• Gloria J Bazzoli, Elizabeth Casey, Jeffrey A Alexander, Douglas A Conrad, Stephen M Shortell, Shoshanna Sofaer, Romana Hasnain-Wynia, and Ann P Zukoski.
• Virginia Commonwealth University, USA.
• Med Care Res Rev. 2003 Dec 1; 60 (4 Suppl): 63S-94S.

AbstractAmajor challenge facing a community partnership is the implementation of its collaborative initiatives. This article examines the progress Community Care Networks (CCNs) made in implementing their initiatives and factors that helped or hindered their progress. Study findings suggest that partnership progress is affected by external market and regulatory factors beyond the control of the partnership, the availability of local community resources to support efforts, the scope and intensity of tasks associated with an initiative, expansion of the partnership to include new members, and the balance of work between partners and paid partnership staff. Implications of study findings for community partnerships include (1) recognizing and anticipating dependency on others, (2) acknowledging that the tasks that lie ahead will be more complicated than imagined, (3) maintaining focus on priorities, and (4) learning to be adaptive and creative, given a constantly changing environment.

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