Expanding the evidence for cross-sector collaboration in implementation science: creating a collaborative, cross-sector, interagency, multidisciplinary team to serve patients experiencing homelessness and medical complexity at hospital discharge

Frontiers in Health Services

Health Services

Katia Noyes¹  Sharon Hewner²  Amanda Joy Anderson² 

[1] Division of Health Services Policy and Practice, Department of Epidemiology and Environmental Health, State University of New York at Buffalo, Buffalo, NY, United States;School of Nursing, State University of New York at Buffalo, Buffalo, NY, United States;

关键词: cross-sector collaboration;    intersectoral collaboration;    medical respite care;    implementation science;    people experiencing homelessness;    care coordination;    high-need;   

DOI  :  10.3389/frhs.2023.1124054

 received in 2022-12-14, accepted in 2023-08-21,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionPatients with medical and social complexity require care administered through cross-sector collaboration (CSC). Due to organizational complexity, biomedical emphasis, and exacerbated needs of patient populations, interventions requiring CSC prove challenging to implement and study. This report discusses challenges and provides strategies for implementation of CSC through a collaborative, cross-sector, interagency, multidisciplinary team model.MethodsA collaborative, cross-sector, interagency, multidisciplinary team was formed called the Buffalo City Mission Recuperative Care Collaborative (RCU Collaborative), in Buffalo, NY, to provide care transition support for people experiencing homelessness at acute care hospital discharge through a medical respite program. Utilizing the Expert Recommendations for Implementing Change (ERIC) framework and feedback from cross-sector collaborative team, implementation strategies were drawn from three validated ERIC implementation strategy clusters: 1) Develop stakeholder relationships; 2) Use evaluative and iterative strategies; 3) Change infrastructure.ResultsStakeholders identified the following factors as the main barriers: organizational culture clash, disparate visions, and workforce challenges related to COVID-19. Identified facilitators were clear group composition, clinical academic partnerships, and strategic linkages to acute care hospitals.DiscussionA CSC interagency multidisciplinary team can facilitate complex care delivery for high-risk populations, such as medical respite care. Implementation planning is critically important when crossing agency boundaries for new multidisciplinary program development. Insights from this project can help to identify and minimize barriers and optimize utilization of facilitators, such as academic partners. Future research will address external organizational influences and emphasize CSC as central to interventions, not simply a domain to consider during implementation.

【 授权许可】

Unknown   
© 2023 Anderson, Noyes and Hewner.