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Signals from the future of palliative care - Issue #1

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No algorithms, no chatbots, no cats. Just 6 inspirations for change.
 

The future of palliative care

February 25 · Issue #1 · View online
In many respects, we've arrived. Yet what we know now won't get us to the next level. So I'm looking for signals from the future, & I'm curating them here.

No algorithms, no chatbots, no cats. Just 6 inspirations for change.

1. A stunning new ICU narrative.
Tom Malmquist is a Swedish poet whose wife died of leukemia who wrote a novel about a Swedish poet whose wife died of leukemia. Too much like work? Maybe. But he’s captured better than anyone the experience of a family member. From The Guardian: “what makes it arresting is that Malmquist clearly understands that a voice most profoundly expressing pain is often a voice refusing to register pain.” A wow read.
In Every Moment We Are Still Alive by Tom Malmquist review – a deeply personal account of loss | Books | The Guardian
2. What diffusion of innovation looks like.
Diane Meier & her team at the Center to Advance Palliative Care describe how they used Everett Rogers’ theory about how innovations spread in conjunction with social entrepreneurship. An indispensible primer for making change. 
Palliative Care Leadership Centers Are Key To The Diffusion Of Palliative Care Innovation. - PubMed - NCBI
3. We don't have to wait for Congress.
Bill McKibben, the environmentalist leading 350.org, describes a strategy for moving forward that doesn’t depend on Congress. They’ve decided that just waiting isn’t enough. Could we learn from them?
We can battle climate change without Washington DC. Here's how | Opinion | The Guardian
4. Why can't we grab the public like this?
We keep tripping over our own feet in public, it seems. But our messaging work is cooking, and you’ll hear more soon, in this newsletter. Because better is possible. Exhibit A: a video I couldn’t stop watching. And it’s an ad. 
Three Minutes - YouTube
5. A taxonomy of alternative payment models.
From Mark McClellan & others, a useful summary. The most salient principle: “Value-based incentives should be intense enough to motivate clinicians and health care facilities to invest in and adopt new approaches to care delivery without subjecting them to financial and clinical risk they cannot manage.” Translation: we’ll push, but not too hard. Interesting.
Principles for a Framework for Alternative Payment Models | Health Care Reform | JAMA | The JAMA Network
6. The visible & invisible: a 52 second listen.
Last weekend, I played fanboy at a gathering held by Krista Tippett, the journalist who created On Being, just outside Santa Cruz. Opening the weekend was poet David Whyte, & his reading was *so* evocative–way beyond the words on the page. For readers who helped me get this project started at Care.Lab, this is for you: Whyte reading “Working Together.”
I receive support from the John A. Hartford Foundation, Gordon and Betty Moore Foundation, VitalTalk, and the University of Washington Cambia Palliative Care Center of Excellence. But the views, opinions, and recommendations here are mine only.
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