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For the past several years, SHD has conducted leadership sessions with healthcare, business and community organizations
seeking to engage their members in one of the toughest questions in health policy today: What should be the
minimum healthcare coverage for the uninsured?
Using a computer-based tool called CHAT (see description below), SHD facilitates two-hour CHAT sessions in California
and other states. To learn more about bringing CHAT to your organization or
leadership group, contact SHD.
Below are examples of the types of groups that have held CHAT sessions.
"The session prompted many in our group to rethink assumptions about basic health care. CHAT raises
important questions for anyone working in healthcare policy."
--Kate McGarvey, Health Consumer Alliance Director
- Community Health Alliance of Humboldt-Del Norte
- Fresno Healthy Communities Access Partners
- San Mateo County's Health Care Model Workgroup
- Leadership Sacramento (Chamber of Commerce)
- Assembly, Senate and Executive Fellows programs
- Managed Risk Medical Insurance Board staff
- RWJ Foundation Policy Fellows
- California Pan-Ethnic Health Network, Board of Directors
- CaliforniaKids (LA) Board of Directors
- Sutter Health Sacramento regional Board of Directors
- Woodland Healthcare Board of Directors
- Department of Managed Health Care staff
In other states:
- American Leadership Forum, Houston, Texas
- Department of Insurance, Baton Rouge, Louisiana
- Department of Insurance, Helena, Montana
- Department of Insurance, Oklahoma City, Oklahoma
the CHAT� tool
CHAT (Choosing Healthplans All Together) is a computer simulation game
developed by physician ethicists at the National Institutes of Health and the University of Michigan,
whereby participants are faced with making decisions about health benefits packages when there are
more choices than resources.
This stimulating and educational process takes place in a 2-hour discussion group where participants
design a health coverage package, individually and as a group. The CHAT game is conducted using individual
computers combined with group discussion that involves negotiation, compromise and consensus-building.