I have followed the COHE program since its inception in the early 2000’s.  In the last few years, I have made two week-long trips to Washington State to study its current operations and learn its history in more detail.   In addition to conversations with the involved state agency, I have visited several of the COHEs themselves.  While there, I spoke with the local COHE medical directors as well as operational managers, network recruiters, and healthcare service coordinators.    

Last year, I moderated a panel presentation at a national occupational medicine conference about COHE that featured two COHE medical directors and three operational managers, as well as a COHE member physician.  I delivered the attached powerpoint presentation at that time.  It emphasizes some specific design features that in my opinion have been critical for COHE’s success  – but that Washington state staff do not emphasize.   This presentation also documents the specific ways that COHE has reduced unnecessarily poor outcomes.

Comments welcome!

Cordially,

Jennifer Christian, MD, MPH

President / Chief Medical Officer

Webility Corporation

95 Woodridge Road

Wayland, MA 01778

Office:  508-358-5218 (preferred)

Mobile:  617-803-9835

Email: jennifer.christian@...

Blog: www.jenniferchristian.com

Website:  www.webility.md