Our Teams

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For its inaugural year, HCC membership includes 10 hospital-community teams from across the United States.

Program Overview

Using hospital and health systems as anchors, the Hospital Community Cooperative (HCC) is creating the next generation of trusting and productive hospital-community partnerships. HCC is catalyzing place-based collaborative projects that accelerate data-driven strategies and directly address health-related social needs (HRSNs) for specific patient populations and, more broadly, social determinants of health (SDOH) for entire communities, with a key long-term focus on reducing disparities in life expectancy.

  • Each team selects their own project, ensuring alignment with a previously pledged #123 for Equity goal
  • Each team will be awarded $10,000 to help fund and advance their unique projects
  • Teams also receive 1:1 technical assistance (TA) from three program partners:
    • HealthBegins (clinical, quality improvement and SDOH support)
    • Local Initiatives Support Corporation (LISC) (community engagement support)
    • RAND Corporation (evaluation support)
  • An engaged, hands-on National Advisory Committee (NAC) of 15 members with expertise in various facets of healthcare and community partnerships will be made available to teams as needed

Team Projects

Addressing Homelessness at an Individual and Community Level

Truman Medical Center Behavioral Health

Kansas City, MO

  • Via the 500 in 5 affordable housing project, Truman and local development partner Vecino Group are creating permanent supportive housing solutions for high-need patients
  • Connected with deputy director of Kansas City’s Public Health Department to formally partner on this work

CHRISTUS St. Vincent

Santa Fe, NM

  • Providing housing for 30 women experiencing homelessness after the closure of a shelter, with long-term goal seeing program replicated to address homelessness across the region
  • In addition to its unique partnership with Anchorum St. Vincent, the hospital has partnered with the Mayor’s office to become a Built for Zero model, part of a national program aimed at ending homelessness

Grady Health System

Atlanta, GA

  • Working with Partners for Home, Grady aims to align shared data, systems and processes to help high ED utilizers experiencing homelessness obtain housing
  • ED implementing new screening/referral system for multiple SDoH

University of Vermont Medical Center

Burlington, VT

  • Establish systematic process for screening, assessment and navigation to services for high and very high risk consumers of services, initial focus on individuals identified as meeting federal definition of Chronically Homeless
  • Enhanced alignment of care coordination and communication through consolidation of multiple care conferencing tables and sharing of data sets between Homeless Management Information System, hospital EHR, and ACO and community care coordination software systems.
  • Community partners include Cathedral Square SASH and Community Health Centers of Burlington

Reducing Cancer Disparities by addressing Health-Related Social Needs (HRSNs)

Holy Name Medical Center

Teaneck, NJ

  • Holy Name aims to restructure their colorectal cancer screening and outreach efforts for Asian Americans, many of whom face language, education, and transportation barriers
  • A large health fair co-hosted by community partner Asian Health Services held in October 2018 served as an unofficial kickoff for the project

Multicare Health System

Tacoma, WA

  • MultiCare is working with Leaders in Women’s Health and the Carol Milgard Breast Center to train 10 community health workers (CHWs) to provide breast cancer screening education to 500 women in predominantly African-American neighborhoods with disproportionately high breast cancer rates
  • MultiCare’s CHW training was held in February 2019, formally launching the program

Parkland Health and Hospital System

Dallas, TX

  • Building on existing partnerships with the Dallas County Commissioners Office, the City of Dallas, and the American Cancer Society, the Parkland team plans to build a scalable model to address health equity gaps by identifying and addressing SDoH factors for targeted populations. Their focus for this project is on addressing disparity in late breast cancer diagnosis among African-American and Hispanic women residing in two different zip codes

Integrating social services to better address social determinants of health

UChicago Medicine

Chicago, IL

  • Through the Social Service Alignment Learning Collaborative (SSALC), UChicago is building a collaborative network of social service organizations which can effectively gather data and coordinate social services for vulnerable populations experiencing 10+ unmet SDoH needs
  • UChicago held its first convening with 20 new community partners in late 2018

Sharp Healthcare

San Diego, CA

  • Sharp is developing an original program to screen patients at 2 SMG clinics for food insecurity and transportation barriers
  • Patients screening positive are referred to community partner 211 San Diego for additional SDoH screenings and navigation services, including referrals to community resources

Hurley Medical Center

Flint, MI

  • Hurley is researching and identifying reasons for high no-show rates for follow-up appointments among pediatric patients
  • Developing a text message app to gather data on and address SDoH reasons for missing follow-up appointments (e.g. transportation barrier, lack of child care) in collaboration with the Greater Flint Health Coalition

Get connected with us to learn all about how you can be a part of the HCC program.

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