College of Health Solutions and Delivery Science

Keith D. Lindor, MDExecutive Vice Provost and Dean

Focusing on the development of safe, cost-effective, patient-centered health care systems

Emphasis is on health as well as health care Developing different interprofessional delivery

models as payment systems change

Science of Health Care Delivery

Home of the College of Health Solutions:

The ASU Downtown Phoenix Campus

Help ASU Develop New Models To Improve Health

Lower Costs

Enhance Access

College of Health Solutions Mission

Formed in 2012

Create a new health education model

Serve as bridge across ASU to create synergy within university and with strategic partners

College of Health Solutions

ASU is right university No medical center

Many resources

Vested interests

Broad interest in health

No status quo to protect

Why Arizona?

School of Nutrition and Health Promotion

School for the Science of Health Care Delivery

Department of Biomedical Informatics

Department of Speech and Hearing Science

Nicholas A. Cummings Behavioral Health Program

College of Health Solutions Programs

4,240 undergraduate students 548 graduate students 651 online students 200 faculty $9.7 million in research expenditures 92 Barrett Honors College Scholars

College of Health Solutions by the #’s

Bachelor of Science in Biomedical Informatics

Bachelor in Health Education and Health

Promotion

Bachelor of Science in Medical Studies

Bachelor of Science in Nutrition (Food

and Tourism Concentration)

Bachelor of Science in Public Health

Bachelor of Science in the Science of Health

Care Delivery

New Undergraduate Studies

Master of Science in Biomedical Diagnostics

Master of Science in Clinical Exercise Physiology

Master of Science in Exercise Wellness (Healthy

Aging)

Master of Science in Obesity Prevention and

Management

Master of Public Health (Administration and Policy)

Master of Public Health (Nutrition)

New Graduate Studies

College of Nursing and Health Innovation

School of Biological and Health Engineering

Center for Health Information and Research

Health Delivery and Policy Program

Healthcare Transformation Institute

Center for Metabolic and Vascular Biology

Allied and Affiliated Units

Mayo Medical School Research Center for the Science of Health Care

Delivery

Collaboration with Mayo

1999 2001 2003 2005 2006 2007 2008 2009 20100

50,000

100,000

150,000

200,000

250,000

300,000

350,000

Health Science/Allied Health

Undecided

Business/Mgmt

Education

Social Sciences

Visual and Perf Arts

Sciences (Bio and Physical)

Engineering

Communications

Community and Personal Ser.

American College Testing Program National Reports

An overview of top student-plannededucational majors: 1999-2010

Private-Sector Employment in Health

Source: IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press.

Percentage of total private-sector health care industries

A Working Definition

Applies scientific insights to understand the

elements that influence health outcomes

Models the relationships between those elements

Alters design, processes, or policies based on the

resultant knowledge

In order to produce

better health at lower cost

Systems Approach to Health

Source: Kaplan G, Bo-Linn G, Carayon P, et al. Bringing a systems approach to health. Discussion Paper, Institute of Medicine and National Academy of Engineering. 2013

Accountable Care Organizations and other models aimed at rewarding outcomes

Penalties for inappropriate hospital readmissions

Movement towards medical home model where care is coordinated

Integration of acute care and behavioral healthcare

Changes in Care Delivery

Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives

VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.

By 2020 > 250,000 public health worker shortage Public health schools have to triple the # of

grads to meet projected needs

Public Health Workforce Shortage

Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives

VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.

U.S. Workforce Employment,2008 and Projected 2018

OccupationTotal job openings due to

growth and net replacements, 2008-2018 (in thousands)

Change (percentage)

Health care practitioners and technical occupations

3,139 21.4

Health care support occupations

1,595 28.8

Sales and related occupations

5,713 6.2

Education, training, and library occupations

3,332 14.4

Community and social services occupations

1,033 16.5

Office and administrative support occupations

7,225 7.6

IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press.

Science of Health Care Delivery

Statistical Tools and Bioinformatics for Health

Health Care Systems Design 

Becoming Leaders Who Matter(Leadership and Professionalism in Health Care) 

Healthy Lifestyle Promotion (includes behavioral aspects of health) 

Economics, Policy and Payment Models in Health Care

Leading Organizational Change

Health Disparities and Access

Law & Health

Creativity & Innovation (in Health Care Settings)

Capstone

Seminar

35 students preparing for the future in health care delivery

Quality improvement Health disparities Health education Health economics Data and Health program analyses Public policy Evidence based assessment Interprofessional teamwork and management

MS SHCD First Cohort

Future of Health

Focus away from health care

Health is the issue Home

Community

School

Workplace

The Strategy That Will Fix Health Care

1Organize into

integrated units (IPUs)

2Measure

Outcomes and Costs for

Every Patient

3Move to Bundled

Payments for Care Cycles

4Integrate

Care Delivery Across

Separate Facilities

5Expand

Excellent Services Across

Geography

6 Build an Enabling Information Technology Platform

Porter ME, Lee TH. The Strategy That Will Fix Health Care. Harvard Business Review. October 2013. Retrieved: http://hbr.org/2013/10/the-strategy-that-will-fix-health-care/ar/pr

Situation

More than 1 million Arizonans entering system

An aging population living longer Move from fee-for-service to pre-paid service ACOs emerging and driving cost savings Health providers incentivized to provide right

level of affordable care Technological advancements altering

traditional health care

Predictions

Focus on health vs. health care Transition from “big” to “broad” access Prevalence of health and wellness programs Rise of self-monitoring devices to manage and

mitigate health issues Need for health advocates to educate and

encourage healthy lifestyles Reorganization of what health professionals do

(new delivery models require different training) Interprofessionalism is no longer an option… it’s

required

Thank you!

Questions?