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
Charlotte Yeh head shot - hearing aids hearing loss

“You’re Old Without Hearing Aids”— Addressing the Silent Epidemic of Hearing Loss

Hearing loss isn’t a normal consequence of aging. But it is associated with a higher risk of dementia, depression, and falls. The Chief Medical Officer for AARP Services talks about combating this huge but silent epidemic that impacts all ages.

Dentzer01_pullquote - Stone-Age Policies Stifle Modern Virtual Care Solutions

Stone-Age Policies Stifle Modern Solutions

Health care leaders must advocate for regulatory and reimbursement changes to unlock the potential of innovative technology and care team approaches to Parkinson’s and other suitable conditions.

Idiopathic Pulmonary Fibrosis IPF Multidisciplinary Collaborative Care Model

From Consulting to Caring: Care Redesign in Idiopathic Pulmonary Fibrosis

A multidisciplinary collaborative model to address the palliative care needs of patients with idiopathic pulmonary fibrosis resulted in improved end-of-life care and decreased hospital deaths.

Impact of PCSP on Patient Satisfaction at Providence Heart Clinic

Transforming Specialty Practice in Pursuit of Value-Based Care: Results from an Integrated Cardiology Practice

Despite significant primary care reform around patient-centered medical home models, specialty care remains fragmented, with poor communication between primary care and specialists. How should specialty practices be reformed to deliver more coordinated, patient-centered care?

Michael Bennick Yale New Haven Hospital Medical Director of the Patient Experience - Yale Living History Project

The Living History Project: Open-Ended Patient Interviews Create a Therapeutic Bridge

A program at Yale has students conduct open-ended interviews with patients about their lives, their hopes, their values, and what they most want their medical team to know — creating the opportunity for human connection and a better care experience.

Fisher02_pullquote hypertension guidelines

Hypertension Guidelines: Achieving 90% Success

Focused and innovative health systems are managing to control blood pressure for 9 in 10 patients, which is well above the national average of 50% to 60%.

Health Care Organizations Are Moderately Effective in Using Data

Survey Snapshot: Using Data for Change

NEJM Catalyst Insights Council members discuss how data and analytics are being used at their organizations, both now and with the future in mind.

Percentage of U.S. Adult Hemodialysis Patients Achieving Dialysis Adequacy, 2013-2016. Data will be released in early 2019.

Innovation in Dialysis: Continuous Improvement and Implementation

The U.S. dialysis sector has been criticized for its lack of innovation, but this criticism disregards the kidney community’s success in creating — and continuously improving on — dialysis as a safe, globally scaled, quality-oriented outpatient therapy.

Cleveland Clinic Time-to-Treatment Cancer Programming Overall Scorecard 2015-2017 Sample

Reducing Time-to-Treatment for Newly Diagnosed Cancer Patients

How Cleveland Clinic initiated a multidisciplinary program to reduce time-to-treatment and accomplish a 33% reduction.

Treatment Authorization Increases and Rapid Boost in New Mexico Medicaid Members Treated for Chronic HCV

A Collaborative Model to Expand Medicaid Treatment Coverage for Chronic Hepatitis C Virus

How managing the benefit coverage expansion for the treatment of HCV in New Mexico was successfully achieved after less than 2 years.

Connect

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

Learn More »

Topics

Mental Health

29 Articles

Stay in Your Lane? Clinicians vs.…

Should physicians stay in their clinical lanes when it comes to behavior change and social…

Opioids Epidemic

25 Articles

New Evidence on Stemming Low-Value Prescribing

New research suggests that deploying strong and surprising messages could help to address overprescribing of…

Coordinated Care

134 Articles

Disrupting the Payment Model

We should modernize our payment mechanisms to reflect the reality of our digitally enabled lives.

Insights Council

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

Apply Now