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Do you get out of your comfort zone? Do you visit neighborhoods you're not usually in, or occasionally strike up a conversation with someone new to get a fresh point of view, some thoughts different from your own?

Competition in the hospitality industry forced astute practitioners to discover and embrace new ways to reach, engage and listen to feedback from guests.

Humans have a complicated relationship with alcohol. We drink when we're happy, and we drink when we're sad. We drink with others, and we drink in isolation. In fact, we have a complicated relationship with most psychoactive substances. We eat, drink, swallow, snort, inhale and inject them. We advertise them, compare our favorite brands, and use them in family traditions and religious ceremonies. Some of our substances are legal, some are legal and regulated, and others are illegal, yet still commonly used.

Cheryl Johnson, the sixth of seven children, grew up on the far south side of Chicago, tagging along with her mother as she went to community meetings. "I grew up in a period where whatever your mother said to do, you do it," Johnson said. And so she did. Johnson was there as her mom investigated the industrial waste facilities surrounding their public housing complex and demanded attention for community health concerns. Hazel Johnson came to be known as the "mother of the environmental justice movement" for her work helping to launch grassroots efforts to address environmental issues in the United States.

Health care providers have a responsibility to ensure that every patient receives equitable care with cultural humility, which includes a commitment to self-reflection and learning, reducing power imbalances and improving institutional accountability. At CHRISTUS Health, we recognize the importance of integrating a health equity lens into our daily routine. To achieve health equity, it is essential to consider the patient's environment, lived experiences, support and resources at every step of the process. And in our work for healthy and equitable communities, we've expanded and refined our data analysis and strategic responses.

Nonprofit hospitals, representing nearly 60% of all U.S. hospitals, are enduring increasing pressure to demonstrate the value they offer to the communities they serve and whether (or not) they deserve their tax-exempt status. In fact, the Ways and Means Subcommittee on Oversight held a hearing on tax-exempt hospitals and the community benefit standard in April 2023. During the hearing, Congressman Brad R. Wenstrup, R-Ohio, said: "Nonprofit hospitals should be providing a level of community benefit that aligns with the value they are receiving from their tax-exempt status. Taxpayers who are on the hook for providing this benefit deserve to know what they are getting in return.

Every day, I wake up with a deep sense of purpose: to play a role in nurturing communities, particularly those marginalized and underserved, so that they may thrive, find healing, and grow in love, hope and fulfillment. Over 35 years ago, the Sisters of St. Joseph of Orange had a similar vision when they founded the St. Joseph Fund. Their mission was clear: Every individual must be healthy for society to flourish.

On my first day as a public health civil servant in the Bronx, New York, the assistant commissioner gave me a tour and brief history of our district office, which had just opened two years earlier. The building was certainly older than that, so I asked what had previously occupied the space. She said it had always had a health focus and, although nonprofit organizations were the immediate past tenants (and some remained), there had been another public health office located in it some 20 years ago. "We're still trying to get past that," she noted. I asked what she meant. "We left. We set up, built relationships, provided services, and then an administration changed, budgets tightened, and we left. They don't trust us."

"The hurrier I go, the behinder I get," said the white rabbit in Alice's Adventures in Wonderland. So many people in public health could be forgiven if they expressed this sentiment as well. While the public health sector has made substantial progress in fostering healthy communities by identifying and, more importantly, addressing the social determinants of health, the nation has moved backwards.

In today's dynamic health care landscape, effective communication is pivotal to ensuring patient satisfaction and fostering positive care outcomes. From my perspective and experience leading an accreditation organization with programs for a wide range of health care settings, I see firsthand the impact of successful communication within and across care teams and between providers and patients. Proactive recognition and prioritization of good communication skills improve patient satisfaction in tandem with more consistent achievement of desired health outcomes.

Hospitals and medical facilities place a strong emphasis on not just medical care, but the whole patient experience around it — including before, during and after a hospital stay — and always look for innovative ways to improve it. This is especially so after the COVID-19 pandemic, which led to high patient dissatisfaction due to staffing shortages, cutbacks and other circumstances.

"I'm doing the best I can," has become the exhausted refrain of health care workers who find themselves pulling "double-duty," caring for patients at work and then rushing home to care for a loved one. The stress and toll on their physical and mental health is staggering. But it does not stop there. As you might imagine, struggling to juggle work-life caregiving directly impacts virtually every aspect of their lives — the people they care for, their jobs, their peers and the many relationships they value. This growing number of people caregiving around the clock presents unique challenges to health systems and new opportunities to innovate.

Gender has received a great deal of attention in the past 10 years. Hardly a day goes by that there is not a media report on the clinical, legal and ethical aspects of the transgender experience. All of these come together — or not — in the political blender where, on one hand, trans people are used as an icon of individual civil rights, or, on the other hand, as an example of moral and spiritual decline.

When people first arrive at one of our hospitals, many may be experiencing some of the worst, most vulnerable times of their lives — or the life of a loved one. They may feel anxious and afraid of what might happen next. They put their lives in our hands, trusting in the safe, quality care they will receive. They also often come with a set of unspoken expectations: please keep me safe; help me navigate my care; provide me with the right care; give me tools to help me stay well; and treat me with respect. For years, the "safe, timely, effective, efficient, equitable and patient-centered" (STEEEP) model, developed by the Institute of Medicine,1 has provided a clear and actionable framework to help Ascension manage overall quality and safety initiatives. Each element of the STEEEP framework has multiple metrics that we report and track over time.

Each day, as we walk into work at SSM Health Treffert Studios in Fond du Lac, Wisconsin, we can almost reach out and grab the energy in the room. Treffert Studios was designed with a mission to help neurodivergent individuals find their passion and express their talents, giving them a voice and tools to share their strengths with the world.

Why is the American health care system so difficult to navigate? People identify difficulties in access, cost and quality as the main issues they encounter when seeking medical assessment and treatment. Access refers to the person being examined by the right provider, and in the right setting, for their presenting symptoms and given the correct diagnosis, tests and treatment. Cost means that the appropriate treatment and care is paid for by the patient, insurance companies and/or the government. Quality is outcome-oriented and includes more than satisfaction with the provider, setting and treatment. Today, quality of care means that the treatment produces a good or improved outcome, ideally better health.

Three generations of ministry leaders have been engaged in a struggle to retain the soul of Catholic health care, and the intensity is greater now than ever. They have endured this struggle since the rise of the for-profit health care services sector in the early 1980s, when then-Editor-in-Chief of The New England Journal of Medicine Dr. Arnold S. Relman named and proclaimed the new medical-industrial complex as the most important health care development of the time. He described it as "a large and growing network of private corporations engaged in the business of supplying health-care services to patients for a profit — services heretofore provided by nonprofit institutions or individual practitioners."

When treating older adults in the U.S., especially those nearing end-of-life, palliative and hospice care are some of the best options available — yet they remain underused.

The creators of Radiance, a virtual reality program, initially designed it as a mixed media art piece and displayed it in a Savannah, Georgia, museum.

I went in for a routine screening as a patient years ago, having just written for CHA about the latest electronic medical record advances, to have a care provider write some of my details on a sticky note and slip it in her pocket to add to my files later.