Partnerships, How can we all work together!

1. Partnerships, How can we all work together! Betty Jefferson, RN, MSN Clinical Service Manager Lead Prevention & Remediation Project Grace Hill Neighborhood Health Centers, Inc.

2. Objectives Define collaboration, coordinating, and networking • Identify national partnerships • Explain why “I gave them the 1-800 number” isn’t enough

3. Chronic Care Model Community Health System Health Care Organization Resources and Policies ClinicalInformationSystems Self-Management Support DeliverySystem Design Decision Support Prepared, Proactive Practice Team Informed, Activated Patient Productive Interactions Improved Outcomes

4. Community Resources and Policies • Encourage patients to participate in effective programs • Form partnerships with community organizations to support or develop programs • Advocate for policies to improve care

5. Community Your community includes individuals, groups, agencies, institutions, businesses, service clubs, social groups, religious institutions, “venues” such as parks, malls, recreation fields…and any other characteristic that binds people together

6. Needs Spiritual Self actualization Social , Affection Safety, Security, Order Physiological Needs

7. Levels of Working Together • Networking • Informal • Initial level level of trust • Reluctance to share turf • Coordinating • Mutual Benefit • Requires organization • Higher levels of trust;coordination requires more time • Cooperating • Achieving a common purpose • Written agreements,shared resources human and/or physical • Significant access to other’s turf • Collaborating • Enhancing the capacity of another for mutual benefit and achieving common purpose • Willingness of organizations to enhance each other’s capacity for the same benefit • Share risk, responsibilities and rewards

8. “We are caught in an inescapable network of mutuality, tied in a single garment of destiny. What affects one directly, affects all indirectly.” Martin Luther King Jr.

9. Factors Influencing Successful Collaboratives • Factors related to the Environment • History of collaboration or cooperation • Collaborative group seen as a leader in the community • Political/social climate favorable

10. Factors Related to Membership Characteristics • Mutual respect, understanding and trust • Appropriate cross-section of members • Members see collaboration as in their self –interest • Ability to compromise

11. Factors Related to Process and Structure • Members share a stake in both process and outcome • Multiple layers of decision making • Flexibility • Development of clear roles and policy guidelines • Adaptability

12. Factors Related to Communication • Open and frequent communication • Established informal and formal communication links

13. Factors Related to Resources • Sufficient funds • Skilled converter

14. Factors Related to Purpose • Concrete, attainable goals and objectives • Shared vision • Unique purpose

15. Why are partnerships important? • Build a sense of community • Reduce costs/duplication of efforts • Strengthens existing community efforts • Empowers community members • Self-management needs community support.

16. Partnerships and Community Outreach It is important to: • Embrace the broad diversity of cultures present in the community • Include individuals who can identify the gaps: what services you want to provide and the reality of life in the community • Include individuals who can offer enhanced visibility and credibility within their respective segments of the community

17. What are some steps to establish Community Partnerships? • Identify needs and align with resources already available • Humanitarian organizations such as the Asthma and Allergy Foundation • Other medical providers in community • Support groups • Physical activities • Think creatively

18. Where should you start? Talk to people! Ask about • Ethnic and minority organizations • Rural health organizations • Agencies on elderly/aging • Religious groups • Hospital, public health departments, private health agencies, foundations

19. Think Collaboratively • Enlist Universities for community projects • Link with large and small employers www.diabetesatwork.org • Makes the business case to employers about investing in employee wellness • Promote healthy behaviors • Support groups • Lesson plans

20. Create new partnerships to create new resources • Ask your team: what are your needs? • Traditional vs. non-traditional partners • Make resources available • Don’t just hand people a list • Set up a referral system • Tangible resources (patches, glucometers, starter kits)

21. Periodically review your Community Partnerships • Are you all working together? • Support your community partnerships in return • Who are the leaders? • Think broadly

22. Vision • Facilitate the establishment of an interdependent, collaborative, health care system to meet the needs of the maternal child population • Mission • Develop educational programming for health care professionals that will promote holistic care for the maternal child population • Goal • Audience will understand the benefits, steps of the collaboration continuum and the Plan Care Model