February 2011

Advocacy Priorities Set for 2011-2012


The Board of Stewardship Trustees has endorsed CHI's advocacy priorities for 2011-2012. The advocacy priorities were developed through an extensive process that included input from CHI leaders and employees, alignment with CHI's strategic plan, and review and recommendation by the Advocacy Advisory Committee. 

Initial input was obtained at the 2010 National Leadership Conference, followed by an electronic survey of potential advocacy priorities disseminated throughout CHI. The Advocacy Advisory Committee considered this information in developing its recommendations to the Board. 

As CHI's advocacy priorities have been refined over the years, the issues have remained fairly constant, with "access and coverage for all" remaining the highest priority. For 2011-2012, there are six advocacy priorities, with the greatest emphasis placed on first three, which are interrelated and driven by the demands of health care reform. The priorities are:

  • Access and Coverage for All - Assure that regulations implementing health care reform achieve the promised expansion of coverage to more than 30 million uninsured individuals; block legislative efforts to repeal the coverage gains of health care reform; seek continued expansion of coverage to those left out of health care reform; eliminate health care disparities based on race, ethnicity, immigration or socio-economic status; enhance access to palliative care to persons facing life-threatening illnesses.
  • Delivery System Reform - Remove regulatory and legal barriers to the provider collaboration needed to improve coordination and quality of care; seek regulations for the proposed new models of care that provide flexibility and opportunity for participation by a broad range of hospitals and other providers; seek regulatory or legislative changes to advance the adoption of electronic health records and the integration of relevant information technology.
  • Quality, Value and Fair Payment - Implement values-based purchasing in a manner that rewards both quality improvement and achievement of high quality; oppose provider payment cuts in excess of levels included in health care reform; protect vulnerable populations and avoid undue harm to providers and programs in entitlement reform; seek reasonable exclusions in regulations implementing the readmission payment penalty provisions of reform; modify inappropriate payment penalties related to the hospital-acquired condition provisions of reform.
  • Preservation of Charitable Purpose - Preserve and promote the charitable purpose and tax-exempt status of nonprofit health care; provide, demonstrate and communicate organizational accountability and community benefit, including charity care, that is responsive to community need; protect Catholic identity; promote social justice.
  • Rural Health Care - Preserve and promote access to high-quality health care services in rural areas through payment systems and programs that recognize the unique needs of rural providers; protect Critical Access Hospitals; advance telehealth; support workforce expansion efforts.
  • Violence Prevention - Advance public policy, community-based and other organizational initiatives that seek to address, reduce and prevent violence in the communities CHI serves; increase public understanding of the impact of violence on health; address multiple areas of violence, including domestic violence, child and elder abuse, Internet-related violence, bullying and gun violence.

CHI's continuing involvement in advocacy provides the opportunity to shape future directions in health and social policy while also responding to current realities. For more information, contact Marcia Desmond, vice president of public policy.