Overall, the Cleveland MSP has been an effective partnership and a genuine collaboration has been established. The Cleveland MSP partners have effectively set goals for the partnership, have invested time, worked together collaboratively, as well as continued to express a clear need and commitment to partnership.
The Cleveland MSP partners have also shown major improvements in many key areas of the partnership. They have continued to improve in sharing common interests, defining goals and expectations, setting priorities, demonstrating outcomes of their collective work, and have become partially interdependent.
There are areas of the Cleveland MSP that have remained ineffective. Throughout the Cleveland partnership, the traditional boundaries that exist between the institutions have lacked reciprocity in ideas, opportunities for informal and formal contact, standardization of data collection, formal structures for sharing information, expressing alternative views, and recognizing and celebrating collective achievements.