future of healthcare - aia minnesota · future of healthcare agenda jim lammers rick hintz david...
TRANSCRIPT
5/23/2018
FUTURE OF HEALTHCARE – DISRUPTIVE AGENTS OF CHANGE
5/23/2018
WELCOME
PRESENTATION - FUTURE OF HEALTHCARE: DISRUPTIVE AGENTS OF CHANGE
DISCUSSION
FUTURE OF HEALTHCARE AGENDA
JIM LAMMERS RICK HINTZ JENNIFER UKURADAVID VOLLER
5/23/2018
FUTURE OF HEALTHCARE – CAUSE VS RESPONSE
5/23/2018
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
SOCIAL / POLITICAL /
ECONOMIC /
TECHNOLOGICAL
FORCES IMPACTING
HEALTHCARE INDUSTRY
PROVIDERS
SOCIAL / POLITICAL /
ECONOMIC /
TECHNOLOGICAL
FORCES IMPACTING
HEALTHCARE INDUSTRY
DESIGN & FACILITY
INTERVENTIONS
SOCIAL / POLITICAL /
ECONOMIC /
TECHNOLOGICAL
FORCES IMPACTING
HEALTHCARE INDUSTRY
SOCIAL
POLITICAL
ECONOMIC
TECHNOLOGICAL
DRIVERS OF
CHANGE
5/23/2018
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
5/23/2018
Technology
Social Determinants
FLAT-WORLD
PHENOMENA
Research
Breakthroughs
Consumerism
Demographics
Revenue
Stream
Self-Reliance
Climate Change
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
5/23/2018
Technology
Social Determinants
FLAT-WORLD
PHENOMENA
Research
Breakthroughs
Consumerism
Demographics
Revenue
Stream
Self-Reliance
Climate Change
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
New Revenue Sources
Disaster Preparedness
M&As
Population
Health
Telehealth
AI VR AR
Biometrics IoT
Data Analytics
Home Care
Robotics
Community
Engagement
Transparency
“Person”-Centered Care
EBD
Wellness
Chronic Care
Management
Staff Engagement
De-Siloing
Self-Testing
Visible Leadership
Change Management
Cooperative Care
Holist ic MedEMR
Alliances
Non-Traditional
Partners
Speed to Market
GamificationContinuum of
Care
5/23/2018
Daylighting
SimulationsExperience Mapping
Health Villages
Micro Hospitals
Core Concept
Safe Havens
Benchmarking
Mock-upsFlexibility
Resource Tracking
Prefabrication
Modularity
ROI
Analysis
Branding
Resiliency
Areas of Respite
Sense of Place
STANDARDIZATION
Intuitive
Wayfinding
Positive Distraction
Data Analytics
GIS Mapping
COEs
Lean
Technology
Social Determinants
FLAT-WORLD
PHENOMENA
Research
Breakthroughs
Consumerism
Demographics
Revenue
Stream
Self-Reliance
Climate Change
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
New Revenue Sources
Disaster Preparedness
M&As
Population
Health
Telehealth
AI VR AR
Biometrics IoT
Data Analytics
Home Care
Robotics
Community
Engagement
Transparency
“Person”-Centered Care
EBD
Wellness
Chronic Care
Management
Staff Engagement
De-Siloing
Self-Testing
Visible Leadership
Change Management
Cooperative Care
Holist ic MedEMR
Alliances
Non-Traditional
Partners
Speed to Market
GamificationContinuum of
Care
5/23/2018
Daylighting
SimulationsExperience Mapping
Health Villages
Micro Hospitals
Core Concept
Safe Havens
Benchmarking
Mock-upsFlexibility
Resource Tracking
Prefabrication
Modularity
ROI
Analysis
Branding
Resiliency
Areas of Respite
Sense of Place
STANDARDIZATION
Intuitive
Wayfinding
Positive Distraction
Data Analytics
GIS Mapping
COEs
Lean
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
Technology
Social Determinants
FLAT-WORLD
PHENOMENA
Research
Breakthroughs
Consumerism
Demographics
Revenue
Stream
Self-Reliance
Climate Change
New Revenue Sources
Disaster Preparedness
M&As
Population
Health
Telehealth
AI VR AR
Biometrics IoT
Data Analytics
Home Care
Robotics
Community
Engagement
Transparency
“Person”-Centered Care
EBD
Wellness
Chronic Care
Management
Staff Engagement
De-Siloing
Self-Testing
Visible Leadership
Change Management
Cooperative Care
Holist ic MedEMR
Alliances
Non-Traditional
Partners
Speed to Market
GamificationContinuum of
Care
5/23/2018
DRIVERS OF CHANGE
5/23/2018
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
CC
Technology
Social Determinants
FLAT-WORLD
PHENOMENA
Research
Breakthroughs
Consumerism
Demographics
Revenue
Stream
Self-Reliance
Climate Change
5/23/2018
Increase of those over 65 x2
Utilization of those 65+ x3.5
DEMOGRAPHICS
Key Take-Away:
Demand (2010-2030) 700%+
5/23/2018
Key Take-Away:
Poorest outcomes
at the highest cost
HEALTHCARE REFORM
SOURCE: The Advisory Board
5/23/2018
Key Take-Away:
Unsustainable Financial Burden
HEALTHCARE REFORM
SOURCE: The Advisory Board
5/23/2018
HEALTHCARE REFORM
Key Take-Away:
Externalities--What’s good for HC
may not be the primary motive
5/23/2018
REVENUE STREAM
Key Take-Away:
Revenue incentives are
turning upside down
• Single Payer
• Value-based model
• Universal Coverage
• Bundled Payments
• Risk Shifting
• ACOs (Accountable Care Organizations)
• MACRA(Medicare and CHIP Reauthorization Act of 2015)
• APM (Alternative Payment Models)
• MIPS (Merit-based Incentive Payment System)
5/23/2018
SOCIAL DETERMINANTS
Key Take-Away:
Health outcomes largely determined by
factors outside the healthcare profession
GRAPHIC: Rick Hintz, AIA (Perkins+Will)
5/23/2018
CLIMATE CHANGE
Key Take-Away:
Intensity & Frequency: Hospitals
failed when most in need
5/23/2018
CONSUMERISM
Key Take-Away:
“One size fits all” in HC
is going the way of Herberger’s
• Transparency
• Innovative/Disruptive driving changes in delivery
– Insurance/Industry (non-traditional partners)
– New services (community paramedics, telehealth)
– New entrants (Chologaurd/Self-monitoring and care)
• Access to knowledge/Informed buyers
• Increased accountability by care teams/services
5/23/2018
• Preventive Analytics
• Genomics
• Data (EHR) Analytics
• DNA Analytics
• Flu Predictions
• Crowd Sourcing Diseases
• Self-Testing
• Telehealth
• Less Invasive Procedures
• Drug Safety
• Evidence-Based
• AI and Robotics
TECHNOLOGY
Key Take-Away:
Technology is Pervasive
5/23/2018
RESEARCH BREAK-THROUGHS
POINT OF CARE SEQUENCING
KETAMINE DEPRESSION
CELLULAR IMMUNOTHERAPY MICROBIOME CULTUREGENE EDITING
COCHLEAR IMPLANTSBIOSOLUABLE STENTS LIQUID BIOPSIES
Key Take-Away:
Expedite, minimize, eliminate
need for clinical interventions
5/23/2018
EHR mining:
• Racial disparities in healthcare access
• County-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
RESEARCH BREAK-THROUGHS
Key Take-Away:
Breakthroughs are
happening every day
5/23/2018
SELF-RELIANCE
Key Take-Away:
Consumers are more
knowledgeable and want more
control over their Healthcare
SOURCE: Medscape
SOURCE: Medscape
5/23/2018
SELF-RELIANCE
Key Take-Away:
Consumers are more
knowledgeable and want more
control over their Healthcare
5/23/2018
FLAT-WORLD PHENOMENA
Key Take-Away:
Global market: Comparable
expertise/results at half the cost
5/23/2018
DISCUSSION
5/23/2018
RESPONSE – PROVIDER INITIATIVES
5/23/2018
CCC
Technology
Social Determinants
FLAT-WORLD
PHENOMENA
Research
Breakthroughs
Consumerism
Demographics
Revenue
Stream
Self-Reliance
Climate Change
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
5/23/2018
CCC
Technology
AI VR AR
Biometrics IoT
Data Analytics
Home Care
Robotics
Self-Testing
EMR
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
5/23/2018
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
Consumerism Biometrics IoT
Home Care
Transparency
“Person”-Centered Care
Population
Health
Wellness
Chronic Care
Management
Self-Testing
Cooperative Care
Holist ic Med
Continuum of
Care
5/23/2018
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
Revenue
Stream
New Revenue Sources
M&As
Data Analytics De-Siloing
Change ManagementNon-Traditional
Partners
Speed to Market
Home Care
Population
Health
Chronic Care
Management
Continuum of
Care
5/23/2018
DISCUSSION
5/23/2018
FACILITY– ENABELING STRATEGIES
5/23/2018
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
New Revenue Sources
Disaster Preparedness
M&As
Population
Health
Telehealth
AI VR AR
Biometrics IoT
Data Analytics
Home Care
Robotics
Community
Engagement
Transparency
“Person”-Centered Care
EBD
Wellness
Chronic Care
Management
Staff Engagement
De-Siloing
Self-Testing
Visible Leadership
Change Management
Cooperative Care
Holist ic MedEMR
Alliances
Non-Traditional
Partners
Speed to Market
GamificationContinuum of
Care
5/23/2018
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
SimulationsExperience Mapping
Mock-ups
Lean
Benchmarking
STANDARDIZATION
Data Analytics
Change Management
5/23/2018
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
CBenchmarking
STANDARDIZATION
Data Analytics
Population
Health
ROI
AnalysisCOEs
5/23/2018
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
Daylighting
Health Villages
ROI
Analysis
Branding
Areas of Respite
Sense of Place
Positive Distraction
COEs
Wellness
5/23/2018
Daylighting
SimulationsExperience Mapping
Health Villages
Micro Hospitals
Core Concept
Safe Havens
Benchmarking
Mock-upsFlexibility
Resource Tracking
Prefabrication
Modularity
ROI
Analysis
Branding
Resiliency
Areas of Respite
Sense of Place
STANDARDIZATION
Intuitive
Wayfinding
Positive Distraction
Data Analytics
GIS Mapping
COEs
Lean
C
CAUSE:EXTERNAL
DRIVER OF CHANGE
RESPONSE:PROVIDER INITIATIVE
FACILITY: ENABLING STRATEGY
C
For-
Profits
Non-
ProfitsNew
Players
Group
PracticesIndies
C
Technology
Social Determinants
FLAT-WORLD
PHENOMENA
Research
Break-Throughs
Consumerism
Demographics
Revenue
Stream
Self-Reliance
Climate Change
New Revenue Sources
Disaster Preparedness
M&As
Population
Health
Telehealth
AI VR AR
Biometrics IoT
Data Analytics
Home Care
Robotics
Community
Engagement
Transparency
“Person”-Centered Care
EBD
Wellness
Chronic Care
Management
Staff Engagement
De-Siloing
Self-Testing
Visible Leadership
Change Management
Cooperative Care
Holist ic MedEMR
Alliances
Non-Traditional
Partners
Speed to Market
GamificationContinuum of
Care
5/23/2018
WHAT IS THE HOSPITAL HEALTHCARE OF THE FUTURE?
5/23/2018
DISCUSSION