The Texas Health Institute was created in 1964
as the Texas Hospital Education and Research Foundation. Throughout
its existence, the nonprofit 5.01(c)(3) Institute has addressed
significant health care policy issues.
In 1996, the leadership of the foundation recognized that fundamental
changes were occurring in how health care is delivered. Mergers
and acquisitions to form systems of hospitals have created unanticipated
administrative and policy questions, as well as unintended consequences.
Linkages with physicians and development of managed care organizations
by hospitals/health systems have created new policy questions that
challenge traditional technology needs and complicate regulatory
oversight. The transition to community-focused care and the implementation
of meaningful outcome/quality measurements bring long-established
ethical practices and values into question. Every community is unique,
so a single delivery system design will not adequately meet diverse
needs. Research to understand and evaluate the new operating environment
is needed to provide direction to move beyond managing costs to
focusing on outcomes and real improvement in community health status.
In 1997, the board of directors of the Institute approved a strategic
plan for the newly named and reorganized organization. With its
research, education and policy development, the Institute provides
leadership in improving the health of Texans through community driven
and community focused efforts.