Care Redesign
Clip
Challenging Our Notion of the Safety Net (02:20)

What are some of the barriers preventing the U.S. safety-net population from participating in programs that might improve their health, and how can we knock down those barriers?

“We need to challenge the notion of what we [perceive] the safety-net population is. These are people who have the same aims as everyone else: they want to be healthy,” says Anna Roth, the CEO of Contra Costa Regional Medical Center and Health Centers.  “By starting from that point and accepting that notion, then we know we have willing partners.”

Working with this population to improve their engagement isn’t any different from working with other groups, she stresses. “I think I hear that a lot. But I don’t see any evidence of that.”

What Roth does see is people overcoming major inconveniences of getting to the doctor, such as taking three or four busses one way. “This is an extremely resilient group of people who are facing challenges — which many of us could not really even comprehend — to get through the day,” she says.

The way forward? First, Roth reminds us to respect each individual patient. Second, we need to create  “systems that are intuitive — that don’t require navigators, but [that are] actually centered around patients,” she advises. “And I don’t think that’s unique for the safety net.”

From the NEJM Catalyst event Care Redesign: Creating the Future of Care Delivery at Kaiser Permanente Center for Total Health, September 30, 2015.

More From Care Redesign
Griffin Myers Head Shot Oak Street Health

Rebuilding Health Care as It Should Be: Personal, Equitable, and Accountable

How Oak Street Health, a full-risk, value-based primary care model and social determinants practice, embeds itself in the community to keep its elderly population, “happy, healthy, and out of the hospital.”

Telemedicine Online Care Group Cleveland Clinic Express Care Online Quality Improvement - Next Steps

Ensuring Clinical Quality in Telemedicine

How Cleveland Clinic and Online Care Group designed a data-driven quality improvement telemedicine ecosystem.

Endless Forms Most Beautiful - Evolving Toward Higher-Value Care Cover Image

Endless Forms Most Beautiful: Evolving Toward Higher-Value Care

How Providence St. Joseph Health devised a Value-Oriented Architecture to guide physician practice.

Standard Treatment Algorithm for Patients with hepatitis C virus HCV at Geisinger Clinic and for Improved Sustained Virologic Response Rates in Geisinger ProvenCare Model

Enhanced Cure Rates for HCV: Geisinger’s Approach

To reduce the burden of hepatitis C in central Pennsylvania, Geisinger Clinic designed a comprehensive assessment and treatment protocol to improve sustained virologic response rates.

The HCD Human-Centered Design Kaiser Permanente Compass

Human-Centered Design and Performance Improvement: Better Together

Kaiser Permanente’s initiatives with combining HCD and PI point to the potential to improve the health care experience and outcomes of patients and providers.

Choi01_pullquote customizable electronic health records

Subscribing to Your Patients — Reimagining the Future of Electronic Health Records

Rather than searching EHRs to check on patients, what would it be like to instead subscribe to Ms. Jones in room 328?

Consensus That Design Thinking Is Useful in Health Care

Survey Snapshot: Design Thinking Is Useful, So Why Aren’t More People Using It?

NEJM Catalyst Insights Council members agree that design thinking is useful, but leadership buy-in and understanding of how to implement it may create barriers.

Artificial Intelligence AI Technologies - 5 Approaches to Augmentation of Health Care Decision-Making

Artificial Intelligence and the Augmentation of Health Care Decision-Making

Artificial intelligence is most likely to improve health care by augmenting the work of human clinicians.

Improving Scores Through Human-Centered Design

Designing and Implementing Better Patient Experiences

An ophthalmology provider with facilities in the greater Mexico City area is using Human-Centered Design to improve both the patient and staff experience.

Joseph04_pullquote_hospital_wellness

Designing Hospitals That Heal as Well as Treat

Hospitals must provide wholesome food, sound sleeping conditions, and human connection to promote healing and wellness.

Connect

A weekly email newsletter featuring the latest actionable ideas and practical innovations from NEJM Catalyst.

Learn More »

Topics

Social Needs

81 Articles

Addiction Is a Community Disease

Partnering with the community to tackle substance use and mental health disorders is the optimal…

Mental Health

27 Articles

Addiction Is a Community Disease

Partnering with the community to tackle substance use and mental health disorders is the optimal…

Coordinated Care

121 Articles

Ensuring Clinical Quality in Telemedicine

How Cleveland Clinic and Online Care Group designed a data-driven quality improvement telemedicine ecosystem.

Insights Council

Have a voice. Join other health care leaders effecting change, shaping tomorrow.

Apply Now