• Elena Rosenbaum, Andrea E Gordon, Jake Cresta, Allen F Shaughnessy, and Wayne B Jonas.
• From the Associate Professor, Department of Family and Community Medicine, Albany Medical College; Associate Professor of Family Medicine, Tufts University School of Medicine, Boston, MA (AEG); Medical Student, Uniformed Services University of the Health Sciences (JC); Professor and Vice Chair of Family Medicine for Research, Tufts University School of Medicine, Boston, MA (AFS); President, Healing Works Foundation, healing@healingworksfoundation.org (WBJ).
• J Am Board Fam Med. 2023 Aug 9; 36 (4): 542549542-549.

PurposeThe National Academies of Medicine report on Implementing High-Quality Primary Care calls for a transformation of the primary care to a "whole person" model that is person-centered, relationship-based and takes into account the social, spiritual, emotional and behavioral aspects of health. However, our current delivery tools, such as the SOAP Note, do not sufficiently capture and organize the delivery of these elements in practice. To explore how to remedy this, an Integrative Health Learning Collaborative (IHLC) was established to implement and test new tools for changing primary care practices toward whole person care.MethodsThe IHLC comprised primary care practices committed to changing to a whole person care model of care along with a panel of experts in integrative health and change management. The IHLC met virtually monthly. Representatives from each practice and an assigned expert met to strategize and adapt the tools to their environment and practice. The practices used previously developed tools (the HOPE Note toolkit), change management tools, and quality improvement techniques to introduce, implement, and evaluate the changes.ResultsSixteen clinics completed the process after 1 year. Overall, practices used the HOPE Note tools in 942 patients. Participants reported changes on the effectiveness of the collaborative (1) on clinical practice, (2) on the skills and attitudes of participants; and (3) the support in change management.ConclusionsThis online learning collaborative supported practices implementing a whole person care model in primary care and improved the understanding, skills, and delivery ability of whole person care in all clinics completing the program.© Copyright by the American Board of Family Medicine.

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