Alliance to Defend Health The Alliance to Defend Health Care

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Alliance to Defend Health The Alliance to Defend Health Care Powered By Docstoc
					Alliance to Defend
   Health Care

Ann Eldridge Malone, RN, MSN
      Executive Director

           July 7, 06

 • Who we are
 • What we do & why
 • American health care today
 • Health Care in Massachusetts
 • Universal health care: what is it
 • Chapter 58
 • What you can do!
Who we are…
•   Community-based non profit advocacy
    – Health care professionals & others concerned
      with the state of our failing health care system
    – Only organization in MA to represent the
      united voices of frontline health care workers
       • Formed in 1997
       • Call to Action: For our patients, not for
         profit article published in JAMA 1997
       • Drafted 10 Principles for Healthcare
         Practice and Organization, 1998
Our Mission
  ….. is to foster broad public
 dialogue and health policy reforms
 to achieve universal access to high
 quality, affordable health care for
Broad base to build support
through Partnerships
• Collaborative relationships with others that
   – Multi-disciplinary health professionals
   – Student groups
         • Social justice organizations
   –    HC Amendment Campaign
   –    Health for All
   –    Community organizations?? Which?
Broad base through
The work we are doing…
• Activities involve outreach, education,
  and advocacy for health care reform.
   – Email listserv alerts/bulletins on public
     forums, events, advocacy action etc.
   – Health Care Amendment Campaign
   – Chapter 58 legislation
   – MNA work on safe RN staffing levels
   – Research:
      • Professional Satisfaction survey of MDs,
        RNs, and SWs.
      • Study of Safe Nurse Staffing Levels
Why we do what we do
  • We believe:

    – Health care is a fundamental
      human right

    – Delivery of health care should be
      guided by science and compassion

    – Health care should not be treated
      as a commodity to be traded in the
      commercial marketplace
We are dedicated to….
 • A reformed health care system that:

    – meets the needs of patients &

    – supports health professionals in
      providing high quality care

    – provides equal access to affordable,
      quality health care
Our Guiding Principles:
Framework for Decision-making
 1. Health Care broadly defined
 2. Access for all
 3. Patient choice
 4. Confidentiality
 5. Responsible health care organizations
 6. Responsible professionals & patients
 7. Disclosure
 8. Quality & peer review
 9. Research & training
 10. Simplicity & clarity
I. Health Care Broadly Defined
 • Includes prevention, diagnosis, treatment and
   management of illness
    – medical, surgical and mental(psycho-social?).
 • Health promotion, rehabilitation, & palliation are
   essential services.
 • Health care is fundamentally based on personal,
   professional and trusting relationships between
   individuals seeking care and those who care for
 • Health care organizations and institutions should
   exist primarily to improve the health of patients.
II. Access
 • Health care should be accessible to all regardless of
   employment, education, social, economic cultural or
   linguistic status.

 • Financial, geographic, and organizational barriers
   should not limit access to care.

 • The ability to creatively and appropriately employ
   scientific and technologic innovations in the interests
   of patients should be facilitated and enhanced by
   health care organizations and institutions.
III. Choice
  • Patients must have the right to choose their
    health care organizations and their clinicians
    within these organizations.

IV. Confidentiality
  • Personal medical information must be
    confidential & accessible, in a timely fashion
    and with the patient's permission, only to those
    responsible for the patient's care and only in the
    patient's interest.
V. Responsible health care organizations

 • No profits made from caring for patients.
 • Accountability to patients first.
 • Saved resources by system efficiencies &
   improvements should be reinvested in
   patient care and not returned to investors.
 • Competition among health care
   organizations is helpful only when it
   improves the care of patients.
VI. Responsible professionals & patients
  • As professionals and patients, we must
    responsibly allocate the finite resources
    available for health care.
  • The legal, ethical and moral obligation of
    clinicians to provide care in accordance with
    the highest professional standards is
  • Those who take action to correct conditions
    that prevent safe practice or high quality
    patient care must not suffer discipline or
    dismissal for their actions.
VII. Disclosure
  • There should be full disclosure available to
    patients and the public of the financial
    arrangements between health professionals
    and health care organizations and between
    organizations and for-profit corporations.

  • The licensure and job title of every person
    providing direct care should be clearly
    evident to patients and family.
VIII. Quality & Peer Review
 • Health care should be subject to review by
    peers and the public. This includes easy
    access for patients and clinicians to expert
    and second opinions.

IX. Research and Training
  • Research and professional training are essential to
    the long-term vitality of our health care system.
    Both require the explicit support of all health care
    organizations and local, state and federal
X. Simplicity and Clarity

  • Health care should be delivered and
    paid for in the simplest fashion
  • Repetitive and complex paperwork,
    administrative delays, and confusing
    forms distract clinicians from the care
    of patients and are unnecessary barriers
    to the effective and efficient delivery of
    health care.

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