title: How a Beacon Community Program in New Orleans Helped Create a Better Health Care System by Building Relationships before Technology.
abstract: BACKGROUND
  In the aftermath of Hurricane Katrina, much of New Orleans' healthcare infrastructure was destroyed. Initial federal funding after the storm expanded primary care services and helped set up medical homes for New Orleans' large uninsured and underinsured population. Following that, the Beacon Community in New Orleans, charged with improving health care through the use of technology, decided the best way to accomplish those goals was to build community partnerships and introduce technology improvements based on their input and on their terms. The purpose of this paper is to describe how those partnerships were wrought, including the innovative use of a conceptual framework, and how they are being sustained; how different technologies were and are being introduced; and what the results have been so far.
  
  
  METHODS
  Past successful community experiences, as well as a proven conceptual framework, were used to help establish community partnerships and governance structures, as well as to demonstrate their linkages. This paper represents a compilation of reports and information from key Beacon leaders, staff and providers and their firsthand experiences in setting up those structures, as well as their conclusions.
  
  
  RESULTS
  The community partnerships proved extremely successful in not only devising successful ways to introduce new technology into healthcare settings, but in sustaining those changes by creating a governance structure that has enough fluidity to adapt to changing circumstances.
  
  
  CONCLUSIONS
  Building and developing community partnerships takes time and effort; however, these relationships are necessary and essential to introducing and sustaining new technologies in a healthcare setting and should be a first step for any organization looking to accomplish such goals.
authors.affiliation: Louisiana Public Health Institute.
authors.forename: Anjum
authors.initials: A
authors.lastname: Khurshid
authors.affiliation: Louisiana Public Health Institute.
authors.forename: Lisanne
authors.initials: L
authors.lastname: Brown
references.citation: Eur J Emerg Med. 2008 Feb;15(1):34-9
references.pmid: 18180664
references.citation: J Urban Health. 2005 Dec;82(4):520-3
references.pmid: 16251525
references.citation: J Gen Intern Med. 2007 Sep;22(9):1377-9
references.pmid: 17665269
references.citation: J Gen Intern Med. 2005 Oct;20(10):953-7
references.pmid: 16191145
references.citation: Health Aff (Millwood). 2012 Aug;31(8):1729-38
references.pmid: 22869651
references.citation: Nurs Outlook. 2005 Nov-Dec;53(6):274-80
references.pmid: 16360698
references.citation: Pediatrics. 2004 May;113(5 Suppl):1493-8
references.pmid: 15121917
references.citation: Med Care. 2003 Feb;41(2):198-207
references.pmid: 12555048
references.citation: J Med Internet Res. 2013 Oct 15;15(10):e221
references.pmid: 24128406
references.citation: J Econ Perspect. 2008 Fall;22(4):93-113
references.pmid: 19791306
references.citation: Health Aff (Millwood). 2008 Sep-Oct;27(5):1231-4
references.pmid: 18780905
references.citation: Health Aff (Millwood). 2006 Sep-Oct;25(5):w393-406
references.pmid: 16940307
references.citation: Ann Emerg Med. 2009 Feb;53(2):289-91
references.pmid: 19167629
references.citation: EGEMS (Wash DC). 2013 Oct 08;1(1):1010
references.pmid: 25848561