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High-Performance Partnerships - National Academy of Public ...

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Informal communications strategies are less<br />

effective in these situations. There, the opportunity<br />

for misinformation and misunderstanding<br />

is greater.<br />

At the same time, communications technologies<br />

have made national meetings and virtual<br />

partnerships a growing phenomenon.<br />

Conference calls, satellite broadcasts, webcasts,<br />

and Internet “communities <strong>of</strong> practice” convene<br />

large numbers <strong>of</strong> geographically distant<br />

partners. <strong>National</strong> organizations bring their<br />

communications infrastructures. Coalitions<br />

<strong>of</strong>ten use electronic newsletters, listservs, and<br />

conferences to convey information. Large<br />

numbers can receive consistent, accurate, and<br />

quick information. In addition to the formal<br />

communications infrastructure, members frequently<br />

disseminate information through their<br />

personal networks. These dynamic vehicles<br />

create further unanticipated support.<br />

Listening is key to ensure that a project will<br />

work at the local level. <strong>National</strong> partnerships<br />

<strong>of</strong>ten rely on local affiliates to carry forward a<br />

“message” at the teachable moment.<br />

Sustaining the effort past the initial “splash” is<br />

critical. Since local, state, and regional organizations<br />

must balance the national effort with<br />

local priorities, communications must surface<br />

competing demands for time and resources.<br />

Face-to-face interaction during the development<br />

phase is critical to obtain local input.<br />

Building regional partnerships among affiliates<br />

and the supporting communications mechanism<br />

are very important.<br />

ORGANIZATIONAL<br />

INFRASTRUCTURE<br />

Partnership scope can significantly impact the<br />

complexity, size, and attributes <strong>of</strong> the organizational<br />

structure. As scope grows, so too will<br />

the number <strong>of</strong> partners and stakeholders.<br />

More formalized decision-making structures<br />

are required to deal with this complexity and<br />

ensure that diverse interests are appropriately<br />

represented. As a partnership grows, so must<br />

its sensitivity to consensus building among<br />

diverse, demanding, and political national<br />

partners. A state or national partnership probably<br />

cannot rely on informal breakfasts at the<br />

neighborhood diner. It more likely would<br />

require a state dinner at the White House.<br />

“With just a few keystrokes, national organizations<br />

can reach their entire membership with breaking<br />

news about the partnership. As information on<br />

noteworthy initiatives is forwarded to other personal<br />

and pr<strong>of</strong>essional networks, support for the<br />

partnership may grow exponentially.”<br />

Lindsey Cometa, Centers for Medicare<br />

and Medicaid Services<br />

By virtue <strong>of</strong> the huge constituencies represented<br />

by national partners involved with the Caregiver<br />

Workgroup, CMS has accessed an audience <strong>of</strong> 400<br />

employers with a potential employee audience <strong>of</strong><br />

50 million employees. This is the ultimate impact<br />

<strong>of</strong> scope as portrayed by a national partnership.<br />

Spencer Schron, Centers for Medicare<br />

and Medicaid Services<br />

127 Powering the Future: <strong>High</strong>-<strong>Performance</strong> <strong>Partnerships</strong>

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