RESOURCES FOR HOSPITAL- COMMUNITY PARTNERSHIPS

EXAMPLES OF SUCCESSFUL PARTNERSHIPS

How hospitals in one state (New York) are engaging in Community Health

The Role of Hospitals in Improving Non-Medical Determinants of Community Population HealthThis report by the New York State Health Foundation outlines which hospitals in New York State and nationally are addressing non-medical determinants of community population health, as well as facilitators of and barriers to this work. (NEW YORK)Health Affairs published this blog based on the report.

Lessons learned from successful hospital/public health/community partnerships

Improving Community Health through Hospital-Public Health Collaboration: Insights and Lessons Learned from successful Partnerships This study identified and examined successful partnerships involving hospitals, public health departments, and other stakeholders who share commitment to improving the health of communities they jointly serve and describes key lessons learned from their collective experience.Creating Effective Hospital-Community Partnerships to Build a Culture of HealthThis leadership guide from RWJF and HRET elaborates on the elements of effective partnerships between hospitals and communities and provides recommendations on developing and maintaining successful partnerships between hospitals and community stakeholders.

Examples of hospital systems who are successfully financing community efforts

Hospitals Building Healthier Communities This Democracy Collaborative report provides an in-depth look at six hospitals in five cities that are rethinking their economic and community engagement strategies. (Features Mayo Clinic in Rochester, MN; Gundersen Lutheran Health System in La Crosse, WI; Bon Secours Health System in Baltimore; Henry Ford Health System in Detroit; University Hospital System and Cleveland Clinic Health System in Cleveland, OH).Hospital-based Strategies for Creating a Culture of HealthThe guide discusses how hospitals are contributing to community health improvement, and

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offers a model of the hospital’s role in building a culture of health.

Transforming Care: Reporting on Health Systems ImprovementThis issue of the Commonwealth Fund's Transforming Care looks at how some nonprofit hospitals are leveraging their charitable dollars, community investment funds, and purchasing decisions to promote healthier behaviors and stronger communities, often in partnership with public health departments, schools, faith-based organizations, nonprofits, businesses, local governments, and others.

NEW MODELS OF CARE (ACOS, AHC, ETC.)

Accountable Care Organizations (ACOs)

ACO Cheat Sheet (attached): 2-page educational briefing on ACOs, originally designed for health care suppliers and service providers, but helpful to anyone who would like a quick primer.

ACO Business Model

Sustainable Success in Accountable CareThis NAM Discussion Paper seeks to complement and build on conversations surrounding the business case and financial investment needed for a complete transition to the ACO business model. It then provides a roadmap for transition and ongoing investments necessary to sustain better care and health outcomes at lower cost.

Playbook for Accountable Care

This Advisory Board Company publication (attached) offers lessons for the transition to total cost accountability

Next-Gen ACOs CMS Announces Next Generation ACO Participants

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Advisory Board Daily briefing post on the CMS announcement, as well as links to additional resources on “What ACOs Need to Know” and factors to consider when choosing an ACO model.

Accountable Health Communities

CMS to test whether addressing beneficiaries’ housing, food needs improves their healthBlog post overviewing the 5-year, $157M Accountable Health Communities grant program recently announced by HHS designed to connect Medicare and Medicaid beneficiaries to needed non-medical supports.  The post outlines who is eligible to apply for the program and what the three tracks look like (boosting awareness of services, providing navigation services to help patients access services, and encouraging partner alignment to ensure services are available). Original press release.

Accountable Communities for Health (ACH)

Aligning Community-Healthcare Partnerships with Community Prevention: A PI Report for VermontACHs integrate medical care, mental and behavioral healthcare, and social services with actions to improve the community conditions that shape health in a geographical area. In its report, the Prevention Institute (PI) profiles five national sites engaged in work aligned with ACH principles, as well as regional efforts across Vermont. The report offers recommendations for how to strengthen existing work and extensively details the core elements that, taken together, can realize the full potential of an ACH model.

Community-Centered Health Homes (CCHH)

Community-Centered Health Homes: Bridging the gap between health services and community preventionIn this report, Prevention Institute outlines an approach that community health centers can take to promote community health even as they deliver high quality medical services to individuals. Lessons learned since the publication of the original report linked above are also available: The Community-Centered Health Homes Model: Updates & Learnings.” While this report is designed with primary care clinics, and particularly safety net clinics, in mind, the spirit of the model, the guiding principles, and suggested activities could be useful to a hospital, or to any sites that may be engaging a clinic.

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

MACRA Fact SheetMedicare Access and Summary CHIP Reauthorization Act of 2015 (MACRA), bipartisan legislation that replaced the flawed Sustainable Growth Rate formula with a new approach to paying clinicians for the value and quality of care they provide.

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MAKING THE CASE

Step-by-step guidance on how to establish a sustainable financing plan

Financing Regional Health Transformation: A PrimerThis Financing Primer helps regional leaders think through key questions around the investment and financing of long-term, health reform ventures.It focuses on what sustainable financing is, why it is important, the critical elements of a financing plan, and what others around the country have been doing to frame and finance their work.

Understanding Non-Profit Hospital Community Benefit Requirements

A Healthy Community Leader’s Guide to Understanding Hospital Community Benefit Requirements. This guide focuses on Arizona, but has good examples and guidance on what community benefit is and how to work with your hospital to leverage that funding. (ARIZONA)

Leveraging Nonprofit Hospital “Community Benefits”: A Strategy to Create Healthier CommunitiesChangeLab Solutions developed this fact sheet to provide information about what hospital community benefits are and how healthy eating and active living advocates can partner with nonprofit hospitals to create healthier communities.Compilation of resources from Community Catalyst on "ensuring hospitals meet community needs" for communitiesThis website from Community Catalyst includes resources on requirements for community benefit and how hospitals can engage communities in their CHNA work. Improving Community Health through Hospital Community Benefit Spending: Charting a Path to ReformThis report by the Milken Institute School of Public Health outlines strategies for the IRS to expand the role of tax-exempt hospitals in community health improvement in order to encourage greater hospital involvement in activities that can improve health on a community-wide basis. For more information, read these blogs in Kresge News and Health Affairs.

General guidance Can Hospitals Heal America’s Communities? – This Democracy Collaborative report illuminates

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and examples of WHY and HOW hospitals should invest in communities

the possibilities of whether hospitals can heal communities and explores how “all in for mission” is the emerging healthcare model.

Framework for hospitals to understand their impact on community health

The Anchor Dashboard This report identifies twelve critical areas where anchor institutions can play an effective role. Additionally, it develops illustrative indicators that: 1) provide a baseline to assess conditions in the community; and 2) evaluate institutional effort—e.g., dollars spent, procurement shifted, people hired, policies and accountability procedures in place.

One health system’s rationale for improving population health

A Case for Becoming True Integrators to Improve Population HealthThis white paper by the CEO of ProMedica, a healthcare system serving northwest Ohio and southeast Michigan, explores how ProMedica has collaborated with individuals and organizations to address hunger as a health issue. They are also are working on integrating mental health and removing barriers related to other social determinants, including housing, economic development and education.Learn more about the work of the Root Causes Coalition.

FOR HOSPITALS

Considerations for Hospital Leadership when forming partnerships

Guide to Health Care Partnerships for Population Health Management and Value-based CareThis Guide from Hospitals in Pursuit of Excellence is intended to help executive management and board teams understand key considerations for delivery system and health plan-related partnerships for population health management; partnership types; and the process recommended for partnership exploration and decision making.

Building community wealth through inclusive hiring, investment, and purchasing

Hospitals Aligned for Healthy Communities ToolkitThis toolkit from the Democracy Collaborative is designed to help hospitals and health systems build community wealth through inclusive hiring, investment, and purchasing. Includes information on:

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How hospitals and health systems can create jobs—and careers—for their local communities

How hospitals and health system purchasing can create opportunities at scale for their local communities

How hospitals and health systems can leverage their financial resources to lift up communities

How hospitals can move towards population health improvement activities

Population Health at Essential Hospitals: A Road Map to Community-Integrated Health CareAmerica's Essential Hospitals, with support from the Robert Wood Johnson Foundation, has published "a road map to help hospitals navigate the process for building programs that improve the health of a community or other population," Population Health at Essential Hospitals: A Road Map to Community-Integrated Health Care. Read full report.

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