Partnerships between New York City health care institutions and community-based organizations: a qualitative study on processes, outcomes, facilitators, and barriers to effective collaboration
- Collection:
- Health Policy and Services Research
- Author(s):
- Griffin, Kerry, author Nelson, Carla, author Realmuto, Lindsey, author Weiss, Linda, author
- Contributor(s):
- Greater New York Hospital Association, issuing body. New York Academy of Medicine, issuing body.
- Publication:
- New York, NY : New York Academy of Medicine, April 2018
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Community Health Services -- organization & administration Community-Institutional Relations Health Care Reform Insurance, Health, Reimbursement Interinstitutional Relations Social Determinants of Health Asthma -- prevention & control Community Health Workers Focus Groups Medicaid Religious Missions Humans New York New York City United States
- Genre(s):
- Technical Report
- Abstract:
- While New York City-based health care organizations (HCOs) and community-based organizations (CBOs) share the mutual goal of serving the needs of their patients and clients, the extent to which they have effectively partnered to address social needs that impact health has varied. Now, partnerships between these organizations are gaining increased attention and support in the context of health care reform and addressing social determinants of health. This has been catalyzed by the New York State Department of Health's (DOH) Delivery System Reform Incentive Payment (DSRIP) program and Medicaid Roadmap to Value-Based Payment (VBP), both of which require CBO engagement as part of health care and population health improvements. As these programs evolve, policymakers, HCOs, and CBOs are seeking additional information on how to best partner to support the needs of their patients, clients, and communities. This report details partnering experiences, challenges, and facilitators as discussed in focus groups and key stakeholder interviews with representatives from New York City HCOs and CBOs. The report also details actionable information for HCOs and CBOs seeking to enter into or enhance existing partnerships. For this project, HCOs include hospitals and Performing Provider Systems (PPSs) implementing DSRIP, while CBOs are organizations that primarily provide social services. HCOs and CBOs recognize that partnerships are key to improving health within their communities, as well as reducing avoidable health care utilization and--ultimately--health care costs. HCOs and CBOs discussed their reasons for seeking and establishing partnerships with one another, including funder and/or regulatory requirements and organizational responsibility (e.g., hospital community benefit requirements, New York State Prevention Agenda goals, and organizational missions) for addressing community needs. Many focus group participants discussed specific service gaps, disconnects, and unmet needs--identified through experience, public datasets, or community needs assessments--that could be best addressed through partnerships between HCOs and CBOs. Generally, partnerships facilitated capacity building, staff professional development, networking opportunities, and increased access to funding. They also resulted in improved access to services and wellbeing through the use of home- and community-based services to improve care transitions, chronic disease self-management, and the provision of other social supports. Participants discussed challenges, offered insights, and made recommendations for successful partnerships (see box, page 5).
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (37 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101735783 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101735783