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Balancing collaboration and competition: the Kingsport, Tennessee experience
1Kenan-Flagler Business School, University of North Carolina, Chapel Hill 27599-3490, USA.
Summary
Kingsport Area Health Improvement Project (KAHIP) adapted its strategy to overcome barriers, focusing on community-wide change and continuous quality improvement. This led to new interventions for injury prevention and expanded access to care.
Area of Science:
- Public Health
- Community Health Improvement
- Quality Improvement Science
Background:
- The Kingsport Area Health Improvement Project (KAHIP) was established in 1988 by community leaders to enhance local health status.
- Favorable conditions for collaboration included a strong employer, established community structures, economic stability, adequate resources, and leadership commitment.
Purpose of the Study:
- To reassess and adapt the KAHIP strategy in response to a changing healthcare environment.
- To identify and overcome barriers to community health improvement.
Main Methods:
- Reconstitution of KAHIP in 1994 with a greater leadership role for providers.
- Implementation of targeted interventions based on evolving community needs.
Main Results:
- Development of programs to reduce motor vehicle accident injuries in children and adolescents.
- Establishment of a primary care health center for underserved populations.
- Creation of a smoking-cessation program.
Conclusions:
- Sustained leadership hinges on commitment to continuous quality improvement and community-wide change.
- Open dialogue and willingness to form new alliances are crucial for revitalizing collaborative efforts.
- Addressing achievable issues while setting aside intractable ones facilitates progress.
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