A1: Nuka – 25 years of community-driven transformation: remarkable clinical, cost,
and happiness achievements


Thursday 11 April 2024 | 11:00-12:15


Format: Presentation
Stream: Change
Content filters: Recommended for those new to quality improvement; Features discussion of community led projects, including those outside of health and care


Healthcare rethought and recreated on what the people using the system say works. When, where and how THEY want it based on what matters to them. Immediacy, trusting relationships, whole person, shared responsibility, strong care coordination, benchmarked clinical excellence, family wellness, built on giving and receiving story. Sometimes called ‘one of the best healthcare systems anywhere’ nationally and internationally. Several thousand staff supporting hundreds of thousands Alaska Native customer-owners built on Co-Creation, Learning Organization, and capable infrastructure – continually evolving over 25 years. Better outcomes, happier people, and lower total cost – this is the ‘Triple Aim’ achieved, sustained, and continually evolving.


Learning Objectives:



  • What a full-scale successful community-driven healthcare system design looks like – and current ongoing efforts.

  • How to build a passionate, energized, aligned, workforce.

  • How to create a true ‘Learning Organization’ with capability for continual change


April Kyle Southcentral Foundation, USA


Doug Eby Southcentral Foundation, USA