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Item Better together: Coalitions committed to advancing health equity(Elsevier, 2022-11) Crowder, Sharron J.; Tanner, Andrea L.; Dawson, Martha A.; Felsman, Irene C.; Hassmiller , Susan B.; Miller, Lisa C.; Reinhard, Susan C.; Toney, Debra A.; School of NursingThe Future of Nursing 2020–2030 report identifies coalitions as a driving force for advancing health equity. Five coalitions provided insight into their accomplishments, lessons learned, and role in advancing health equity. The exemplar coalitions included Latinx Advocacy Team and Interdisciplinary Network for COVID-19, Black Coalition Against COVID, Camden Coalition, National Coalition of Ethnic Minority Nurse Associations, and The Future of Nursing: Campaign for Action. While all exemplar coalitions, credited relationship building and partnerships to their success, they used unique strategies for striving to meet their populations’ needs, whether the needs arose from COVID-19, racial and/or ethnic disparities, socioeconomic disparities, or other barriers to health. Research and policy implications for coalitions are discussed. Nurses play a critical role in every highlighted coalition and in the national effort to make health and health care more equitable.Item Cross-cultural Mutuality: Exploring Philanthropic, Faith-based Partnerships Between Cuba and the United States(2021-11) Goodwin, Jamie L.; King, David; Herzog, Patricia Snell; Wiepking, Pamala; Kahn, Hilary; Konrath, SaraIn the global age, grass-roots religious organizations seek to better collaborate across national and cultural borders. Through the theoretical lens of mutuality, this dissertation explores the nature and quality of interpersonal relationships inherent in faith-based, philanthropic partnerships between the United States and Cuba. Mutuality is a framework for understanding human relationships; it describes when people regard one another as whole persons and a relationship as something of inherent value. This study explores the value of relationships, the processes by which they form, how they relate to institutional structures, and the role of a common faith in bridging other cultural differences. Religious communities are considered the primary civil society institutions with national reach in Cuba. The research site for this study is a Protestant civil society organization on the outskirts of Havana, Cuba called Campo Amor. Campo Amor operates both nonprofit and for-profit activities and receives substantial American donations through a foundation in Spain. Over the past 20 years, Campo Amor has multiplied from two to more than 120 house churches. Before COVID-19 it welcomed more than 500 American partners each year. Using a co-created, phenomenological qualitative design, this study will provide knowledge into the role of relationships in philanthropic, faith-based partnerships, particularly between regions of geopolitical hostilities. It advances understanding of the role of religion and relationships in philanthropy across a variety of cultural differences. Among other findings, interviewees described mutuality as 1. the commitment to sharing; 2. Intersubjective relationships which enter into and care about the thoughts and feelings of another; and 3. the habitual approach that emphasized living one’s way into patterns of thought, versus thinking one’s way into patterns of life.Item Institutional factors associated with hospital partnerships for population health: A pooled cross-sectional analysis(Wolters Kluwer, 2022) Ellis Hilts, Katy; Gibson, P. Joseph; Blackburn, Justin; Yeager, Valerie A.; Halverson, Paul K.; Menachemi, Nir; School of NursingBackground: Hospitals are increasingly engaging in partnerships to address population health in response to national policies, such as value-based payment models. However, little is known about how institutional factors influence hospital partnerships for population health. Purpose: Guided by institutional theory, we examine the association between institutional pressures (coercive, normative, and mimetic isomorphism) and hospital partnerships for population health. Methodology: A pooled cross-sectional analysis used an unbalanced panel of 10,777 hospital-year observations representing respondents to a supplemental question of the American Hospital Association's annual survey (2015-2017). The analysis included descriptive and bivariate statistics, and regression models that adjusted for repeated observations to examine the relationship between key independent variables and partnerships over time. Findings: In regression analyses, we found the most support for measures of coercive (e.g., regulatory factors) isomorphism, with nonprofit status, participation in accountable care organizations, and acceptance of bundled payments, all being consistently and significantly associated with partnerships across all organization types. Modest increases were observed from 2015 to 2017 for hospital partnerships with public health organizations (+2.8% points, p < .001), governmental organizations (+2.0% points, p = .009), schools (+4.1% points, p < .001), and businesses (+2.2% points, p = .007). Practice implications: Our results suggest that institutional factors, particularly those related to regulatory policies and programs, may influence hospital partnerships to support population health. Findings from this study can assist hospital leaders in assessing the factors that can support or impede the creation of partnerships to support their population health efforts.Item Leveraging the power of partnerships: spreading the vision for a population health care delivery model in western Kenya(BMC, 2018-05-08) Mercer, Tim; Gardner, Adrian; Andama, Benjamin; Chesoli, Cleophas; Christoffersen-Deb, Astrid; Dick, Jonathan; Einterz, Robert; Gray, Nick; Kimaiyo, Sylvester; Kamano, Jemima; Maritim, Beryl; Morehead, Kirk; Pastakia, Sonak; Ruhl, Laura; Songok, Julia; Laktabai, Jeremiah; Medicine, School of MedicineBACKGROUND: The Academic Model Providing Access to Healthcare (AMPATH) has been a model academic partnership in global health for nearly three decades, leveraging the power of a public-sector academic medical center and the tripartite academic mission - service, education, and research - to the challenges of delivering health care in a low-income setting. Drawing our mandate from the health needs of the population, we have scaled up service delivery for HIV care, and over the last decade, expanded our focus on non-communicable chronic diseases, health system strengthening, and population health more broadly. Success of such a transformative endeavor requires new partnerships, as well as a unification of vision and alignment of strategy among all partners involved. Leveraging the Power of Partnerships and Spreading the Vision for Population Health. We describe how AMPATH built on its collective experience as an academic partnership to support the public-sector health care system, with a major focus on scaling up HIV care in western Kenya, to a system poised to take responsibility for the health of an entire population. We highlight global trends and local contextual factors that led to the genesis of this new vision, and then describe the key tenets of AMPATH's population health care delivery model: comprehensive, integrated, community-centered, and financially sustainable with a path to universal health coverage. Finally, we share how AMPATH partnered with strategic planning and change management experts from the private sector to use a novel approach called a 'Learning Map®' to collaboratively develop and share a vision of population health, and achieve strategic alignment with key stakeholders at all levels of the public-sector health system in western Kenya. CONCLUSION: We describe how AMPATH has leveraged the power of partnerships to move beyond the traditional disease-specific silos in global health to a model focused on health systems strengthening and population health. Furthermore, we highlight a novel, collaborative tool to communicate our vision and achieve strategic alignment among stakeholders at all levels of the health system. We hope this paper can serve as a roadmap for other global health partners to develop and share transformative visions for improving population health globally.