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. With a vision of a health system that simultaneously achieves better health, high quality care, sustainable costs, greater equity, and thriving communities, the following ReThink Health articles provide insight into the important thinking, analysis, and lessons that will help us all achieve these goals.

By: Jack Homer
December 2016

This paper uses the ReThink Health Dynamics Model to simulate the impact on health of possible policy reversals under a Trump Administration in four key areas: health insurance, economy, environment, and crime. 

How Do Institutional Financing Structures for Meeting Social Needs Get Their Start?
By: Katherine Wright, Kim Farris-Berg, and Stacy Becker
September 2016

How might investment in population health become systematic? This overview of how financing structures came to be in affordable housing and in community development offers some insights into possible steps for advancing the financing of population health.

Multi-Sector Partnerships for Health: 2014 Pulse Check Findings
By: Jane Erickson, Jane Branscomb, and Bobby Milstein
October 2015

This report synthesizes the findings of ReThink Health’s 2014 Pulse Check which they conducted to sketch the national landscape of multi-sector, regional partnerships that are working to create healthier and more resilient communities. Using data from 133 multi-sector partnerships across the United States, they share insights into the scope, makeup, challenges, and accomplishments of these groups.

ReThink Health Frontiers in Sustainable Financing and Health System Stewardship Baseline Network Assessments
By: Bobbi J. Carothers, Amy A. Sorg, Douglas A. Luke, and Bobby Milstein
2015

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.

Meeting Summary: ReThink Health Roundtable on Leveraging Investments
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 creative problem-solving with these change-makers.

County Officials Embark on New, Collective Endeavors to Rethink Their Local Health Systems
Journal of County Administrators
By: Bobby Milstein, Gary Hirsch, and Karen Minyard
March/April 2013

In this article the authors share stories of how two different settings in the United States have worked with ReThink Health to devise strategies for transforming their local health systems. Using ReThink Health tools and processes, local leaders in Pueblo, Colorado and Atlanta, Georgia have brought together diverse stakeholders, developed system stewardship, and designed strategies for sustainable funding of health initiatives for a healthier health system in their local areas.

Skillful Convening: A Powerful Tool for Health System Redesign
Health Affairs
By: Laura Landy
April 18, 2013

This Health Affairs GrantWatch Blog describes the important role that skillful convening can play in bringing people together to support a collaborative approach to improve the performance of their local health systems. Written by Rippel President & CEO Laura Landy, the post highlights how the Rippel Foundation and ReThink Health have used this signature tool to support innovative efforts in communities across the country including Columbia, South Carolina; Pueblo, Colorado; the Upper Valley of Vermont/New Hampshire; and New Jersey.

Building Great Leadership Teams for Complex Problems
Chapter 4 in Developing and Enhancing High-performance Teams in Organizations, Eduardo Salas (Ed.)
By: Ruth Wageman
January 2013

Leadership functions increasingly are fulfilled not by a heroic individual but rather by leadership teams. While the great strengths and potential of leadership teams are compelling, it is also the case that such teams struggle with significant challenges to their effectiveness. This article draws upon everything that is known about leadership teams to identify the key challenges teams face whose core purpose is to provide leadership, collectively, to complex systems. The challenges they face are summarized as a set of tripwires. For each tripwire, a set of positive conditions are identified that can be put in place to increase the effectiveness of these teams.

When Being #1 Means We Have to Think Differently: The Future of Healthcare in New Jersey
By: Robert Hughes and Laura Landy
Spring 2011

This white paper looks at the state of New Jersey’s health care costs and trends, identifies important themes, and generates ideas about the future. It makes clear that New Jersey’s health care costs are unsustainable, and lays out a path for action.

Why Behavioral and Environmental Interventions Are Needed to Improve Health at Lower Cost
Health Affairs
By: Bobby Milstein, Jack Homer, Peter Briss, Deron Burton, and Terry Pechacek
May 2011

Selected as the 2011 Public Health Systems Research Article of the Year by AcademyHealth, this paper evaluates the effectiveness of different health policy strategies: expanding insurance coverage, delivering better preventive and chronic care, and protecting health by enabling healthier behavior and improving environmental conditions. The researchers found that pursuing each intervention strategy in isolation could save lives and improve health system performance but would likely increase costs.  However, pursuing these strategies in combination could further reduce deaths and improve health system performance while simultaneously reducing spending. The policy implications of these findings are highly relevant, as many organizations and communities across the country are seeking to create sustainable, high-quality health systems.