Health and Well-Being or Healthcare?

July 1, 2021

Why This Project?

The current U.S. healthcare system is producing inferior health outcomes and not effectively improving the health status of the citizenry. In business financial terms the ROI (Return on Investment) on the “healthcare spend” is a losing proposition when it comes to the overall health status of American citizens. There is an “unhealthy relationship” between healthcare spending and the overall health of U.S. citizens (Case & Deaton, 2020; Edington, 2009; Tamber, Carroll, & Kelly, 2015).
As a result of multiple factors and dynamics, the U.S. healthcare system is “…Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, (and) Error Prone…” (Emanuel, 2014, p. Title). However, at the core of these factors and dynamics is the healthcare system’s established disease-based, “wait-for-sickness” level of thinking, diagnose and treat paradigm. Despite continued advances in medical technology and treatment, the current paradigm is too expensive, all too often achieving less than desired overall health results, sometimes with significant unintended harmful consequences.
The current healthcare system has received an “on again – off again spotlight” on multiple levels including individual, family, community, population, state, region, and national. But two issues seem to consistently receive focus when in the spotlight – tragic human outcomes and high cost. Rebecca Onie, co-founder, and Chief Executive, Emerita of Health Leads, (as quoted in Weintraub, 2018) tells a story that illustrates what is wrong with America’s healthcare system. She shares a

…story of a teenage boy who was mysteriously losing weight. His doctor, stumped, huddled with several other caregivers to decide which medical tests to run. Then someone asked the boy a simple question: Are you hungry? It turned out that the teen had been homeless for weeks and had eaten almost nothing. He had been too embarrassed to speak up, but was relieved someone had finally asked.

This story demonstrates how the current American healthcare system is so intensely focused on a medical model that solely diagnoses what is wrong then reacts with treatment to fix what is wrong that it overlooks other issues and factors that drive health and well-being. Weintraub (2018) concludes from this story that the current American healthcare system “can be so focused on medicine that it misses the social issues that really drive health.”

What This Project Does

This project intends to make the evidence-based case for the value of fundamentally changing the paradigm of the current U.S. healthcare system, creating societal change. This fundamental change, while extremely complex in size, scope, and nature, can best be described in brief form as follows:

Change the current U.S. “health care system” of disease-based, “wait for sickness” level of thinking, diagnose, and treatment paradigm.

To

A health and well-being paradigm that is based on raising and sustaining the health status of individuals, families, communities, and populations IN CONCERT WITH the best practices of the current U.S. “health care system.”

The project is organized by eight areas that provide the framework for conducting the research and presenting the findings. These eight areas are:
1)  The Problem
2)  The History
3)  The Current State
4)  The Results/Outcomes of the Current State
5)  A Paradigm Shift
6)  The Challenge
7)  Mid-Term Goals – On the Path
8)  Ideal State – Realizing the Health and Well-Being System

Student Interns Involved

The project has engaged, and continues to engage, interns from the following universities: 
•  Edson College of Nursing and Health Innovation, Arizona State University
•  The College of Health Solutions, Arizona State University
•  Biochemistry and Psychology, The University of Chicago

Project Leadership

The two principals leading this project are: 

Marge Cawley, Ph.D., Project Manager
Dr. Cawley continues to be a curious social scientist who spent several years predominantly working for Arizona State Government and in a non-profit in North Carolina. She conducted performance and audit evaluations from a policy and budget perspective for the legislature. She was a key player in the development of the State of Arizona’s strategic planning and Arizona State Administrative Office of the Courts. She led a team effort consisting of three organizations to develop the State of North Carolina’s Department of Health and Human Services’ Mental Health and Substance Abuse performance measure system. She has conducted research and training in strategic planning and performance measurement. She also taught part-time for Western International University (Research Methods) and Northern Arizona University (undergraduate upper-level public administration courses). Currently, she is working with P2 Performance Plus on a design to transform our current healthcare system.

Jay T. Roundy, M.A., D.P.A., P2 Performance Plus Co-Founder and Chief Operating Officer
Dr. Roundy is a counseling psychologist and organizational behaviorist by training, a servant leader by nature, and a performance coach by choice. Jay is a transformational performance expert with extensive senior-level leadership, management, coaching, consulting, and training experience with individuals, teams, and organizations in multiple sports and business areas. He has a unique ability to apply results-producing performance improvement strategies and demonstrated ability to lead others to achieve transformational performance in the midst of a demanding, complex, and constantly changing environment by inspiring a common purpose, vision, strategy, and execution.
Jay has conducted research on organizational behavior and leadership as they relate to results-oriented performance. Applying the performance and leadership strategies derived from his research, he has implemented high-performance teams, improved morale and improved results both in the boardroom and on the field of play.

For more information contact Jay at jayr@p2performanceplus.com.


References
Case, A., & Deaton, A. (2020, April 14). America can afford a world-class health system. Why don’t we have one? New York Times. https://www.nytimes.com/2020/04/14/opinion/sunday/covid-inequality-health-care.html
Edington, D. W. (2009). Zero trends: Health as a serious economic strategy. Ann Arbor, MI: Health Management Research Center, University of Michigan.
Emanuel, E. J. (2014). Reinventing American health care. New York: Perseus Books Group.
Tamber, P. C., Carroll, L., & Kelly, B. B. (2015, May 5). Communities creating health: An introduction. Stanford Social Innovation Review. https://ssir.org/creating_health
Weintraub, K. (2018, May 24). Using medicine and science to improve the quality of life. New York Times Digital Article. https://www.nytimes.com/2018/05/24/science/using-medicine-and-science-to-improve-the-quality-of-life.html

July 1, 2021

The Health and Well-Being or Healthcare Research Project intends to make the evidence-based case for the value of fundamentally changing the paradigm of the current U.S. healthcare system, creating societal change. This fundamental change, while extremely complex in size, scope, and nature, can best be described in brief form as follows:

Change the current U.S. “health care system” of disease-based, “wait for sickness” level of thinking, diagnose, and treatment paradigm.

To

A health and well-being paradigm that is based on raising and sustaining the health status of individuals, families, communities, and populations IN CONCERT WITH the best practices of the current U.S. “health care system.”

The following is taken from the Research Project’s High-Level Strategic Plan. The project’s full, and detailed strategic plan continues to be developed. However, the Purpose, Values, and Vision are approved as they appear below.

Purpose

To make the case for the value of changing the current HEALTH CARE SYSTEM MODEL to a HEALTH and WELL-BEING MODEL

Values

• Science-based research methods
• Evidenced-based information
• Inclusive processes
• Integrity
• Excellent storytelling

Vision

Be the trusted science and evidenced-based source for meaningful change on all levels to a HEALTH and WELL-BEING MODEL that includes an improved HEALTH CARE SYSTEM approach.

For more information contact Jay at jayr@p2performanceplus.com.

July 1, 2021

Why This Project?

The current U.S. healthcare system is producing inferior health outcomes and not effectively improving the health status of the citizenry. In business financial terms the ROI (Return on Investment) on the “healthcare spend” is a losing proposition when it comes to the overall health status of American citizens. There is an “unhealthy relationship” between healthcare spending and the overall health of U.S. citizens (Case & Deaton, 2020; Edington, 2009; Tamber, Carroll, & Kelly, 2015).
As a result of multiple factors and dynamics, the U.S. healthcare system is “…Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, (and) Error Prone…” (Emanuel, 2014, p. Title). However, at the core of these factors and dynamics is the healthcare system’s established disease-based, “wait-for-sickness” level of thinking, diagnose and treat paradigm. Despite continued advances in medical technology and treatment, the current paradigm is too expensive, all too often achieving less than desired overall health results, sometimes with significant unintended harmful consequences.
The current healthcare system has received an “on again – off again spotlight” on multiple levels including individual, family, community, population, state, region, and national. But two issues seem to consistently receive focus when in the spotlight – tragic human outcomes and high cost. Rebecca Onie, co-founder, and Chief Executive, Emerita of Health Leads, (as quoted in Weintraub, 2018) tells a story that illustrates what is wrong with America’s healthcare system. She shares a

…story of a teenage boy who was mysteriously losing weight. His doctor, stumped, huddled with several other caregivers to decide which medical tests to run. Then someone asked the boy a simple question: Are you hungry? It turned out that the teen had been homeless for weeks and had eaten almost nothing. He had been too embarrassed to speak up, but was relieved someone had finally asked.

This story demonstrates how the current American healthcare system is so intensely focused on a medical model that solely diagnoses what is wrong then reacts with treatment to fix what is wrong that it overlooks other issues and factors that drive health and well-being. Weintraub (2018) concludes from this story that the current American healthcare system “can be so focused on medicine that it misses the social issues that really drive health.”

What This Project Does

This project intends to make the evidence-based case for the value of fundamentally changing the paradigm of the current U.S. healthcare system, creating societal change. This fundamental change, while extremely complex in size, scope, and nature, can best be described in brief form as follows:

Change the current U.S. “health care system” of disease-based, “wait for sickness” level of thinking, diagnose, and treatment paradigm.

To

A health and well-being paradigm that is based on raising and sustaining the health status of individuals, families, communities, and populations IN CONCERT WITH the best practices of the current U.S. “health care system.”

The project is organized by eight areas that provide the framework for conducting the research and presenting the findings. These eight areas are:
1)  The Problem
2)  The History
3)  The Current State
4)  The Results/Outcomes of the Current State
5)  A Paradigm Shift
6)  The Challenge
7)  Mid-Term Goals – On the Path
8)  Ideal State – Realizing the Health and Well-Being System

Student Interns Involved

The project has engaged, and continues to engage, interns from the following universities: 
•  Edson College of Nursing and Health Innovation, Arizona State University
•  The College of Health Solutions, Arizona State University
•  Biochemistry and Psychology, The University of Chicago

Project Leadership

The two principals leading this project are: 

Marge Cawley, Ph.D., Project Manager
Dr. Cawley continues to be a curious social scientist who spent several years predominantly working for Arizona State Government and in a non-profit in North Carolina. She conducted performance and audit evaluations from a policy and budget perspective for the legislature. She was a key player in the development of the State of Arizona’s strategic planning and Arizona State Administrative Office of the Courts. She led a team effort consisting of three organizations to develop the State of North Carolina’s Department of Health and Human Services’ Mental Health and Substance Abuse performance measure system. She has conducted research and training in strategic planning and performance measurement. She also taught part-time for Western International University (Research Methods) and Northern Arizona University (undergraduate upper-level public administration courses). Currently, she is working with P2 Performance Plus on a design to transform our current healthcare system.

Jay T. Roundy, M.A., D.P.A., P2 Performance Plus Co-Founder and Chief Operating Officer
Dr. Roundy is a counseling psychologist and organizational behaviorist by training, a servant leader by nature, and a performance coach by choice. Jay is a transformational performance expert with extensive senior-level leadership, management, coaching, consulting, and training experience with individuals, teams, and organizations in multiple sports and business areas. He has a unique ability to apply results-producing performance improvement strategies and demonstrated ability to lead others to achieve transformational performance in the midst of a demanding, complex, and constantly changing environment by inspiring a common purpose, vision, strategy, and execution.
Jay has conducted research on organizational behavior and leadership as they relate to results-oriented performance. Applying the performance and leadership strategies derived from his research, he has implemented high-performance teams, improved morale and improved results both in the boardroom and on the field of play.

For more information contact Jay at jayr@p2performanceplus.com.


References
Case, A., & Deaton, A. (2020, April 14). America can afford a world-class health system. Why don’t we have one? New York Times. https://www.nytimes.com/2020/04/14/opinion/sunday/covid-inequality-health-care.html
Edington, D. W. (2009). Zero trends: Health as a serious economic strategy. Ann Arbor, MI: Health Management Research Center, University of Michigan.
Emanuel, E. J. (2014). Reinventing American health care. New York: Perseus Books Group.
Tamber, P. C., Carroll, L., & Kelly, B. B. (2015, May 5). Communities creating health: An introduction. Stanford Social Innovation Review. https://ssir.org/creating_health
Weintraub, K. (2018, May 24). Using medicine and science to improve the quality of life. New York Times Digital Article. https://www.nytimes.com/2018/05/24/science/using-medicine-and-science-to-improve-the-quality-of-life.html

July 1, 2021

The Health and Well-Being or Healthcare Research Project intends to make the evidence-based case for the value of fundamentally changing the paradigm of the current U.S. healthcare system, creating societal change. This fundamental change, while extremely complex in size, scope, and nature, can best be described in brief form as follows:

Change the current U.S. “health care system” of disease-based, “wait for sickness” level of thinking, diagnose, and treatment paradigm.

To

A health and well-being paradigm that is based on raising and sustaining the health status of individuals, families, communities, and populations IN CONCERT WITH the best practices of the current U.S. “health care system.”

The following is taken from the Research Project’s High-Level Strategic Plan. The project’s full, and detailed strategic plan continues to be developed. However, the Purpose, Values, and Vision are approved as they appear below.

Purpose

To make the case for the value of changing the current HEALTH CARE SYSTEM MODEL to a HEALTH and WELL-BEING MODEL

Values

• Science-based research methods
• Evidenced-based information
• Inclusive processes
• Integrity
• Excellent storytelling

Vision

Be the trusted science and evidenced-based source for meaningful change on all levels to a HEALTH and WELL-BEING MODEL that includes an improved HEALTH CARE SYSTEM approach.

For more information contact Jay at jayr@p2performanceplus.com.