Abstract ID: 1090

Primary Topic: Integrative medicine delivery models
Secondary Topic: Best case series
Tertiary Topic: Integrative Health and the Underserved

The Radical Redesign of Health Care: The Whole Health System
Alison M. Whitehead, MPH; Kavitha Reddy, MD; Lauri Phillips, RDN, LD; Jennifer Patterson, PhD; Maureen Khung, MPH; Amanda Hull, PhD, , Washington, DC, United States

Category: Clinical

Late Breaker: No

Overview

With the opioid epidemic, Veteran suicides, rising rates of chronic illness despite high expenditures, and provider burnout, it is time to radically re-envision and redesign healthcare to create a health-based, rather than disease-based, care system. We must expand our understanding of what defines healthcare, and develop a Whole Health System (WHS) that empowers and equips individuals to discover a path to health and well-being. The Department of Veterans Affairs (VA) is uniquely positioned to make this a reality for Veterans, and our Nation. The WHS has three components: 1) The Pathway where peers partner with the individual and their family, exploring their mission/aspiration/purpose, and introduce personal health planning ; 2) Wellbeing Programs focusing on skill building in support of self-care goals and including health coaching as well as proactive, complementary and integrative health (CIH) approaches and 3) Whole Health Clinical Care which focuses on treatment with clinicians trained in whole health and includes changing the conversation, aligning health goals with life goals, delivering care through healing environments and relationships, CIH approaches, coaching and personal health planning. The implementation of the Whole Health System requires a large-scale education and deployment strategy for providers and staff, utilizing field implementation teams around the country to assist with local implementation and community partnerships. Eighteen design sites have been funded since FY16 to pilot components of this system. Supported by the Comprehensive Recovery and Addiction Act (CARA) legislation, VA has launched the implementation of the full system in 18 Flagship Facilities in FY18, which is the first wave in national deployment. Veteran engagement, activation, and satisfaction, utilization of resources and biometrics will be tracked, as well as the interface with opioid safety and suicide prevention. This session will review the Whole Health System model of care and its implementation at sites across VA.

Rationale

With the national opioid epidemic, Veteran suicides, rising rates of chronic illness despite high expenditures, and healthcare provider burnout, it is time to radically re-envision and redesign healthcare to create a health, rather than disease, care system. The VA is unique in that it covers all aspects outlined in this year’s conference: research, education, clinical practice, and policy. 

Objectives

  1. Describe 3 components of whole health system
  2. Understand how to implement large-system transformation
  3. List key outcomes of success in whole health implementation