Case Study: Integrate Phase

The Integrate Phase, or Phase 5, of ReThink Health’s Pathway for Transforming Regional Health is the culmination of many years of visionary leadership, broad collaboration, and systems redesign. The primary work of this phase is integrating lessons learned in prior phases and establishing a “new normal”—a resilient system that is designed to produce health.

ReThink Health has not found a Phase 5 effort that currently exists in the United States. We have, however, identified two regional efforts whose stewardship structures—Live Well San Diego, in California; and Whatcom Alliance for Health Advancement in Bellingham, Washington—have established legitimate stewardship authority, a key characteristic of Phase 5 groups. Because the two groups have approached their work differently and, therefore, offer distinct lessons for other regions, we offer both examples in this case study.


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