Kitsap County with
My GlobalHealth Care Plan.
Your Answer to Safety & Self Determination
- With Patient to Patient Collaborations & Regular Sessions for Notoriety
- Spread the word to neighboring Counties
- Find & Locate “Open Notes Providers”!


01 — Safety First
Trains, planes & automobiles have enforced safety rules. Healthcare doesn't.
The Institute of Medicine's two seminal books, To Err is Human (2000) and Crossing the Quality Chasm (2001), sounded the alarm. Twenty-five years later, the actual number of deaths caused by U.S. healthcare still has no report.
Patients and parents must protect family and friends inside a for-profit-first system that displaces focus on safety. Your answer: Independent CCMs present at every transition of care, and aligning with “Open Notes” practitioners.
2000 · IOM · “To Err is Human”
98K
deaths per year
The only best estimate of deaths by medical commission or omission, based on statistics produced a decade earlier.
2005 · Patient Safety Act
Voluntary
reporting only
Congress responded five years later. Reporting deaths caused by providers or institutions remains voluntary.
2013 · Journal of Patient Safety
250–400K
deaths per year
Deaths attributed to licensed medical providers and institutions, a figure that is still not monitored.
02 — Ground 0
Emotional Fusion, and finding your ground.
Rooted in Bowen Family Systems and pragmatic triadic functionality, the book explores Triangles, Interlocking Triangles, and Cutoffs in American Healthcare. Tap each corner of the triangle.
Facts · Truth · Objectivity
Thinking
The apex of the triangle: grounding care decisions in facts and objective truth rather than anxiety.
03 — My Health Pyramid™
The Four Triads of My Health Self-Management.
Master Journal · Master Treatment Plan
Each triad links your life plan with the people, places and things you need, from self, to primary caregiver, to your healthcare team.
My Life Wheel & Personal Characteristics
I- Finances
- Insurance
- Cognitive
- Physical ability (ADLs)
- Mental & emotional health
- Neurological function
- Self-esteem
- Ultimate concerns
- Lifestyle change
- Environment
Support Wheel
II- Family & friends
- Experts & education
- Groups & associations
- Religion
- Local community
Health Performance
III- Health Activation Assessment Tree (HA2T)
- Self-efficacy
- Physiological needs
- Safety & security
- Love & belonging
- Self-respect
Healthcare Delivery Wheel
IV- H/C organization
- Delivery system design
- Technology & information
- Self-management support
- Decision support
- Community resources & policies
04 — The One Greater Health Community Binder
Your Personal Health Record, in one place.
Assessments & care coordination organised so you, your primary caregiver and your providers work from the same plan.
Explore the full GHC BinderSection 01 / 08
Medical History & Summaries
- ++Most recent History & Physical
- ++Most recent hospital or rehab discharge summary
- ++Specialist consultations
- ++Office visit notes request
- ++Surgeries

05 — TriUnity Health Institute
Self-management, self-assessment & next steps to optimal health.
If your Global Determinants are essentially all positive, you should have optimal health. Where they aren't, those are your starting points, and TriUnity can coach you through them.
Self-assess
Complete the Health Activation Assessment Tree (HA2T) and the Patient Activation Measure (PAM).
Find your starting points
Every “0”, “--” or “=” is an incompleteness, a triangle waiting for the missing idea.
Plan your next steps
Shared decisions with your providers, using “Working the Triangles” and the CGBAO tools.
Sample · Quick relationships self-assessment
Mark each subject. + Positive · 0 Uncertain · -- Distant · = Cutoff / unstable · ? See provider
Services
$80/ hour
Professional Health Coach Consult
GHCP
Pre-paid hour counted in one-minute increments. Offered Mon–Thu, 8am–5pm. Patient specific.
$250
Acute Episode: Deliberate Transitions “Hospital to Home”
Programs A & B
One hour face to face (home or facility) plus two hours telephonic & online. Patient and caregiver complete HA2T & PAM.
- ++24/7 telephonic/online consults outside office hours: $80/hr, prorated in 15 min
- ++Additional home or facility visits: $100/hr (1 hr minimum) in Clallam, Jefferson or Pierce counties, plus $40/hr commute
$80/ hour
Global Trigger Tool Review / Triunity Omissions Review
Individuals & facilities
For individuals in service II, and for community hospitals, skilled nursing facilities and adult family homes by contractual agreement. HIPAA-compliant redacted PHI transmissions via Citrix ShareFile.
Attention CCM · MSW · RN
Refer your clients to the eBook, or contract with Harry.
06 — The Author
Harry
Laudermilk
MA · RN · CCM
Healthcare Career & Author · RN & Social Work
Top skills
- Case Management
- Healthcare Structure & Processes
- Care Coordination
Publication
Triangles, Interlocking Triangles, and Cutoffs in American Healthcare: My Global Health Care Plan eBook
“Illness is primarily experienced as a disruption on the life plan of the individual who is ill. The amelioration or cure of this illness occurs when this disruption is alleviated or eliminated.”
Josiah Royce, via Griffin Trotter, The Medical Covenant: A Roycean Perspective
As a Certified Case Manager, Harry developed with TriUnity Health Institute a comprehensive individual health self-management assessment and Global Life & Health Care Plan. The goal: optimized health consumers who no longer accept a void of support.

07 — Get the eBook
Start your Global Health Care Plan today.
- The complete My Global Health Care Plan eBook (PDF)
- My Health Pyramid™ and the Four Triads explained
- The 8-section GHC Binder personal health record
- Instant download, no account needed