Outreach Health Initiatives

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Outreach Health Initiatives

  1. 1. Extending the reach and impact of Penn State Outreach to improve health
  2. 2. Director of Outreach Health Initiatives Chris Calkins, Ph.D. • Penn State Alumnus (1983, 2008 g) • 25+ years professional experience • Health Policy & Administration faculty since 1993 • Director of Special Projects and Executive Assistant Dean: College of Health and Human Development (2001–2005)
  3. 3. Director of Outreach Health Initiatives Chris Calkins, Ph.D. • Penn State Alumnus (1983, 2008 g) • 25+ years professional experience • Health Policy & Administration faculty since 1993 • Director of Special Projects and Executive Assistant Dean: College of Health and Human Development (2001–2005)
  4. 4. Director of Outreach Health Initiatives Chris Calkins, Ph.D. • Clinical Liaison Officer: PS Hershey Medical Center (2005–2008) • Joined Penn State Outreach in November 2008 • Appointedto Governor’s Office of Health Reform, Community Engagement sub-committee (May 2009)
  5. 5. Components: US Healthcare System
  6. 6. Components: US Healthcare System Facilities
  7. 7. Components: US Healthcare System Facilities Workforce
  8. 8. Components: US Healthcare System Rx, Medical Facilities Workforce Supply Companies
  9. 9. Components: US Healthcare System Rx, Medical Facilities Workforce Supply Companies Education and Research
  10. 10. Components: US Healthcare System Rx, Medical Facilities Workforce Supply Companies Education and Financing Research
  11. 11. Components: US Healthcare System Rx, Medical Facilities Workforce Supply Companies Education Organizing and Financing Structure Research
  12. 12. Components: US Healthcare System Rx, Medical Facilities Workforce Supply Companies YOU Education Organizing and Financing Structure Research
  13. 13. Components: US Healthcare System Rx, Medical Facilities Workforce Supply Companies YOU Education Organizing and Financing Structure Research
  14. 14. Components: US Healthcare System Rx, Medical Facilities Workforce Supply Companies YOU Education Organizing and Financing Structure Research
  15. 15. Components: US Healthcare System Rx, Medical Facilities Workforce Supply Companies YOU Education Organizing and Financing Structure Research
  16. 16. Healthcare Consumers
  17. 17. Healthcare Consumers People with Health Conditions Acute; Chronic; Multiple
  18. 18. Healthcare Consumers People with Older People Health Conditions 50-64 Boomers, Medicare 65+, Acute; Chronic; Multiple Boomers turn 65 in 2011
  19. 19. Healthcare Consumers People with Older People Poor People Health Conditions 50-64 Boomers, Medicare 65+, Medicaid (50 million), Acute; Chronic; Multiple Boomers turn 65 in 2011 Federal Poverty Rate
  20. 20. Healthcare Consumers People with Older People Poor People Health Conditions 50-64 Boomers, Medicare 65+, Medicaid (50 million), Acute; Chronic; Multiple Boomers turn 65 in 2011 Federal Poverty Rate Uninsured People 50 million (1 in 6)
  21. 21. Healthcare Consumers People with Older People Poor People Health Conditions 50-64 Boomers, Medicare 65+, Medicaid (50 million), Acute; Chronic; Multiple Boomers turn 65 in 2011 Federal Poverty Rate Uninsured People Caregivers 50 million Providing unreimbursed services (1 in 6) and support to all of the above
  22. 22. Older People in US (Medicare) Poor People in US (Medicaid) Uninsured People in US Population of Canada 0M 13M 25M 38M 50M
  23. 23. Navigating Health
  24. 24. Navigating Health YOU You
  25. 25. Navigating Health YOU You Health Care Provider
  26. 26. Navigating Health Insurance YOU You Health Care Provider
  27. 27. Navigating Health Insurance YOU You Health Care Hospital Provider
  28. 28. Navigating Health Insurance Drug Co. YOU You Health Care Hospital Provider
  29. 29. Navigating Health Education Insurance Drug Co. YOU You Health Care Hospital Provider
  30. 30. Navigating Health Education Insurance Drug Co. YOU You Health Care Hospital Home Provider
  31. 31. Navigating Health Education Insurance Drug Co. YOU You Health Care Hospital Home Health Provider
  32. 32. Navigating Health Education Insurance Drug Co. YOU You Health Care Hospital Home Health Provider Prevention
  33. 33. Life Cycle of a Health Condition
  34. 34. Life Cycle of a Health Condition Individual and Their Family
  35. 35. Life Cycle of a Health Symptoms & Self Care Condition Individual and Their Family
  36. 36. Life Cycle of a Health Symptoms & Self Care Diagnosis > Condition Physician Individual and Their Family
  37. 37. Life Cycle of a Health Symptoms & Self Care Diagnosis > Condition Physician Individual and Critical Their Family Transitions
  38. 38. Life Cycle of a Health Symptoms & Self Care Diagnosis > Condition Physician Individual and Critical Their Family Transitions Treatment
  39. 39. Life Cycle of a Health Symptoms & Self Care Diagnosis > Condition Physician Individual and Critical Their Family Transitions Treatment Monitoring & Transition to Self Care
  40. 40. Life Cycle of a Health Symptoms & Self Care Diagnosis > Condition Physician Individual and Critical Their Family Transitions Episode Management Treatment Monitoring & Transition to Self Care
  41. 41. Life Cycle of a Health Symptoms & Self Care Diagnosis > Condition Physician Transition Individual and Critical Between Their Family Transitions Settings Episode Management Treatment Monitoring & Transition to Self Care
  42. 42. Life Cycle of a Health Return to Health, Symptoms & Self Care Diagnosis > Condition New Normal, End of Life Physician Transition Individual and Critical Between Their Family Transitions Settings Episode Management Treatment Monitoring & Transition to Self Care
  43. 43. How Big is the Healthcare Market?
  44. 44. How Big is the Healthcare Market? • 14million employees (10% of US Labor Force)
  45. 45. How Big is the Healthcare Market? • 14million employees (10% of US Labor Force) • Larger than entire population of Pennsylvania
  46. 46. How Big is the Healthcare Market? • 14million employees (10% of US Labor Force) • Larger than entire population of Pennsylvania • Projectedgrowth in all health professions over the next 5 years
  47. 47. How Big is the Healthcare Market? • 14million employees • Largest private sector (10% of US Labor Force) employer in Pennsylvania • 850,000 people • Larger than entire • 16.9% of private sector population of Pennsylvania employment • Projectedgrowth in all health professions over the next 5 years
  48. 48. How Big is the Healthcare Market? • 14million employees • Largest private sector (10% of US Labor Force) employer in Pennsylvania • 850,000 people • Larger than entire • 16.9% of private sector population of Pennsylvania employment • Projectedgrowth in all • Since 2001, added health professions over 110,000 jobs in the next 5 years Pennsylvania
  49. 49. Potential Consumer Markets Facilities
  50. 50. Potential Consumer Markets Facilities Hospitals 5,700 86% are community based, not-for-profit — 254 in Pennsylvania
  51. 51. Potential Consumer Markets Facilities Nursing Hospitals Homes 5,700 16,100 86% are 725 in community based, Pennsylvania not-for-profit — 254 in Pennsylvania
  52. 52. Potential Consumer Markets Facilities Nursing Home Care Hospitals Homes Agencies 5,700 16,100 9,284 86% are 725 in 245 in community based, Pennsylvania Pennsylvania not-for-profit — — 3.4 million visits 254 in to 153,000 Pennsylvania individuals
  53. 53. Potential Consumer Markets Facilities Nursing Home Care Hospice Hospitals Homes Agencies Programs 5,700 16,100 9,284 3,257 86% are 725 in 245 in 144 in community based, Pennsylvania Pennsylvania Pennsylvania not-for-profit — — 3.4 million visits 254 in to 153,000 Pennsylvania individuals
  54. 54. Potential Consumer Markets Workforce
  55. 55. Potential Consumer Markets Workforce Physicians 817,000 40% work in Primary Care — 5% are mental health providers — 25,000 in Pennsylvania
  56. 56. Potential Consumer Markets Workforce Physicians Nurses 817,000 2.5 million 40% work in 164,000 in Primary Care Pennsylvania — 5% are mental health providers — 25,000 in Pennsylvania
  57. 57. Potential Consumer Markets Workforce Physicians Nurses Other 817,000 2.5 million 817,000 40% work in 164,000 in Therapists Primary Care Pennsylvania — Technicians 5% are mental First Responders health providers — Caregivers 25,000 in Pennsylvania
  58. 58. Potential Consumer Markets Workforce Physicians Nurses Other 817,000 2.5 million 817,000 40% work in 164,000 in Therapists Primary Care Pennsylvania — Technicians 5% are mental First Responders health providers — Caregivers 25,000 in Pennsylvania
  59. 59. Projected Nursing Job Growth By Employment Site Offices of Physicians Home Health Care Outpatient Centers Employment Services Hospitals Nursing Care Facilities 0% 10% 20% 30% 40%
  60. 60. Projected Nursing Job Growth By Employment Site Offices of Physicians Home Health Care 23% 587,000 Outpatient Centers growth new job by 2016 s Employment Services rate Hospitals Nursing Care Facilities 0% 10% 20% 30% 40%
  61. 61. Current Market Drivers
  62. 62. Current Market Drivers Aging Pennsylvania the 2nd oldest state — 16% of PA population is 65+ — Fastest growing segment: 85+
  63. 63. Current Market Drivers Aging Disease Burden Pennsylvania the Growing 2nd oldest state population with — multiple health 16% of PA conditions population is 65+ — Fastest growing segment: 85+
  64. 64. Current Market Drivers Aging Disease Workforce Burden Shortages Pennsylvania the Growing Nurse shortage: 2nd oldest state population with 350,000–500,000 — multiple health by 2020 16% of PA conditions — population is 65+ PC Physician — shortage: 85,000 Fastest growing by 2020 segment: 85+ — Allied Health Professionals
  65. 65. Current Market Drivers Uninsured & Underinsured Delayed care seeking — Rise in use of emergency departments for primary care — Caregiver stress
  66. 66. Current Market Drivers Uninsured & Health Underinsured Literacy Delayed care Navigating the seeking health system — — Rise in use of Understanding emergency options and departments for participating in primary care decision making — — Caregiver stress Changing behaviors
  67. 67. Current Market Drivers Uninsured & Health Use of Web Underinsured Literacy Delayed care Navigating the Explosion of seeking health system information — — — Rise in use of Understanding Decision making emergency options and — departments for participating in Information primary care decision making quality — — — Caregiver stress Changing Social Support behaviors
  68. 68. Current Market Drivers Uninsured & Health Use of Web Underinsured Literacy Delayed care Navigating the Explosion of seeking health system information — — — Rise in use of Understanding Decision making emergency options and — departments for participating in Information primary care decision making quality — — — Caregiver stress Changing Social Support behaviors
  69. 69. Challenge and Opportunity
  70. 70. Challenge and Opportunity DE MAND SUPPLY for health s (physicia care ser vice ns, etc.)
  71. 71. Challenge and Opportunity
  72. 72. Challenge and Opportunity New New New entrant entrant High Barriers to entry supplier New entrant New supplier New supplier New supplier New entrant New New entrant entrant
  73. 73. Challenge and Opportunity Existing Existing Existing Existing supplier supplier supplier supplier Existing Existing Existing Existing supplier supplier supplier supplier
  74. 74. Challenge and Opportunity Existing Existing Existing Existing supplier supplier supplier supplier Existing Existing Existing Existing supplier supplier supplier supplier Expand capacity, increase efficiency, quality of care impacts
  75. 75. Challenge and Opportunity Existing Existing Existing Existing supplier supplier supplier supplier Existing Existing Existing Existing supplier supplier supplier supplier Expand capacity, increase efficiency, quality of care impacts
  76. 76. YOU
  77. 77. direct care YOU
  78. 78. direct care YOU transportation
  79. 79. direct care YOU transportation communication
  80. 80. direct care money YOU transportation communication
  81. 81. direct care money moral support YOU transportation communication
  82. 82. Noise
  83. 83. Data Noise
  84. 84. Information Data Noise
  85. 85. Knowledge Information Data Noise
  86. 86. Insight Knowledge Information Data Noise
  87. 87. Insight
  88. 88. Insight Translation
  89. 89. Insight Translation Compelling Story
  90. 90. Insight Translation Compelling Story Dissemination
  91. 91. Insight Translation Compelling Story Dissemination Public Understanding
  92. 92. Health related 76 programs at almost health related every campus and program areas special mission unit 120 health related degree and certificate programs
  93. 93. Health Resources in Outreach
  94. 94. Health Resources in Outreach Continuing Office of Penn State and Distance Economic and Cooperative Public Education Workforce Extension Broadcasting Development
  95. 95. Health Resources in Outreach Continuing Office of Penn State and Distance Economic and Cooperative Public Education Workforce Extension Broadcasting Development World Campus Continuing Education Justice and Safety Institute Conferences and Institutes
  96. 96. Health Resources in Outreach Continuing Office of Penn State and Distance Economic and Cooperative Public Education Workforce Extension Broadcasting Development World Campus Leadership Development Continuing Community Education Development Justice and Safety Training Institute Conferences and Institutes
  97. 97. Health Resources in Outreach Continuing Office of Penn State and Distance Economic and Cooperative Public Education Workforce Extension Broadcasting Development World Campus Leadership Children, Youth Development & Families Continuing Community Nutrition Education Development and Health Justice and Safety Training Institute Conferences and Institutes
  98. 98. Health Resources in Outreach Continuing Office of Penn State and Distance Economic and Cooperative Public Education Workforce Extension Broadcasting Development World Campus Leadership Children, Youth Public Media Development & Families Continuing Community Nutrition Video Education Development and Health On Demand Justice and Safety Training Media Sales Institute Conferences and Research Institutes Collaboration
  99. 99. Outreach Health Initiatives Vision Establish Penn State Outreach as the trusted source for research-based Health content that meets the needs of our customers where and when they want it delivered
  100. 100. Outreach Health Initiatives Mission To develop and leverage the resources of Penn State and Penn State Outreach to improve human health through community engagement, education, applied research, knowledge transfer, and programming
  101. 101. Outreach Health Initiatives Strategic Goals
  102. 102. Outreach Health Initiatives Strategic Goals 1. Alignment
  103. 103. Outreach Health Initiatives Strategic Goals 1. Alignment 2. Research collaboration
  104. 104. Outreach Health Initiatives Strategic Goals 1. Alignment 2. Research collaboration 3. Addressing health issues
  105. 105. Where do our opportunities lie? Existing Known Content Audiences New New Content Audiences
  106. 106. Where do our opportunities lie? 4 Pathways Existing Known Content Audiences New New Content Audiences
  107. 107. Where do our opportunities lie? 4 Pathways Existing Known Content Audiences New New Content Audiences
  108. 108. Where do our opportunities lie? 4 Pathways Existing Known Content Audiences New New Content Audiences
  109. 109. Where do our opportunities lie? 4 Pathways Existing Known Content Audiences New New Content Audiences
  110. 110. Where do our opportunities lie? 4 Pathways Existing Known Content Audiences New New Content Audiences
  111. 111. Where do our opportunities lie? 4 Pathways Existing Known Content Audiences New New Content Audiences
  112. 112. Current Health Sites: Fragmented and Disconnected
  113. 113. Current Health Sites: Fragmented and Disconnected
  114. 114. Revenue Models
  115. 115. Revenue Models Existing delivery platforms
  116. 116. Revenue Models Existing Contracts delivery to deliver platforms content
  117. 117. Revenue Models Existing Contracts Expand delivery to deliver research platforms content funding
  118. 118. Revenue Models Existing Contracts Expand Seek delivery to deliver research underwriting platforms content funding and support
  119. 119. Innovative Vision: Create a Health Portal
  120. 120. New Revenue Models
  121. 121. New Revenue Models Health Portal: market and navigate PSU Health
  122. 122. New Revenue Models Conference Health Portal: attendees market and become navigate distribution PSU Health channels
  123. 123. New Revenue Models Conference Health Portal: Target attendees market and audiences become navigate find education distribution PSU Health and training channels
  124. 124. New Revenue Models Conference Health Portal: Target Portal attendees market and audiences functions as become navigate find education a delivery distribution PSU Health and training platform channels
  125. 125. New Revenue Quick response to market Models opportunities! Conference Health Portal: Target Portal attendees market and audiences functions as become navigate find education a delivery distribution PSU Health and training platform channels
  126. 126. Metrics to Measure
  127. 127. Metrics to Measure ✓ New enrollments
  128. 128. Metrics to Measure ✓ New enrollments ✓ Partnerships
  129. 129. Metrics to Measure ✓ New enrollments ✓ Partnerships ✓ Student involvement
  130. 130. Metrics to Measure ✓ New enrollments ✓ Partnerships ✓ Student involvement ✓ Contracts
  131. 131. Metrics to Measure ✓ New enrollments ✓ Partnerships ✓ Student involvement ✓ Contracts ✓ Grants
  132. 132. Metrics to Measure ✓ New enrollments ✓ Partnerships ✓ Student involvement ✓ Contracts ✓ Grants ✓ Site Usage
  133. 133. Metrics to Measure ✓ New enrollments ✓ Partnerships ✓ Student involvement ✓ Contracts ✓ Grants ✓ Site Usage ✓ Blog posts
  134. 134. Metrics to Measure ✓ New enrollments ✓ Partnerships ✓ Student involvement ✓ Contracts ✓ Grants ✓ Site Usage ✓ Blog posts ✓ Conference video
  135. 135. Next Steps
  136. 136. Next Steps ✓ Start advisory boards
  137. 137. Next Steps ✓ Start advisory boards ✓ New contacts
  138. 138. Next Steps ✓ Start advisory boards ✓ New contacts ✓ Build Health Portal
  139. 139. Next Steps ✓ Start advisory boards ✓ New contacts ✓ Build Health Portal ✓ Identify core target markets
  140. 140. Re cr uiting now for partners to improve health C O N TAC T: Chris Calkins ccalkins@psu.edu 814-863-5483
  141. 141. Provide information and meaning. Data tells, story sells. -Paul Begala Political consultant to President Clinton, CNN Analyst
  142. 142. Of all the forms of inequality, injustice in health care is the most shocking and inhumane. -Martin Luther King, Jr.
  143. 143. To think that you are not going to fail is an illusion. Fail faster, you will only be closer to what you want. -Anonymous
  144. 144. Choose your rut carefully, you will be in it for the next 25 miles. -Alaskan rural road sign
  145. 145. Back to the Hospital Medicare Re-hospitalization Rate Cumulative percentage of patients re-hospitalized after: 1 month 3 months 6 months 1 year 20% 34% 45% 56% Total Discharged 2,961,460 Source: New England Journal of Medicine

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