rwjf-tag: Partnership lessons

Mattessich, P.W., & Rausch, E. J. (2014). Cross-sector collaboration to improve community health: A view of the current landscape. Health Affairs, 33(11), 1968-1974.

This article offers an empirical perspective on the general status of such collaboration based on results from a national survey of practitioners in the community development and health fields. Study results show that cross-sector efforts to improve health are widespread across the United States. Community development organizations, including community development financial institutions, support a wide… 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.

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 »

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 »

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 »

Henize, A.W., Beck, A.F., Klein, M.D., Adams, M., & Kahn, R.S. (2015). A road map to address the social determinants of health through community collaboration. Pediatrics, 136(4), 993-10001.

In this article, the authors use Maslow’s Hierarchy of Needs to demonstrate how partnerships between primary pediatric care physicians and community-based organizations can improve health outcomes. A partnership with a legal-aid group and food bank are described and some suggestions on how to establish similar partnerships in other locations are provided. There is a brief… Read more »

Helman, H.J., & Artiga, S. (2015). Beyond health care: The role of social determinants in promoting health and health equity. Menlo Park, CA: The Henry J. Kaiser Family Foundation.

Social determinants of health are the conditions in which people are born, grow, live, work and age that shape health. This brief provides an overview of social determinants of health and emerging initiatives to address them. It shows: social determinants of health include factors like socioeconomic status, education, neighborhood and physical environment, employment, and social… Read more »

Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: A cluster RCT. Pediatrics, 135(2):,296-304.

This study evaluated the effect of a clinic-based screening and referral system (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education [WE CARE]) on families’ receipt of community-based resources for unmet basic needs. The authors conducted a cluster randomized controlled trial at 8 urban community health centers, recruiting mothers of healthy infants. In the 4… Read more »

Mahadevan, R., & Houston, R. (2015). Supporting social service delivery through Medicaid accountable care organizations: Early state efforts. Hamilton, NJ: Center for Health Care Strategies.

This brief highlights the initial efforts of seven states — Colorado, Maine, Minnesota, New York, Oregon, Vermont, and Washington — that participated in CHCS’ Medicaid ACO Learning Collaborative. These states each have sought to incorporate social services into their existing or emerging Medicaid ACO models. The brief outlines key themes and considerations from these early… Read more »

Edmonds, A., Braveman, P., Arkin, E., & Jutte, D. (2015). Making the case for linking community development and health: A resource for those working to improve low-income communities and the lives of the people living in them. San Francisco, CA: Center on Social Disparities in Health.

This report seeks to increase knowledge of shared values and goals and raise awareness of how organizations are working together across the country at the intersection of community development and health. This report examines the following questions: What do community development and health have in common?; How do neighborhood conditions shape health?; How can the… Read more »

Butler, S., Grabinsky, J., & Masi, D. (2015). Hospitals as hubs to create healthy communities: Lessons from Washington Adventist Hospital. Washington, DC: Brookings Institute.

This paper explores the potential of hospitals to be such hubs by examining the experience of Washington Adventist Hospital (WAH), a community hospital in Maryland. The WAH experience highlights several challenges facing hospitals seeking to be community hubs. In this paper, the authors first describe Maryland’s unique health care financing system, which has helped encourage… Read more »

Association for Community Affiliated Plans. (2016, April). Integrating physical and behavioral health care: An initiative planning toolkit for health plans. Author.

This toolkit was developed by the Association for Community Affiliated Plans (ACAP). ACAP convened a collaborative of ACAP-member health plans to focus on improving integration of behavioral and physical health services. This toolkit reflects project planning process, lists the resources provided to collaborative plans, and summarizes a subset of ACAP-member health plan projects, whether already… Read more »

Steiner, T., & Tynan, W.D. (2016). Social determinants and collaborative health care: Improved outcomes, reduced costs. Deloitte.

This paper reviews some of the individual and collective impacts that physical health, behavioral health, and social determinants have on individuals and the US health system; examines how collaborative care models can help to improve outcomes and lower costs; discusses challenges to implementing integrated care; and suggests implications and opportunities for health plans and states.

Huang, T. J. (2016). Partnerships between local health departments and community health centers in pursuit of the Triple Aim. Washington, DC: National Association of County & City Health Officials.

This research brief and the project it summarizes represent an effort by the National Association of County and City Health Officials (NACCHO) to contribute to that understanding and sharing of information. This research brief provides information on current collaborations between local health departments (LHDs) and community health centers (CHCs) to inform community, state, and national… Read more »

Demilto, L., & Nakashian, M. (2016). Using social determinants of health data to improve health care and health: A learning report. M. McKaughan (Ed.). Washington, DC: Robert Wood Johnson Foundation.

This report aims to provide the Robert Wood Johnson Foundation (RWJF) and other health foundations with a perspective on the emerging intersection of social determinants of health (SDOH), health care systems, and social and other services. These fields intersect in how and what data are collected, and in ways the data are used to improve… Read more »

Schifferdecker, K.E., & Bazos, D.A. (2016). A review of tools to assist hospitals in meeting community health assessment and implementing strategy requirements. Journal of Healthcare Management, 61(1), 44-57.

In this report, the authors provide an in-depth review and rating of tools developed by public health and community experts that cover the steps necessary to meet the new requirements. A team of three community and public health experts and the authors developed a rating sheet based on a well-known community health improvement process model… Read more »

Subica, A.M., Grills, C.T., Douglas, J.A., & Villaneuva, S. (2016). Communities of color creating healthy environments to combat childhood obesity. American Journal of Public Health, 106(1), 78-86.

In this article, the authors present a novel 3-lens prescription for using community organizing to treat these determinants in communities of color based on the Robert Wood Johnson Foundation’s Communities Creating Healthy Environments initiative, the first national project to combat childhood obesity in communities of color using community organizing strategies. The lenses–Social Justice, Culture-Place, and… Read more »

Hester, J.A., Stange, P.V., Seeff, L.C., Davis, J.B., & Craft, C.A. (2015). Toward sustainable improvements in population health: Overview of community integration structures and emerging innovations in financing (CDC Health Policy Series No.2). Atlanta, GA: Centers for Disease Control and Prevention.

This report describes that how, after Accountable Care Organizations, the next evolution is to focus on community and population health to lower the incidence of disease overall and improve quality of life for may individuals at once. This requires data that can see outside the clinical setting to capture outcomes for a total geographically defined… Read more »

Norris, T., & Howard, T. (2016). Can hospitals heal America’s communities? “All in for mission” is the emerging model for impact. Washington, DC: Democracy Collaborative.

This paper examines the possibilities and explores how “all in for mission” is the emerging healthcare model, and discusses how some healthcare systems are expanding their focus to address the social determinants of health. The authors use the term “anchor mission” to describe hospital systems that are working to improve the community surrounding their institutions…. Read more »

Raday, S., Krodel, N., & Chan, A. (2018). Human services organizations: Partnering for better community health. New York, NY: Nonprofit Finance Fund. 

This report describes the Healthy Outcomes Initiative, which explored how community-based human services organizations can partner and integrate with health systems, insurers, and government to propel large-scale improvements in the health of America’s communities. Nonprofits and other community-based human services organizations are needed to provide the basic building blocks for health.

McGinnis, T., Bonney, J., & Chang, D. (2018). Innovative Medicaid payment strategies for upstream prevention and population health. Washington, DC: Academy Health, Robert Wood Johnson Foundation, & Nemours Children’s Health System.

This report describes a partnership between Nemours Children’s Health System and Maryland, Oregon, and Washington, to test how Medicaid payment authorities and new payment models could be used to support interventions to address the social determinants of health using a previously developed Medicaid Roadmap. This report illustrates the possibilities for using current Medicaid authority to… Read more »

Partnership for Healthy Outcomes. (2017, October). Bridging community-based human services and health care case study series. Hamilton, NJ: Author.

This report provides case studies on partnerships between community-based human services and health care. The case studies illustrate the potential for diverse and effective models between CBOs and health care organizations. They provide important lessons for how successful partnerships deliver services, share information, secure funding, engage their communities, and evaluate success. The following traits of… Read more »

Partnership for Healthy Outcomes. (2017, October). Collaborating to reduce hospital readmissions for older adults with complex needs: Eastern Virginia Care Transitions Partnership. Hamilton, NJ: Author.

This report is a case study of the Eastern Virginia Care Transitions Partnerships. The partnership in southeastern Virginia was designed to reduce hospital readmissions and improve quality of care among older adults and those with complex illness through an evidence-based care transition model and in-home assessments. This unique collaborative effort was a large-scale partnership including… Read more »

Paradise, J., & Ross, D.C. (2017, January). Linking Medicaid and supportive housing: Opportunities and on-the-ground examples. Menlo Park, CA: The Henry J. Kaiser Family Foundation.

This issue brief outlines ways in which Medicaid can support integrated strategies and, based on telephone interviews with key informants, profiles three current initiatives that illustrate distinctly different approaches to linking Medicaid and supportive housing. The three initiatives include one launched by a city (Philadelphia), one by a state (Louisiana), and one by a Medicaid… Read more »

Partnership for Healthy Outcomes. (2017, October). Ensuring healthy outcomes for Louisville’s vulnerable children: Health access nurturing development services program. Hamilton, NJ: Author.

This report describes a public health and community-based partnership in Kentucky which reduced the rate of pre-term births, and decreased Child and Protective Services encounters. Lessons learned from this partnership were that: collaboration and leadership are key; cultural change is required for reform; and Medicaid funding rules limit funding to non-first-time-mothers.

Accenture. (2017). Albany Medical Center PPS leads regional initiative to boost care quality and slow Medicaid costs. Author.

This is a case study of a Provider Performing System (PPS) in New York State. New York is one of the first states to participate in the Delivery System Reform Incentive Payment (DSRIP) initiative, a new federal program that aims to improve healthcare quality for Medicaid patients. The PPS, Albany Medical Center, called on Accenture… Read more »

Griffin, K., Nelson, C., Realmuto, L., & Weiss, L. (2018). Partnerships between New York City healthcare institutions and community-based organizations: A qualitative study on processes, outcomes, facilitators, and barriers to effective collaboration. NY: Greater New York Hospital Association/The New York Academy of Medicine.

The report describes findings from a research project in which focus group and interview participants from New York City-based hospitals, Delivery System Reform Incentive Payment (DSRIP) program Performing Provider Systems (PPSs), and community-based organizations (CBOs) discuss partnering experiences, processes, successes, and challenges. Although the research focused on New York City partnerships, the findings are broadly… Read more »

Beers, A., Spencer, A., Moses, K., & Hamblin A. (2018). Promoting better health beyond healthcare: State-level multi-sector actions for addressing the social, economic, and environmental factors that impact health. Hamilton, NJ: Center for Health Care Strategies.

This report explores the many ways that states are collaborating across agencies to improve population health while accomplishing reciprocal goals in areas like transportation and education. It provides important lessons on how cross-sector partnerships can successfully advance health outcomes through empowering local communities, facilitating cross-sector learning and collaboration, supporting data-sharing, and cultivating cross-sector leadership. A… Read more »

Amarasingham, R., Xie, B., & Karam, A. (2018, January). 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 community partnership initiatives to understand common challenges and identifies solutions. The authors identified five common challenges: inadequate strategies to sustain cost-savings, improvement, and funding; lack of accurate and timely measurement of return on investment; lack of mechanisms to share potential savings between health care and social services providers; lack of… Read more »

Easterling, D., & McDuffee, L. (2018, March 14). Finding leverage over the social determinants of health: Insights from a study of 33 health conversion foundations. Winston-Salem, NC: Wake Forest School of Medicine.

This article analyzed the strategic frameworks of 33 conversion foundations from throughout the US that have a reputation for addressing social and economic issues through interviews with foundation leaders. Authors identified five strategic pathways for improving social and economic condition that ranged from improving existing institutions to changing who has political power, and argue that… Read more »

Brooks, T., & Whitener, K. (2018). Leveraging Medicaid to address social determinants and improve child and population health. Washington, DC: Georgetown University.

This brief is intended to ground health care advocates on social determinants of health (SDOH) basics and describe ways Medicaid, in partnership with the health plans and providers that deliver public coverage benefits, can improve the health of enrollees by addressing the SDOH. It provides background and highlights resources that can support advocacy efforts to… Read more »

McGuire, J. (2016). Population health investment by health plans and larger provider organizations: Exploring the business case. Boston, MA: Northeastern University.

This report had two objectives: 1) To determine if there is a business case for the population health investments made by health plans and large provider organizations; and, if so, 2) To understand how business interests inform decision-making and affect the outcomes of population health investments. The author conducted an exploratory study composed of a… Read more »

Morris, G., Roberts, D., Leis, H., Mehring, A., Cederberg, C., Shahid, N., … Cavagnero, J. (2018). A national imperative: Joining forces to strengthen human services in America – 2018. New York, NY: Oliver Wyman, SeaChange Capital Partners, Alliance for Strong Families and Communities, and the American Public Human Services Association.

This report started because of a growing concern about the financial health of community-based organizations (CBOs) which deliver human services. The project was designed to assess the financial health of the human services CBOs, identify underlying causes that lead to financial vulnerability, and to propose ways to make them stronger. The objective was to provide… Read more »

The Human Services Council of New York Commision on Value-Based Care. (2018). Integrating health and human services: A blueprint for partnership and action. New York, NY: Author.

The New York Human Services Council (HSC) convened the Commission on Valuebased Care to examine and inform the State’s health care reform efforts with a human services CBO lens. Over the course of a year, this group of leaders with experience and expertise spanning government, health care, philanthropy, academia, and human services explored areas including… Read more »

WellCare Health Plans. (2018). New study shows how managed care organizations can help address social determinants of health with new social-support role [Press release].

This press release announces new research released by WellCare Health Plans, Inc. and the University of South Florida and published in The American Journal of Accountable Care that examined how WellCare CommUnity Liaisons, a new social-support person role, effectively used their own personal experiences to provide social support to study participants (callers) experiencing a broad… Read more »