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.  

Healthcare Small Business Gap Analysis

Jessica Bonanno, Steve Dubb, and Ted Howard

Our newest report, Healthcare Small Business Gap Analysis, prepared in partnership with New Orleans based DMM & Associates on behalf of the New Orleans Business Alliance (NOLABA), outlines procurement practices and supply chain needs of New Orleans healthcare institutions and the capacity local business to fulfill those needs. The report provides recommendations on how to leverage New Orleans’ hospitals’ $1.5 billion in procurement spending to promote greater local procurement and economic inclusion in a city where only 48 percent of African American adult males are in the formal labor force. This report is based on interviews with nearly  50 representatives from area hospitals, additional anchor buyers, technical assistance organizations, small businesses, and other public stakeholders.

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.

 

TDC's Public Comments to Surgeon General's Call to Action: “Community Health and Prosperity”

Ted Howard
Federal Register Comments

TDC's public comments discussed how anchor mission and anchor collaborative work helps to address the social determinants of health and builds community wealth. 

Health Anchor Institutions investing to support community control of land and housing

Bich Ha Pham and Jarrid Green
Build Healthy Places Network

Many anchor institutions are also major landowners in their communities, and many are already engaged in housing programs such as employer-assisted housing. Anchor institutions can and should employ CLTs to maximize the impact of their long-term investments in housing for their workforce, and utilize and support CLTs to help build more inclusive communities around their institutions more generally. 

The Role of Healthcare Institutions in Building Community Wealth

David Zuckerman and Bich Ha Pham
The Wharton Health Care Quarterly

A growing number of forward-thinking healthcare anchor institutions have taken up an “Anchor Mission” to realign all institutional resources to fight long-standing inequities at their root by building community wealth.

What Anchor Institutions Can Do by Working Together

Justine Porter and Bich Ha Pham
Shelterforce

Anchor collaboratives are stronger and can accomplish goals that once seemed out of reach by combining efforts and resources. However, forming an anchor collaboration isn’t automatic; it takes effort and time to get institutions to see their common interests and potential alignment. The article discusses some ways it can work.

In Depth: Hospitals tackling social determinants are setting the course for the industry

Steven Ross Johnson
Modern Healthcare

Steven Johnson writes for Modern Healthcare on "In Depth: Hospitals tackling social determinants are setting the course for the industry." In this article, Johnson writes about the Democracy Collaborative anchor work. 

Editorial: Anchors aweigh on tackling the social determinants of health

Merrill Goozner
Modern Healthcare

Merrill Goozner writes in Modern Healthcare "Editorial: Anchors aweigh on tackling the social determinants of health." In this editorial, Goozner writes about the work of the Healthcare Anchor Network: 

Next week, a 2-year-old network of major healthcare systems dedicated to combating the social problems contributing to ill health in their own backyards will go public. They've chosen to highlight a San Francisco Bay Area food production center that will be up and running by the end of this year.

Located in Richmond, a working-class community that's two-thirds Hispanic and African-American, the center will employ about 200 people in what its sponsors promise will be living-wage jobs. Hospitals belonging to Kaiser Permanente, Dignity Health and the University of California at San Francisco will purchase fresh meals from the facility.

Organizers say this is just the start of a nationwide movement to use healthcare systems, often a community's largest employer and purchaser, as an "anchor" institution for local economic development. Three dozen major systems, which collectively represent 600 hospitals with over 1 million employees in more than 400 cities and towns, have already signed on to the Healthcare Anchor Network. They are pledging to use their hiring, purchasing and investment decisions to promote better-paying jobs.

It's a promising development in healthcare's evolving approach to population health. The core concept rests on the belief that achieving better health outcomes for the populations for which they're at risk financially will ultimately depend on improving the social conditions that spawned their diseases.

Read more in Modern Healthcare 

A Plan to Nationalize Fossil-Fuel Companies

Peter Gowan
Jacobin

Peter Gowan writes in Jacobin Magazine "A Plan to Nationalize Fossil-Fuel Companies." In this article, Gowan writes about the Democracy Collaborative's research on the cost of nationalizating fossil-fuel industry: 

"This could be quite costly — writers from The Democracy Collaborative recently estimated “the price tag to purchase outright the top 25 largest US-based publicly traded oil and gas companies, along with most of the remaining publicly traded coal companies” at $1.15 trillion. But there are ways to minimize this cost while still obtaining all of the benefits."

Read more in Jacobin.

A Second City

Nissa Rhee
Chicago Magazine

Writing in Chicago Magazine, Nissa Rhee writes a long-form article on the effects of poverty in Chicago; "A second city."  Rhee quotes David Zuckerman about the anchor strategy in Chicago's West Side Total Health Collaborative

“Our job as doctors is to heal and prevent suffering,” says Ansell. “In this situation, the healing needs to be aimed at neighborhoods.”

While most anchor institution strategies around the country have focused on one issue, employment or housing for example, the West Side Total Health Collaborative has a wide scope and an impressive goal: To improve life expectancy across region and halve the 16-year life expectancy gap between West Garfield Park and the Loop by 2030.

According to David Zuckerman, a manager for health care engagement at the Democracy Collaborative and organizer of the Healthcare Anchor Network, it is “the most ambitious collective strategy around anchor work” he’s seen to redirect money into a particular region.

Read more in Chicago Mag

Rush Hospital Wants to Tackle the West Side “Death Gap.” Will It Work?

Nissa Rhee
Chicago Magazine

Nissa Rhee, writing for Chicago Magazine, in "Rush Hospital Wants to Tackle the West Side “Death Gap.” Will It Work?" In this piece, Rhee highlights in the work that the Healthcare Anchor Network: 

All this exemplifies a national movement by nonprofits and public institutions “to think differently about how to use its economic resources and social capital to really benefit not only its long-term wellbeing but that of the community,” says David Zuckerman, a manager for health care engagement at the Democracy Collaborative and organizer of the Healthcare Anchor Network, a group of 30 health systems that are doing this work.

Zuckerman says that hospitals have a lot of “sticky capital,” or “dollars that can’t pick up and leave the way that manufacturing or many corporate employers have left communities.” They are in essence grounded cruise ships, requiring a huge staff, thousands of meals for patients, medical supplies, and linen cleaning services. If hospitals are able to redirect some of their purchasing and hiring to their neighbors, say using a local laundromat instead of shipping soiled bed sheets further away, they could have a large impact on the community, says Zuckerman.

Read more in Chicago Mag

A New Role For Hospitals: Boosting the Local Economy

Kate King
Wall Street Journal

Kate King, writing for the Wall Street Journal, in 'A New Role For Hospitals: Boosting the Local Economy.' In this article, King highlights the anchor work by New Beth Israel Medical Center in Newark, NJ and the vision and leadership by the Democracy Collaborative:

“The current fee-for-service model, in which we’re not actually addressing the root causes for why people are showing up in the emergency room, just is not sustainable,” said David Zuckerman, director of health-care engagement for the Democracy Collaborative, a think tank and advisory group.

Read more in the Wall Street Journal

Leveling the Playing Field in City Contracting

Oscar Perry
Next City

Oscar Perry, writing for Next City, highlights the work of the Democracy Collaborative in "Leveling the Playing Field in City Contracting." In this long form piece, Perry writes about why New York City has doubled their contracts with women-and-minority-owned firm. As well as, the work of Democracy Collaborative's thought leadership, direction, and work with anchor instutitons through the Healthcare Anchor Network: 

Corporations and anchor institutions like hospitals and universities are stepping up MWBE contracting commitments and programs, too. The Democracy Collaborative, a nonprofit that does research and builds leadership around equitable, inclusive and sustainable development, has been working with anchor institutions to support more diverse contracting through the lens of building stronger local economies. In January 2017, it formed the Healthcare Anchor Network, consisting of 30 healthcare systems nationwide.

“Healthcare systems are recognizing the need for intentionality to overcome the history of discrimination,” says David Zuckerman, who manages the network. Yet such programs remain in danger of going away when there’s a leadership change, he notes.

“If you can institutionalize it, and build it into your strategic plan, that’s what’s powerful,” he says. “We’re not there yet, but I think in the next year we’re going to see more health systems build this local impact work into their strategic plans.”

One way to institutionalize it: Make it someone’s job.

“There might be an official statement that ‘we’re going to prioritize the effort to increase our spend to MWBEs,’ but it’s not any one person’s job, it’s something extra,” Zuckerman says.

Read more in Next City

Public Health & Wealth in Post-Bankruptcy Detroit

Suparana Bhaskaran
UC Berkeley

Published by the Haas Institute for a Fair and Inclusive Society at UC Berkeley, this new report discusses the relationship between health outcomes and wealth disparities in Detroit, Michigan. The authors detail how a lack of access to safe housing and water poses the greatest health threats to residents, and call for solutions outside the realm of clinical care. While noting the necessity of Medicaid expansion, the report calls for investments in the social determinants of health—including affordable housing and expanded social services.

Race-Explicit Strategies for Workforce Equity in Healthcare and IT

This new report from Race Forward focuses on the need to develop race-explicit strategies to advance equity in the fields of healthcare and information technology. While these sectors are growing quickly, many career pathways remain inaccessible to people of color in low-income communities due to patterns of discrimination and disinvestment. The report provides recommendations for workforce development practitioners to advance racial equity, both at the organizational level and across the field.