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Implementing Whole Person Primary Care: Results from a Year-Long Learning Collaborative.
Elena Rosenbaum1, Andrea E Gordon1, Jake Cresta1
1From the Associate Professor, Department of Family and Community Medicine, Albany Medical College; Associate Professor of Family Medicine, Tufts University School of Medicine, Boston, MA (AEG); Medical Student, Uniformed Services University of the Health Sciences (JC); Professor and Vice Chair of Family Medicine for Research, Tufts University School of Medicine, Boston, MA (AFS); President, Healing Works Foundation, healing@healingworksfoundation.org (WBJ).
The Integrative Health Learning Collaborative (IHLC) successfully implemented whole person care in primary care settings. This initiative enhanced clinical practice, participant skills, and attitudes towards integrated health delivery.
Area of Science:
- Primary Care Transformation
- Integrative Health
- Health Services Research
Background:
- The National Academies of Medicine advocates for a
- whole person
- primary care model, emphasizing person-centered, relationship-based care that integrates social, spiritual, emotional, and behavioral health aspects.
- Current healthcare delivery tools, like the SOAP Note, are insufficient for capturing and organizing these holistic elements in practice.
Purpose of the Study:
- To establish and evaluate an Integrative Health Learning Collaborative (IHLC) aimed at implementing and testing new tools for transforming primary care practices towards a whole person care model.
- To address the limitations of existing documentation tools in capturing the comprehensive aspects of whole person care.
Main Methods:
- The IHLC involved primary care practices committed to whole person care, guided by integrative health and change management experts.
- Monthly virtual meetings facilitated strategy development and tool adaptation, utilizing the HOPE Note toolkit, change management strategies, and quality improvement techniques.
Main Results:
- Sixteen clinics completed the 1-year program, utilizing the HOPE Note tools with 942 patients.
- Participants reported significant improvements in clinical practice effectiveness, enhanced skills and attitudes, and robust change management support.
Conclusions:
- The online learning collaborative effectively supported primary care practices in implementing a whole person care model.
- The program demonstrably improved the understanding, skills, and delivery capabilities of whole person care across all participating clinics.
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