Healthier Health Care – Now! A Little Taste of What’s Cooking

We wondered what would happen if we invited friends from across North America to convene in Salt Lake City, Utah around the question of Healthier Health Care Systems Now?  We were amazed.  We began by sharing who we are – the innovator and pioneer in us that  compelled us to come to this conversation.  Then we shared the exciting work we are engaged in.  We talked about the “system” and discovered “it” was never A system and “it” was not about health.  We moved from talking about systemic issues that felt as philosophical as we know they are real and moved into embodying the conversation, coming from a place of deep connection to ourselves, each other and the work that continues to call us in the worlds we work and travel in.  The insights, themes and cool learning are just beginning to percolate for each of us.  More, much more, is cooking.

It was beginning to cook before we even arrived in Salt Lake City.   We discovered healthier health care was such a compelling question people went to great lengths to get there.  Some initially said no and then found a way to come.  Others felt the question so urgently they used vacation days and airmiles to get there.  One person even crowd funded her flight.

Twenty-six of us arrived on January 11, 2012 – physicians, naturopaths, other practitioners, administrators and consultants from heath, public health, dentistry, acute and long term care from Nova Scotia, Ontario, Alberta, Ohio, Minnesota, Winsconsin, Illinois, Texas, Oregan, Washington and Utah.  Everyone an innovator or pioneer already working diligently on shifting the shape of health care within their spheres of influence.  We all brought stories of change and deep and compelling questions. We made instant connections that inspire us to go deeper and to keep at it.

This will continue to simmer and cook for quite some time to come.  I will have more to share here about this conversation at the beginning of 2012, curious to see how it might grow as we convene a community of practice for those who were there, those who wanted to be and couldn’t make it and those who begin to find their way to this particular conversation in their own way.

You can find snippets of harvest on Twitter by searching #HHSUtah.  Thanks to Amanda Fenton, who was with us from afar, for stepping in and compiling our tweets @Storify.

I offer here a little taste of a quick and fun harvest at the end of day 2 as we went around our circle and each of us added a line to the unfolding story of our journey together. I didn’t catch every word, but it will give you some small essence of the experience, recognizing some references are very specific to our experience, and it will have to tide you over til the next post.

“There were a bunch of hooligans in a house by the mountain.  They thought of themselves as pioneers, radically re-engineering, brought together by living systems that taught them how to transfer what they are learning and experiencing into what they are doing now – open to possibility.  In sharing, they saw new connections and unique opportunities.  They described them as opportunities to change and blow shit up.  These hooligans had so much to think about, they sat in circle, played, visualized and created on many levels a new vision of what they were yearning for – simplicity, wellness, with open heart toward the future to bring this new narrative to everyone.  Envisioning systems that bring forth vision and health, letting go of the old to release into timeless universe.  They pondered next action.  In the middle, they went deep into the cellar to share unique fonts and forms of creativity.  They came together to discuss the topic but it was more than the sum of its parts – human nature – own beauty, higher power and purpose run in each of them and each other with gratitude, although we do fear discovering in horror on FB the shaking moments, with brains exploding in chaos, guerrilla gardening and permaculture parties.  But then, a pause for reflection and even more to emerge.  Finished.  No shame.  Amazing thing, working hard to create something different.. but in the end, they were different, a community – and in their differences they found their common humanity from which to go back to the places they came renewed, reinvigorated, inspired to innovate on!”

With gratitude to all who were there, all who held the rim of this gathering from afar and specifically to my fellow hosts Tenneson Woolf, Steve Ryman and Marc Parnes for an experience that will be long remembered, in a gathering where the new narrative of health was activated, the field of innovation in health care where we meet was amplified and shifting the shape of health care in our spheres of influence has been accelerated.

Healthier Health Care Systems Now!

Most of us know the intractable challenges of health care, no matter where we live. Many of us are battle tested, battle weary and battle scarred.  Yet, we continue to have high hopes for healthier healthcare.  We have irrepressible dreams for healthcare systems that thrive and are committed to wellness.  Just because some of us have been in this conversation for awhile, doesn’t mean the shift won’t happen, no matter how discouraging it gets at times.  Really how do we nudge the big machine of the system when it seems to be hunkering down that much more? What is the staying power we need to do this work in the midst of chaos and serious push back?

What do we do when we are asked to be different but the “system” wants us to do all the same things?  We are being asked to transform but please don’t look any different than you do right now?  These are tough scenarios, impossible push backs from a system that is seeking its own next evolution and afraid to go there at the same time.

Just because we can’t see the way, doesn’t mean it doesn’t exist.  But what does it take to stay the path of pioneering, shift and change?

My good friends and colleagues Tenneson Woolf, Steve Ryman, Dr. Marc Parnes and I have put out a call to current day pioneers in health care systems change to gather in Salt Lake City, Utah from January 11-13th to unearth the deeper questions that sustain us and propel us forward on this mission for healthier health care systems now.

The more we are in conversation as a hosting team, with those planning to attend and those who wish they could be there but for various reasons find it impossible, the more inspired I become about how THIS conversation can and will be different and more than all the ones I’ve been in over the last 5 or 6 years.

I am particularly inspired about what connection can be made between this event and a global conversation on health care.  As we come out of a retreat together, what is it that we could collectively offer, or even teach, others about what we are leaning?  We see a Community of Practice emerging from this.  What does the CoP do together over a period of time that none of us can do alone?  What is the conversation that needs to happen in health care right now – today – that cracks it open in a new way?  What is the unifying force and what happens if it gets unleashed directionally?  How do we use the amazing technology platforms available to do this in whole new ways?

Other thought provoking questions that have been arising through the many conversations:

  • “The system doesn’t work that way” is not a good enough answer anymore.  How do we create systems that make sense to any of us?
  • Systems are more complex that we can manage – how about simpler systems?
  • What’s at the edges that if we could see it and understand it, might help us open up the middle?
  • What happens when we tell our stories of inspiration, especially the ones that are in danger of getting lost?  Can we revitalize these real world stories and our own capacity to be in the journey for the long run?

I am inspired by the Occupy movement, even as it struggles to understand what is next – like health care, like community change, like financial systems….  Charles Eisenstein writes about Occupy in this post on Where next for Occupy.  One of the things he says is, “We want to change the psychic and interpersonal substructure of the system we live in.”  Is this what we mean when we talk about health and wellness systems instead of illness systems?  What would happen if we could change the psychic and interpersonal substructure of health care?  What does that even mean?  I’m not sure but would love to be in that conversation.

Our hosting team has also been inspired by our friend Peggy Holman’s work on Journalism that Matters.  What if this gathering on health care that matters produces a similar set of principles; something like:

  • Health care professionals are stretched, refreshed and inspired to pursue innovations
  • New and often unlikely partnerships
  • Breakthrough initiatives
  • A community of health care innovators
  • A growing culture of innovative health care

We are not in this because it is easy.  We are in it because it matters.  Because we have tried many things, seen success with some and know there is what appears to be a long ways still to go.  Because “the system doesn’t work that way” is not a good enough answer anymore even if we haven’t quite seen the path forward.  Because we know we need to be in this together.

Because we feel in our very beings it is actually possible to create healthier healthcare and we know that it must happen more systemically. We are gathering with people who want to see and do leadership differently for the future of healthcare. With people who are hungry for new conversations. Who feel a responsibility for imagining and contributing what hasn’t been imagined before. With people who know that the way to take on big stuff is to turn to each other. Muck it up. Get curious. Stay focused.

I grow hungrier every day for this conversation now.  Wondering how much bolder I need to become…. we need to become… in a age that needs boldness and daring like never before.  What a good way to kick off a new year – and a prescient one at that!