1

The future health ecosystem will focus on the true drivers of outcomes

Health Behaviors Clinical Care

Social & Economic FactorsPhysical Environment

30% 20%

40%10%

Access to CareQuality of Care

EducationEmploymentIncomeFamily/Social SupportCommunity Safety

Air & Water QualityHousing & Transit

Pred

ict

Monitor Pre

vent

Treat

Source: RWJF/UWPHI.

GeneticsDiet & ExerciseTobacco UseAlcohol & Drug UseSexual ActivitySleep

2

Health Behaviors (30% of outcomes)

Vector 2:Evidence-Based

Decisions

Vector 3:B2C Health

Improvement Programs

Vector 1:Next Generation

Primary Care

Self-tracking/testing: Wearables/Hardware

Personalized Medicine/Genomics

Health Information

Care Navigation

Disease Management

PeerNetworks

Health Coaching

Decision-Making Tools

Care Access

Remote Patient

Monitoring

Patient Engagement

Health Behaviors

30%

Wellness Programs

Source: RWJF/UWPHI.

GeneticsDiet & ExerciseTobacco UseAlcohol & Drug UseSexual ActivitySleep

Family support & self-help patient

groups

3

Clinical Care (20% of outcomes)

Vector 5:Analytics and

Clinical Decision Support

Vector 2:Next Generation

Primary Care

Vector 3:Value-Based Care

Vector 4:Operational Efficiency

Vector 1:Disease-Specific Care Pathways

Practice Management,

EMRs, Pharmacy Management

Transparency

Tech-enabled services

Retail Clinics, DPC

Care Coordination

Patient EngagementBig Data

Personalized Medicine

Medication Managemen

t

Clinical Care

20%

Access to CareQuality of Care

Nanotechnology

House Calls

Source: RWJF/UWPHI.

Knowledge Sharing

4

Social & Economic Factors (40% of outcomes)

Advance Directives Programs/Services

Next Gen Benefits

Social Services Access/Management

Vector 1:Equilibrating Healthcare

Expense

Vector 2:Community-Based Health Initiatives

Vector 3:Aging & End-of-Life Programs Social & Economic Factors

40%EducationEmploymentIncomeFamily/Social SupportCommunity Safety

House Calls Hospice Programs

Virtual Medicine

Incentive ProgramsWellness Programs

Source: RWJF/UWPHI.

Early ID and prevention programs

5

Physical Environment (10% of outcomes)

GPS-enabled sensors

Physical Environment

10%

Air & Water QualityHousing & Transit

Vector 1:Targeted

Monitoring and Rapid Response

Vector 2:Community-Based Health Initiatives

Vector 3:Affordable Living

and Access

Food , Housing, and

Transportation Access

Next Generation Public Transport

Environmental Response

Mechanisms

Continuous Monitoring

Source: RWJF/UWPHI.

Built Environment

Design

Broadband connectivity