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October 2002
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Friday, October 25, 2002
> Exceptional Partnerships-

October 2002-  The membership of the Leadership Board is stable.  They spent time together - all together- for the first time in mid October.  They are busy people with many demands on their time because of each organizations and individual's needs and challenges.  Nonetheless, they come together to form what I hope will be an exceptional partnership.  A partnership that exists because the job of healthcare transformation cannot  be done alone- it can only be done together by all parts of the system coming together with patients to make a unbelievable difference.. 

Another exceptional partnership is being created- between Clinical Care Specialists and patients.  They are listening and connecting with care teams in new ways.  Exploring how the partnerships will grow in group visits as well as 1:1 is being explored.  Defining these new roles and supporting each patient to explore what it means to be "activated" in a system not quite ready has been a learning experience. 

The pilot clinics are building on their existing partnerships in the work environment and expanding the team to include process facilitators and a team specialist.  The common thread across the 5 sites is the shared grant with its opportunities and accountabilities.  We are learning from these dedicated professional what their capacity is for adding new innovative approaches to their routines...because despite our collective will to move toward the 21st century's new rules - we are surrounded by the old system and its demands.  If we are to sustain this effort and spread it, we have to be humane and reasonable with the pacing of transformation.  By honoring what we have learned in this 4 months, we can move forward to tap into our shared hope that we will create a better furture for patients, families and the healthcare workforce.

> Results One Patient at a time- October 25, 2002

This month has been the fourth month since our effort toward healthcare transformation has been in motion.  Many ask, what results have we achieved?  What is different than before you started?  For 30 patients in Whatcom County with either heart failure or diabetes, they have a shared care plan with goals they set and an accurate medication list.  Does this make a difference?  A patient brought their plan in when seeking medical care and the right information was there when a medical decision needed to be made.  The doctor and nurse thought it made a difference.  Is the system perfect yet?  Not anywhere close.  However something wonderful happened - a shared approach to a broken promise.  We had a patient come to the Emergency Department for known CHF and we had promised that wouldn't happen.  What was different this time....we noticed.  Before now, it had happened many times before and we didn't.  Because we noticed, we began to come together to say...where did the system fail the patient and what changes can we make to ensure it doesn't happen again.  We talked openly with immediate family members about the situation and what together we had learned and we made a plan...together.  And we will be starting to have "Failed Promises" Case Conferences across organizations so the learning is shared.  It's a start and a cooperative one at that.


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