In Reply to Griffith

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My coauthors and I thank Mr. Griffith for his comments on “The Charter on Professionalism for Health Care Organizations” as well as for his contributions to health care quality through advocacy of the Baldrige Model. We also agree that commitments to quality are not enough, which is why we framed them as specific behaviors—commitments to do things that further the four themes of the Charter.
We also agree that “rebuild[ing] our delivery organizations” to “support the commitment concepts” is a “complex problem.” Doing so will require health care reform at the national level (for which we have yet to see the political will), making a business case for these activities to health care organizations, and—not least—perseverance. We are taking the long view and focusing on what we have most control over: our sense of professionalism. It is in that vein that we offer the Charter as a road map, a guide for health care organizations aspiring to improve their systems and to promote population health.
But we are also developing plans to assist the implementation of the Charter commitments. To this end we:
We encourage others to join in this effort to promote professionalism wherever they work or seek care.
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