Dialogue could begin in earnest regarding hospice services. Part of the Healthspital's mission could be to celebrate each patient as a life well lived, honoring individual care preferences during life-and-death decision making. Throughout the community, such openness would reenergize relationships between younger and older generations and promote mutual caring, which would contribute to the curing function across the health-care continuum.
The Healthspitals' integrated delivery ecosystem at the community level would allow a much truer triage at emergency departments. As these are often the places of first resort for patients with all levels of care needs, a system-wide approach to triage would help refer all patients to the appropriate (and often less expensive) level of care. This would reconfigure the issue of "dumping" and allow tracking of referral patterns to provide a feedback mechanism for improving triage - true sorting - throughout the ecosystem.