The Proof's in the Partnerships

Laymon, Barbara; Shah, Gulzar H.; Leep, Carolyn J.; Elligers, Julia Joh; Kumar, Vibha

doi:10.1097/phh.0000000000000087

Cited by 42 publications

(14 citation statements)

References 8 publications

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“…In a statewide analysis in Missouri, Beatty, Wilson, and colleagues found significant variation in cooperation and no strong predictors of collaboration between the non-profit hospital and other organizations (22,62). Laymon et al provided baseline data from the first CHNA cycle in 2013 and reported that 53% of LHDs collaborated with hospitals on needs assessments, with likelihood increasing in areas of large populations (63). In a case study, Sampson, Gearon and Boe describe a process wherein a hospital-LHD partnership drew upon the local health department's long history of community collaboration and engaged 1,800 Polk County, WI residents in developing the CHNA, many of whom continue to be involved in workgroups to address the identified needs (64).…”

Section: Key Conclusion Related To Community Benefitmentioning

confidence: 99%

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Rozier

2020

Front. Public Health

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Section: Key Conclusion Related To Community Benefitmentioning

confidence: 99%

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Rozier

2020

Front. Public Health

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“…While there were early models of hospital partnerships with community-based organizations (Bucks County Health Improvement Partnership, n.d.; Prybil et al, 2014) to address community health, these efforts have more recently been embraced as a strategy to support health systems’ population health management activities (Berwick et al, 2008; Institute for Healthcare Improvement, 2018). Some examples of these types of partnerships include hospital–public health partnerships for CHNAs (Hogg et al, 2015; Laymon et al, 2015; Singh & Carlton, 2017; Wilson et al, 2014), multisector collaborative networks (Hogg & Varda, 2016; Mays et al, 2016; Towe et al, 2016), and partnerships with community-based organizations to improve access to community resources (Lindau et al, 2016; Morgan et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Hospital Partnerships for Population Health: A Systematic Review of the Literature

Hilts¹,

Yeager

Gibson

et al. 2021

Journal of Healthcare Management

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EXECUTIVE SUMMARY The U.S. healthcare system continues to experience high costs and suboptimal health outcomes that are largely influenced by social determinants of health. National policies such as the Affordable Care Act and value-based payment reforms incentivize healthcare systems to engage in strategies to improve population health. Healthcare systems are increasingly expanding or developing new partnerships with community-based organizations to support these efforts. We conducted a systematic review of peer-reviewed literature in the United States to identify examples of hospital–community partnerships; the main purposes or goals of partnerships; study designs used to assess partnerships; and potential outcomes (e.g., process- or health-related) associated with partnerships. Using robust keyword searches and a thorough reference review, we identified 37 articles published between January 2008 and December 2019 for inclusion. Most studies employed descriptive study designs (n = 21); health needs assessments were the most common partnership focus (n = 15); and community/social service (n = 21) and public health organizations (n = 15) were the most common partner types. Qualitative findings suggest hospital–community partnerships hold promise for breaking down silos, improving communication across sectors, and ensuring appropriate interventions for specific populations. Few studies in this review reported quantitative findings. In those that did, results were mixed, with the strongest support for improvements in measures of hospitalizations. This review provides an initial synthesis of hospital partnerships to address population health and presents valuable insights to hospital administrators, particularly those leading population health efforts.

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“…This concept can be seen in many efforts aimed at multi-sector collaboration in public health, health care delivery organizations, community-based organizations, and the private sector. These include such varied activities as health department accreditation [11], the Robert Wood Johnson Foundation’s Culture of Health initiative [1], the Health in All Policies (HiAP) approach [12], and the San Francisco Federal Reserve Bank’s Pathways to System Change initiative [13]. Despite their varied rationale and organizational forms, the key elements of these initiatives are well described by Kania and Kramer’s Collective Impact framework [4], which includes: 1) a common agenda, 2) shared measurement systems, 3) mutually reinforcing activities, continuous communication, and a backbone support organization.…”

Section: Introductionmentioning

confidence: 99%

Beyond CHNAS: Performance Measurement for Community Health Improvement

Stoto

Davis

Atkins

2019

eGEMs

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Research Objective: Non-profit hospitals are required to work with community organizations to prepare Community Health Needs Assessment (CHNA) and implementation strategy (IS). In concert with the health care delivery system’s transformation from volume to value and efforts to enhance multi-sector collaboration, such community health improvement (CHI) processes have the potential to bridge efforts of the health care delivery sector, public health agencies, and community organizations to improve population health. Having a shared measurement system is critical to achieving collective impact, yet despite the availability of community-level data from a variety of sources, many CHI processes lack clear, measurable objectives and evaluation plans. Through an in-depth analysis of ten exemplary CHI processes, we sought to identify best practices for population health measurement with a focus on monitoring collaborative implementation strategies. Study Design: Based on a review of the scientific literature, professional publications and presentations, and nominations from a national advisory panel, we identified 10 exemplary CHI processes. Criteria of choice were whether (1) the CHIs articulate a clear definition of intended outcomes; (2) clear, focused, measurable objectives and expected outcomes, including health equity; (3) expected outcomes are realistic and addressed with specific action plans; and (4) whether the plans and their associated performance measures become fully integrated into agencies and become a way of being for the agencies. We then conducted an in-depth analysis of CHNA, IS, and related documents created by health departments and leading hospitals in each process. Population Studied: U.S. hospitals. Principal Findings: Community health improvement processes benefit from a shared measurement system that indicate accountability for specific activities. Despite the importance of measurement and evaluation, existing community health improvement efforts often fall short in these areas. There is more variability in format and content of ISs than CHNAs; the most developed models include population-level goals/objectives and strategies with clear accountability and metrics. Other hospital IS’s are less developed. Although all U.S. hospitals are familiar with performance measurement in their management, this familiarity does not seem to carry over to Community Benefit and CHNA efforts. Indeed, 5 of the 10 CHI processes we examined have some Accountable Care Organization (ACO) involvement, where population-health performance measures are commonplace. Yet this involvement is not mentioned in the CHNAs and ISs, nor are ACO data cited. Conclusions: Strengthening the CHNA regulations to require that hospitals report the evaluation measures they intend to monitor based on an established community health improvement model could help communities demonstrate impact. As in ...

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The Proof's in the Partnerships

Cited by 42 publications

References 8 publications

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Nonprofit Hospital Community Benefit in the U.S.: A Scoping Review From 2010 to 2019

Hospital Partnerships for Population Health: A Systematic Review of the Literature

Beyond CHNAS: Performance Measurement for Community Health Improvement

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