The Organizational Risks Of Cross-Sector Partnerships: A Comparison Of Health And Human Services Perspectives

Petchel, Shauna; Gelmon, Sherril B.; Goldberg, Bruce

doi:10.1377/hlthaff.2019.01553

Cited by 20 publications

(11 citation statements)

References 18 publications

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“…The CBOs are stretched thin and often working with limited staff and financial resources. These findings align with previous studies that highlighted CBOs concern about resources, as well as limited understanding of human services delivery on the part of health systems, as a deterrent to social need collaboration (Byhoff & Taylor, 2019; Petchel, Gelmon, & Goldberg, 2020). Making sure these organisations are included in high‐level conversations about the structure of clinical‐to‐community models to address social needs, in addition to thinking about innovative funding and support mechanisms, is critical to building strong and sustainable cross‐sector relationships.…”

Section: Discussionsupporting

confidence: 90%

“…Even in these communities where a great deal of attention to these issues is driving policy, funding and program change, it became evident that the systems in place are still new and evolving. Similar studies on cross‐sector strategies to address unmet social need have also noted the importance of aligning mission, outcomes and definitions as a strategy to improve collaborative efforts (Byhoff & Taylor, 2019; Petchel et al, 2020). In particular, we noted the lack of a strong connection between clinical providers and CBOs, a lack of common terms (SDOH versus whole person care) for building collaborative strategies, and a misalignment between roles, value and resource exchanges among organisations, further validating that much can be done to better align and integrate health and social services.…”

Section: Discussionmentioning

confidence: 91%

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Exploring the capacity of community‐based organisations to absorb health system patient referrals for unmet social needs

Hogg-Graham

Edwards²,

Ely

et al. 2020

Health Soc Care Community

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This study examines the perspectives, resources, role and services provided by community‐based organisations (CBOs) in response to the integration of health and social services to address individual unmet social needs, as well as the impact on organisational carrying capacity related to the ability to receive referrals from health system partners. Mixed methods combining qualitative interviews with 24 organisations and Social Network Analysis with 75 organisations were completed in 2018 in two communities (Denton, TX and Sarasota, FL) with robust examples of health and social systems alignment. Findings suggest that while community organisations are embedded in robust cross‐sector networks, the potential increase in referrals from clinical settings is not something they are fully aware of, or prepared for, as evidenced by inadequate funding models, misalignment between capacity and capability, and a lack of coordination on screening and referral activities. Misalignment between clinical and CBO understanding of demand, needs and capacity present a potential risk in building strategies that integrate health and social services to address unmet social need. Failing to build a strong cross‐sector screening and referral infrastructure that considers CBO capacity from the start could undermine the goal of improving population health through the integration of clinical and social care.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 91%

Exploring the capacity of community‐based organisations to absorb health system patient referrals for unmet social needs

Hogg-Graham

Edwards²,

Ely

et al. 2020

Health Soc Care Community

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“…As a result of these concerns, many have advocated for robust cross-sector collaborations that are cocreated by key organizations in the community, including, but not limited to, health care organizations ( Bye & Ghirardelli, 2016 ; Fichtenberg et al, 2020 ; Hogg-Graham et al, 2021 ; Robert Wood Johnson Foundation, 2016 ; Towe et al, 2016 ). Meaningful cross-sector community-wide collaboration may be even more challenging than traditional care integration (and social care) efforts for health care organizations in terms of staff and leadership time, up-front investments, and ongoing efforts ( Petchel et al, 2020 ). Even when community-wide, cross-sector collaborations are formed, health care may still spearhead efforts because social service sectors may lack the investment and support needed to lead collaboration efforts ( Monroe, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“It’s Not Just the Right Thing . . . It’s a Survival Tactic”: Disentangling Leaders’ Motivations and Worries on Social Care

2021

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Health care organizations face growing pressure to improve their patients’ social conditions, such as housing, food, and economic insecurity. Little is known about the motivations and concerns of health care organizations when implementing activities aimed at improving patients’ social conditions. We used semi-structured interviews with 29 health care organizations to explore their motivations and tensions around social care. Administrators described an interwoven set of motivations for delivering social care: (a) doing the right thing for their patients, (b) improving health outcomes, and (c) making the business case. Administrators expressed tensions around the optimal role for health care in social care including uncertainty around (a) who should be responsible, (b) whether health care has the needed capacity/skills, and (c) sustainability of social care activities. Health care administrators could use guidance and support from policy makers on how to effectively prioritize social care activities, partner with other sectors, and build the needed workforce.

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“…Care coordination spanning health care and social services merits special attention because organizations in these sectors often differ in organizational structure, financing, workplace culture, and other factors. 20,21 These differences create barriers to effective partnerships that do not exist when coordinating care within the health care system. It is thus plausible that care coordination across health care and social services manifests differently from coordination across specialties within health care.…”

Section: Introductionmentioning

confidence: 99%

Systematic Review of Care Coordination Interventions Linking Health and Social Services for High-Utilizing Patient Populations

Albertson

Chuang

O’Masta

et al. 2022

Population Health Management

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Recognizing that social factors influence patient health outcomes and utilization, health systems have developed interventions to address patients' social needs. Care coordination across the health care and social service sectors is a distinct and important strategy to address social determinants of health, but limited information exists about how care coordination operates in this context. To address this gap, the authors conducted a systematic review of peer-reviewed publications that document the coordination of health care and social services in the United States. After a structured elimination process, 25 publications of 19 programs were synthesized to identify patterns in care coordination implementation. Results indicate that patient needs assessment, in-person patient contact, and standardized care coordination protocols are common across programs that bridge health care and social services. Publications discussing these programs often provide limited detail on other key elements of care coordination, especially the nature of referrals and care coordinator caseload. Additional research is needed to document critical elements of program implementation and to evaluate program impacts.

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The Organizational Risks Of Cross-Sector Partnerships: A Comparison Of Health And Human Services Perspectives

Cited by 20 publications

References 18 publications

Exploring the capacity of community‐based organisations to absorb health system patient referrals for unmet social needs

Exploring the capacity of community‐based organisations to absorb health system patient referrals for unmet social needs

“It’s Not Just the Right Thing . . . It’s a Survival Tactic”: Disentangling Leaders’ Motivations and Worries on Social Care

Systematic Review of Care Coordination Interventions Linking Health and Social Services for High-Utilizing Patient Populations

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