REGENERATING HEALTHCARE PROJECT
Regrowth of lost or destroyed parts
Spiritual or moral revival or rebirth.
Up-regulating our collective intelligence by enriching, re-defining, and providing a conceptual framework to match and uplevel our current reality's needs.
Dual definition (audience based)
CONCEPTUAL FRAMEWORKS AND DEFINITIONS
CONCEPTUAL FRAMEWORK- definition
Analytical tool with several variations
A plane of linked concepts and their interrelatedness; or a body of interrelated objectives and fundamentals (concepts, ideas, findings, conclusions in research) usually trying to solve a problem. From our perspective newer conceptual frameworks need to be developed.
ANTI-FRAGILE - definition
As initially defined by Nassim Nicholas Taleb, it is a property of systems in which they increase in capability to thrive as a result of stressors; it is fundamentally differerent from resilience and robustness as common terminology utilized in the healthcare context.
Regen would add- A individual, relationship, or system that has the bandwidth (space, energy, applied resourcefulness, and commitment) and capability to learn, grow, and adapt under adversity while coming through better and not bitter.
This is a concept that Regenerating Healthcare values as an essential core evolutionay principle in creating a healthy medical culture and a sustainable healthcare system.
COHERENCE - definition
The quality that parts of a system have of relating and resonance amongst each other; also how harmoniously and efficiently parts of a system interact. A system can include a physical body, relationship, group dynamic, or institution.
COLLECTIVE - definition
According to the American Heritage Language Dictionary (Fifth Edition)
Assembled into or viewed as a whole
Of, relating to, characteristic of or made by a number of people acting as a group
an undertaking, such as a business operation set up on the principles or system of collectivism.
Currently, "the collective" is the predominant narrative or narratives the majority is experiencing on aggregate. Often the phenomenology leaves fewer outside of the system or collective "hive minds" that can offer instinctual insight with balanced multi-perspective reasoning. The ability to utilize developmental Socratic style communication is critical in change-making from high resolution logos over emotion or worse yet, personal or collective blind spots and biased trauma responses that can easily perpetuate in group dynamics.
For Regenerating Healthcare, introducing and implementing a conceptual framework for "the collective" into the healthcare system has important implications .
CULTURAL HEALTHY PARADIGM - conceptual framework
Regenerating Healthcare's introduction to a potential way of life, where our basic needs are met and we can understand and accept the complexity and nuance of life and can harness our innate abilities to adapt to those complexities. When our basic needs are met, we can earnestly care about the whole as much as self-interest e.g. we can help others to meet their needs as this furthers the interest of us all.
EMBODIMENT - definition
Largely a spiritual term, it refers to the stage of development where we are coming into our state of awareness in our being-ness. We feel this when we see with deeper clarity and display greater sense-making capabilities. Embracing the process of true embodiment we can make the most informed decision from a unified perspective. Embodiment is the state of being in our truest nature. We govern ourselves rather than being governed.
ENERGY - definition
According to the American Heritage Dictionary of the English Language, Fifth Edition
The capacity for work or vigorous activity: synonym: strength.
Exertion of vigor or power.
In practical and applicable terms, understanding how you can develop skill set's to control your potential energy vs your kinetic from a nuanced perspective.
EXPONENTIAL GROWTH - definition
The quality exhibited when the rate of change --- the change per instant or unit of time --- of the value of a mathematical function is proportional to the funciton's current value, resulting in its value at any time being an exponential function i.e., a function in which the time value is the exponent.
Regenerating Healthcare believes we are experiencing exponential growth in our healthcare needs and our healthcare system has not exhibited enough vision and a commensurate change that embodies actual implementation.
EMBODIED EMPATHY - conceptual framework
When we develop through the stage of embodiment we then can display the fuller range of empathy. It is a process and awareness through the depth of our won personal understanding of self. We then can “meet” the other where they are and be completely present to the unknown without changing what is.
HIPPOCRATIC OATH - definition
The ethical code attributed to the ancient Greek physician Hippocrates, adopted as a guide to conduct by the medical profession throughout the ages and still used in the graduation ceremonies of many medical schools. It includes ethical standards that remain of significance in modernity, the oath is considered the first formalization of ethical standards that are considered universal and foundational. These standards include non-malfeasance (“first do no harm”) , patient confidentiality and a strict adherence to a code and even lifestyle which seem to set the physician apart. This code is still used in medical schools today.
HOLISTIC - dual definition
According to Merriam Webster.
1 as of or relating to holism
2 relating to or concerned with wholes or with complete systems rather than with the analysis of , treatment of, dissection into parts
Holistic medicine attempts to treat both the mind and the body. Holistic ecology views humans and the environment as a single system.
Awakening Healthcare is working toward addressing this from a practitioner's POV. Taking into account the patient’s subjective experience, their environment or taking into account the different systems of the human body. In the current healthcare system, there are limitations to how holistic care is delivered. For example, there is a high degree of diversity in how providers define holistic and incorporate it into their practice; institutions or individual practitioners may lack the appropriate resource or referral to address their patients’ needs. The care stops in the office often not because the providers lack care but rather knowledge, time, and resources to improve the scope to include what happens outside the biology, chemistry, or office.
Holistic in terms of a patient’s perspective often includes multiple resources, non-traditional modalities and far reaching efforts to meet their needs. Patients facing the complexities of long term illness need a paradigm when seeking outer ways to embody wholeness are supported. When we are facing the potential for our death it is natural for the soul to yearn for wholeness. We invite healthcare to recognize this and do a better job supporting us as patients who seek other modalities. We are directly showing where the current system is lacking. Health is an interconnected relationship between and balancing of the parts of a whole where the parts no longer hold precedence over the whole. This can only be understood by a subjective experiencer or one who has been through the process with awareness. We envision a climate of co-collaboration with our practitioners that is a living, breathing relationship toward that greater wholeness.
FIRST PRINCIPLES OF MEDICINE - definition
Agreed upon standards encompassing human health and public health which include Confidentiality/Autonomy, Beneficence, Non malfeasance and Justice. Specifically for the medical profession these are further elaborated in nine principles of medical ethics as outlined below.
Principles of Medical Ethics
A physician shall be dedicated to providing competent medical care, with compassion and respect for human dignity and rights.
A physician shall uphold the standards of professionalism, be honest in all professional interactions, and strive to report physicians deficient in character or competence, or engaging in fraud or deception, to appropriate entities.
A physician shall respect the law and also recognize a responsibility to seek changes in those requirements which are contrary to the best interests of the patient.
A physician shall respect the rights of patients, colleagues, and other health professionals, and shall safeguard patient confidences and privacy within the constraints of the law.
A physician shall continue to study, apply, and advance scientific knowledge, maintain a commitment to medical education, make relevant information available to patients, colleagues, and the public, obtain consultation, and use the talents of other health professionals when indicated.
A physician shall, in the provision of appropriate patient care, except in emergencies, be free to choose whom to serve, with whom to associate, and the environment in which to provide medical care.
A physician shall recognize a responsibility to participate in activities contributing to the improvement of the community and the betterment of public health.
A physician shall, while caring for a patient, regard responsibility to the patient as paramount.
A physician shall support access to medical care for all people.
------- American Medical Association , Code of Medical Ethics
HIGH RESOLUTION SYSTEM CHANGE - conceptual framework
A permanent shift in action whereas the individuals that comprise an organized whole have the ability to see and process through a denser or finer lens of reality. This amplified image allows one to see more clearly without the nuanced distortions, whether emotional or mental, that may bias the actual circumstances. Regenerating Healthcare believes that the introduction of these concepts can go a long way to solve our current healthcare system challenges.
OUTCOMES - dual definition
Practitioner Outcome - a measurable , quantifiable end point either in a study or through the course of disease or process. Secondary outcomes are usually associated or connected to the primary outcome. Side effects can be considered adverse outcomes.
Patient Outcome - in terms of dealing with complex illness, the outcome is not quantified in an end point. Instead an outcome is an ongoing process with potential of multiple downstream effects, of how well one may be coping, physically, mentally, emotionally, spiritually. These downstream effects often cause futher disregulation if proper resources and basic needs are threatened. Outcomes are almost non-existent for a patient unless otherwise it is an acute injury or has few variables.
Regenerating Healthcare feels that in order to come up with high resolution patient outcomes at the height of a complex illness and mental health crisis, we need fundamentally different epistemological approaches to deal with the upstream variables in complex illness. Regen believes this may assist in better off-ramping for patients and offer an opportunity for holistic care. In order to step up to this medical paradigm, we must reroute our foundations to have the bandwidth to navigate the exponential need.
*See our references on post outcome affects and poor psycho-social re-integration into life post transplant
PHILOSOPHICAL FELLOWSHIP - definition and conceptual framework
Ran Lahav's belief that the practice of philosophical contemplative companionship as a group practice can be the cultivation of deeper wisdom. John Vervaeke's metatheory on cognition and wisdom, awakening from the meaning crisis; also refers to the development of deeper wisdom via a fellowship through intentional conversation amongst united equals.
Regenerating Healthcare values this method of development, growth, and wisdom as a means to deepen our implementation process. Coming from a philosophical approach leaves space for all feelings and thoughts to be equally valued to unify with greater authenticity for better outcomes. This approach is a stepping stone in the patient centered care model, the re-invigoration of the teams, or even implementation of system wisdom.
SENSE-MAKING - definition and conceptual framework
According to Gary Klein, sensemaking is the ability or attempt to make sense of an ambiguous situation. More exactly, sensemaking is the process of creating situational awareness and understanding in situations of high complexity or uncertainty in order to make decisions. It is “a motivated, continuous effort to understand connections" (which can be among people, places, and events) in order to anticipate their trajectories and act effectively.
Daniel Schmachtenberger asks questions such as; What can we trust? Why is the 'information ecology so damaged, and what would it take to make it healthy?
Daniel has a series on the war on sense-making and offers a multitude of structural frameworks on how to begin to answer these complex inquires while re-creating sustainable institutions from a heuristic yet multidimensional nuanced approach.
Regenerating Healthcare feels this is necessary to research and develop in order to create a healthy medical ecology.
SYSTEM HOMEODYNAMICS - definition
A subjective experiencer is one who has a lived experience with illness. More than that, it is someone who has learned, by necessity, how to live as best as humanly possible with that illness. In general, we have severely underestimated the potential of a human facing great challenges and taken a reductionist view on the potential of the patient, the human being. Only when we are willing to admit this, can we honestly evolve. There is a misunderstanding, a projection, that patients do not want to participate in their health. This is in fact a glaring blindspot in healthcare. Like any blindspot, it is an invitation to seek deeper. Often we don’t embody or provide access to or help with the emotional skills, time, or resources needed to help at this level. When providers begin with care for the self, when they see the ways in which they have not authentically provided for themselves, they begin to see that patients often do want to heal. We can then develop better skills to improve our “care” in the moment or suggest alternative options for those we “care” for. This is where medicine is dramatically lagging. If healthcare is our calling, we must face our bias and do what it takes to participate in our own health along with the system's health. Only when we have the resources we claim we need for better patient care do we truly see the full picture. When asked to embrace exploring this new worldview, the resistance is often emotional and thus misunderstood or difficult to navigate . Currently, some of our best resources we can currently offer as a system for our patients (representations of the potential), is the patient who has discovered, committed, and understood the authentic steps toward healing and transformation.
The value of integrating a subjective experiencer on a healthcare team has multiple indispensable attributes. After demonstrating the power of relatable experiential wisdom, emotional and spiritual support, along with mindfulness it’s evident how to fill various patient needs that are removed from healthcare in modernity. This is a crucial element and possible requisite to the team dynamic of the future. Only then can we claim we contribute and provide true comprehensive CARE to the patient.
Subjective Experiencer - Definition/Framework/Subjector's Alpha Experiment
A subjective experiencer is one who has a lived experience with illness. More than that, it is someone who has learned, by necessity, how to live as best as humanly possible with that illness.
AHA Patient’s Bill of Rights
These rights can be exercised on the patient’s behalf by a designated surrogate or proxy decision-maker if the patient lacks decision-making capacity, is legally incompetent, or is a minor.
The patient has the right to considerate and respectful care.
The patient has the right to and is encouraged to obtain from physicians and other direct caregivers relevant, current, and understandable information concerning diagnosis, treatment, and prognosis.
Except in emergencies when the patient lacks decision-making capacity and the need for treatment is urgent, the patient is entitled to the opportunity to discuss and request information related to the specific procedures and/or treatments, the risks involved, the possible length of recuperation, and the medically reasonable alternatives and their accompanying risks and benefits.
Patients have the right to know the identity of physicians, nurses, and others involved in their care, as well as when those involved are students, residents, or other trainees.
The patient also has the right to know the immediate and long-term financial implications of treatment choices, insofar as they are known.
The patient has the right to make decisions about the plan of care prior to and during the course of treatment and to refuse a recommended treatment or plan of care to the extent permitted by law and hospital policy and to be informed of the medical consequences of this action. In case of such refusal, the patient is entitled to other appropriate care and services that the hospital provides or transfer to another hospital. The hospital should notify patients of any policy that might affect patient choice within the institution.
The patient has the right to have an advance directive (such as a living will, health care proxy, or durable power of attorney for health care) concerning treatment or designating a surrogate decision-maker with the expectation that the hospital will honor the intent of that directive to the extent permitted by law and hospital policy. Health care institutions must advise patients of their rights under state law and hospital policy to make informed medical choices, ask if the patient has an advance directive, and include that information in patient records. The patient has the right to timely information about hospital policy that may limit its ability to implement fully a legally valid advance directive.
The patient has the right to every consideration of privacy. Case discussion, consultation, examination, and treatment should be conducted so as to protect each patient’s privacy.
The patient has the right to expect that all communications and records pertaining to his/her care will be treated as confidential by the hospital, except in cases such as suspected abuse and public health hazards when reporting is permitted or required by law. The patient has the right to expect that the hospital will emphasize the confidentiality of this information when it releases it to any other parties entitled to review information in these records.
The patient has the right to review the records pertaining to his/her medical care and to have the information explained or interpreted as necessary, except when restricted by law.
The patient has the right to expect that, within its capacity and policies, a hospital will make reasonable response to the request of a patient for appropriate and medically indicated care and services. The hospital must provide evaluation, service, and/or referral as indicated by the urgency of the case. When medically appropriate and legally permissible, or when a patient has so requested, a patient may be transferred to another facility. The institution to which the patient is to be transferred must first have accepted the patient for transfer. The patient must also have the benefit of complete information and explanation concerning the need for, risks, benefits, and alternatives to such a transfer.
The patient has the right to ask and be informed of the existence of business relationships among the hospital, educational institutions, other health care providers, or payers that may influence the patient’s treatment and care.
The patient has the right to consent to or decline to participate in proposed research studies or human experimentation affecting care and treatment or requiring direct patient involvement and to have those studies fully explained prior to consent. A patient who declines to participate in research or experimentation is entitled to the most effective care that the hospital can otherwise provide.
The patient has the right to expect reasonable continuity of care when appropriate and to be informed by physicians and other caregivers of available and realistic patient care options when hospital care is no longer appropriate.
The patient has the right to be informed of hospital policies and practices that relate to patient care, treatment, and responsibilities. The patient has the right to be informed of available resources for resolving disputes, grievances, and conflicts, such as ethics committees, patient representatives, or other mechanisms available in the institution. The patient has the right to be informed of the hospital’s charges for services and available payment methods.