Health care delivery reform

Financing That Rewards Better Health and Well-Being

National Academies of Sciences, Engineering, and Medicine has prepared this brief based on a workshop in June 2021 on the need to transform the United States’ current model of health care financing – which rewards the volume of services provided – to a model that incentivizes integrated payment approaches that are person-centered and holistic in advancing individual, community, and population health.

Family Initiated Treatment (FIT)

HCA launches website about Family Initiated Treatment (FIT)

The Health Care Authority (HCA) has information for communities and providers about family initiated treatment (FIT). The site includes information on outpatient FIT, inpatient FIT, and mental health information disclosures.

Adverse Childhood Experiences (ACEs)


    Adverse childhood experiences (ACEs) refers to traumatic events experienced in childhood that impact health over the lifespan. These include physical, emotional and sexual abuse, neglect, and/or family dysfunction. Learn more about specific ACEs linked to negative health outcomes in adulthood, including: experiencing homelessness, community violence, discrimination, and deportation or migration.

    Suicide Prevention Training for Medical Professionals

    All Patients Safe: Suicide Prevention for Medical Professionals is a three- or six-hour interactive self-paced training course designed to address the public health crisis and provide the necessary tools to medical providers for preventing and educating patients about suicide.
    This course meets state licensure requirements for all medical professionals, including:

    Collaborative Care for Chronic Pain

    Report and Recommendations from the Bree Collaborative

    Treatment of pain varies widely between systems and clinicians with high financial and human cost. Moving to a collaborative or team-based approach to managing complex pain has been shown to result in better patient outcomes.

    However, most approaches to pain management including chronic opioid therapy involved siloed health care providers. This workgroup met from January 2018 to January 2019 and defined minimum standards for:

    Opioid Response Network

    Providing education and training at a local level for evidence-based practices in the prevention, treatment and recovery of opioid use disorders, the State Targeted Response Technical Assistance Consortium (STR-TA), funded by SAMHSA, is a response from a large coalition of national professional organizations. The Opioid Response Network, ORN, provides local training and education free of charge for specific needs at a community level. 

    Six Building Blocks

    A Team-Based Approach to Improving Opioid Management in Primary Care

    This website introduces the Six Building Blocks, provides tools and resources for improving care, and offers implementation guidance. The Six Building Blocks can help anyone who is interested in improving the care of patients using long-term opioid therapy.

    Person-Centered Customer Service Workshop

    Person-centered customer service focuses on enhancing individuals’ health care experience and harnessing our own empathy, compassion and professionalism to reflect back to those we serve. It requires introspection and honest assessment of our organization and culture to improve how we serve by seeing through other individuals’ eyes and walking in their shoes. Customer service is a commitment to help and treat others as we would like to be treated along the continuum of the health care experience at our organization.