This discussion paper prepared by John Snow, Inc., in collaboration with the California Association of Public Hospitals and California Health Care Safety Net Institute, defines whole-person care as the coordination of health, behavioral health, and social services in a patient-centered manner with the goals of improved health outcomes and more efficient and effective use of resources. The paper uses the following conceptual framework for advancing whole-person care:

  • identify the target population
  • provide patient-centered care
  • coordinate services across sectors
  • share data
  • create financial flexibility
  • engage collaborative leadership.

The paper describes several models of whole-person centered in the safety net nationally, including dual-eligible demonstrations, safety net accountable care organizations, accountable care communities. The insights from the review of these models include:

  • development of coordinated systems requires collaboration between stakeholders and services across multiple sectors to provide person-centered care
  • high-risk care management is frequently an entry point into whole-person care because high-risk individuals are often interacting with health, behavioral health, and social service systems
  • flexible payment methods are a key facilitator for whole-person care
  • approaches to whole-person care can be combined in mutually reinforcing manners, and can provide learning opportunities across whole-person care initiatives
  • committed leadership matters tremendously, though it can come from different sectors.

The paper was funded by the Blue Shield of California Foundation.

Link to Original Source

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