Faith–Health Collaboration to Improve Population Health Proceedings of a Workshop—in Brief (2018) / Chapter Skim
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Faith-Health Collaboration to Improve Population HealthProceedings of a Workshop - in Brief
Faith-Health Collaboration to Improve Population HealthProceedings of a Workshop - in Brief
Pages 1-9
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Sanne Magnan of the HealthPartners Institute welcomed the participants on behalf of the roundtable and echoed Dillard's words by stating that the day's conversations were intended to bring together representatives from the faith and health sectors to help close the gaps in health and well-being. Gary Gunderson of the Wake Forest Baptist Medical Center, who led the planning process, spoke of the past two and a half centuries, during which the United States as a nation endeavored "to keep as much formal distance as possible between the structures of faith and the public structures." The workshop, he explained, was intended to open up the field of collaboration "at the intersection of faith and health in a constitutional democracy that has found it wise to keep at some distance those two very entities." As a starting point, Gunderson offered the concept of Religious Health Assets, a phrase crafted by the African Religious Health Assets Programme (ARHAP)
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NOTE: CBO = community-based organization; FBO = faith-based organization; NGO = non-governmental organization. SOURCE: Gunderson presentation, March 22, 2018; developed by James Cochrane, African Religious Health Assets Programme.
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As described in the slide Gunderson shared from the work of ARHAP, it is not enough to enumerate and describe hospital personnel, equipment, and the like, but intangible factors and assets such as trust and power also need to be considered and described. The lifeworld, Cochrane stated, "is the taken-for-granted assumptions that affect the way people make decisions and behave in the world that go far beyond simply the rational and the limited sense of calculating instrumental decisions that one makes between benefit and cost." Cochrane and colleagues created the phrase "healthworld" to describe "the way in which people construct their own sense of health and what they do with that." In addition to people's understanding of themselves, Cochrane added, they are "embedded in families with traditions, cultures with traditions, and religions with traditions," and all of those dimensions have effects on the "practice of the science of health." The first panel was moderated by Kathy Gerwig of Kaiser Permanente and featured Kirsten Peachey of Congregational Health Partnerships for Advocate Health Care and the Center for Faith and Community Health Transformation.
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The clinic also brings in health sciences students for rotations and volunteer opportunities, added Wong, "with the hope of training future doctors, public health workers, and students to view South Los Angeles as part of their neighborhood, part of their home, and not somewhere to be feared." In its partnership with the California Hospital Medical Center, part of the Dignity Group, the clinic implemented a readmissions program that provides comprehensive care after discharge to prevent unnecessary readmissions. During the discussion period, Moyer asked if the UMMA Community Clinic works to address socioeconomic opportunity.
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Christensen introduced the three speakers in her session: Brandon Lackey, chief program officer at The Foundry Ministries in Bessemer, Alabama; Teresa Cutts, assistant professor of social sciences and health policy at the Wake Forest School of Medicine in Winston-Salem, North Carolina; and Joy Sharp, director of community health programs at Baptist Health Care in Pensacola, Florida. Lackey spoke about the 21-year history of The Foundry Ministries, which was founded as a homeless shelter and then a place for rescue (after homelessness)
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, Cutts told the audience, the team looked at zip codes in the Memphis area to identify "hotspots" and found that 10 zip codes accounted for more than 50 percent of the system's uncompensated care. Sharp continued the story of hotspotting in Memphis and highlighted zip code 38109, where, with a grant from Cigna, Methodist South Hospital provided stipends to 10 congregations to help care for CHN members who were not members of their congregation.
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We need to expand our ability to build relationships across systems, communities, and particularly across race lines. Lots of painful history to overcome to build trust." A seventh audience member wrote: "Faith-based groups are trusted in communities and may be the only group that can get competing organizations/interests to the table together." In his own closing remarks, Josh Sharfstein of the Johns Hopkins Bloomberg School of Public Health shared six insights from the day: faith organizations bring energy and resources to a specific problem; faith organizations bring organization and a network to link people to needed resources; social resources and other health-related social needs reside outside the medical realm and the faith community is working on some of those issues and can be a natural partner; the importance of trust cannot be overstated; partnerships matter for health if based on a deep knowledge about and recognition of what works ("we want to show you what we can offer")
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In a second comment, he reminded the audience about the slide shared by Gunderson at the beginning of the day, outlining the tangibles and intangibles of faith–health collaboration, and the need to reach a much clearer understanding of the intangibles and a way to measure their impact. Bobby Milstein of ReThink Health commented on the theme of power that arose at different points during the day, from the flattening of hierarchies of power in the example of the UMMA Community Clinic, where providers are called by first names rather than honorifics, to the example of organized advocacy in Ohio that demonstrated the potential of faith assets in organizing around "power with," not "power over." Finally, Milstein added, the power of faith could be what fuels the courage to ask tough questions about "the world as it is" and to reshape the world of tomorrow.♦♦♦ 8
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Department of Health and Human Services; Gary Gunderson, Wake Forest Baptist Medical Center/Stakeholder Health; Barbara Holmes, formerly United Theological Seminary, Twin Cities; Sanne Magnan, HealthPartners Institute, roundtable co-chair; and Prabhjot Singh, Icahn School of Medicine at Mount Sinai.
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