{"id":6974,"date":"2020-07-30T22:16:40","date_gmt":"2020-07-30T22:16:40","guid":{"rendered":"http:\/\/www.breecollaborative.org\/?p=6974"},"modified":"2020-07-30T22:16:40","modified_gmt":"2020-07-30T22:16:40","slug":"put-your-behind-in-your-past","status":"publish","type":"post","link":"https:\/\/www.qualityhealth.org\/bree\/2020\/07\/30\/put-your-behind-in-your-past\/","title":{"rendered":"Adapting to the Future"},"content":{"rendered":"\n

On day two of our\u00a0Implementation Summit<\/a>\u00a0in June, I referenced a\u00a0Radiolab podcast episode<\/strong><\/a>\u00a0I heard in the beginning days of physical distancing that continues to stick with me. The reporter had come across a list of items that Cold War era planners would preserve in the event of a nuclear event- items that could be used to rally and bring us back together as a country. The reporter then took this idea to current thinkers, asking historians and others what items they might preserve today.\u00a0 My favorite answer came from Arlo Iron Cloud of the Lakota Nation, the Communications Manager and sometime radio host of KILI radio community radio station serving the Pine Ridge Reservation in South Dakota.\u00a0 Arlo tossed around a few thoughts, but ultimately decided he would likely save nothing, not even treasures passed down for over 800 years within his family and community. He said his community traditionally does not write stories down, and believes this is a good thing: \u201cThe United States of America, the people that belong to it, sometimes I think they take the things that were written by your forefathers too literally. And they can\u2019t adapt it to the future.\u201d<\/p>\n\n\n\n

I\u2019ve been thinking about this in terms of our current healthcare system and specifically our behavioral health integration work: the idea that we are limited by what has been done in the past. We know,\u00a0today in 2020 more than ever<\/a>, that health equity and social determinants of health must be part of our health care delivery reform conversations. We\u2019ve known for decades that a person\u2019s environment and behavioral health affects physical health, creating unnecessary burden and cost to healthcare systems. Yet we still hear it\u2019s too hard to regularly screen patients, or coordinate effectively between physical and behavioral health provider teams.\u00a0<\/p>\n\n\n\n

We have already seen some innovative\u00a0telehealth work<\/a>\u00a0in response to COVID-19.\u00a0Locally, we have started\u00a0re-invest<\/a>ing<\/a>\u00a0in communities to prepare for the current and future increased need of mental health services. Let\u2019s continue this expanded way of thinking.\u00a0 What would it look like if the\u00a0PHQ-2 or PHQ-9<\/strong><\/a>\u00a0was a seventh vital sign as part of routine care? How would the patient benefit from changes to primary care reimbursement for SBIRT or SDoH screening, ensuring every appointment had sufficient time for these patient-centered interactions?\u00a0 What if we re imagined the patient care team to center\u00a0the\u00a0role of community health workers<\/a>, who often have the most trusted relationships with our vulnerable patients?<\/p>\n\n\n\n

We are a community that touts itself as continuously working toward a patient-centered model.\u00a0 If we truly want to be patient-centered, let\u2019s actually put the patient at the center of our model. For every dollar spent on healthcare, how much goes toward the patient interaction verses say, the electronic health record system or administrative burden?\u00a0We have let legacy systems dictate how we deliver care, rather than the actual needs of our patients.\u00a0<\/p>\n\n\n\n

We must permanently delete the brick wall statement of \u2018well, that is just how it has always been done\u2019 from our vocabularies. This way of thinking is no longer acceptable.\u00a0 Think back to the calls for a\u00a0Marshall Plan for primary care<\/strong><\/a>\u00a0which came out at the beginning of this pandemic – it\u2019s now time for a Marshall Plan for integration. Let\u2019s take this momentum of change we all feel in the air of 2020, and categorically apply it to bi-directional care.\u00a0<\/p>\n\n\n\n

Join us to help turn these thoughts into action in our\u00a0virtual office hours starting September 15 from 3:00 – 4:00 pm.\u00a0<\/strong>\u00a0Using the\u00a0Action Plans<\/a>\u00a0we completed together on day two of our Summit, we will talk through existing barriers to integration that your organizations face, and share ideas on how to overcome them.\u00a0Join us via Zoom\u00a0here<\/a>.<\/strong><\/p>\n\n\n\n

By Amy Etzel, Implementation Manager, Bree Collaborative<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"On day two of our\u00a0Implementation Summit\u00a0in June, I referenced a\u00a0Radiolab podcast episode\u00a0I heard in the beginning days of physical distancing that continues to stick with me. The reporter had come…","protected":false},"author":88,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6974","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/posts\/6974","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/users\/88"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/comments?post=6974"}],"version-history":[{"count":0,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/posts\/6974\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/media?parent=6974"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/categories?post=6974"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/tags?post=6974"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}