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                      Dedicated to Good Health for all Texans

Recognizing the need to develop a shared vision of health and health care delivery for the state of Texas, the Texas Institute for Health Policy Research (Institute) launched the Shared Vision Project (Project). To create this vision, the Institute has established a forum for dialogue among the leaders of Texas' health care providers, payers, and consumers. This collaborative effort is a statewide effort that brings stakeholders together to provide leadership in developing innovative products, ideas, and demonstration projects to improve the state's access, effectiveness, and efficiency of health care.


This Project is producing Texas' shared vision for health care. The Project is grounded on three premises. First, there is no model for delivery of health care services nor vision for what a model should be in Texas. Second, all stakeholders are dissatisfied, to varying degrees, with the current "system" of health care delivery. Third, the pervasive "sense of urgency" makes this the right time for significant change. To forge a new and mutual vision, each stakeholder must be prepared to accommodate changes to achieve a common good. With vision, there can be leadership to evaluate policymaking proposals and provide recommendations or alternative solutions for policy changes. The Institute has recruited a unique panel of stakeholders from diverse backgrounds to provide leadership in the development of Texas' shared vision for health care.

The Shared Vision Project provides a nonpartisan Texas policy development resource for policy decision-makers. The Institute maintains an honest broker role in serving as the catalyst for collaboration among the varied stakeholders. This entrepreneurial process will produce both a reinvention of the health care policy process that begins community level and a coordinated implementation effort of change producing model demonstration projects. With this shared vision, Texas can lead the nation in innovation and improved access, effectiveness, and efficiency.


The Institute is committed to overcoming "silo" policy development in which stakeholders isolate problems into single-issue solutions. Therefore, the Project is designed to include organizations, communities, and individuals with a dedication to accomplish the Project's mission. Collectively, the structure's extraordinarily high skill, knowledge and ability levels add to the capability of the Project participants' commitment. Participants have expertise and experience in such areas as:

· Academia
· Banking and Finance
· Business
· Communications/Media
· Community Leadership
· Consumer Perspective
· Government
· Health Care Provision
· Health Care Supply
· Insurance
· Public Health

The Project structure consists of:

Shared Vision Panel - comprised of 26 members with expertise and experience in diverse professional areas. The Panel will develop a shared vision for health care for Texas, develop policy options for achieving a shared vision, and facilitate implementation of model demonstration projects.

Shared Vision Workgroups - includes six focus areas: workforce, health care delivery, information technology, community/public health, finance, and rural health. With their specific areas of expertise, the workgroups provide consultation and facilitation in key health policy emphasis areas to all Project participants. These workgroups will establish the principles, components, and formats for white papers and model demonstration projects that will go to the Panel

Institute Board and Staff - comprised of 30 board members and nine staff, provide feedback and advice on key Project products and outcomes.

Consumers, Legislators, Interested Groups, and Recognized Experts - will assist in identifying key health policy issues, assist in developing community-based solutions, and identify government roles needed to aid communities.

Communities - comprised of community leaders in collaboratives, they identify health care issues in their community/region, prioritize problems to address, and become the focal point for the Project to support in implementing pilot demonstration projects.


While this will be an on-going project of the Institute for the next ten years, during these first three years, the Institute will produce resources and tools to generate and implement a Shared Vision for Health Care in Texas. Some of the products to be developed are:

· Best Practices Clearinghouse
· Blue Print for Short and Long Term Policy Options
· Common Definitions for Health Care Terms
· Focus Group Reports
· Health Policy Forums
· Legislative Learning Luncheons
· Legislative Summit
· Model Demonstration Projects
· Monographs
· Policy Briefs
· Primers
· Publications (Academic and Industry)
· Regional Community Strategies
· Situational Analyses of Health Care Industry Sector Components
· Strategic Plan for Health Care in Texas
· White Papers


The Institute will use both quantitative and qualitative analysis in evaluating the Shared Vision for Health Care in Texas Project. By reviewing the level of participation of all stakeholders involved in the Project, the Institute will be able to demonstrate evidence-based solution options enabling policy decision-makers to understand health care issues and workable solutions to improve the health of Texans. The Institute will also develop qualitative surveys for participant input and monitor policy decision-makers' use of shared vision products.


The Institute is committed to the Shared Vision Project for the next ten years. We are actively soliciting support from associations, private foundations and individuals to ensure the Project's initial funding and long-term sustainability. Funding this project will ensure that policy decision-makers have a vision for the future with workable options and demonstration projects for improving Texas' health care delivery system are available. The project will weigh the diverse interests of health care stakeholders, including consumers, and provide a Shared Vision for the effective and efficient delivery of health care and ultimate improved health of people living in Texas.

Case Statement (PDF Print Version)