Anne Kolsky    3 posts   Re: Topic 9 DQ 2  Potential Barriers to Sustained Changes   Population health improvements require action from multiple sources. People are complex and so are responses to changes. Everyone is accountable and delegation can only go so far. Our nation tends to see value in how much money is spent vs taking the sometimes-harder route of making actual changes. It is easier to “throw money” at the problem, then change the root of the problem. Pardon the pun, but we tend to put bandaids on the hemorrhages. We tend to see the problem from our own personal perspectives only. Contributions and partnerships must come from all areas of influence.  Possible Solutions  Multisectoral community health business partnership models maybe a key to making everyone a part of the bigger picture as well as the details. This is a different pathway that shows promise. As the article states, “It is time to move beyond grands and isolated efforts to partnerships with substantial structure, incentives, and financing,” (Kindig & Isham, 2014). Business, education, state and local governments, community developers, and philanthropic organizations must form partnerships to make changes sustainable. Developing a business model is one way to encourage this as the “bottom line” is always a motivating factor. If it can be done without making this the “only” factor and that everyone has a stake in the “business,” then it can work well. HealthPartners is an example of a consumer-driven nonprofit that works in partnership with entities that encourage a unique niche (Kindig & Isham, 2014).  Kindig, D. A., & Isham, G. (2014). Population health improvement: A community health business model that  engages partners in all sectors. Frontiers of Health Services Management, (4), 3. Retrieved from  https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?  direct=true&db=edsgih&AN=edsgcl.553965837&site=eds-live&scope=site