Date post: | 14-Feb-2017 |
Category: |
Healthcare |
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the three healthcare
olutionsre
PUBLIC IMPERATIVE PRIVATE IMPERATIVE
• Affordable Care Act • Alternative Payment Models• Provider Payment Reform
• Move to defined contribution• High deductible health plans• Consumerism
Employers and EmployeesFacing Escalating Costs
Government FiscalChallenges
Two separate but related imperatives are Driving Change
BPCI IPPS
OQR
HCAHPSMU H-IT
PROs
PSIsVBPPPACAPSN HAC
CGCAHPsMIPS
P4P
ACOs
MOC PQRS
Change in Healthcare feels like an OOWAA… (Ocean of Words, Abbreviations & Acronyms)
Value, Defined By The Patient…
88% of Spending
30% is Waste
High-Value Outcomes
Value in Healthcare Population Health
Healthcare Revolutions…BIG IDEA: A VISION FOR REAL CHANGE
From volume to value…BIG IDEA: Patient level MEASUREMENT
Manage What You Measure…
V =Q + S$VALUE
QUALITY SERVICE
COST
2014 TODAY
Hospital Quality
Clinical Condition Quality
Hospital Quality + Service
Hospital Value
Clinical ConditionValue
Individual Patient
Value
2005 2010 2020+
PhysicianValue
Unit of Measurement Matters…
From episode to population…BIG IDEA: Longitudinal Care TEAMS
Med-ical Care Genes
Health Behav-
iors
Social/Soci-etal
Population Health Influences…
ACUITY/COMPLEXITY & COST PER UNIT SERVICE
Patient/Family/Society
Healthcare DeliveryINFL
UENC
ERS
OF
OUTC
OMES
100
0
Reorganizing to Advance Health…
INPATIENTCENTRIC
Acute Care Model
AMBULATORYCENTRIC
Chronic Care Model
MOBILECENTRIC
Wellness & Patient Activation Model
LOW HIGH
Requires new ways to organize TEAMS…
Team of Teams: new rules of engagement for a complex worldStanley A. McChrystal, Tantum Collins, David Silverman, Chris Fussell.New York, New York: Portfolio/Penguin 2015
TRAVEL BANKING HEALTHCARE
From Patient to Person…BIG IDEA: Power shift to the CONSUMER
86%OF PATIENTS CONDUCT
HEALTH-RELATED SEARCH BEFORE SCHEDULING
AN APPOINTMENT.1
33%OF AMERICANS USESOCIAL MEDIA TO RESEARCH HEALTH CONDITIONS.1
MORE THAN
41%SAY SOCIAL MEDIA IMPACTS THEIR CHOICE OFHEALTHCARE PROVIDERS.1
Patients are increasingly…EDUCATED & INFORMED BEFORESEEING A DOCTOR
1. Medcitynews/com/2014/03/healthcare-are-dr-google-2014-digital-patient-journeySource: http://www.cdwcommunit.com/perspectives/expert-perspectives/todays-digital-patient/
Patients are increasingly…EMBRACING MOBILE HEALTH
1. Mdlive.com/new/press_05142014b.html2. Alegohealth.com/mhealthh-stats-mobile-apps-devices-solutions/3. Blog.ecgmc.com/2014/04/02/promoting –engagement-through-patient-ortal-
adoption/Source: http://www.cdwcommunit.com/perspectives/expert-perspectives/todays-digital-patient/
82%AMERICANS AGES 18-34 WHO HAVE A DOCTOR PREFER CONSULTATION VIA MOBILE DEVICE.1
52%COMFORTABLE
WITH VIDEOCONSULTS.2
84%OF PATIENTS BELIEVETHEY SHOULD HAVE
FULL ACCESS TO THEIR MEDICAL RECORDS
ONLINE.3
Patients are increasingly…STAYING CONNECTED POST-VISIT
1. Medcitynews/com/2014/03/healthcare-are-dr-google-2014-digital-patient-journey2. Dicomgrid.com/patient-portal-adoption 3. Alegohealth.com/mhealth-stats-mobile-apps-devices-solutions/ Source: http://www.cdwcommunit.com/perspectives/expert-
perspectives/todays-digital-patient/
88%OF PHYSICIANS
WANT PATIENTS TO MONITOR THEIR
HEALTH ATHOME.1
HAVE USED A PORTALTO CONNECT WITHDOCTORS.2
1 OF 3
FIND PORTALS ACONVENIENT WAYTO COMMUNICATEWITH DOCTORS.3
70%
COMPLICATED COMPLEX
McChrystal et al. Team of Teams 2015.
3 Interrelated Healthcare Revolutions…BIG IDEA: From Complicated to COMPLEX
Lessons from the US Armed Forces:
A UVCCOMPLEXITY VOLATILITY
AMBIGUITY UNCERTAINTY
HOW
WEL
L CA
N YO
U PR
EDIC
T TH
E RE
SULT
S OF
YOU
R AC
TION
S?
HOW MUCH DO YOU KNOW ABOUT THE SITUATION?
+
+-
-
Bennett & Lemoine. HBR Jan-Feb 2014.
CLARITY VISION
AGILITY UNDERSTAND
The nature, speed, volume, magnitude
and dynamics of change.
The lack of predictability of issues
and events.
Confounding issues that disrupt
predictability of outcomes.
The mixed meaning of changing conditions.