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Purpose

Four Washington State associations came together to form a novel organization in response to rising healthcare sector costs, coupled with the need to ensure efficient provision of high quality care that improves health outcomes. This article seeks to explain the work and progress of that organization.

Design/methodology/approach

The article takes the form of a historical narrative.

Findings

The initiative has evolved from reliance on grants to becoming self‐funding, expanded the scope of its activities, and satisfied the needs of the stakeholders.

Practical implications

This organizational model is more efficient than going it alone on every effort, and may be a desirable solution for other communities.

Originality/value

This is the first published description of a unique, non‐profit organization founded in 1998, which can serve as a model for other regions that wish to promote collaborative benchmarking among competitive independent health care providers.

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