Contrasting patterns of care for musculoskeletal disorders and injuries of the upper extremity and knee through workers' compensation and private health care insurance among union carpenters in Washington State, 1989 to 2008

Health care insurance schemes, whether private or public, are notoriously unaccommodating to individuals with disabilities. While most nonelderly nondisabled persons in the U.S. are insured through private sources, coverage sources for nonelderly persons with disabilities have traditionally been a mix of private and public coverage. For all age groups, the employment-to-population ratio is much lower for persons with a disability than for those with no disability. Moreover, employed persons with a disability were more likely to be self-employed than those with no disability. As a group, therefore, nonelderly people with disabilities have not been as well positioned as others to obtain private health care insurance because in the U.S., acquiring such coverage usually is employer based.

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An Analysis of Injuries Among Home Health Care Workers Using the Washington State Workers' Compensation Claims Database

Home Health Care Services Quarterly ◽

10.1080/01621424.2010.493435 ◽

2010 ◽

Vol 29 (2) ◽

pp. 55-74 ◽

Cited By ~ 21

Author(s):

Ninica Howard ◽

Darrin Adams

Keyword(s):

Health Care ◽

Home Health Care ◽

Health Care Workers ◽

Home Health ◽

Washington State ◽

Workers Compensation ◽

Claims Database ◽

Care Workers ◽

Compensation Claims

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A regional collaborative working to improve health care quality, outcomes, and affordability

International Journal of Health Governance ◽

10.1108/ijhg-08-2017-0041 ◽

2017 ◽

Vol 22 (4) ◽

pp. 292-301 ◽

Cited By ~ 2

Author(s):

Virginia Weir

Keyword(s):

Health Care ◽

Health Care Quality ◽

Care Quality ◽

Washington State ◽

Private Health Care ◽

Quality Outcomes ◽

Content Type ◽

Improve Health Care ◽

Improve Health Care Quality ◽

Improve Health

Purpose The purpose of this paper is to describe the Bree Collaborative’s background, history, structure, and work. Design/methodology/approach The Bree Collaborative was established by the Washington State Legislature to convene public and private health care stakeholders with the goal of identifying specific mechanisms to improve health care quality, outcomes, and affordability. These members are appointed by the Washington State Governor and represent public health care purchasers for Washington State, private health care purchasers (employers and union trusts), health plans, physicians and other health care providers, hospitals, and quality improvement organizations. Members annually select health care services that show high variation in care delivery, that are highly utilized without leading to better care or patient health, or that have known or suspected patient safety issues and develop recommendations for health care improvement. Findings Recommendations are meant to be implemented by the Washington State Health Care Authority and used to set a community standard across the state. Successful implementation depends on several factors including engaged health care purchasers, support from diverse partners, and a health care community willing to put the patient at the center of care. Originality/value Bottom-up, collective action through the Bree Collaborative can help achieve the triple aim for Washington State and should be used as a model nationally and internationally.

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