Health care and community-based organizations (CBOs) across the country are increasingly working together to address social needs that may be contributing to poor health outcomes. These cross-sector relationships are occurring under a variety of partnership models, yet little is known about the factors that contribute to their success. With support from the Robert Wood Johnson Foundation, Nonprofit Finance Fund, the Center for Health Care Strategies, and the Alliance for Strong Families and Communities worked together through the Partnership for Healthy Outcomes to capture insights on partnerships between health care organizations and CBOs, particularly those that serve low-income and/or vulnerable populations.

This series of four case studies produced by the partnership illustrates the potential for diverse and effective models between CBOs and health care organizations. It provides important lessons for how successful partnerships deliver services, share information, secure funding, engage their communities, and evaluate success.

This case study features a collaborative in Virginia including more than 80 health care and social services organizations, which is designed to reduce hospital readmissions and improve quality of care by using evidence-based care transition coaching and in-home assessments.

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