In October 2006, the Northern Nevada Health Care Coalition decided to hold a health care conference. They made sure their community's health care leaders knew about it, but pointedly told them they weren't invited. And the attendees unanimously agreed to contribute their data into a common data repository, so that it could be mined to identify problems and opportunities. Now they're focused on addressing each problem and opportunity they've found.

Employers, as the purchasers, can drive real solutions when they decide to be decisive.

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