden, R., & Shier, G. (2012). Innovating for improved care transitions. Journal of the American Society on Aging, 36(4), 91-93.
This report describes the Community-Based Care Transitions Program (CCTP) which was created to involve social services or home and community providers in providing transition services for patients as they move from one setting to another. Examples of successful partnerships including links to websites of each for more detailed information are provided as well as description… Read more »
Tabbush, V. (2012). Overview of preparing community-based organizations for successful health care partnerships (Report). Long Beach, CA: The Scan Foundation.
To better understand specific opportunities for partnerships between community-based long-term services and healthcare systems in California, the Scan Foundation developed this series of background briefs. Health care reform generally, and more specifically the Patient Protection and Affordable Care Act (ACA), will continue to dramatically impact organizations in the health sector far into the future. Community-based… Read more »
Wilson, M.G., Lavis, L.N., & Guta, A. (2012). Community-based organizations in the health sector: A scoping review. Health Research Policy and Systems, 10(36).
This article shows the variety of terms that refer to community-based organizations and provides a broad overview of the most common types of partnerships between community-based organizations and the healthcare sector. A large number of different terms have been used in the literature to describe community-based organizations and the literature addresses a range of topics… Read more »
Bailey, S.C. (2010). Focusing on solid partnerships across multiple sectors for population health improvement. Preventing Chronic Disease, 7(6), A1115.
This article provides an overview of the MATCH (Mobilizing Action Toward Community Health) project funded by the Robert Wood Johnson Foundation and summarizes the 7 MATCH articles in the November 2010 issue of the journal, Preventing Chronic Disease. The articles reveal compelling themes, issues, and recommendations for improving population health. These include many challenges, such… Read more »
Huff, C. (2010). Community partnerships. Trustee, 63(9), 6-10.
This article describes community health partnerships between hospitals and community organizations, and discusses the role of hospitals and other community organizations in these initiatives. These partnerships include an educational program focusing on African-American women and breast health, a program to address transportation difficulties for getting to medical appointments, and a hospital working with faith-based organizations… Read more »
California Medical Association Foundation. (2010). Community-based organization and health care professional partnership guide: Reversing the trend of childhood obesity. Sacramento, CA: National Initiative for Children’s Healthcare Quality.
This guide discusses the “Be Our Voice” program of the National Initiative for Children’s Healthcare Quality (NICHQ), which was sponsored by a grant from the Robert Wood Johnson Foundation. This is a “how-to” guide for community groups who are working to reduce childhood obesity who want to engage healthcare providers as part of their team…. Read more »
Association of State and Territorial Health Officials. No date. Maximizing public health partnerships with Medicaid to improve health: Case studies [Website].
This website includes short summaries of partnerships between Medicaid and public health agencies to improve care and population health while reducing healthcare costs.
Association of State and Territorial Health Officials. (2013). Million hearts in-depth case study. Arlington, VA: Author.
This website by the Association of State and Territorial Health Officials (ASTHO) includes brief summaries of partnerships between public health and healthcare. Case studies from partnerships in New York, Ohio, Maryland, and Iowa are included along with links to the full case studies.
Steele, J. No date. Community-based organizations play a critical role in health reform [Web log post].
This article discusses the potential role of community-based organizations in healthcare reform and methods to accomplish healthcare reform. The ways community-based organizations and social service agencies can get involved to help make health care reform a success include: gaining and dispensing education; overseeing quality of life issues; providing navigation; and holding workshops. Examples from Chicago… Read more »
Ko, M., Murphy, J., & Bindman, A.B. (2015). Integrating health care for the most vulnerable: Bridging the differences in organizational cultures between US hospitals and community health centers. American Journal of Public Health, 105(Suppl 5), S676-S679.
Policymakers have increasingly promoted health services integration to improve quality and efficiency. The US health care safety net, which comprises providers of health care to uninsured, Medicaid, and other vulnerable patients, remains a largely fragmented collection of providers. In this article, authors interviewed leadership from safety net hospitals and community health centers in 5 US… Read more »
Parekh, A., & Schreiber, R. (2015, July 10). How community-based organizations can support value-driven health care [Web log post].
This blog post argues that health care systems can benefit from partnering with community-based organizations, especially those that serve older adults and those with chronic health conditions. The post also discusses potential financial benefits and improved health care outcomes that can result from these partnerships.
Solomon, J., & Peterson, L. (2015). Preparing California’s community-based organizations to partner with the health care sector by building business acumen: Case studies from the first cohort of Linkage Lab grantees. Long Beach, CA: The Scan Foundation.
In 2013, The SCAN Foundation (Foundation) developed Linkage Lab to help bridge the gap between the health care sector and community-based organizations (CBOs) by providing capacity-building support to California CBOs that primarily serve older adults with chronic health conditions and functional limitations. Over a two-year period, six CBOs participated in Linkage Lab, gaining capacity-building skills… Read more »
Somerville, M.H., Seeff, L., Hale, D., & O’Brien, D.J. (2015). Hospitals, collaborations, and community health improvement. Journal of Law, Medicine, and Ethics, 43(Suppl 1), 56-59.
This article makes the economic case for how hospitals can partner with other agencies (community based organizations, community development sector, public health agencies) to improve health. While there are some new reimbursement incentives for hospitals to achieve better health outcomes for specific populations, hospital administrators may wonder if these adequately address the higher costs incurred… Read more »
Taylor, L.A., Coyle, C.E., Nudumele, C., Rogan, E., Caravan, M., Curry, L, & Bradley, E.H. (2015). Leveraging the social determinants of health: What works? Blue Cross Blue Shield of Massachusetts Foundation.
This report outlines the importance of addressing the social determinants of health to improve health outcomes. Evidence-based interventions (including partnerships with Blue Cross Blue Shield health plan) that can effectively address the social determinants of health are discussed.