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PRAXIS Resource of the Month: The Power of Partnerships

Posted on August 08, 2016   |   
6 Comments   |   
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creative effective community partnerships

One of the themes common to those most successful in COPD care delivery is the development and nurturing of community partnerships. Health care organizations heighten their impact and extend their reach when they work closely with fellow health care organizations, faith-based groups, transportation companies, businesses and other invested stakeholders.

In COPD care delivery, these coalitions can take a variety of forms. For example:

  • A doctor’s office working with a local transportation company to provide discounted taxi services to help patients with transportation access issues to get to their appointments;
  • A local YMCA providing access to their exercise equipment during low-traffic hours to respiratory therapy & pulmonology staff to create a pulmonary rehabilitation program;
  • Local health departments providing free access to health fair space to promote a health system’s respiratory care offerings and provide on-site peak flow screenings;
  • Churches providing meeting hall space to host COPD support groups in a location convenient to their members.

All of these partnerships share the commonality of being relationships that benefit both parties and, most importantly, promote the health of the most important stakeholders — the patient with COPD.

In August 2016, the Health Research & Educational Trust (HRET), with support from the Robert Wood Johnson Foundation (RWJF), published a toolkit titled, “Creating Effective Hospital-Community Partnerships to Build a Culture of Health.” While the toolkit is intended for hospitals, PRAXIS members working in other environments should not be deterred from downloading and exploring this free resource; the included principles and guidance are applicable to a variety of settings.

The data for this 72-page guide was extracted from interviews the authors conducted with 50 hospital and community partner leaders. They surmise that several elements are essential to long-standing, productive partnerships, including:

  1. The creation of a shared vision and objectives based upon data provided via community needs assessment.
  2. Involvement of all parties in the planning, implementation and evaluation of not only the intervention or event resulting from the alliance, but the partnership itself.
  3. Active engagement by all parties. The most beneficial partnerships are those in which organizations are involved well beyond name or service provision only.
  4. Roles and expectations are clearly outlined from the initiation of the relationship. Communication, whether relaxed or more formal, is clear and regular and is established between all stakeholders, including the patient community they serve.

The authors describe commonly reported challenges in partnership development and approaches to successful resolution (e.g., the issue of limited funding sources: address by building partnerships with other like-minded partners with complementary resources). They also provide a clear and concise framework for creating the partnership, one that can be used as a checklist in all phases of work (see pages 31-32).

In a robust case studies section, HRET includes the work of seven different hospitals in a variety of locales and describes their partnerships with local coalitions, nonprofit organizations with similar missions, food banks, school systems and health systems and centers. While these examples represent different care delivery or population health arenas, the approaches are transferable to our work. Each vignette includes background on the partnership, the needs of the community and the structure of the pairings; information about the community partners engaged in the model; results of their work; lessons learned (e.g., a memorandum of understanding was helpful; there is a need for multiple groups to examine root causes and potential solutions to address community needs comprehensively); and contact information (including email addresses) for the involved partners.

Last, the appendices contain helpful resources including information from two partnership effectiveness surveys, one employed by Cook County, IL and the other Duke Health Division of Community Health (appendices D and E), a 44-question coalition member assessment (appendix F) followed by additional resources for your consideration.

Read more about the guide and download it at the Hospitals in Pursuit of Excellence website here.

Please share in the comments:

Tell us a little bit more about your organization’s community partnerships – what has been successful for you? What hasn’t worked so well?

What resources have you found helpful in developing, maintaining and measuring the success of your community relationships?

6 Comments



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  • This is a great documents, with some great ideas on how to develop collaboration with a diverse group of community partners.
    When we had a Beacon grant in Concord NC, we invited all our community partners from Council on Aging, Community Free Clinics, Parish Nurses, SNFs, CCNC, Hospice and Palliative Care and many others and challenge each one to align with a project around the COPD Population. Each month we would meet and share progress on each project and we soon challenged ourselves to find ways to not compete with offerings like (3) care-giver camps but to consolidate and be a more effective and efficient community. We developed some very strong relationships and supported each other and challenged each other to be the best. You know that the Patients were the True Winners!!
    A must read. If you have been doing community collaboratives, I would love to hear about them, or if you have been wondering where to start join in- there is so much to be done to support the patients and their loved ones in "the patient continuum". We can do it together.
    Reply
  • This article contains a great example of a community partnership at work! Transportation is an issue for many patients -- companies like Lyft and Uber are working more and more with physician practices and hospitals. Has anyone ever used a service like this for a medical appointment?


    http://www.fiercehealthcare.com/healthcare/population-health-chronic-patients-uber-lyft-ride-hailing-services?utm_medium=nl&utm_source=internal&mrkid=5856279&mkt_tok=eyJpIjoiTXpnM09UWm1PRGRtT1RReSIsInQiOiJcLzdsd3FZdTBRS2VlSStmN3pYRjF5RXZkQjVWU1dOMDhDN3Rhc25ITDRERXQ4QnViTlRuRENERG5Ya3JPYVMzMlwvcDlMcjFPaWU5aFFOV0NRdVZiRGQ1VzhqclJXM2NHMURYUDRxMndKMnBRPSJ9

    Reply
  • HPOE has published another resource that will be of interest to those developing and nurturing community partnerships: Guide to Health Care Partnerships for Population Health Management and Value-based Care

    You can find it here: http://www.hpoe.org/resources/hpoehretaha-guides/2860?utm_source=eblast&utm_medium=email&utm_campaign=HPOEeblast-08-16-16-newreport

    Look for a summary in the PRAXIS Resource Repository soon!
    Reply
  • I would love to hear what other large and small communities are doing to support COPD Population Health. We are trying to find other Best Practices, know any? please share with us.
    Reply
    • Slightly off topic but related. I did a very affordable and an amazing pulmonary exercise program at the RWJ Wellness Center. To be clear this was not pulmonary rehab, it was phase III pulmonary exercise. I worked with a trainer/physiologist and a respiratory therapist from RWJUH. My pulmonologist happens to practice at RWJUH so she was also in the loop. The total cost for an 8 week program (16 sessions) was only $200.00. That comes to about $12 per session. That is very affordable, obviously subsidized some how. An excellent example of providing a critical service to the local COPD population.
      Reply
    • Very cool, clipper. Excellent that your pulmonologist was essentially part of the team.
      Reply

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