Beyond the Numerical Tally: Quality and Stewardship in Community Benefit
2009 | Download
Uniform Standards and Lessons from the Advancing the State of the Art in Community Benefit Demonstration
Nonprofit hospitals can play an important role in supporting the national health reform process through a more strategic approach to community benefit resource allocation. For too long, policymakers, regulators, and advocates have limited their focus to the numerical tally of charity medical services provided by these institutions, without consideration of the quality and cost-effectiveness of their interventions, as well as the measurable outcomes that are produced.
These considerations were a driving force in the design and implementation of a multi-state demonstration project entitled Advancing the State of the Art in Community Benefit (ASACB) that involved more than 70 nonprofit hospitals in California, Texas, Arizona and Nevada between 2002 and 2006. During that four-year period, partners developed, field tested and refined a set of uniform standards to enhance the quality of community benefit programming and build institution-wide accountability. This paper explores standards and lessons from the Advancing the State of the Art in Community Benefit Demonstration.