Activating Cross-Sector Partnershi

Address the Social Determinants of 

Lori Peterson and Erin Lockwood 

Collaborative Consulting 
Objectives 

x Explore the potential of better addressing social determin

health through cross-sector partnerships 

x Enhance learning through in the field examples x Incorporate tools and resources to support application of 

Impact of Social Determinants 
Sources: Feeding America (2016), Map the Meal Gap (2014), and Hunger in A
Changing Healthcare Landscape 

From More is Better to Better is Better 

From Organizational Incentive to System Ince

From My Patient to Our Population 
Changing Healthcare Landscape 

x Healthcare providers increasingly confronted with 

• Declining income • Threat of financial penalties • Financial rewards 

x Sickest 5% of patients account for 50% of healthcare costs x Significant savings linked to addressing social determinants of healtx 80% of health outcomes related to factors outside of clinical health
Social Determinants: Increasing Awarene
Moving from WHY... 

to WHAT + HOW 
Snapshot of Successful Partnerships 

A hospital partnered with a CBO on a short-term respite program to achieve: 

85% Readmission Reduction for Respite Participants 2 Week Reduction in Average Length of Stay for Participants Serving over 200 Homeless Patients Annually 

Details: x Hospital launched a p

partnership with CBO 

x Sought to reduce leng

readmissions for targe

x Hospital paid for the c

and for the services p

x Program lasts 4 weeks 

efforts are made to coindividuals with addit

(SNAP, Housing, etc.) 
Snapshot of Successful Partnerships 

A hospital partnered with a CBO on a short-term respite program to achieve: 

85% Readmission Reduction for Respite Participants 2 Week Reduction in Average Length of Stay for Participants Serving over 200 Homeless Patients Annually 

Keys to Success: x CBO had committed l

other staffing/leaders

x CBO performed signif

building their value princluding ample reseaeducation 

x Partners communicatx Partners mutually ma
Snapshot of Successful Partnerships 

A health plan engaged a CBO to create a transitions program achieving: 

50% Reduction in Total Cost of Care per Member per Month 60% Reduction in Hospital Average Length of Stay 95% Retention Rate in Community Placement at 6 Months 

Details: x Health plan launched 

seeking ideal CBO par

x Sought to reduce utili

spending for skilled nterm care 

x Health plan pays CBO 

management and ofteas necessary 

x Care managers coord

with others, such as mtransportation 
Snapshot of Successful Partnerships 

A health plan engaged a CBO to create a transitions program achieving: 

50% Reduction in Total Cost of Care per Member per Month 60% Reduction in Hospital Average Length of Stay 95% Retention Rate in Community Placement at 6 Months 

Keys to Success: x CBO has developed a 

centered around collacommitting to the effo

x Leadership believed in 

proposition 

x The CBO recognized t

build capacity in finanexpertise and focused 
Snapshot of Successful Partnerships 

A hospital partnered with a CBO to implement a food prescription program: 

Readmission reduction achieved for recipients Medically tailored meals provided postdischarge Serving at least 40 individuals a month 

Details: x Hospital launched a 

in partnership with 

x Sought to reduce re

and post-discharge 

x Hospital paid for th

meal 

x Meal selection base

and provided for at 
Snapshot of Successful Partnerships 

A hospital partnered with a CBO to implement a food prescription program: 

Readmission reduction achieved for recipients Medically tailored meals provided postdischarge Serving at least 40 individuals a month 

Keys to Success: x Built upon and leve

existing relationshi

x Partnership was bu

with each partner pinput and expertise 

x Data collection and 

key to the developmrelationship 
Example Health System’s Perspective 

x East Coast healthcare provider x Recognized potential in partnering with community based organizations x Identified 3 key areas of focus based on needs of population served and r

on health outcomes: 

x Food insecurity x Housing x Care Management 

x Working to assess readiness of CBOs to develop network of strong partne
Continued 

x Assessing 7 key elements, including: 

x Data/Information Sharing Capabilities x Leadership and Governance x Organizational Culture x Evidence-Based Programming x Quality Improvement Efforts x Financial Stability x Operations 

x Conducting thorough self and consultant assessments to analyze individu

collective, organizational readiness to identify a network of CBOs to enter 

agreements 
Accelerating Factors 

Leadership Relating Trust Influence Power 
Assess Internal Readiness 

Services Operations Leadership 

Relationships Quality 
Identify the Opportunities

Consumer: needs, desires, challenges, 

gaps, solutions

Healthcare partner: needs, desires, 

challenges, gaps, solutions
Useful Tools and Methods 

x Interview and Observe 

x Immerse yourself within the population you serve x Gain the perspective of the healthcare sector 

x Research and Data Analysis 
Develop a Value Proposition 

Define your organization’s value to potential paConsider the unique perspective of audience Different from mission and vision Clear and concise 
A Value Proposition 

MOW is an intervention that keeps high risk people, molder, mostly poorer, mostly homebound, and virtually chronic health conditions, safer, healthier, happier and own homes – and – out of higher cost placements. It is uniquely effective because it’s more than a meal. combines nutritional support with regular face to face trained staff and volunteers. Through those home visitstaff build strong, trusting relationships that reduce soisolation and fight depression. 

-Charlie Teese, Meals on Wheels G
Useful Tools and Methods 

x Crafting Your Value Proposition 

x Focus Groups, Observation, Research, Concept M

x Testing Your Value Proposition 

x Role Play Activity, Feedback, Ask Yourself, “So Wh
Useful Tools and Methods 

Collaborative Consulting Value Proposition T
Questions? 
Lori Peterson 

Collaborative Consulting 

lori@collaborativeconsulting.net 

866.332.3923