Delivery Systems: Lessons Learned and Key Takeaways - Part 2

We’ve just dropped Part 2 of our latest video on Promote Profit Publish, hosted by Peter Boland—and trust us, this one’s packed with inspiring takeaways from some of the most innovative healthcare organizations across the country!

Whether you’re a healthcare professional, advocate, or just love learning about powerful systems change, this episode is a must-watch. Here’s what you’ll learn:

5 Keys You’ll Discover in This Episode:

  • Community-Centric Change: Find out how Presbyterian Health in Albuquerque flips the traditional model by making local councils the trusted conveners, and how bottom-up collaboration creates more equitable communities.

  • Value-Based Care Done Right: Discover Houston Methodist's blueprint for quality improvement, monthly physician meetings, and a $50 million rebate—proving great care really can pay off.

  • Systems Change at Scale: Dive into CommonSpirit’s mind-blowing Total Health Roadmap, a masterclass in how you flip an entire organization (2,200 facilities!) to drive health outcomes nationwide.

  • Functional Medicine Innovations: See how Cleveland Clinic uses shared medical appointments for high-need diabetic patients, boosting outcomes and community peer support while cutting costs.

  • The Hidden Power of Health Literacy: Learn how Vanderbilt’s team tackles the health literacy crisis with a simple screening device—showing how understanding patients’ needs leads to better, safer care.

Fun Fact: Houston Methodist’s value-based care approach not only improved patient outcomes, but in just one year, it generated a $50 million rebate for the organization! Talk about healthy profits.

Delivery Systems: Lessons Learned and Key Takeaways - Part 1

In Part One, Peter Boland unpacks the high points from the first third of the book, focusing on healthcare delivery systems, and spotlights innovative, purpose-driven organizations aiming to generate more health—not just treat sickness.

Here are five keys you’ll learn in this episode:

  • Why Our System is Stuck (and How to Get Unstuck)
    Discover the root causes behind America’s sickness-focused healthcare spending—and the insanity of pouring 97% into treatment and only 3% into prevention.

  • How Boston Medical Center Transformed Patient Care
    Learn the inside story of their pioneering food pantry, rooftop gardens, and true “patient first” philosophy (hint: they even teach families to cook healthy meals!).

  • Breaking the Cycle with Nationwide Children’s
    Find out how this pediatric hospital in Ohio took on the audacious goal of breaking the intergenerational cycle of poverty through housing, workforce, education, and economic initiatives.

  • The Power of Zero Defects at Cleveland Hospital
    Hear how a creative “fractal management” system demanded everyone—yes, everyone—be accountable for perfect care, slashing errors and saving millions.

  • Why Collaboration is Everything
    See how the best hospitals aren’t just treating patients—they’re partnering with local communities to share power and expertise, tailoring programs to real needs.

Fun Fact of the Episode:

Did you know the Boston Medical Center’s food pantry started in one doctor’s desk drawer? Today, it distributes over a million pounds of food per year and features rooftop gardens growing fresh produce for their patients!

Beyond Clinical Data: The Power of Social Determinants in Healthcare

What’s inside this episode?

Here are five key insights you’ll learn:

  • The Importance of Quantifying Social Risk: Discover how understanding social risk at both community and individual levels can help organizations get ahead of health crises—and save costs!

  • Analyze First, Act Second: Find out why Brenner Williams’s “analyze first” philosophy is revolutionizing how health plans and employers allocate resources for maximum impact.

  • How Employers Can Use Social Risk Data: Learn how self-insured employers and health plans are leveraging data to align benefits with real employee needs (think food, transportation, and financial support).

  • The Role of Socially Determined’s Platform, Socialscape: Get a peek behind the curtain at how this powerful tool aggregates and visualizes social risk with incredible detail.

  • Why Evidence and Integration Matter: Explore why integrating social risk models into financial reimbursement is the key to making these efforts sustainable for the long term.

Fun fact from the episode:
Did you know Trenor Williams started his entrepreneurial journey during the dot-com bubble in residency—and even ran a failed .com before launching innovative healthcare solutions?! Talk about learning through action!

Dr. Williams is a family physician, entrepreneur, former health system executive and consulting leader, and past founder and CEO of Clinovations, sold to the Advisory Board Company in 2014. In 2017, Dr. Williams co-founded Socially Determined to create an analytics platform that integrates the social determinants of health with clinical and claims data to quantify and visualize social risk and the specific impacts on health and healthcare outcomes. Dr. Williams’ unique perspective is formed at the intersection of healthcare and technology. He has an extensive understanding and knowledge in the implementation of healthcare technology, health plan market growth, and SDOH strategy development for leading healthcare stakeholders. He holds a Bachelor of Science in Biology from Virginia Polytechnic Institute and received his Medical Doctorate from Marshall University.

The Power of Empathy and Advocacy in Healthcare Navigation

We’re excited to announce our latest episode of More Health, Less Healthcare, featuring an inspiring deep dive into the University Hospital in Kansas City’s groundbreaking initiatives! Hosted by Peter Boland, with special guests Gabriella Gardner, Director of Language Assistance, and Deborah Sisco, Manager of Patient Advocacy and Engagement, this episode is packed with heartwarming stories, practical takeaways, and revolutionary approaches to health equity.

Here are the five keys you’ll learn in this episode:

  • The Magic of Cultural Health Navigators
    Uncover the unique difference between cultural health navigators and community health workers, and see how this hybrid role goes beyond interpreting to offer hands-on support for immigrant, refugee, and limited English proficiency patients.

  • Real-World Impact of Social Determinants of Health
    Learn why understanding a patient’s life outside the clinic walls is crucial, and how collecting SDOH info leads to better outcomes.

  • Fail Forward with Plan-Study-Do-Act
    Find out how the PDSA methodology fueled innovation and adaptability across multiple clinics, allowing teams to learn, iterate, and succeed—even when things didn’t go as planned.

  • Building Trust in Sensitive Settings
    Dive into proven strategies for gathering personal info—whether it’s through paper forms, texts, or friendly conversation—and understand what works best in different communities.

  • Essential Qualities for Health Navigators
    Discover the three must-have traits for cultural health navigators: lived experience, cultural humility, and a passion for advocacy—and why empathy and tenacity are crucial in this role.

💡 Fun Fact:
Did you know University Hospital serves patients speaking over
200 different languages each year? Their navigators aren’t just bilingual—they genuinely understand and champion the unique challenges faced by the communities they serve.

How Community Voice is Shaping Presbyterian Healthcare Services' Approach to Behavioral Health and Social Needs in New Mexico

Discover how Presbyterian Health in New Mexico is putting community priorities at the center of its health equity work. In this episode, Leigh Caswell shares practical insights on scaling programs, leveraging partnerships, and tracking real community impact.

  • The unique “incubator” approach to developing and scaling community health initiatives

  • How behavioral health became a cornerstone priority based on community data

  • Defining and measuring “community health” across diverse populations and counties

  • Funding strategies, sustainability challenges, and lessons learned on managing grants

  • Looking ahead: plans for scaling, sustaining programs, and deepening community engagement

Tune in for real-world examples and actionable strategies to drive healthier communities beyond hospital walls.

Leigh Caswell serves as Vice President of Community and Health Equity with Presbyterian Healthcare Services (PHS). 

Leigh coordinates and directs initiatives, strategy, and operations that support the community health priorities and health equity strategy of the largest non-profit, integrated health system in New Mexico. This work includes systems change initiatives, building programs, convening cross sector partnerships and leveraging grant and private funds for greater collective impact on barriers to health in communities across the state.

Leigh has a B.S. in Environmental Health from Colorado State University and a Masters of Public Health from the University of New Mexico.


Overcoming the Innovator’s Dilemma: Insights on Healthcare Leadership

We’ve got a treat for you this week on the “More Health, Less Healthcare” podcast! Our host Peter Boland sat down with Ann Somers, Director of Health Research at the Christensen Institute, for a thoughtful (and fun!) dive into how real innovation happens in healthcare—and why it sometimes stumbles.

Here’s what you’ll learn in this episode (and trust us, there are gems you won’t want to miss):

  • What the Christensen Institute Is All About
    Summers explains how this nonpartisan think tank applies Harvard Business School Professor Clay Christensen’s famous business and innovation theories to healthcare, education, and beyond.

  • Why Good Leaders Get Stuck
    You’ll hear about the “Innovator’s Dilemma”—and why leaders often struggle to disrupt their own (successful!) business models, even when it’s necessary for future growth.

  • The 4 Crucial Parts of Business Model Theory
    Value proposition, resources, processes, and profit formula: Summers breaks down why these pillars can make or break a new healthcare initiative.

  • How to Assess if an Innovation is Really Disruptive
    Discover the Christensen Institute’s six-question test to see if an idea is truly disruptive—or just a shiny new thing.

  • Tech Isn’t the Disruptor—Business Models Are
    Generative AI alone won’t turn the world upside down! Summers and Peter Boland explore how pairing technology with innovative business models is the real secret sauce.

Fun Fact:
Did you know 
MinuteClinic started as a “not-as-good” alternative to a primary care visit—but succeeded precisely because it targeted non-consumers and made care more convenient? Sometimes, “good enough” is good enough to change everything!

Why Healthcare Costs Hold Back the American Dream and What Employers Can Do

New Episode: “Rosetta Unedited” featuring Peter Boland and Dave Chase, CEO of Health Rosetta.

About the Conversation: A bold, eye-opening discussion about the true cost of healthcare, system reform, and actionable strategies for organizations ready to make meaningful change.

  • 5 Keys You’ll Learn in This Episode:

    • Why Healthcare Has “Killed the American Dream”: Dave Chase reveals how skyrocketing healthcare costs are hollowing out the middle class—with data to prove it.

    • The Health Rosetta Dividend—How Big Can It Get?: Learn how companies are cutting healthcare spending by up to 60% and reinvesting the savings into scholarships, daycare, and sustainability projects.

    • How to Take Action as an Employer: Hear the first steps leaders can take to slash costs and elevate employee benefits, from contract overhauls to advanced primary care models.

    • Inside the Plan Grader Tool: Discover how the Health Rosetta Plan Grader evaluates healthcare plans and provides actionable insights for improvement.

    • The Legal Wake-Up Call for Employers: Understand why boards and executives are now personally accountable for fiduciary responsibility in healthcare spending.

    Fun Fact: A Bic pen has over 55,000 Amazon reviews, but health plans—representing 20% of the U.S. economy—rarely receive an objective value grade. That gap sparked Health Rosetta’s innovative Plan Grader tool.

Whole Person Care in Action: Inside Nationwide Children’s Healthy Neighborhoods, Healthy Families Initiative

New Episode Alert: “Housing Is Healthcare” featuring Nick Jones, Vice President of Community Wellness at Nationwide Children’s Hospital, hosted by Peter Boland.

About the Episode: Explore how stable housing and strong community infrastructure are revolutionizing health outcomes in Columbus—and what every healthcare leader can learn from it.

5 Keys You’ll Learn in This Episode:

  • Why Housing Is Healthcare: Understand why affordable housing is a cornerstone of population health and how access to safe homes creates lasting wellness.

    • The 5-Pronged Approach: Get the inside story on the Healthy Neighborhoods, Healthy Families initiative—covering housing, economic development, wellness, education, and community enrichment.

    • How to Build a Capital Stack: Learn how major affordable housing projects come together through creative financing, cross-sector partnerships, and trust.

    • Whole-Person, Whole-Family Care: Discover how wraparound services and “no wrong door” entrypoints keep families thriving in their homes, schools, and neighborhoods.

    • Measuring Real Results: Hear how the program tracks tangible outcomes like improved graduation rates, better kindergarten readiness, and millions reinvested locally.

      Fun Fact: Nationwide Children’s Hospital has helped return over $5 million to the local community through its free tax preparation program—proof that caring goes well beyond clinical walls.


Unlocking Community Power: The Role of Pathways Community Health Worker in Holistic Care

Special Guest: Featuring Jan Ruma of the Pathways Community Help Institute, hosted by Peter Boland.

Theme: Discover how community-based innovation can transform health outcomes and reduce dependence on traditional healthcare systems.

  • 5 Keys You’ll Learn:

    • What the Pathways Community Hub Model Is: Jan Ruma breaks down how this model streamlines access and support for those most in need.

    • Whole Person Care in Action: Explore how the Hub addresses social and economic factors—like housing, jobs, and transportation—that influence health.

    • Tracking Real Results: Understand the essential role of community health workers (CHWs), the “pathway” tracking process, and why continuous engagement matters.

    • How Payment for Outcomes Works: Learn how paying for real results—not just services—leads to both healthier communities and more efficient spending.

    • Getting Started & Scaling Up: Discover what it takes to fund, launch, and grow a successful Pathways Community Hub, plus the ROI you can expect.

  • Fun Fact: The average participating family has 6–7 open pathways, each targeting a different modifiable risk factor—creating truly coordinated, lasting change.

Why We Need to Invest More In Health and Less in Healthcare

We’re thrilled to bring you a new episode of the More Health, Less Healthcare podcast with host Peter Boland. This week, Peter sparks a thought-provoking conversation that redefines what we really mean by “healthcare”—and why true health starts long before treatment begins.

Episode Highlights: What You’ll Learn

  • Health vs. Healthcare: Learn why these terms aren’t interchangeable—and how our system functions more like a “sickness industry.”

  • Follow the Money: Discover why 97% of healthcare spending goes toward treating illness instead of preventing it.

  • Global Perspectives: Explore how other countries’ investments in social health create stronger, more resilient populations.

  • Rethinking the ‘Normal’: Understand why skyrocketing costs and social harm aren’t inevitable or “just the way things are.”

Actionable Hope:
Peter features forward-thinking organizations and the powerful Health Equity Case Studies Handbook, proving that real, scalable solutions already exist.

Health Equity Case Studies

Delivery Systems

Bridging Clinical Health and Community Health

Health Plans

Local Collaboration on Unmet Social Health Needs

Community Organizations

Impact on Health and Economic Development

Contact info

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