Cross-sector Collaboration for Vulnerable Populations Reduces Utilization and Strengthens Community Partnerships

Lauran Hardin
Shelly Trumbo
Dawn Wiest
Journal Article
October 2019

Adventist Health Clear Lake, a health system in rural California, initiated a cross-sector collaboration between rural service providers and community agencies to more effectively address the needs of complex patients who were high utilizers of health care, police, and emergency services. In partnership with the Camden Coalition's National Center for Complex Health and Social Needs, this cross-sector, interprofessional collaborative developed a paramedicine program for this population. The pilot program, which served 28 patients, reported reductions in utilization across emergency and inpatient hospital services as well as community response systems as well as reductions in cost. The collaborative also reported increased primary care visits.

This resource details strategies and lessons for health care stakeholders interested in cross-sector collaboration, including approaches to building a coalition, identifying shared metrics for success, initiating enhancements in services, and addressing cultural barriers between partners.

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Population Addressed
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Key Questions Answered
  • How can cross-sector partnerships improve health outcomes for community members with complex needs and decrease overuse of health and community services?
  • What are important considerations for health systems interested in cross-sector partnerships with providers and community agencies?
Level of Evidence
What does this mean?