Mayo Clinic innovation leader speak of "creating health" as medicine’s goal In a special supplement to Hospitals and Health Networks, the American Hospital Association publication, Douglas Wood, MD, the director of strategy and policy at the Mayo Center for Innovation is quoted

Mayo Clinic innovation leader speak of “creating health” as medicine’s goal

In a special supplement to Hospitals and Health Networks, the American Hospital Association publication, Douglas Wood, MD, the director of strategy and policy at the Mayo Center for Innovation is quoted as stating:
“We will realize fairly quickly that we need to change the focus of the health care industry to creating health, not just producing health care.” The comment was made in “The Patient Experience: Taking It to the Next Level,” a gatefold supplement to Hospitals and Health Networks, the AHA magazine, May 2013.

Comment: Finding the right language to adequately describe the distinctive intent and focus of integrative practices can be challenging. Say “prevention” and you conjure early diagnosis. Say “health promotion” and public health campaigns spring to mind. How does one adequately capture the orientation toward health in integrative care? 

In 2001, with colleagues in the Integrative Medicine Industry Leadership Summit 2001, we used the term “health creation.” We declared some Design Principles for Healthcare Renewal in which Principle #9 included: “The renewed healthcare system is a partnership between an expanded commitment to the public health and a thriving industry of health creation.” Then in 2005, a diverse set of academic leaders across a dozen integrative health disciplines with which I had the pleasure to be involved used the term in the vision statement for our collaborative work. They envisioned a system that will “deliver effective care that is patient centered, focused on health creation and healing, and readily accessible to all populations.” Interesting to see the meme coming into use by Mayo’s innovation leader. Here’s betting we’ll see more of it. 

Health coaching the subject of exceptional series in Global Advances in Health and Medicine

If there is a single new force in the “health creation” movement, it is the emergence of health coaches and health coaching by practitioners from many fields. Global Advances in Health and Medicine, under the direction
of David Riley, MD and Michele Mittelman, RN, MPH, chose to highlight this activity in an exceptional May 2013 issue of their peer-reviewed journal. The set of articles includes Riley’s opening editorial, an overview from Karen Lawson, MD on the “four pillars of health coaching,” researched outcomes on a telephonic-based program, an examination of how empowerment works in the coaching environment, and even a relationship of health coaching to genomics. There’s more. It’s the issue for May 2013, Volume 2, Number 3.

Comment: A significant contribution of Riley’s editorial leadership of Global Advances is that he is a fellow who has been ensconced in science, evidence and the movement for integrative care for better than two decades. (He may, in truth, have been the person who elevated the term “integrative medicine” from a toss-out at a conference.) Riley, and Mittelman, with whom he is partnered in the development of the journal, know the values and the discipline-neutral directions that the field needs to move to advance. This issue of Global Advances should be must reading for members of all healthcare disciplines.

Role of integrative nurses in health coaching featured

As the movement for health coaching picked up following passage of the Affordable Care Act, in which the potential value was acknowledged, a national group began focusing on setting transdisciplinary standards. Such certification might apply to practitioners from many fields: nutrition, acupuncture, nursing, conventional medicine, chiropractic, naturopathic medicine and more. (See With Standards in the Works, Is it Time to Claim, and Certify, the Health Coach Within?) Concurrently, a group of holistic nurses led by Barbara Dossey PhD, RN, AHN-BC, FAAN, HWNC-BC and Susan Luck RN, BS, MA, HNC, CCN, HWNC-BC, began developing and promoting standards specifically for nurses. They saw in this field of 3-million plus a powerful force for coaching. A summary article by Luck on the work, the certification, the standards and training was published
in August 2013 by Integrative Practitioner as The Strategic Role of Integrative Nurse Coaches in Health Care. The article includes a link to a Dossey-Luck training for  nurses at Kripalu, November 10-15, 2013.

Comment: The idea of all disciplines jointly buying into a shared standard for health coaching has a certain appeal in this era in which we are promoting inter-professionalism and team care. A joint-standard could be
unifying and also a shared assertion of the importance of health creation, a key goal of coaching. The idea is parallel to that suggested by integrative nurse leader Mary Jo Kreitzer, RN, PhD and her colleague, Elizabeth Goldblatt, PhD, MPA/HA at the Institute of Medicine in May. There they found strong support for their proposal of an interprofessional education module on self-care, health and well-being for all disciplines. (See Exogenous Factors and Shifting Terrain: Time for Integrative Health and Medicine Leaders to Show Up.) Meantime, there is no question that if a large subset of the nation’s nurses could internalize health coaching, the system would be better for it. Luck and Dossey’s promotion of their work in this area can be a significant influencer.