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HOW CAN WE MOVE FROM VOLUME TO VALUE?


By the very nature of health care’s design, primary care providers are dashed onto the rocks of volume-based care and blamed when we don’t deliver value-based outcomes. Is it any wonder why the more dedicated an individual physician is to patient centered care the more likely he or she is to burn out? 

At the heart of this problem is payment:

  • Family physicians get only 6-9% of health care dollars.
  • Only 5% of health care spending goes to prevention practices that could keep patients out of expensive medical care.
  • Only about 20% of care coordination and health coaching costs are covered.

It’s time to move from volume to value. This is something that the Veterans Health Administration is doing with its Whole Health program. Because they are a closed, or capitated system, they can make innovative changes that other systems can’t because they aren’t dragged down by regulation and insurance companies. 

Over fourteen Centers of Excellence have been named to implement and test the Whole Health program with the goal of improving care for our nation’s veterans through integrative health care.

This summer I will be visiting several VA hospitals to see what we can learn from their exciting new programs and help bring them into the civilian sector. 

As is often the case with innovation in health care, the military and VA are first out the gate with new efforts. Much of what we know about emergency medicine including the concept of triage came from the military health system. So did ultrasounds and blood transfusions. Now they are taking on chronic disease.

Hopefully, with lessons learned from the Whole Health Program, we can improve care nationwide for those with chronic conditions.

Dr. Wayne Jonas
A LETTER TO FAMILY PHYSICIANS 
The Journal of Family Practice – June 2018 

“By practicing in a way that prioritizes what really matters to patients, we begin to take health care reform into our own hands.”

Until true health care reform is accomplished, practitioners like me can change what we do in our day to day office visits to restore healing to patients. In the
June Issue of The Journal of Family Practice I published a letter to my fellow practitioners describing my approach.

 
READ THE COMMENTARY
I do this with a tool I call the HOPE Note. HOPE stands for a Healing Oriented Practices and Environments visit. It consists of a set of questions specifically geared to address a patient’s personal determinants of health and healing in a routine office visit. It is designed to help show a patient how they can take control of their own health, and with my team’s help, bring into our relationship what matters most to them.
UPCOMING EVENTS

Dr. Jonas will be sharing his perspective at the following events:
A NIGHT TO REMEMBER AT GWU
Tue, June 5, 2018
A big thank you to all who attended last evening's lecture and panel discussion at The George Washington University (GW) School of Medicine and Health Sciences (SMHS) Office of Integrative Medicine and Health. I was honored to be the Theodore and Cynthia Birnbaum Memorial Speaker at the Inaugural Patrick and Marguerite Sung Symposium. I was so pleased to hear that the event "sold old" its available tickets. That speaks to the growing demand for integrative health. It’s our job as health care professionals to listen to this call and take action. 
WHAT WE'RE READING

Chiropractic Study Published in JAMA- supported in part by Samueli Institute
  • Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members With Low Back Pain 
Read the article in JAMA
LISTEN TO HOW HEALING WORKS 
Thank you! Your efforts helped me to make How Healing Works a national bestseller in its first week on the shelves. Plus, it's now available as an audiobook!
JULY PREVIEW 

Look out for a new resource available in next month’s newsletter!

I’ve been working with Belleruth Naparstek, creator and curator of the Health Journey’s website for many years including a promising study we did at Samueli Institute looking at the impact of guided imagery in Marines coping with post-traumatic stress. Now, I’m hoping to help both patients and providers with a new resource. Check back next month for what we’ve developed.
Copyright © 2018 Samueli Integrative Health Programs, All rights reserved.


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