FUTURE OF HEALTHCARE DISRUPTIVE AGENTS OF CHANGE 5/23/2018

Transcription

1 FUTURE OF HEALTHARE DISRUPTIVE AGENTS OF HANGE

2 FUTURE OF HEALTHARE AGENDA WELOME PRESENTATION - FUTURE OF HEALTHARE: DISRUPTIVE AGENTS OF HANGE DISUSSION JIM LAMMERS RIK HINTZ DAVID VOLLER JENNIFER UKURA

3 FUTURE OF HEALTHARE AUSE VS RESPONSE

4 AUSE: EXTERNAL DRIVER OF HANGE For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY SOIAL POLITIAL SOIAL / POLITIAL / EONOMI / TEHNOLOGIAL FORES IMPATING HEALTHARE INDUSTRY TEHNOLOGIAL DRIVERS OF HANGE SOIAL / POLITIAL / EONOMI / TEHNOLOGIAL PROVIDERS FORES IMPATING HEALTHARE INDUSTRY SOIAL / POLITIAL / EONOMI / TEHNOLOGIAL FORES IMPATING HEALTHARE INDUSTRY DESIGN & FAILITY INTERVENTIONS

5 AUSE: EXTERNAL DRIVER OF HANGE For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY

6 AUSE: EXTERNAL DRIVER OF HANGE Social Determinants For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY onsumerism limate hange Demographics Technology Research Breakthroughs Revenue Stream Self-Reliance FLAT-WORLD PHENOMENA

7 AUSE: EXTERNAL DRIVER OF HANGE Social Determinants limate hange Technology onsumerism Demographics Research Breakthroughs FLAT-WORLD PHENOMENA Revenue Stream Self-Reliance For- RESPONSE: PROVIDER INITIATIVE Non- Biometrics IoT New Revenue Sources New Players Group Practices hange Management Indies M&As Non-Traditional Partners Population Health Disaster Preparedness AI VR AR EBD ontinuum of Gamification are Speed to Market Holist ic Med EMR Telehealth ommunity Engagement Data Analytics Person - entered are Staff Engagement Home are De-Siloing Robotics Alliances Wellness Transparency hronic are Management Self-Testing Visible Leadership ooperative are FAILITY: ENABLING STRATEGY

8 AUSE: EXTERNAL DRIVER OF HANGE Social Determinants limate hange Technology onsumerism Demographics Research Breakthroughs FLAT-WORLD PHENOMENA Revenue Stream Self-Reliance For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices hange Management Biometrics IoT New Revenue Sources Indies M&As Non-Traditional Partners Population Health Disaster Preparedness AI VR AR EBD ontinuum of Gamification are Speed to Market Holist ic Med EMR Telehealth ommunity Engagement Data Analytics Person - entered are Staff Engagement Home are De-Siloing Robotics Alliances Wellness Transparency hronic are Management Self-Testing Visible Leadership ooperative are Healt h Villages ore oncept Safe Havens Positive Distraction Modularity Daylighting Micro Hospitals Resource Tracking Mock-ups Sense of Place Lean ROI Analysis FAILITY: ENABLING STRATEGY Benchmarking Flexibility Prefabrication Resiliency Areas of Respite Simulat ions Experience Mapping STANDARDIZATION Data Analytics GIS Mapping Intuitive Wayfinding OEs Branding

9 AUSE: EXTERNAL DRIVER OF HANGE Social Determinants limate hange Technology onsumerism Demographics Research Breakthroughs FLAT-WORLD PHENOMENA Revenue Stream Self-Reliance For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices hange Management Biometrics IoT New Revenue Sources Indies M&As Non-Traditional Partners Population Health Disaster Preparedness AI VR AR EBD ontinuum of Gamification are Speed to Market Holist ic Med EMR Telehealth ommunity Engagement Data Analytics Person - entered are Staff Engagement Home are De-Siloing Robotics Alliances Wellness Transparency hronic are Management Self-Testing Visible Leadership ooperative are Healt h Villages ore oncept Safe Havens Positive Distraction Modularity Daylighting Micro Hospitals Resource Tracking Mock-ups Sense of Place Lean ROI Analysis FAILITY: ENABLING STRATEGY Benchmarking Flexibility Prefabrication Resiliency Areas of Respite Simulat ions Experience Mapping STANDARDIZATION Data Analytics GIS Mapping Intuitive Wayfinding OEs Branding

10 DRIVERS OF HANGE

11 AUSE: EXTERNAL DRIVER OF HANGE RESPONSE: PROVIDER INITIATIVE FAILITY: ENABLING STRATEGY Social Determinants limate hange Technology onsumerism Demographics Research Breakthroughs FLAT-WORLD PHENOMENA Revenue Stream Self-Reliance

12 DEMOGRAPHIS Increase of those over 65 x2 Utilization of those 65+ x3.5 Key Take-Away: Demand ( ) 700%+

13 HEALTHARE REFORM SOURE: The Advisory Board Key Take-Away: Poorest outcomes at the highest cost

14 HEALTHARE REFORM SOURE: The Advisory Board Key Take-Away: Unsustainable Financial Burden

15 HEALTHARE REFORM Key Take-Away: Externalities--What s good for H may not be the primary motive

16 REVENUE STREAM Single Payer Value-based model Universal overage Bundled Payments Risk Shifting AOs (Accountable are Organizations) MARA (Medicare and HIP Reauthorization Act of 2015) APM (Alternative Payment Models) MIPS (Merit-based Incentive Payment System) Key Take-Away: Revenue incentives are turning upside down

17 SOIAL DETERMINANTS GRAPHI: Rick Hintz, AIA (Perkins+Will) Key Take-Away: Health outcomes largely determined by factors outside the healthcare profession

18 LIMATE HANGE Key Take-Away: Intensity & Frequency: Hospitals failed when most in need

19 ONSUMERISM Transparency Innovative/Disruptive driving changes in delivery Insurance/Industry (non-traditional partners) New services (community paramedics, telehealth) New entrants (hologaurd/ Self-monitoring and care) Access to knowledge/informed buyers Increased accountability by care teams/services Key Take-Away: One size fits all in H is going the way of Herberger s

20 TEHNOLOGY Preventive Analytics Genomics Data (EHR) Analytics DNA Analytics Flu Predictions rowd Sourcing Diseases Self-Testing Telehealth Less Invasive Procedures Drug Safety Evidence-Based AI and Robotics Key Take-Away: Technology is Pervasive

21 RESEARH BREAK-THROUGHS ELLULAR IMMUNOTHERAPY GENE EDITING POINT OF ARE SEQUENING MIROBIOME ULTURE BIOSOLUABLE STENTS KETAMINE DEPRESSION LIQUID BIOPSIES OHLEAR IMPLANTS Key Take-Away: Expedite, minimize, eliminate need for clinical interventions

22 RESEARH BREAK-THROUGHS EHR mining: Racial disparities in healthcare access ounty-by-county differences in how physicians treat common diseases Problems when children take adult medications Rates at which people experience drug side effects Early signs of difficult-to-diagnose conditions Key Take-Away: Breakthroughs are happening every day

23 SELF-RELIANE SOURE: Medscape SOURE: Medscape Key Take-Away: onsumers are more knowledgeable and want more control over their Healthcare

24 SELF-RELIANE Key Take-Away: onsumers are more knowledgeable and want more control over their Healthcare

25 FLAT-WORLD PHENOMENA Key Take-Away: Global market: omparable expertise/results at half the cost

26 DISUSSION

27 RESPONSE PROVIDER INITIATIVES

28 AUSE: EXTERNAL DRIVER OF HANGE Social Determinants For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY onsumerism limate hange Demographics Technology Research Breakthroughs Revenue Stream Self-Reliance FLAT-WORLD PHENOMENA

29 AUSE: EXTERNAL DRIVER OF HANGE For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY Biometrics IoT AI VR AR Technology EMR Data Analytics Robotics Home are Self-Testing

30 AUSE: EXTERNAL DRIVER OF HANGE For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY onsumerism Biometrics IoT Population Health ontinuum of are Holist ic Med Wellness Person - entered are Transparency hronic are Management Self-Testing Home are ooperative are

31 AUSE: EXTERNAL DRIVER OF HANGE For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY hange Management Population Health M&As Non-Traditional Partners Speed to Market ontinuum of are Revenue Stream Data Analytics De-Siloing hronic are Management Home are New Revenue Sources

32 DISUSSION

33 FAILITY ENABELING STRATEGIES

34 AUSE: EXTERNAL DRIVER OF HANGE For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY hange Management Biometrics IoT New Revenue Sources M&As Non-Traditional Partners Population Health Disaster Preparedness AI VR AR EBD ontinuum of Gamification are Speed to Market Holist ic Med EMR Telehealth ommunity Engagement Data Analytics Person - entered are Staff Engagement Home are De-Siloing Robotics Alliances Wellness Transparency hronic are Management Self-Testing Visible Leadership ooperative are

35 AUSE: EXTERNAL DRIVER OF HANGE For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY Data Analytics hange Management Benchmarking Mock-ups Lean Simulat ions Experience Mapping STANDARDIZATION

36 AUSE: EXTERNAL DRIVER OF HANGE For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY Data Analytics Population Health Benchmarking ROI Analysis OEs STANDARDIZATION

37 AUSE: EXTERNAL DRIVER OF HANGE For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices Indies FAILITY: ENABLING STRATEGY Healt h Villages Areas of Respite Positive Distraction Daylighting Wellness Sense of Place ROI Analysis OEs Branding

38 AUSE: EXTERNAL DRIVER OF HANGE Social Determinants limate hange Technology onsumerism Demographics Research Break-Throughs FLAT-WORLD PHENOMENA Revenue Stream Self-Reliance For- RESPONSE: PROVIDER INITIATIVE Non- New Players Group Practices hange Management Biometrics IoT New Revenue Sources Indies M&As Non-Traditional Partners Population Health Disaster Preparedness AI VR AR EBD ontinuum of Gamification are Speed to Market Holist ic Med EMR Telehealth ommunity Engagement Data Analytics Person - entered are Staff Engagement Home are De-Siloing Robotics Alliances Wellness Transparency hronic are Management Self-Testing Visible Leadership ooperative are Healt h Villages ore oncept Safe Havens Positive Distraction Modularity Daylighting Micro Hospitals Resource Tracking Mock-ups Sense of Place Lean ROI Analysis FAILITY: ENABLING STRATEGY Benchmarking Flexibility Prefabrication Resiliency Areas of Respite Simulat ions Experience Mapping STANDARDIZATION Data Analytics GIS Mapping Intuitive Wayfinding OEs Branding

39 WHAT IS THE HOSPITAL HEALTHARE OF THE FUTURE?

40 DISUSSION