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Studies - hpoe.org

A Compendium ofCase StudiesHospital- community Partnerships to Build a Culture of Health:Suggested Citation: Health Research & Educational Trust. (2017, August). Hospital- community partnerships to build a Culture of Health: A compendium of case Studies . Chicago, IL: Health Research & Educational Trust. Accessed at Accessible at: : or 312-422-2600 2017 Health Research & Educational Trust. All rights reserved. All materials contained in this publication are available to anyone for download on , or for personal, non-commercial use only. No part of this publication may be reproduced and distributed in any form without permission of the publication or in the case of third-party materials, the owner of that content, except in the case of brief quotations followed by the above suggested citation.

an affiliate of the American Hospital Association, launched Learning in Collaborative Communities, a cohort of 10 communities from across the United States that have successful hospital-community

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1 A Compendium ofCase StudiesHospital- community Partnerships to Build a Culture of Health:Suggested Citation: Health Research & Educational Trust. (2017, August). Hospital- community partnerships to build a Culture of Health: A compendium of case Studies . Chicago, IL: Health Research & Educational Trust. Accessed at Accessible at: : or 312-422-2600 2017 Health Research & Educational Trust. All rights reserved. All materials contained in this publication are available to anyone for download on , or for personal, non-commercial use only. No part of this publication may be reproduced and distributed in any form without permission of the publication or in the case of third-party materials, the owner of that content, except in the case of brief quotations followed by the above suggested citation.

2 To request permission to reproduce any of these materials, please email 3 IntroductionAtlantic Health System Morristown, New JerseyLifeBridge Health Baltimore, MarylandSeton Healthcare Family Austin, TexasSharp HealthCare San Diego, CaliforniaSinai Health System Chicago, IllinoisSt. Mary's Health System Lewiston-Auburn, MaineSt. Vincent Healthcare Billings, MontanaUniversity of Vermont Medical Center Burlington, VermontWNC Health Network Western North CarolinaAppendixResources461016212631364 0444850 Contents4In 2016, the Health Research & Educational Trust, an affiliate of the American Hospital Association, launched learning in collaborative Communities, a cohort of 10 communities from across the United States that have successful hospital- community partnerships.

3 This work was part of the Robert Wood Johnson Foundation s vision to build a Culture of Health. HRET staff visited the communities and met with representatives from the hospital and community to learn how these individuals and their organizations worked together to build effective partnerships. In addition, three representatives from each of the communities were invited to two in-person meetings dedicated to strengthening competencies related to building effective hospital- community partnerships. Insights gained from these site visits and meetings helped HRET create A Playbook for Fostering Hospital- community Partnerships to Build a Culture of Health. The playbook includes strategies, worksheets and tools to guide a structured and collaborative process for improving the health of individuals and case Studies highlight communities that are developing, implementing and sustaining effective strategies and successful programs to achieve a Culture of Health.

4 5 Key takeaways from the playbook include:: Partnerships share valuable assets such as resources, tools and expertise. Hospital- community partnerships are necessary to address community health issues nonclinically. The process of identifying partners and assets and developing an action plan can be simplified by incorporating structured activities and exercises. Aligned goals, transparent communication and strong leadership can drive a partnership to measurable success. Leveraging strengths and identifying weaknesses in a partnership help overcome challenges. Evaluating, reflecting on and celebrating progress strengthen a partnership and accelerate momentum. Sustainable partnerships are established by including more innovative strategies and practical tools in existing compendium features descriptions of the communities which vary in location, service type, type of partners and degree of partnership and their initiatives to build a Culture of Health.

5 The appendix includes photos from the two meetings convened by HRET with representatives from the communities as well as the Robert Wood Johnson Foundation. A collaborative approach is key to building a Culture of Health that is, creating a society that gives all individuals an equal opportunity to live the healthiest life they can, whatever their ethnic, geographic, racial, socio-economic or physical circumstance may be. These case Studies highlight communities that are developing, implementing and sustaining effective strategies and successful programs to achieve that goal. Atlantic Health SystemLifeBridge HealthProvidence HealthSeton Healthcare FamilySharp HealthCareSinai Health SystemSt.

6 Mary's Health SystemSt. Vincent HealthcareUniversity of Vermont Medical CenterWNC Health NetworkMorristownBaltimorePortlandAustin San DiegoChicagoLewistonBillingsBurlingtonAs hevilleNew JerseyMarylandOregonTexasCaliforniaIllin oisMaineMontanaVermontNorth Carolina6 Atlantic Health System, a six-hospital system, has headquarters in northern New Jersey in Morristown, about an hour outside of New York City. The health system s service area of northern New Jersey and Pike County, Pennsylvania, is home to more than 2 million people. This community is highly educated: 93 percent are high school graduates, and 42 percent hold at least a bachelor s degree. The population is diverse: 27 percent are Hispanic/Latino, 12 percent are black or African-American, and 25 percent are foreign born.

7 Though the region has areas with high levels of affluence, there are many pockets of socio-economic need and health disparities. About a third of the community s residents have demonstrated struggles to make financial ends meet. The community Engagement and Health Improvement Department is the engine that drives the health system s partnerships and community health improvement work. Consisting of community Health, the Center for Faith and Health, and the Atlantic Center for Population Health Sciences, the department builds on a long-standing tradition of community health improvement work at Atlantic Health. The health system undertook an intentional community DescriptionAtlantic Health SystemMorristown, New Jersey journey from a plethora of 144 community programs that were not evidence based, targeted or evaluated and streamlined them into three signature community health improvement programs across the system that are targeted, evaluated and evidence based.

8 Each geographic region of the system is responsible for implementing its own projects to maintain local flavor and culture and address local concerns. Underpinning all this work are the community -based collective impact model, community -based participatory research and a desire to build community capacity. Additionally, the department is using its robust data resources to drive decision-making around population health management across the Health System uses a three-pronged approach toward achieving its vision of improving lives and empowering communities through health, hope and healing:1. Prevent illness and disease through community investment around socio-economic indicators and preventive services2.

9 Engage the community and develop strategically aligned partnerships3. Optimize health care delivery and accessibilityThis commitment to building a health system Culture of Health is evident in how the system s hospitals operate. Leadership and clinical staff recognize that addressing the social determinants of health in partnership with the community is the only way to truly improve health. For example, the health system s nursing staff is engaged by integrating community health into clinicians professional development pathway. Regional diversity councils lead many initiatives, including programming to expose staff from across the organization to a poverty simulation session, helping them understand the challenges of living in poverty.

10 Photo courtesy of Atlantic Health System7 Atlantic Health SystemMorristown, New Jersey PRIORITY NEEDSO besity | Access to behavioral health care | Substance use disorders (heroin/opiate use) Diabetes | Cardiovascular diseaseCommunity PartnershipsNorth Jersey Health collaborative The North Jersey Health collaborative (NJHC) serves as the backbone organization for regional health improvement. It was founded in 2013 by a group of nine organizations, including Atlantic Health System; since that time the NJHC has expanded to five counties Morris, Passaic, Sussex, Union and Warren with more than 125 organizational partners, including health care systems, public health organizations and community -based organizations.


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