If it takes a village to raise a child, what would it take to improve health and health care across a huge and diverse metropolitan area?
By Susan Dentzer
The answer: a multi-stakeholder effort, such as the Atlanta Regional Collaborative for Health Improvement, or ARCHI. Launched in 2011, the collaborative has brought together local government officials, philanthropies, health care systems, public health authorities and others to chart a strategy that could lead to lasting improvements in the community’s health.
ARCHI has big plans: to improve the quality and efficiency of the local health care system; lower the rate of growth of overall health care spending; and redirect the savings to other purposes that could lead to a growing economy, and, in turn, better health of the population. Although a long road lies ahead, ARCHI nonetheless offers a template for other communities that want to take collective action to improve health.
As a condition of retaining their federal income tax exemption, nonprofit hospitals, locally and nationally, have to comply with requirements under the Affordable Care Act to undertake community health needs assessments and adopt community health improvement plans every three years, or pay a penalty.
To guide these and other health reforms in the region, three local organizations – the Atlanta Regional Commission , the United Way of Metropolitan Atlanta, and the Georgia Health Policy Center – led the creation of a new multi-stakeholder collaborative. They also engaged ReThink Health, an arm of the Fannie E. Rippel Foundation that works with local communities to redesign their health systems.