Adventist Health Clear Lake, a health system in rural California, initiated a cross-sector collaboration between rural service providers and community agencies to more effectively address the needs of complex patients who were high utilizers of health care, police, and emergency services. In partnership with the Camden Coalition's National Center for Complex Health and Social Needs, this cross-sector, interprofessional collaborative developed a paramedicine program for this population. The pilot program, which served 28 patients, reported reductions in utilization across emergency and inpatient hospital services as well as community response systems as well as reductions in cost. The collaborative also reported increased primary care visits.

This resource details strategies and lessons for health care stakeholders interested in cross-sector collaboration, including approaches to building a coalition, identifying shared metrics for success, initiating enhancements in services, and addressing cultural barriers between partners.