Story: Columbia, South Carolina

Like many communities, Columbia is facing serious health-related challenges, including rising costs, growing incidence of chronic disease, and unequal access to healthcare services—particularly in the low-income Eau Claire community, where one in three residents is uninsured. In 2010, local leaders from Eau Claire and across the city forged a coalition to improve health, increase access to care, decrease costs for citizens and providers, and achieve sustainable, long-term improvements. With hands-on coaching and support from ReThink Health, leaders of the coalition, called Healthy Columbia, dedicated months to outreach—identifying, recruiting, and preparing leaders to take collective action. 

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Story: Upper Connecticut River Valley

The Upper Connecticut River Valley of New Hampshire (NH) and Vermont (VT) is home to Dartmouth College and the Dartmouth-Hitchcock Medical Center—major players in the regional economy and the local health system. The region faces challenges including high per-capita health costs, rapidly declining Medicaid reimbursements, rising unemployment, an aging population. Additionally, the region’s rural nature creates challenges for accessing primary care. Aspiring to a healthy and sustainable local economy, leaders from Dartmouth challenged Upper Valley residents to join together in addressing high healthcare costs and imagining a stronger future for the entire region—and they turned to ReThink Health for technical assistance.

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Minnesota

ReThink Health worked with the Minnesota Department of Health to explore the connections between incarceration and health.

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2016 Pulse Check Survey Findings

Multi-sector partnerships play an increasingly significant role in the movement to improve health, equity, and economic prosperity. These partnerships recognize that many of our most pressing challenges defy sector boundaries, and cannot be effectively addressed by any one institution alone. This Pulse Check on Multi-Sector Partnerships is the only survey of its kind to ask leaders across the U.S. what their partnerships do, how they finance their work, and how their groups have been developing over time. 

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Meeting Summary: ReThink Health Roundtable on Leveraging Investments

In September 2014, ReThink Health convened 25 leaders of regional health collaboratives for an innovative roundtable in Chicago on leveraging investments to advance their health and health care. Together these leaders meaningfully explored barriers to their stewardship activities and approaches to sustainable investment and financing. Learn more about how ReThink Health catalyzed actionable dialogue and […]

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Leadership in Volunteer Multistakeholder Groups Tackling Complex Problems

This chapter explores distributed leadership in volunteer multi-stakeholder groups tackling complex problems, focusing on community organizing practices to transform health and health care in Columbia, South Carolina. It brings to life many of the special challenges common to multi-stakeholder groups, including indistinct articulation of shared purposes, limited engagement and motivation, conflicting interests, lack of trust, limited authority, and decision-making dominated by institutional elites. It shows how the learning of organizing practices cross stakeholders—including public narrative, collective decision-making, and building team structure—can serve as shared leadership practice to systematically overcome those challenges.

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ReThink Health Frontiers in Sustainable Financing and Health System Stewardship Baseline Network Assessments

This report summarizes early findings from three separate feasibility studies, all of which use classical methods of organizational network mapping to reveal patterns about the frontiers of health system stewardship and financing. It explores what it takes to elicit information and map the structure of organizational networks at three levels: regional structures for stewardship and financing, local links to wider enablers or role models, and national catalysts for regional health reform.

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Reports

ReThink Health’s research and publications explore topics that help advance our shared understanding of our complex health system and support strategies for regional reform.

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Atlanta, GA

In Atlanta, GA, ReThink Health worked with the Atlanta Regional Collaborative for Health Improvement to customize the ReThink Health Dynamics Model. This helped them increase understanding about their health system, prioritize different policies and program strategies, and get energized around a common set of goals.

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