Buildinga Resilient

Organizationto Manage

MedicareRisk

Medicare Risk Revenue Management - Best Practice Operation Strategies • Washington, DC • June 12, 2012

Wayne Pan, MD, MBAChief Medical Officer

Pacific Partners Management Services, Inc.

welcome

workshop

© nile flow gallery

no cell phonesactive participation

group learningbring your experienceschallenge each other

designthinking

designdoing

8

whydesign?

9

whynot?

what got you here

marshall goldsmith

won't get you there

marshall goldsmith

insanity: doing the

same thing over and over

and expecting different

results

see the whole

see the holes

designingfor?whoarewe

thinkhuman

somebasics

humannature

humannaturelazy

humannaturesocial

humannaturecreaturesofhabit

humannaturenotgood@change

lazysocialhabit

humannaturesocialnorms

lazysocialhabit

humannaturestatusquo

lazysocialhabit

humannaturesocialnorms

lazysocialhabit

doctornature

doctornaturecompetitive

doctornatureindependent

doctornaturecurious

doctornatureformsilos

competitiveindependentcurious

doctornaturenotgood@cooperation

competitiveindependentcurious

doctornaturenotgood@collaboration

competitiveindependentcurious

doctornaturecurious

competitiveindependentcurious

doctornaturecompetitive

competitiveindependentcurious

doctornaturecompetence

competitiveindependentcurious

leverageour nature

leverageour nature4 behavior change

simplesocialfun

alwaysthinksimple

“Simple can be harder thancomplex. You have to work hard to

get your thinking clean to makeit simple. But it’s worth it in the

end, because once you get there,you can move mountains.”

Steve Jobs

exercise #

small groups of 3introduce yourself

exercise #

rolesfinancecompliancequalitymedical mgmtbenefitsmember servicesnetwork mgmtoperations

list as many processes you can think of related to Medicare risk managementprocess

exercise #

partners

exercise #

drawtheBIGpicture

from: Jeanne Liedtka and Tim Ogilvie, Designing for Growth (2011)

exercise #

brainstorm

patient perspective

physician perspective

exercise #

iteration

don’t be afraid to FAIL....

failfast

it’saboutthepatient

wpan@ppmsi.comslideshare.net/bonedoc97

Thank you!

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