The whole point of Meadow’s list, Rippel’s list and Ostrom’s list is for activists to USE them. So what do they look like together and what designs and action can we take NOW based upon this collected wisdom applied to the health and wellbeing of our communities?
This is the wellspring of innovation. Some of us must be very curious about the way we think, where our values and assumptions come from, the consequences of our current world views. Some need to seriously explore the possibilities that arise from fundamental shifts in thinking and in practices.
Each of the above levers in the Rippel model will require that we think of the healthcare system very differently. It must become porous. We will need to look way up stream. We will need to empower patients and families to play new roles. Investments as well as savings from decreases in per capita health expenditures will need to be routed into education and civic projects. It is not only health care than must think very differently but so must educators and elected officials if we are going to work together to improve the wellbeing and health of our communities.
The businesses that employ healthcare service providers are siloed and often competing against one another without a shared interest in the patient or the community. The needed structures for information flow must become much more patient and community centered and more collaborative around individual patients and in support of whole community (population) health.