Healthcare Coalition Articles

Health Care Coalitions:  Failure To Act

Health Care Coalitions: Failure To Act

Month after month, your coalition meets.  It started with purpose, but now, you're no longer sure what that was.  When the coalition started, you knew where the group was heading, and now months later, you're at the same meeting at the same time with the same topic and you're thinking, "What am I doing here?"  While your community is thinking, "What are they doing here?"  Your coalition is facing a breaking point on whether or not to continue, and the bottom line is that your coalition Failed to Act.


In 2006, in the wake of Hurricane Katrina, Congress enacted the Pandemic and All Hazards Preparedness Act (PAHPA), which mandated the establishment of the Assistant Secretary For Preparedness and Response (ASPR) in the U.S. Department of Health and Human Services (HHS).  ASPR had a legislative mandate to improve healthcare system preparedness, with an endgame of correcting what went wrong in healthcare facilities and on the streets in New Orleans.  Despite adopting a multidisciplinary strategy that embraced healthcare coalitions in 2007 and five years of cooperative agreements to support it, when fiscal year 2012 came to a close, few healthcare coalitions were operating.

Health Care Coalitions 2002-2006:  HHS Strategy?

Health Care Coalitions 2002-2006: HHS Strategy?

In 2003, the U.S. Department of Health and Human Services (HHS) commissioned a study that demonstrated the necessity of healthcare coalitions to improve medical and public health preparedness and emergency response.  Based on the study, in 2004, HHS published their healthcare system preparedness strategy going forward. The 2004 commissioned publication was best known as the MSCC Handbook, and Chapter 2 was titled, "Management of the Healthcare Coalition (Tier 2)." From a strategy perspective, HHS appeared to "get it" in 2004.  So, what happened in translation through the states.

Health Care Coalitions:  A Lack of Perceived Benefits

Health Care Coalitions: A Lack of Perceived Benefits

Ever been at a meeting and wonder "Why am I here?"  Or on another note, have you ever led a meeting for a group that is supposed to help you complete tasks and feel alone?  If you're in one of these two situations, then you could be facing a very large barrier in your coalition--"Lack of Perceived Benefits."


Throughout the years, many communities have made multiple attempts at building coalitions.  Some of them have been successful, and many have not.  As we are building a public health and medical coalition, we need to address all barriers that may arise, which may be previous bad experience or dominant professionals.  These two barriers could be mistakes that have occurred in your community over and over again.  Let's not give history a chance to repeat itself; let's try to overcome these barriers.

Health Care Coalitions:  Turf Issues

Health Care Coalitions: Turf Issues

Coalition Building is really about strengthening relationships to progress forward and to respond more efficiently.  If there is a barrier, you need to determine what that is.  Do your coalition members feel threatened by your goals?  Were they working on something similar?  Are you working in a new space?  If the answer is yes, the coalition may be suffering from turf issues.

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