With input from our advisors, Raising the Bar is assembling a set of aspirations for health systems. These guide the development of principles for Raising the Bar and will continue to be adapted as we explore health care’s role. Raising the Bar will aspire to fully transformed, committed health care systems, institutions, and organizations that:
- Embrace health equity and social justice as overarching goals.
- Acknowledge and seek to address historic and current systemic racism and other forms of discrimination and inequity—not only in society generally, but in the health care system itself. This includes access to and delivery of care, administrative and employment practices, and in interactions with the broader communities they serve.
- Create an environment in which all feel welcome and where health care will work with individuals (and, importantly, their families and caregivers) to understand and meet the physical, emotional, and social needs across the trajectory of their lives.
- Expand beyond “do no harm” to a more proactive and inclusive view of promoting the health and well-being of individuals and families, including steps to address harms from racism and inequity.
- Integrate care across all the players that are part of health systems to meet the comprehensive needs of individuals and families.
- Use the full range of health care’s expertise, resources, and influence to improve the health of individuals and families, and the places where they live, work, and play.
- Provide or facilitate equitable access to safe, appropriate, high-quality and high-value care for all who need it, regardless of insurance-coverage status.
- Ensure health care has a diverse and inclusive workforce at all organizational levels and with leadership, governance and partnership that reflects those whom they serve.
- Engage in authentic and meaningful ways to ensure the needs of the individuals, families, and places served are understood and met.
- Participate in the development of incentives (policies, payment systems, etc.) and accountability mechanisms that allow health care to respond to the needs of individuals, families, and communities, while at the same time working within existing systems to achieve the greatest impact and equity.
- Advocate for and invest in improving social conditions to help all people enjoy full, healthy lives.
Working Draft – as of January 27, 2021
These Aspirations will evolve as the project moves forward.