PubMed · 10107710
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J Herrmann. Insurer view.. https://pubmed.ncbi.nlm.nih.gov/10107710/
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The Pittsburgh Regional Healthcare Initiative (PRHI) is a coalition of 35 hospitals, 4 major insurers, more than 30 major and small-business health care purchasers, dozens of corporate and civic leaders, organized labor, and partnerships with state and federal government all working together to deliver perfect patient care throughout Southwestern Pennsylvania. PRHI believes that in pursuing perfection, many of the challenges facing today's health care delivery system (eg, waste and error in the delivery of care, rising costs, frustration and shortage among clinicians and workers, financial distress, overcapacity, and lack of access to care) will be addressed. PRHI has identified patient safety (nosocomial infections and medication errors) and 5 clinical areas (obstetrics, orthopedic surgery, cardiac surgery, depression, and diabetes) as ideal starting points. In each of these areas of work, PRHI partners have assembled multifacility/multidisciplinary groups charged with defining perfection, establishing region-wide reporting systems, and devising and implementing recommended improvement strategies and interventions. Many design and conceptual elements of the PRHI strategy are adapted from the Toyota Production System and its Pittsburgh derivative, the Alcoa Business System. PRHI is in the proof-of-concept phase of development.
Official pronouncements that the U.S. economy is in recession have confirmed the bad news that health care advocates began experiencing months ago. State budgets are deep in deficit. Medicaid programs are in jeopardy. And making the case for expanded health care access now seems harder than ever. There is good news, though: in the Alliance for a Healthy New England, health advocates may have found a new funding mechanism. Built on a broad-based coalition model, the Alliance is seeking to raise tobacco taxes in all six New England states, with the revenue generated to be used for tobacco control and expanded health care access. This States of Health looks at how the diverse organizations that make up the Alliance are learning to work together--and why working together is so valuable.
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