The Network for Regional Healthcare Improvement (NRHI) is a national coalition of Regional Health Improvement Collaboratives -- regionally-based, multi-stakeholder organizations that are working to improve the quality and value of health care delivery. NRHI provides technical assistance to Regional Health Improvement Collaboratives, facilitates information sharing among them, and encourages national policies that support efforts by Regional Health Improvement Collaboratives to improve healthcare quality and value.
There are over 50 Regional Health Improvement Collaboratives in the U.S. (see map below), all working to address one of the key challenges facing healthcare today -- how to improve the quality of services while controlling skyrocketing costs. Regional Health Improvement Collaboratives design and implement programs ranging from public reports on the quality and cost of physicians, hospitals, health plans, and other healthcare providers, to projects that reduce hospital-acquired infections and improve care for people with chronic diseases. The number of Regional Health Improvement Collaboratives has increased dramatically in the past 3 years, partly due to the rapidly growing concern about healthcare costs and quality across the country, and partly due to proactive efforts to foster the creation of Regional Health Improvement Collaboratives through the Robert Wood Johnson Foundation's Aligning Forces for Quality Program and the U.S. Department of Health and Human Services' Chartered Value Exchange program.
NRHI was founded in 2004 by seven Regional Health Improvement Collaboratives: the California Cooperative Healthcare Reporting Initiative, the California Quality Collaborative, the Institute for Clinical Systems Improvement, Massachusetts Health Quality Partners, Minnesota Community Measurement, the Pittsburgh Regional Health Initiative, and the Wisconsin Collaborative for Healthcare Quality. In addition to the founders, current members include the Greater Detroit Area Health Council, the Iowa Healthcare Collaborative, the Louisiana Health Care Quality Forum, the Oregon Health Care Quality Corporation, the Puget Sound Health Alliance, and the Utah Partnership for Value-Driven Health Care. Several other Regional Health Improvement Collaboratives from across the U.S. and in Canada participate in NRHI's Learning Network and in its Annual Summits. The Robert Wood Johnson Foundation, the Jewish Healthcare Foundation, and the California HealthCare Foundation are providing financial support for NRHI.
NRHI works to support the work of Regional Health Improvement Collaboratives and improvements in health and healthcare at the regional level by:
- Increasing the awareness of policy-makers and healthcare professionals about the key role that Regional Health Improvement Collaboratives play;
- Providing technical assistance to Regional Health Improvement Collaboratives in addressing specific challenges they face;
- Facilitating the ability of Regional Health Improvement Collaboratives to share the practical knowledge they develop in order to help all Collaboratives improve;
- Assisting additional communities to establish Regional Health Improvement Collaboratives;
- Encouraging the development and implementation of healthcare payment systems, benefit designs, and regulatory structures at the federal, state, and local levels which support improved population health and higher-value healthcare delivery systems; and
- Advocating for national policies and programs that support the work of Regional Health Improvement Collaboratives.





