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Worker/Consumer Partnerships
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Partners in Quality: Health Care Professionals, Workers and Consumers Fighting
for Quality Health Care
Health care workers and professionals have always been strong
advocates for patients and consumers know it. Whether in the hospital,
doctors’ offices, or at home, consumers often rely on the nurses, nurses
aids, and other health care staff to help them understand what is happening
to them and how to make decisions. People who provide direct patient care
have a special relationship with patients and can be an invaluable resource.
Workers and health professionals have reported these dangerous
trends:
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sending patients home too early after surgery;
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delegating work to staff with inadequate training;
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downsizing facilities to dangerously low staffing levels.
Health care professionals and workers feel the pressure that
incentive agreements and efficiency goals put on patient care decisions
that require a choice between saving money and providing appropriate services.
Health care professionals and workers help consumers understand what effect
these cost cutting policies have on patient care. Consumers are often ill-equipped
to evaluate quality of care without the assistance of health professionals.
The worker-consumer partnership is essential to
consumer advocacy efforts!
The revolution in managed care threatens this long time
relationship by making money, not quality, the bottom line in health care.
The Consumer Coalition works around the country to strengthen and empower
partnerships with consumers and health care workers and professionals to
fight for quality and consumer protection in health care.
The Consumer Coalition’s partners recognize the opportunity
for health professionals, workers and consumers to lead the way in promoting
a consumer agenda in health care reform. The Consumer Coalition’s partners
in this endeavor include:
What's Happening to Health Care?
Consumers and health care workers need each other more than
ever. Reforms in health care are being driven by cost concerns, not concerns
over quality or access. Saving money often translates into restricting
access to care, negotiating reduced reimbursements for providers and facilities
and cutting down hospital stays. Without proper consumer protection and
quality monitoring of the managed care system, these cost cutting measures
create dangerous incentives to underserve patients and pose tremendous
threats to the quality of care.
Health care policy and industry analysts claim that the
market is becoming more "consumer driven," meaning that the intense competition
among health plans makes them highly sensitive to consumer demands and
concerns. Usually this means that large employers have more leverage in
negotiating the lowest price health benefits. But it does not automatically
translate into higher quality, more accessible care for individual consumers.
It will take organized consumer demands for industry and regulatory changes
to shape the rapidly changing health care delivery system.
It is more important than ever before that together workers
and consumers lead in the effort to maintain and improve the quality of
health care. We must take action quickly to participate in these dramatic
changes. All across the country not-for-profit hospitals and health plans
are either moving towards conversion to for-profit status, are being bought
by large corporate chains, or are merging with other companies and facilities.
As health plans and facilities vie to gain dominance in the market, the
current sensitivity to consumer demands will fade and the political environment
will be less favorable. Unless we stop the rush to consolidate profits
and power in the current health care system, consumers and workers will
face a future that offers very little choice, accountability, consumer
protection or quality assurance.
What are the Health Care Standards Workers and Consumers Need?
The Consumer Coalition is here to help. We are leading a
national effort to strengthen worker/consumer partnerships and launch campaigns
for quality health care in various states around
the country. The Consumer Coalition’s Statement
of Principles is the unifying force for the 35 participating consumer
and labor organizations. The principles include choice and consumer information,
consumer protection, quality assurance and public accountability.
In addition, the Consumer Coalition has developed model
state legislation that can help win this fight. The
Quality Imperative: Model State Legislation for Managed Care
establishes a comprehensive, integrated and uniform approach to providing
consumer protections and quality assurance in managed care plans. The legislation
is general enough to allow state activists to tailor it to their states
current law but specific enough to offer legislative language on a broad
array of topics. The legislation has six sections that can be introduced
as a package or as individual bills and may be useful in agency rule-making
procedures that are underway in many states.
In the new managed care world, consumers are expected
to "take responsibility" for their health care but are not being given
the information they need. Consumers as well as workers share the need
for:
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adequate information about health plan services and performance;
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safe and adequate staffing levels at all facilities;
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clear, fair and swift complaint procedures that include the right of a
health provider to advocate on behalf of a consumer without fear of reprisal;
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accountability to consumers and health care professionals and workers that
includes an active decision-making role in the plan and access to financial
and health data.
From Principles to Policy and Practice: Essential Action Items
The Consumer Coalition has many resources for workers
and consumers in their fight for quality health care. Just click on any
of the buttons below, to get more information on the following resources:
Other Available Resources for Organizers
The Quality Connection: The Consumer
Coalition's Newsletter for Health Advocates
Also:
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"Demanding Quality: SEIU Principles for Quality Care"
In order to receive a copy, contact: SEIU, 1313 L Street, NW, Washington,
D.C. 20005 or call (202) 898-3200.
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"Managed Care: What You Don't Know Can Hurt You"
In order to receive a copy, contact: AFSCME Public Policy Department,
1625 L Street, NW, Washington, D.C. 20036 or call (202) 429-1155.
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"Doing the Right Thing for Safety Net Health Services"
In order to receive a copy, contact: AFSCME Public Policy Department,
1625 L Street, NW, Washington, D.C. 20036 or call (202) 429-1155.
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