Reddy Kavitha P, Schult Tamara M, Whitehead Alison M, Bokhour Barbara G
Office of Patient-Centered Care & Cultural Transformation, Veterans Health Administration, Washington, District of Columbia.
Emergency Medicine Physician, VA St. Louis Healthcare System, Washington, District of Columbia.
Glob Adv Health Med. 2021 May 30;10:21649561211022698. doi: 10.1177/21649561211022698. eCollection 2021.
The Veterans Health Administration (VHA) is implementing a Whole Health System (WHS) of care that empowers and equips Veterans to take charge of their health and well-being and live their lives to the fullest, and increasingly leaders recognize the need and value in implementing a similar approach to support the health and well-being of employees. The purpose of this paper is to do the following: 1) provide an overview of the WHS of care in VHA and applicability in addressing employee resiliency; 2) provide a brief history of employee well-being efforts in VHA to date; 3) share new priorities from VHA leadership as they relate to Employee Whole Health strategy and implementation; and 4) provide a summary of the impacts of WHS of care delivery on employees. The WHS of care utilizes all therapeutic, evidence-based approaches to support self-care goals and personal health planning. Extending these approaches to employees builds upon 10 years of foundational work supporting employee health and well-being in VHA. In 2017, one facility in each of the 18 Veterans Integrated Service Networks (VISNs) in VHA was selected to participate in piloting the WHS of care with subsequent evaluation by VA's Center for Evaluating Patient-Centered Care (EPCC). Early outcomes, from an employee perspective, suggest involvement in the delivery of the WHS of care and personal use of the whole health approach have a meaningful impact on the well-being of employees and how they experience the workplace. During the COVID-19 pandemic, VHA has continued to support employees through virtual resources to support well-being and resiliency. VHA's shift to this patient-centered model is supporting not only Veteran care but also employee health and well-being at a time when increased support is needed.
退伍军人健康管理局（VHA）正在实施一种全面健康护理系统（WHS），该系统使退伍军人有能力并装备他们来掌控自己的健康和幸福，并充分地生活，而且越来越多的领导者认识到采用类似方法来支持员工的健康和幸福的必要性和价值。本文的目的如下：1）概述VHA的全面健康护理系统及其在解决员工适应能力方面的适用性；2）简要介绍VHA迄今为止在员工福利方面所做的努力；3）分享VHA领导层与员工全面健康战略及实施相关的新优先事项；4）总结全面健康护理服务对员工的影响。全面健康护理系统利用所有基于证据的治疗方法来支持自我护理目标和个人健康规划。将这些方法扩展到员工身上，是在VHA支持员工健康和幸福的10年基础工作之上进行的。2017年，VHA的18个退伍军人综合服务网络（VISN）中的每个网络都选择了一个机构参与全面健康护理系统的试点，随后由VA的以患者为中心的护理评估中心（EPCC）进行评估。从员工的角度来看，早期结果表明，参与全面健康护理服务的提供以及个人使用全面健康方法对员工的幸福以及他们对工作场所的体验都有重大影响。在新冠疫情期间，VHA继续通过虚拟资源支持员工，以促进他们的幸福和适应能力。在需要更多支持的时候，VHA向这种以患者为中心的模式的转变不仅支持退伍军人护理，也支持员工的健康和幸福。
