Rising has realized that many health systems just aren't ready for that kind of change; change that's truly disruptive. That's why she's working not only to promote Centering, but also to change health systems.
For example, she says that "systems are very entrenched. Care is given in exam rooms individually… The exam room is the property of the agency… then when the provider goes into the room, it's the provider's space. It isn't a space that patients feel that they own."
Rising believes the time is right for disruption, especially with the relatively new emphasis placed on patient satisfaction, patient engagement, and patient-centered medical homes.
"It is a good time for us, I think, to have an alternative to individual care," Rising says. "We have to rethink how care is provided. We just have to do it. There's opportunity for change."