Hospitals

Can Hospitals Heal America's Communities?

Ted Howard and Tyler Norris

Healthcare’s role in creating healthy communities through increasing access to quality care, research, and grantmaking is being complemented by a higher impact approach; hospitals and integrated health systems are increasingly stepping outside of their walls to address the social, economic, and environmental conditions that contribute to poor health outcomes, shortened lives, and higher costs in the first place.  

The Anchor Dashboard: Aligning Institutional Practice to Meet Low-Income Community Needs

Steve Dubb, Sarah McKinley and Ted Howard

This study seeks to introduce a framework that can assist anchor institutions in understanding their impact on the community and, in particular, their impact on the welfare of low-income children and families in those communities.

Download the report and learn more about our work to help anchors measure their impact on community wealth.

 

Communities in Action: Pathways to Health Equity

National Academies of Sciences, Engineering, and Medicine

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health.

Only part of an individual’s health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways.

Advancing the Anchor Mission of Healthcare

Inaugural convening brought together health system leaders dedicated to reimagining role of healthcare

This past December, the Democracy Collaborative joined eight sponsor health systems and organizations to host Advancing the Anchor Mission of Healthcare, a two day convening of over 80 health system leaders and key stakeholders, representing 40 health systems from across the U.S. Read more about Advancing the Anchor Mission of Healthcare...

Hospitals Can Be Key to Healthy People, Healthy Economies

JOHNNY MAGDALENO
Next City

Democracy Collaborative is highlighted in Next City "With the U.S. medical care industry spending more than $340 billion on goods and services every year, health systems and hospitals have the type of money that could revitalize the communities where they save lives." 

UNM Health Sciences launches 'hire local, buy local' initiative to boost economy

The University of New Mexico Health Sciences Center, with the support of The Democracy Collaborative, initiated the Healthy Neighborhoods Albuquerque initiative to spur local economic development. The initiative includes growing local jobs, supporting local agriculture and providing better access to healthy foods. Read more about UNM Health Sciences launches 'hire local, buy local' initiative to boost economy...

ABQ hospitals behind initiative to hire, buy and develop local

Marissa Higdon
Albuquerque Business First

This article highlights an exciting partnership developing in Albuquerque, New Mexico among universities, hospitals, and local government that will help align healthcare institutions' resources toward community local hiring and sourcing. The inspiration for this alliance lies in Cleveland, Ohio with the Evergreen Cooperatives, a group of worker cooperatives pioneered by The Democracy Collaborative in the effort to democratize the local economy:

Hospitals lead ‘Healthy Neighborhoods’ initiative

Jessica Dyer
Albuquerque Journal

Several large anchor institutions in Albuquerque, New Mexico have adopted the local procurement practices pioneered in Cleveland, Ohio by The Democracy Collaborative and the Evergreen Cooperatives, helping galvanize the hospitals' resources and purchasing power to redirect wealth and health toward the community:

New initiative provides tools for health systems to re-invest in impoverished communities

Steven Ross Johnson
Modern Healthcare

The Democracy Collaborative's initiative to align hospitals in an effort to improve community health by increasing local hiring practices is taking root in Albuquerque, New Mexico, as the city engages with a team of large healthcare institutions committed to promoting and utilizing the strategies in the toolkits released as part of the initiative:

Eleven Principles For Creating Health

Pritpal S. Tamber
The Creating Health Collaborative

While the bio-medical definition of health focuses on the absence of disease, when asked what makes them feel healthy, communities often identify many other factors ranging from financial security to nourishing relationships. This new report from the Creating Health Collaborative, an international community of innovators, puts forth principles for “creating health beyond healthcare” and identifies key drivers shifting the field. Notable principles include embracing complexity, measuring what matters, acknowledging power imbalances, and sustainability. The report is drawn from the Creating Health Collaborative’s July 2015 convening. 

The Role of Anchor Institutions in Restoring Neighborhoods: Health Institutions as a Catalyst for Affordable Housing and Community Development

Janet Viveiros and Lisa Sturtevant
National Housing Conference

While the bio-medical definition of health focuses on the absence of disease, when asked what makes them feel healthy, communities often identify many other factors ranging from financial security to nourishing relationships. This new report from the Creating Health Collaborative, a national community of practitioners, puts forth principles for “creating health beyond healthcare” and identifies key drivers shifting the field. Notable principles include embracing complexity, measuring what matters, acknowledging power imbalances, and sustainability. The report is drawn from the Creating Health Collaborative’s July 2015 convening:

Field Guide: The Future of Health is Local

Business Alliance for Local Living Economies (BALLE)
Business Alliance for Local Living Economies

This field guide, produced by The Business Alliance for Local Living Economies (BALLE) in partnership with Kaiser Permanente, connects the dots between the social determinants of health and the framework of strategies that both BALLE and MIT's Presencing Institute have identified as the path forward in building thriving local economies:

How Hospitals Can Help Heal Communities

Ted Howard and Tyler Norris
Federal Reserve Bank of San Francisco

In this article for the Federal Reserve Bank of San Francisco's blog, Democracy Collaborative President Ted Howard and Kaiser Permanente Vice President for Total Health Partnerships Tyler Norris discuss the immense potential of hospitals to build wealth in their surrounding communities. In the article, Howard and Norris delve into issues addressed in their co-authored report, Can Hospitals Heal America's Communities?. The Build Health Places Network also featured the article on their blog.

Growing Healthcare’s Anchor Mission

Public Health Institute web forum focuses on ways that hospitals and health systems can—and must—leverage their business practices to improve community health
University Hospitals, Cleveland OH

18% of U.S. GDP is dedicated to healthcare. To some, this statistic might make the idea of healthcare transformation a daunting prospect, but to Tyler Norris, Vice President of Total Health Partnerships at Kaiser Permanente, it is an opportunity: “18% of our GDP can become part of driving the economic, social, and environmental drivers of health,” Norris explained excitedly on a recent Dialouge4Health web forum hosted by the Public Health Institute. Read more about Growing Healthcare’s Anchor Mission ...

Making the Case for Linking Community Development and Health

Edmonds et al

This report, published in partnership by the Center on Social Disparities in Health, the Build Healthy Places Network, and the Robert Wood Johnson Foundation, is a "resource for those working to improve low-income communities and the lives of the people living in them." Despite growing recognition that social and economic conditions are the primary drivers of health, the fields of community development and public health remain siloed. This new report from the Robert Wood Johnson Foundation’s Build Healthy Places Network outlines specific opportunities to integrate the two fields and overcome barriers to collaboration. It also includes recommendations on how to measure the impact of cross-sector collaborations and refine programs accordingly.  

Stepping Up to Make a Difference: The Vital Role of Anchor Institutions in Community Health Improvement

January 27th, 2016

Ensuring lasting community health and equity calls for innovation, collaboration and a multifaceted approach that addresses underlying determinants of health, including economic conditions. From hospitals and health systems to universities, ‘anchor institutions’ are organizations with deep roots and longevity as major employers in their communities. This Web Forum will feature a keynote presentation by leadership from University Hospitals Cleveland and a moderated panel discussion by the Robert Wood Johnson Foundation with insights about the benefits they see in this approach. Read more about Stepping Up to Make a Difference: The Vital Role of Anchor Institutions in Community Health Improvement...

Hospitals adopt anchor institution economic development strategies

Betsy Taylor
Catholic Health World

David Zuckerman, the Democracy Collaborative's Healthcare Engagement Manager, speaks with Catholic Health World about how and why hospitals and health systems are devising anchor institution strategies to strengthen local economies. 

Community Health Network

Based in Indianapolis, Community Health Network (Community) is a nonprofit healthcare system with 200 sites across central Indiana.  Since beginning to conduct Community Health Needs Assessments in the 1990s, Community has recognized the importance of addressing social and economic factors that impact health. One initiative is Project Search/Indiana, a high school transition program for students with disabilities that provides participants with worksite-based training.  Initiated in 2006 with an investment of $92,000, Community also supported an Individual Development Account program designed to help area residents build assets through matched savings.  To promote nutrition, Community sponsors farmers’ markets in neighborhoods and within its hospitals, helped develop the Community Heights garden where it maintains a medicinal herb garden, and provided technical assistance to the Indy Food Co-op, which opened the city’s first community-owned grocery store, Pogues Run Grocer, in a food desert at the end of 2010.

Improving Community Health through Hospital – Public Health Collaboration: Insights and Lessons Learned from Successful Partnerships

Lawrence Prybil et al.

A new IRS requirement that tax-exempt hospitals conduct community health needs assessments encourages hospitals to work collaboratively with a wide range of stakeholders. The authors of a recent report, published by the Commonwealth Center for Governance Studies, Inc., argue that this federal mandate presents an opportunity to improve community health and reduce health care expenditures. The report offers several case studies of effective and sustainable partnerships in California, Minnesota, Maryland, Florida, and elsewhere throughout the country.