TY  - GEN
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.
DO  - 10.6083/dv13zt36t
DO  - DOI
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
T1  - Stakeholders in the U.S. healthcare system: a possible future
DA  - 2018
AU  - Boutin, Nancy
L1  - https://digitalcollections.ohsu.edu/record/4058/files/Stakeholders_in_the_U.S._Healthcare_System__A_Possible_Future.pdf
PB  - Oregon Health and Science University
PY  - 2018
ID  - 4058
L4  - https://digitalcollections.ohsu.edu/record/4058/files/Stakeholders_in_the_U.S._Healthcare_System__A_Possible_Future.pdf
KW  - Adverse Childhood Experiences
KW  - Social Determinants of Health
KW  - Resilience, Psychological
KW  - trauma-informed care
TI  - Stakeholders in the U.S. healthcare system: a possible future
Y1  - 2018
L2  - 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
UR  - https://digitalcollections.ohsu.edu/record/4058/files/Stakeholders_in_the_U.S._Healthcare_System__A_Possible_Future.pdf
ER  -