CASE 7.1 Breaking Down Silos to Build Collaborative Systems

In The Heller Social Impact Case Collection

William Gunn, Ninna Meier, Jody Hoffer Gittell, and Lauren Hajjar

This simulation presents the challenge of integrating regional health system payments in a context where parties each operate independently and the social determinants of health are incompletely addressed. Set in New Hampshire, responding to a federal initiative, the simulation features five roles, each essential to the integration challenge. This case provides students with an experiential view on the challenge of breaking down silos in social impact service delivery.

The Heller Social Impact Case Collection is available for purchase here. Instructors may request the Teaching Notes for the book. 

E-book: $4.95
ISBN-13: 9781684582358
Pages: 8 | Size: 8.5 in. x 11 in.
Date Published: April 15, 2024

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About the Author

Lauren Hajjar

Lauren Hajjar is assistant professor of public management at the Sawyer Business School at Suffolk University. Her research is focused on organizational change and human resource practices that support high performing teams, organizations and communities. She spent over a decade in the nonprofit sector providing behavioral health services to clients and now works directly with leaders, managers, and frontline staff in the implementation of various policies, practices and initiatives—facilitating both …

William B. Gunn

William (Bill) B. Gunn Jr. is a health and organizational psychologist in private practice in Portsmouth, New Hampshire. He worked as a behavioral health specialist in family medicine education for 30 years and has expertise integrating public health and behavioral health into the primary care setting. Bill is co-author of Models of Collaboration and The Collaborative Psychotherapist, books designed for mental health professionals working in medical settings. He has also published …

Ninna Meier

Ninna Meier is associate professor in organizational sociology at the Department of Sociology and Social Work at Alborg University. She uses case-based and problem-based teaching methods and currently teaches courses in organizational sociology, advanced qualitative methods, and academic writing. She holds a degree in philosophy and business administration (cand.merc.phil) and received her PhD from Aarhus University. She has studied the collaboration, leadership, and management of …

Jody Hoffer Gittell

Jody Hoffer Gittell is professor at Brandeis University’s Heller School; faculty director of the Relational Coordination Collaborative, a global community of researchers and change leaders; and cofounder of Relational Coordination Analytics. Gittell developed Relational Coordination Theory, proposing that highly interdependent work can be effectively coordinated through relationships of shared goals, shared knowledge, and mutual respect and supported by frequent, timely, accurate, problem-solving …


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