TY  - GEN
AB  - In 2014, Don Berwick, MD, MPP, compared his months on the Massachusetts Gubernatorial campaign trail with Marco Polo's travels to the legendary city of Xanadu. Instead of finding silk and spaghetti, Berwick found pockets of poverty, despair, and a health system that was penny wise and pound foolish. He also found hope in community programs geared toward breaking the inexorable downward spiral faced by many Americans. Halfway through his presentation, Berwick said, "You can see what it (healthcare savings) might look like. I saw it last week on a trip to Oregon." Berwick's casual comment opens a path to the discovery of social determinants of health, the role of trauma in disease and healthcare utilization, and the difference between health care and sick care. This paper is a thought experiment, set in a fictional tri-county area named for historical, utopian communities, to determine what you might see if a CCO "somewhere down I-5?" could bring together a variety of proven, innovative approaches to the problems that plague the American medical system, costing trillions of dollars, and doing very little to improve health.
AD  - Oregon Health and Science University
AU  - Boutin, Nancy
DA  - 2018
DO  - 10.6083/dv13zt36t
DO  - DOI
ID  - 4058
KW  - Adverse Childhood Experiences
KW  - Social Determinants of Health
KW  - Resilience, Psychological
KW  - trauma-informed care
L1  - https://digitalcollections.ohsu.edu/record/4058/files/Stakeholders_in_the_U.S._Healthcare_System__A_Possible_Future.pdf
L2  - https://digitalcollections.ohsu.edu/record/4058/files/Stakeholders_in_the_U.S._Healthcare_System__A_Possible_Future.pdf
L4  - https://digitalcollections.ohsu.edu/record/4058/files/Stakeholders_in_the_U.S._Healthcare_System__A_Possible_Future.pdf
LK  - https://digitalcollections.ohsu.edu/record/4058/files/Stakeholders_in_the_U.S._Healthcare_System__A_Possible_Future.pdf
N2  - In 2014, Don Berwick, MD, MPP, compared his months on the Massachusetts Gubernatorial campaign trail with Marco Polo's travels to the legendary city of Xanadu. Instead of finding silk and spaghetti, Berwick found pockets of poverty, despair, and a health system that was penny wise and pound foolish. He also found hope in community programs geared toward breaking the inexorable downward spiral faced by many Americans. Halfway through his presentation, Berwick said, "You can see what it (healthcare savings) might look like. I saw it last week on a trip to Oregon." Berwick's casual comment opens a path to the discovery of social determinants of health, the role of trauma in disease and healthcare utilization, and the difference between health care and sick care. This paper is a thought experiment, set in a fictional tri-county area named for historical, utopian communities, to determine what you might see if a CCO "somewhere down I-5?" could bring together a variety of proven, innovative approaches to the problems that plague the American medical system, costing trillions of dollars, and doing very little to improve health.
PB  - Oregon Health and Science University
PY  - 2018
T1  - Stakeholders in the U.S. healthcare system: a possible future
TI  - Stakeholders in the U.S. healthcare system: a possible future
UR  - https://digitalcollections.ohsu.edu/record/4058/files/Stakeholders_in_the_U.S._Healthcare_System__A_Possible_Future.pdf
Y1  - 2018
ER  -