Care Redesign
Clip
Shifting the Conversation to Whole-Person Health (03:36)

What does initial success look like in shifting from a vision and passion for whole-person health care to its implementation? Toyin Ajayi, Chief Health Officer for Cityblock Health, asks her panelists for concrete first steps.

“It looks like a very different conversation in the country about what creates health, not only how we finance and deliver care,” says Tyler Norris, Chief Executive Officer of Well Being Trust. This dialogue needs to include more than just people in the health care sector — it needs to include people who produce healthy food, provide housing, extend mobility, and so on, too.

“Part of changing that conversation is recognizing the whole person, as mental, emotional, and spiritual, as well as physical, so that we look at the whole person and don’t segment when we’re trying to provide care,” says Norris. “Whole person, whole system.” Once we recognize the whole person and have that type of conversation, only then can we shift resource allocations to invest in what creates health.

Norris adds that in finding common ground on what constitutes whole-person health, we shouldn’t assume there will be toxic partisanship on some issues. “There is a tremendous opportunity to actually, as a nation, say, ‘We want to invest in what creates health and creates a strong nation in our third century.’”

“To me, success is that we have a shared definition of success,” says Rebecca Onie, Co-Founder of Health Leads. She describes a pivotal moment in the same-sex marriage movement: agreement that the movement would be about marriage. “There was an opportunity for it to be about nondiscrimination or a whole set of other priorities, and there were a lot of folks who were very committed around issues of equality relative to gay rights where there was a fundamental disagreement about is marriage even the thing we go for,” she explains.

“But the beauty of it was that it was incredibly clear. Folks could choose to be part of it, they could choose to not be part of it, and what was so brilliant was that there was a recognition that that goal was not the be all, end all, but was a pathway to shift the conversation in the country.”

“We are sorely missing that [in health care],” says Onie. “Those of us who are committed to a broader notion of health, the fact that we can’t articulate where we should be in 10 years, it assures we will not achieve our goals.”

From the NEJM Catalyst event Expanding the Bounds of Care Delivery: Integrating Mental, Social, and Physical Health, held at Vanderbilt University Medical Center, January 25, 2018.

More From Care Redesign
Murali01_pullquote Home Recovery Care patient satisfaction

No Place Like Home: Bringing Inpatient Care to the Patient

Providing home-based acute care improves patient satisfaction and care quality while reducing costs.

Rating the Raters - Strengths and Weaknesses Assessment of the Four Public Hospital Quality Rating Systems - 2a

Rating the Raters: An Evaluation of Publicly Reported Hospital Quality Rating Systems

Some promising innovation is taking place among organizations that rate hospital performance, but major systemic change is needed in the field to ensure access to meaningful comparisons through better data and relevant metrics, and to establish integrated oversight through robust audits and peer review.

McKee01_pullquote - the need for coordinated care IPUs for Parkinson's disease

Creating “One-Stop Shop” Care for Parkinson’s

Integrated Practice Units (IPUs) can revolutionize the care of specialty disease conditions, and Parkinson’s disease is a good place to start.

Good Shepherd culturally competent hospice care home visit to the widow of a recently deceased patient

Strangers No More: Culturally Competent Add-On Programs for Diverse Seniors

Creating specialized culturally competent programs to improve patient satisfaction and address the unique health care needs of older immigrants.

Kimberly Dennis and David Newton head shots - SunCloud Mental Health Services

Addressing the Lack of Continuity of Care in Mental Health Services

Co-founders of an integrative outpatient treatment center for mental health and addiction discuss the problematic lack of continuity of care between inpatient and outpatient and physical and mental health services.

Epic OB Hemorrhage PPH Risk Assessment Tool and Alerts at PSJH - Preventing Maternal Death

Improving Maternal Safety Through an EMR Risk Assessment

After a mother died of postpartum hemorrhage, Providence St. Joseph Health made organization-wide changes to prevent future maternal deaths and injuries.

Most Health Care Organizations Have Palliative or End-of-Life Care Programs

Survey Snapshot: Challenging the Resistance to “Palliative”

NEJM Catalyst Insights Council members agree that palliative care is gaining traction, but one of many barriers is getting providers over their resistance to the word “palliative.”

The Assessment of Care Tool - Consisting of Six Visual Analog Scales Corresponding with the IOM Six Dimensions of Perfect Care

Real-Time Pursuit of Outcomes That Matter to Patients

A simple and affordable tool to use at the point of care to drive value creation within clinical microsystems.

Many Patients Who Would Benefit from Palliative - End-of-Life Care Do Not Receive It

Care Redesign Survey: The Power of Palliative Care

Our NEJM Catalyst Insights Council survey on palliative care reveals an interesting dichotomy: While the great majority of organizations have a palliative or end-of-life care program, 60% of patients who would benefit from such services don’t receive them.

Heart Safe Motherhood and Way to Health Two-Way Texting for Blood Pressure Monitoring for Postpartum Women with Preeclampsia

Heart Safe Motherhood: Applying Innovation Methodology for Improved Maternal Outcomes

At the Hospital of the University of Pennsylvania, a text message–based blood pressure surveillance program for postpartum women with preeclampsia improved blood pressure management, reduced readmissions, and increased patient and provider satisfaction.

Connect

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

Learn More »

Topics

Coordinated Care

141 Articles

Creating “One-Stop Shop” Care for Parkinson’s

Integrated Practice Units (IPUs) can revolutionize the care of specialty disease conditions, and Parkinson’s disease…

Physician Incentives: Importance of the Why

When moving health care providers forward in the world of value-based care and population health,…

Primary Care

196 Articles

No Place Like Home: Bringing Inpatient…

Providing home-based acute care improves patient satisfaction and care quality while reducing costs.

Insights Council

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

Apply Now