Staff Pick: Radical Reorientation of the US Health Care System Around Relationships
I have been reflecting on the article Radical Reorientation of the US Health Care System Around Relationships by Christine A. Sinsky, MD, Tait D. Shanafelt, MD, and Alexandra M. Ristow, MD and wanted to share with the Intend Health Community. A shout-out to Sam Edwards at RELATE Lab for sharing it!
Summary
This article concludes "The transactional conceptualization of health care has been at odds with the fundamental relational nature of the work, to the detriment of health care costs, quality, and satisfaction." It is rich with real life examples of how current health care transactions hinder optimal care delivery and negatively impact the experiences of the health care team members. The authors offer dozens of examples of strategies to support prioritizing relationships in care delivery.
My Reflections
This article speaks directly to my experience as a primary care physician. I found myself saying "Yes!" aloud as I read the examples and suggested strategies, such as "Maximize team stability" by maintaining consistent teams in the workplace and "Align payment to support relationships" by including payment for collaboration across primary care and specialties. My one constructive criticism is that it is very physician-centric when at its heart it is making the case for a stronger team-based approach to care delivery. A section advocating for culture change (p 6) including support for improved team communication and professional collegiality relates directly to our work at Intend Health Strategies.
Staff Pick: Sarah Smithson's reflections on Radical Reorientation of the US Health Care System Around Relationships
"These moments, of taking what you learn to work more effectively, make Relational Leadership powerful. It's not just theory. It's practical language, practical tools that you can quickly try on for size.”
Cally Johnson
Director of Operational Excellence, OCHIN
"Thank you for inspiring a generation of future docs to become primary care physicians. I definitely felt like I had a community during medical school."
Shani Truong
Family Medicine Resident, UC Davis San Joaquin General Hospital
"In a healthcare system fraught with silos and computer screens, we need the human voice — a personal connection — now more than ever. That's the work of Intend Health."
Matt Lewis, PhD
Strategic Consultant
"The leadership skills, relationships, and perspective I have gained through my involvement in Intend Health have shaped the clinician, educator, and leader I am today."
Kyle Turner, PharmD
University of Utah
"I think the collaborative work that Intend Health does to recruit bright, energized, resilient, diverse, and compassionate primary care physicians all over the country will be even more impactful. Intend Health's efforts will be a big part of the solution to mend our ailing primary care infrastructure in the coming years."
Peter Meyers, MD, MPH
Family Physician, Minnesota Community Care
“A big impact that Intend Health has on me is it makes me more humble, kinder, more intuitive, a better listener, and I’ve been able to teach the skills I’ve learned to others. All of this makes me a better team member, and I think that that's integral to what Intend Health teaches — we need high functioning teams to provide the best care.”
Student Action Network Participant
“So far, my experience in this Relational Leadership course has been THE highlight of my leadership journey. This program exceeded my expectations. I have been sharing the content with my colleagues who are also inspired by it. Thank you for making the world a better place one Relational Leadership course at a time.”
Relational Leadership for Clinician Leadership Program Participant
OCHIN
"This year, there's been so much change with COVID, with work, with everything. But I feel like the PCP Student Action Network has been that constant that I could always just count on. And my favorite part is that no matter how stressful work was, no matter how stressful the year was, whenever it came time for a PCP call or any PCP anything, it's always something that I look forward to."
Student Action Network Coach
“Over 100 members of the UNC community have participated in our Relational Leadership Institutes … one word stands out for me in our evaluations — regardless of whether cohorts met in person or via Zoom — and that word is transformative."
Josh Hinson, MSW, LCSW
Assistant Professor University of North Carolina at Chapel Hill School of Social Work
“I participated in RLI [the Relational Leadership Institute]... and my world has not been the same since. The community that I’ve gained at RLI has been extraordinary. Being part of RLI means being connected to a diverse, interdisciplinary community that breaks down the walls that are typical in academic medicine.”
Katie Gradick, MD, MHS
University of Utah
“Relational skills are particularly important right now because they’re rooted in people, with the fundamental assumption that we are good and have common values. If I can approach with unconditional positive regard and build in psychological safety, who knows what we can accomplish, despite the chaos around us.”
Lexy Kliewer, LCSW
Oregon Health and Science University
“Relational Leadership is what keeps me going. When I feel overwhelmed, stressed, down, I turn to members of the Relational Leadership community for support and resilience. We genuinely care about each other. We put ‘people first,’ truly, in our work together.”
Sarah Smithson, MD, MPH
Assistant Dean for Clinical Education University of North Carolina at Chapel Hill School of Medicine
%2004.webp)