Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010

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Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010

  1. 1. Wellness & Primary Prevention The Keystone to Healthcare Transformation Michael H. Samuelson President & CEO, The Health & Wellness Institute Adjunct Professor, Health Services Administration The University of Rhode Island
  2. 2. Outline !  Radar: Pay Attention !  Context & Texture !  What is Wellness? !  Fundamental Understandings !  Healthcare vs. Sickcare: Time to Level Set !  Framing the Challenge: The 5 Ws !  What’s Happening? – Current Conditions !  So What? – Trends and Consequences (DNA) !  What Now? – Triage and First Things First !  What’s Next? – Strategic Intent and Plan !  What Difference Will/Did it Make? – ROI !  The Health Care Social Contract !  The 5 Critical Components of a Prevention Strategy !  Q&A
  3. 3. then and now: A 30+ Year Journey 1978" 2010"
  4. 4. then and now: A 40+ Year Journey 1978 1968 2010
  5. 5. radar & mountains Indian Mountain AFS, AK, 1968
  6. 6. Context & Texture
  7. 7. Tao Te Ching - Lao Tzu, 6th century BC Thirty spokes share the wheel’s hub; It is the center hole that makes it useful. Shape clay into a vessel; It is the space within that makes it useful. Cut doors and windows for a room; It is the holes which make it useful. Therefore profit comes from what is there; Usefulness from what is not there.
  8. 8. healthcare 2010: Critical Areas of Concern Genomics Indigent Population Aging Population Medical Tourism Access Convenient Care Affordability Technology Uninsured Malpractice Economic and Health Impact of Behavior Paternalism/Entitlement Universal Healthcare Mandated Benefits Single Payer Defensive Medicine Growth of Chronic Care Immigrant Healthcare Shared Responsibility Health Literacy Personal Accountability Health Education Specialty Pharmacy Never Events End of Life Issues Rx Drug Reform Legislative Streamlining and Reform Electronic Medical Records Culture/Language Barriers Emergency Medicine (disaster/pandemic) Transparency Pay for Performance Medical Report Cards Tele-Medicine Economics & Enforcement of HIPPA Shift to the Prevention Side of the Care Continuum Orphaned Diseases Medical Divide (regional, global, cultural, ethnic disparity) On-Line Rx E-Health Information & Misinformation (WEB) Media Influence (TV/Movies) Tort Reform
  9. 9. What is Wellness?
  10. 10. definition of wellness" WELLNESS is an umbrella descriptor for programs, policies and initiatives that promote health, prevent certain diseases and compress morbidity (shorten length of illness). Wellness is also an objective and subjective incremental state of well-being with infinite variations. - The Health & Wellness Institute !"
  11. 11. Ten Fundamental Understandings 1.  Change is a linear and sequential process. intellectual emotional visceral cellular
  12. 12. Ten Fundamental Understandings 1.  Change is a linear and sequential process. 2.  The incumbent has the power. 3.  People run from pain faster than they run toward pleasure. 4.  There is no power stronger than self-fulfilling prophesy. 5.  What you learned in Kindergarten is not enough.
  13. 13. Ten Fundamental Understandings 6.  Beware, the law of assimilation. 7.  What you don’t know can hurt you! 8.  It is critical that you secure your own mask before assisting others. 9.  Without innovation, you are simply living a memory. 10.  “He not busy being born is busy dying.” - Bob Dylan
  14. 14. Healthcare vs. Sickcare
  15. 15. Healthcare vs. Sickcare: Time to Level Set 1.  Nothing and Nobody will Lower your Healthcare Costs. 2.  Death is not a Curable Disease. 3.  “Wellness” is an amorphous, dangerous & distracting term. 4.  The issues of concern are health promotion, disease PREVENTION, compressed morbidity, increased productivity and medical cost control. 5.  Ultimately, organization measure success by mission and margin. Individuals (employees) measure success in terms of subjective well-being.
  16. 16. Healthcare vs. Sickcare: Time to Level Set 6.  There is no political will to change healthcare: The question is not HOW do we improve health? The question is WHY don’t we care? One answer is science, the other is art. 7.  If “greed” is good…”sickness” is better. 8.  Pogo was right… 9.  Healthcare spend & focus needs to shift from disease management (survival) to primary prevention (thrival). 10.  It is arrogant and presumptuous to suggest that a list has independent value.
  17. 17. Context & Texture Clarity & Meaning Derek
  18. 18. The Five Ws: Wellness in Context
  19. 19. the five Ws: wellness in context" framing the challenge: the 5 Ws: •  what’s Happening? – current Conditions •  so what? – trends and consequences (DNA) •  what now? – triage and first things first •  what’s next? – strategic intent and plan •  what difference will/did it make? – ROI
  20. 20. #$%&'()#" *$++#" ,$%-)" The Healthcare Social Contract " &$.##)'."" /)0)&#$1"
  21. 21. The Health Care Social Contract" 2)',(*"3'&)"4$%5',"3$1(&'%(" The Health Care Social Contract
  22. 22. the health care social contract Health Care Social Contract" responsibilities Society (Government, Medical Providers/Employers) Individual •  Awareness •  Healthy Choices •  Education •  Self-Observation/Care •  Access •  Evidenced-Based Screenings •  Supportive Infrastructure (Age/Gender) •  Evidence-Based Medicine & •  Timely & Appropriate Prevention Support Attention •  Medical Compliance
  23. 23. the health2)',(*"3'&)"4$%5',"3$1(&'%(" contract care social penalties Society (Government, Medical Providers/Employers) Individual •  Removal from Public Office •  Increased Financial Obligation (Government) •  Compressed Quality of Life/ •  Fines (Employer) Expanded Morbidity •  Reduced Reimbursements •  Potential Criminal Charges (Medical Providers) (Re: Care of Minors)
  24. 24. the health2)',(*"3'&)"4$%5',"3$1(&'%(" contract care social rewards Society (Government, Medical Providers/Employers) Individual •  Re-Election (Government) •  Favorable Insurance and Co- •  Tax Credits and Favorable Pay Rates Insurance Rates (Employer) •  Expanded Quality of Life & •  Higher Reimbursements Compressed Morbidity (Medical Providers) •  Happier & Healthier Dependants
  25. 25. A Five Step Strategic Approach" 1.  Organize population by risk level 2.  Conduct corporate health audit •  Senior management & employee attitudes •  Policies and benefits •  Communications systems •  Environment 3.  Adjust corporate culture 4.  Implement program of awareness, education, and intervention to keep low-risk low and move high-risk to low-risk 5.  Evaluate, update, and maintain
  26. 26. thank you! 1978 1968 2010
  27. 27. Wellness & Primary Prevention The Keystone to Healthcare Transformation Michael H. Samuelson President & CEO, The Health & Wellness Institute Adjunct Professor, Health Services Administration The University of Rhode Island

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