Academic journal article Frontiers of Health Services Management

Response from a Feature Author

Academic journal article Frontiers of Health Services Management

Response from a Feature Author

Article excerpt

I would like to acknowledge the debt of gratitude that I have to lntermountain Healthcare and University of Michigan Health System. Ellen J. Gaucher's book about the quality journey at Michigan, Total Quality in Health Care: From Theory to Practice, was a very strong influence on me. IHC's information systems and their Advanced Training Program (ATP) have had an enormous influence on my community as well as PeaceHealth. Before I was an employee of Peace Health, the hospital CEO, John Hayward, partnered with the community and supported the attendance of 13 community members and two hospital leaders at lntermountain Healthcare's Advanced Training Program in the mid-1990s. This common background was the basis for cooperation in clinical quality at the community level. PeaceHealth has recently partnered with IHC to create a local version of the ATP, and we continue to include community physicians in the quality training programs.

I completely agree with and endorse Dr. Bernstein's call to critically assess the effectiveness of our programs and to examine our assumptions. The reviewers and the feature authors seem to share an urgent interest in learning about what works in the space of complex and chronic care. There is a real opportunity for continued sharing and accelerated learning (as the reviewers suggested) if these organizations are able to begin proactively communicating. If we were to include a few more organizations with formal research infrastructures, much could be learned in time to support the demographic bulge that has begun to outpace our ability to provide the care people deserve. …

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