Advancing Resilience & Community Health (ARCH)
Advancing Resilience and Community Health (ARCH) is a project to help the burgeoning relationships between healthcare institutions (payors and hospital systems) and community-based organizations (CBOs) get off the ground successfully and at a scale that will make a difference. NFF has been partnering with three networks – EngageWell IPA (New York), Metropolitan Alliance of Connected Communities (Minnesota), and Thomas Jefferson Area Coalition for the Homeless (Virginia) – to explore what it takes for networks of CBOs to come together and partner with healthcare.
On this page you'll find:
- ARCH Networks' Response to COVID-19
- What ARCH Is About
- What We're Learning
- ARCH Voices: Who's Involved
- A Look at What Brought Three Networks Together
ARCH Networks' Response to COVID-19
EngageWell IPA, Metropolitan Alliance of Connected Communities (MACC), and Thomas Jefferson Area Coalition for the Homeless (TJACH) – are coalescing their resources, knowledge, and power to meet the imminent needs of their communities and members amidst the COVID-19 crisis. As individual community-based organizations continue to conduct mission-critical work on the ground, networks are playing a salient and valuable role to members during this unprecedented time by providing flexible resources, filling critical capacity gaps, fundraising, and advocating on behalf of members.
Here are some ways that our networks are contributing to solutions for their members and communities:
- EngageWell has submitted seven grant applications on behalf of member agencies to support a network-wide telehealth platform, patient/provider telehealth equipment and connectivity, the development of a network-wide training program, and other agency-specific needs. Five grants have already been awarded, totaling $1.4 million, with another $750,000 under consideration.
- The network has also been managing bulk orders of PPE for providers within the network and coordinating the delivery of food, hygiene supplies, and medication to at-risk clients.
- MACC is leading advocacy efforts within the network, including a letter to state legislators with funding guidance around contract terms, requesting that government keep contract commitments regardless of an organization’s ability to provide the same level of service during the COVID-19 crisis.
- The network hosted a virtual summit for members, alongside lobbyists and lawyers, to inform members how COVID-19 impacts their contracts and to solicit feedback on member experiences.
- MACC is also providing critical member support through their shared service lines on HR implications, billing for telehealth/telemedicine services, plus financial projections and reforecasts during this time of change.
- TJACH identified funding from the Emergency Operation Center for rooms at a local hotel where people experiencing homelessness can stay and self-isolate from one another. TJACH also paid directly for an additional floor of hotel rooms so that people who test positive for COVID-19 have a safe place to land after being discharged from the hospital.
- The network is coordinating with UVA medical students to conduct daily meal delivery and check-ins for these individuals.
- TJACH is also developing processes for people who test positive within the homeless community, including organizing required nursing staff, housing workers, and security.
What ARCH Is About
A safe, clean place to live. Neighborhoods and parks where people can walk and play. A job that pays a living wage. Nutritious food on the table. Along with good medical care, these are some of the many factors that help make us healthy. Providers and payors in the healthcare system increasingly recognize that where we work, play, and live – what are called the “social determinants of health”– are as important to their patients’ health as good medical care. Nonprofit community-based organizations (CBOs) have long focused on addressing these social determinants of health (SDOH). So, how can healthcare organizations and CBOs work together to better care for their clients?
What We Hope To Achieve
We are helping ready networks of CBOs – nonprofits that have already come together to address multiple needs – that are looking to collectively contract with often-larger healthcare institutions. These new contract relationships hold tremendous promise, but there are some significant barriers and tough questions we’re working together to resolve, such as:
- How are CBOs working together collaboratively to build agreements with healthcare?
- What are new payment models for this integrated work?
- What do fair contracts look like?
- How can CBOs prepare for an influx of new client referrals from their healthcare partners?
- How do we structure contracts to focus on long-term patient well-being?
Learn along with us
Our experience with innovative partnership models around shared goals gives us great hope, but CBO/healthcare contract relationships are relatively new territory and we’re all learning what they take. In addition to working directly with three CBO networks – EngageWell IPA, Metropolitan Alliance of Connected Communities, and Thomas Jefferson Area Coalition for the Homeless – and their partners, we’re going to share what we learn along the way. Sign up here to get all the latest updates.
Insights from ARCH:
- Four Ways to Overcome Partnership Hurdles and Address Social Determinants of Health, a blog co-authored by Juliette Price, Chief Solutions Officer for Helgerson Solutions Group, and NFF's Deirdre Flynn
- Strategic Cost Allocation offers core concepts and guiding questions to help nonprofit leaders understand costs and explore the connection between costs and mission goals
- A Look at Data Systems explores themes and considerations about data sharing and integration from EngageWell IPA, MACC, and TJACH
- Blog Series: Setting Strategic Priorities with EngageWell, MACC, and TJACH
- The Road Ahead charts how each network is working toward its goals
- NFF's Deirdre Flynn wrote a blog about Questions Networks Are Asking Themselves to Find Their Why featuring a brief video of network leaders and members discussing the value of networks
- NFF’s Lisa Thirer authored an article for Grantmakers In Health titled, “Who Will Pay for Partnerships that Address Social Determinants of Health?”
- The Snapshot of CBO Networks shows the different dimensions of how CBOs come together – whether place-based, issue-based, or other – and how these dimensions combine in unique ways for each network
Participating Networks & Advisory Group
NFF is working with three networks of nonprofit community-based organizations to develop new contracts, payment models, and partnership approaches with healthcare institutions, including hospital systems and other payors.
- EngageWell IPA is a coalition of community-based providers in New York City that offers comprehensive, integrated services to address complex medical and behavioral health needs and unmet social determinants of health, including food, housing, and economic insecurity.
- Metropolitan Alliance of Connected Communities (MACC) is a Twin Cities, Minnesota collaborative network composed of 50 human-services nonprofits addressing housing, food insecurity, mental health, education, and more. MACC is building the infrastructure and capacity necessary to nurture trust, develop partnerships, and support the business relationships between CBOs and healthcare organizations.
- Thomas Jefferson Area Coalition for the Homeless (TJACH) is a collaborative of community providers and funders in the Charlottesville, Virginia, area. TJACH is committed to improving health outcomes and housing stability for people experiencing homelessness or housing instability, and to reduce inappropriate use of local emergency departments through supportive housing services.
ARCH’s Advisory Group members, representing a range of fields, will provide advice, market intelligence, and expertise as participants pursue partnerships that will bring health-boosting services to more people. They include:
- Anna Barnes, Illinois Public Health Institute
- Tamar Bauer, TB Consulting Inc. and Entrepreneur in Residence, Project Evident
- Stephanie Burdick, Patient Consumer Advocate
- Lauran Hardin, National Center for Complex Health and Social Needs
- Deborah Kozick, Center for Health Care Strategies
- Jean Flatley McGuire, Northeastern University
- Marisa Scala-Foley, Aging and Disability Business Institute, National Association of Area Agencies on Aging
- Sandra Viera, Prevention Institute
A look at what brought three networks together
Below are three short videos featuring interviews from leaders and members of three networks – EngageWell IPA (New York), Metropolitan Alliance of Connected Communities (Minnesota), and Thomas Jefferson Area Coalition for the Homeless (Virginia) – about what it’s like to come together around a shared vision for better health equity for people in our communities.
EngageWell IPA: Leveraging the Power of One
Metropolitan Alliance of Connected Communities (MACC): Better Together