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California HealthCare Foundation;
Housing is a key social determinant of health. Stable housing can help maintain health and reduce unnecessary emergency room use and hospital admissions, while research indicates that addressing the health-related needs of people experiencing or at risk of homelessness is crucial to accessing and sustaining housing.Because homelessness in California exists on an unprecedented scale — with more than 150,000 people experiencing homelessness on any given day — purposeful collaborations between the health care and homeless systems of care are critical. Such efforts have taken a variety of forms, including Whole Person Care pilot programs and collaborations aimed at improving care for those who frequently touch both the health care and homeless systems of care — while reducing the costs of the two systems so they can serve more people.This report focuses on ways in which California's housing and health care sectors are sharing data to better coordinate and support mutual clients within their communities. Data sharing has been pivotal in breaking down silos and improving coordination between the two systems to better address clients' needs.Yet despite dedicated and committed partnerships in place for cross-sector collaboration, data sharing efforts have not occurred without challenges. Communities have raised a common set of barriers they have faced, including privacy issues, relationships and collaboration, interoperability, and data quality.While there are no uniform ways to address the common challenges, communities have creatively employed strategies and taken advantage of opportunities to continue pushing forward data sharing efforts. These opportunities have proven most effective when tailored to each community's own needs, structures, relationships, and motivations.
The recent protests and civil unrest that marked the death of George Floyd and other African Americans in police custody gave voice to real and significant racial disparities in our criminal justice system. In California, like the rest of the nation, these disparities—especially those between African Americans and whites—are large and widespread. Encouragingly, some recent reforms appear to be making headway in reducing racial and ethnic differences in arrest, booking, and incarceration rates.
Sanford Institute of Philanthropy at John F. Kennedy University;
With the rapid acceleration of the COVID-19 pandemic in March 2020, it was imperative to understand the immediate impact on local nonprofits in the East Bay and the communities they serve. The East Bay's diversity is one of its strengths. However, the COVID-19 pandemic threatens residents who have built community, but not wealth, for generations. It also threatens to further erode a strained and fragmented nonprofit ecosystem. Maintaining a healthy and viable nonprofit community is essential to create a Bay Area in which all can participate, prosper, and reach their full potential.
John Burton Advocates for Youth;
This report explores the impact of SAP standards and policies on financial aid receipt and enrollment of first-year Pell Grant recipients attending a California Community College with specific attention to students of color and those with experience in foster care. It also offers federal, state, and institutional-level recommendations to increase equity and remove barriers to student success.
Partnership for Public Service;
In 2019, the Partnership for Public Service launched a project with X Sector Labs, a management consulting firm that advises executives on cross-sector leadership, and the San Francisco Federal Executive Board, which helps build cooperative relationships among federal, postal and military employees across northern California. The aim was to understand better how organizations in California's public, private, nonprofit and other sectors work together toward shared goals and to explore how to further enhance collaboration, especially with the federal government. Between October 2019 and January 2020, we jointly hosted a series of roundtable discussions in northern California to identify best practices for, and barriers to, collaboration among governments, businesses, nonproft organizations, academia and philanthropy.More than 70 leaders from across sectors - the majority of whom have worked in both government and private or nonprofit roles during their careers - convened for conversations about how organizations can take collective action to address today's pressing challenges. Participants described why organizations partner, shared examples of collaborative efforts that worked well, and assessed potential difficulties around collaboration.During these discussions, participants strongly agreed that when multiple organizations work together, they enhance their ability to address issues and achieve results. Too often, however, individuals and organizations are deterred by obstacles that can hamper collaboration.This paper summarizes key themes from the roundtable discussions, including benefits and potential challenges of partnering across organizations, and outlines actions that could increase the number of effective partnerships in California, especially those involving the federal government. We hope these findings will help boost the ability of all sectors to collaborate with one another more often and more effectively.
The passage of the Affordable Care Act (ACA) in 2010 brought with it countless opportunities, both to expand access to uninsured populations systematically excluded from the healthcare delivery system, as well as to strengthen and innovate beyond the existing system's status quo. The California Endowment became an early champion, providing over $350 million to support ACA implementation with a range of grantmaking strategies focused on outreach and enrollment, health workforce development, and systems change innovations. As part of its effort to understand the impacts of its ACA and prevention-related grantmaking, The Endowment contracted Engage R+D to develop a series of learning products between 2017-2020.In May of 2013, The Endowment's Board approved a $30 million program-related investment (PRI) commitment to expand community health centers in alignment with the foundation's Health Happens in Prevention and ACA campaigns. Program-related investments fall under the broader umbrella of impact investing and include loans, equity investments, or guarantees made by a foundation to advance its charitable mission. These investments seek to strengthen systems infrastructure in ways that benefit populations who are frequently excluded from or have limited access to a variety of critical resources, including quality health care, housing, and healthy food.This learning brief explores the ways in which The Endowment is leveraging this powerful strategy, provide case examples of two federally qualified health centers (FQHCs) receiving PRI financing, and identifies a set of key considerations for other philanthropic organizations interested in tapping into PRIs as a tool to advance health, racial, and economic equity.
The passage of the Affordable Care Act (ACA) in 2010 brought with it countless opportunities, both to expand access to uninsured populations systematically excluded from the healthcare delivery system, as well as to strengthen and innovate beyond the existing system's status quo. The California Endowment became an early champion, providing over $350 million to support ACA implementation with a range of grantmaking strategies focused on outreach and enrollment, health workforce development, and systems change innovations. As part of its effort to understand the impacts of its ACA and prevention-related grantmaking, The Endowment contracted Engage R+D to develop a series of learning products between 2017-2020. With a focus on The Endowment's ACA grants, this learning brief explores the intersection between power building, racial equity, and systems transformation. It is based on the synthesis of various evaluation efforts over the last decade and more recent interviews with key stakeholders. We share important lessons from this body of work that can help inform efforts to transform mindsets, policies, practices, and systems in the years to come.Recognizing that deeply entrenched inequities exist and, in some cases, have been exacerbated by the very policies meant to reduce them, population-level health improvements will require a more explicit focus on racial equity along with substantial financial investment, time, political will, and cross-sector collaboration.
How Kids Learn Foundation;
Every year researchers and experts on youth learning and development issue reports with new concepts and frameworks. They are developed to guide the design and implementation of community initiatives, schools and youth programs. The purpose of this paper is to compare recent frameworks and note their commonalities. This paper offers a summary or overview of many of these frameworks as well as resources to learn more. It also provides a crosswalk chart to learn where their critical features overlap.
How Kids Learn Foundation;
Temescal Associates issued a survey on March 25, 2020. As of March 28th, 69 responses were received from which a summary of the preliminary responses was compiled. Includes a narrative summary, detailed charts and listings of the responses.
David and Lucile Packard Foundation;
he first five years of children's lives are fundamental to their growth and development. Many children in this age group spend a substantial amount of time being cared for by extended family, friends, or neighbors. Informal care—or Family, Friend, and Neighbor (FFN) care —is both an affordable and a flexible form of care and a way to provide children with a warm, nurturing environment with a trusted caregiver. In 2014, the David and Lucile Packard Foundation's Children, Families, and Communities program launched a 10-year Informal Care Strategy to support FFN caregivers — both nationally and within California — as they provide the kinds of nurturing and enriching experiences children need early in life to reach full potential.Engage R+D has been the evaluation partner of the Packard Foundation for its Informal Care strategy since 2016. Individual-level and cross-cutting evaluations of its FFN grants showed promising results in terms of their ability to have positive impacts on caregivers. However, as of 2019, the Foundation had not yet conducted a comprehensive study of the third phase of its investment strategy, which related to scaling the most promising practices. This report synthesizes a range of lessons and implications for those interested in supporting and scaling FFN programs, including funders, community organizations, and advocacy groups.
The quotes and ideas presented in this brief emerged from conversations with California-based evaluators of color during the Summer and Fall of 2019. With the support of the James Irvine Foundation, Engage R+D facilitated three conversations with a total of 16 participants who identify as emerging to mid-level evaluators of color working with philanthropy (Bay Area = 10; Central Valley = 2; Los Angeles = 4). We identified participants through our organizations' networks, through outreach to other foundations, and through the American Evaluation Association's website and other lists. The majority of participants had less than 10 years of evaluation experience and worked for small- to mid-sized evaluation consulting firms. Some participants were independent consultants or affiliated with a university. Eleven of the participants took part in an additional follow-up discussion of the themes that emerged from the original conversations to reflect on implications and recommendations. Though data collection happened prior to COVID-19, the issues raised in this brief are brought into even greater relief by how the crisis is impacting communities of color.
California has been at the forefront of this surge with the public, private, and philanthropic community taking a firm stance against anti-immigrant policies and divisive rhetoric. The James Irvine Foundation is one of several California foundations that has stepped up its support to protect immigrant rights, joining forces with other partners across the state to bolster collective and mutually reinforcing efforts. As part of its grantmaking to a range of nonprofit partners, The Foundation seeks to ensure that everyone of California's low-income workers – many of whom are immigrants – have the power to advance economically.To better understand the effect of rapid response grantmaking and the current landscape for immigrant integration in California, The Irvine Foundation partnered with Engage R+D on this practice brief to explore the various ways California foundations are contributing to a pro-immigrant movement. It is based on a developmental evaluation of The Irvine Foundation's Protecting Immigrant Rights (PIR) efforts and interviews with 12 foundations and immigrant rights organizations. It seeks to provide actionable insights for funders and immigrant-serving organizations as they pivot from crisis-response to more proactive and longer-term strategy for immigrant integration.