The Physician Hospital Alignment for Central Oregon (PHA) represents a group of 480-plus physicians and providers who are committed to building a sustainable health system based on the three core values of what the Institute for Healthcare Improvement (IHI) calls The Triple Aim:

1. Improving population health
2. Reducing per capita cost
3. Improving the patient experience

Recognizing that the cost and quality of health care in the U.S. varies dramatically by region, the PHA envisions a model for a physician-led health care system that places heavy emphasis on patient-centered care, clinical information systems and the practice of evidence-based medicine. Signaling its support for the physicians' endeavor, the St. Charles Health System's board of directors adopted in 2009 a statement of commitment to co-create the system.

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