The 1 GHC Binder · Greater Health Community at MyTown, USA
The Pragmatic Health& Life Paradigm.
MyGHCP is a Health & Life Plan eBook. As you complete evidence-based quick self-assessments, it graphically shows you the barriers to your optimal health and the next best steps to maintain or readjust. It works best when you are transparent and inclusive with your family, friends and confidants.
01 — Why patients need a GHCP
When an industry's safety culture is broken, the burden falls on you.
Healthcare harm and death is now the third leading cause of death in the United States, and it isn't regulated and investigated like the aircraft and automobile industries are.
The Patient Safety Act of 2005 and the Affordable Care Act of 2010 don't require full investigations and accountability for unexpected harm. So patients and families must identify the hazards themselves: “Do it yourself” and “Demand Better”.
The mission of TriUnity Health Institute is to help individuals and families accomplish the TriUnity: patient safety, coordinated care and positive outcomes.
Institutional health co-ordination
The silo phenomenon, least co-operationIntegration
Most co-operation. Few US systems have this
Your task: decide how vertically and horizontally integrated each of your providers is. The further right they are, the less work you have to do in your GHCP to get coordinated care.
02 — The GHCP Self-Assessment
Assessing is the easy part. Fixing the deficits is the work.
Step 1 · Subjective self-assessment
A quick self-rating of twelve categories of individual health management: the Healthogram on page one of the 1 GHC Binder.
Step 2 · Objective self-assessment
The same twelve categories, measured with established evidence-based rapid health assessment tools on page two.
A · The HA2T report
Twelve categories of internal & external characteristics
- 01Finances
- 02Cognitive
- 03Physical ability for Activities of Daily Living
- 04Depression or other mental health dysfunction
- 05Neurological: dementia or other organic brain dysfunction
- 06Insurance
- 07Self-esteem
- 08Ultimate concern
- 09Health consciousness, literacy & outcomes
- 10Environment
- 11Lifestyle change
- 12My care setting
B · Global Determinants I–IX
Your global determinants trump your HA2T.
Seven or nine dyadic relationships in the Primary Triad: patient A, family & friends B, and experts & providers C, plus each one's relationship with Home (VII–IX). With two of three core dyads positive, you can technically still reach optimal health.
Quick Instructions · rating key
+
Positive
Open, honest, high trust. For providers: same-day access, visits never cancelled, seen within 10 minutes.
0
Uncertain
Request the free evidence-based screening tools for this subject from TriUnity.
--
Distant
You don't discuss intimate topics such as health, life plans or goals; or you can't get your assigned provider.
=
Cutoff / unstable
Lost communication, very poor access, or not stable in this area.
?
See provider
Discuss with your provider, consultant, or a family counselor or therapist.
03 — After all is said and done
“For every uncertainty “0” or distancing “--”, and every instability or cutoff “=”, there is a potential deactivation to one's goal of optimal health.”
If your Global Determinants I–IX are essentially all positive, you should have optimal health. With a serious or life-shortening condition, it is your key relationships with family, friends, providers and consultants that matter most.
Every deactivation or cutoff is an “incompleteness or triangle” waiting for the missing idea. Those are your starting points. The GHCP's strategy tools are the “Working the Triangles Binder and Template” and the CGBAO.
04 — Four ways to use the GHCP
In order of increasing urgency.
Life-long learning log
Your personal, family-oriented electronic record and guidance system. Keeping it prepares you for everything below and finds illness earlier.
A new illness, injury or disability
A serious curable illness, a temporary or permanent disability, or a new chronic condition that needs new knowledge, supports and self-management skills.
Caring for someone else
A family member or friend can't manage their condition, and you become their delegated GHCP manager / caregiver (see MYDECAF).
Hospital to home
You or a family member is hospitalized, or facing a new life-threatening diagnosis: ensure the TriUnity through “Triunity Deliberate Transitions”.
05 — Emotional Fusion & the Rescue Triangle
From dyadic polarisation to triadic thinking.
Dr. Murray Bowen's Family Systems Theory underscores emotional fusion and differentiation. Emotional fusion is a state where people become enmeshed with the emotions and needs of others, blurring boundaries and losing individual autonomy.
In the Rescue Triangle, danger on one side makes thinking, objectivity and facts disappear. The way out is a healthy triadic process of thinking, feeling and doing: sustaining rational thinking while lowering emotional overload, so there is less stress and chaos at home.
When your go-to providers are unavailable and you can't get timely appointments, you are in the Rescue Triangle, and your disease control ends up in the ER.
06 — Foundations & resources
Who's on first, what's on second.
Charles Sanders Peirce
Father of Pragmatism, “A New List of Categories”
Josiah Royce
“The Philosophy of Loyalty”, “The Greater Medical Community”
Dr. Murray Bowen
Family Systems Theory and its eight concepts
Supporting work
Maslow's Hierarchy of Needs · Guerin et al., “Working with Relationship Triangles” · John S. Rolland MD, “Families, Illness and Disability” · Bacon & Spear, “Adaptive Coaching”
References
- 01Institute of Medicine. To Err Is Human. National Academy of Sciences, 2000.
- 02Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century, 2001.
- 03Kumar S. & Nash D. B. “Demand Better! Revive Our Broken Healthcare System”. Second River Healthcare Press, 2010.
- 04The Care Model (formerly The Chronic Care Model), The MacColl Center, Improving Chronic Illness Care program.
- 05Patient Self-Determination Act of 1991 (PSDA).
- 06Laudermilk, H. L. Triangles, Interlocking Triangles, and Cutoffs in American Healthcare: A Safety Culture Awareness Compare & Detriangling Action Plan, 2014.
Start a condition-specific group in your town. Get MyGHCP basic free.
Every participant in your group also receives a free MyGHCP. Spread the word to neighboring counties.