Adventist Health Clear Lake, a critical access hospital serving Lake County, CA, and the surrounding areas, provides medical care to people with complex needs. Its patients’ social needs often manifest in clinical settings, prompting Adventist Health to pursue creative solutions to community issues. This led to the development of Project Restoration, a cross-sector intervention designed to serve individuals with the highest rates of involvement with the police, emergency, criminal justice, and healthcare systems. In partnership with the National Center, the Project Restoration Collaborative conducted data analysis, identified shared metrics, built an intervention, and developed infrastructure for process improvements.

In this new article, authored by Lauran Hardin, Senior Advisor for the National Center for Complex Health and Social Needs; Shelly Trumbo, Vice President Community Integration for Adventist Health; and Dawn Wiest, Director of Research and Evaluation for the Camden Coalition, we share outcomes and lessons from this collaboration. Project Restoration was associated with a 44% reduction in hospital utilization, an 83% reduction in community response system usage, and a 71% reduction in costs for the population. The authors share insight into how to overcome barriers to cross-sector collaboration, particularly around disbelief that collaboration is possible, fears of a new model displacing current agencies and interventions, and the possibility of partners disengaging when outcomes take a long time to measure.

The Project Restoration model is an example of how resource constrained communities can collaborate across sectors to make a difference.

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