10 Steps to 2010 Managing through the recession Peter D. Lucash, MBA, MPH Digital CPE, LLC Charleston, SC

Where are we? Flat and declining reimbursement The $2 trillion question: Does medicine matter? Can do more, for more What to do

Flat and declining reimbursement

The $2 trillion question: Does medicine matter?

Can do more, for more

What to do

Why 2010? New administration Recession Confluence of issues combined with cost The three big factors

New administration

Recession

Confluence of issues combined with cost

The three big factors

The 10 EHR system Back office and support systems Become digital Quality Wellness and prevention Mid-level practitioners Training Patient interview Add services Market – relationships

EHR system

Back office and support systems

Become digital

Quality

Wellness and prevention

Mid-level practitioners

Training

Patient interview

Add services

Market – relationships

EHR Quality movement Patient centered and patient control Fracturing of care

Quality movement

Patient centered and patient control

Fracturing of care

Back office and support The friction center Wal-mart lesson Ask “why?” Opportunity: audit, analyze and revise

The friction center

Wal-mart lesson

Ask “why?”

Opportunity: audit,

analyze and revise

Become digital About communication: Email Website Information Education Marketing

About communication:

Email

Website

Information

Education

Marketing

Quality The $2 trillion question Healthcare really is about life and death “Never” events

The $2 trillion question

Healthcare really is about life and death

“Never” events

Wellness and prevention Impact on performance Marketing opportunity Revenue opportunity?

Impact on performance

Marketing opportunity

Revenue opportunity?

Mid-level practitioners Cost Quality Patient satisfaction

Cost

Quality

Patient satisfaction

Training The more the staff knows, the more they can support the physician ROI

The more the staff knows, the more they can support the physician

ROI

Patient interview Productivity issue Quality issue

Productivity issue

Quality issue

Add services High marginal profit potential Diagnostics Education Expand scope Bulk up

High marginal profit potential

Diagnostics

Education

Expand scope

Bulk up

Marketing – relationships Marketing is about communication Bond patients to practice Adjunct to clinical services Become “go to” practice

Marketing is about communication

Bond patients to practice

Adjunct to clinical services

Become “go to” practice

The plan Business planning to make this all happen You provide expertise and experience

Business planning to make this all happen

You provide expertise and experience

Execution GANTT chart Budget issues Monitor Management cover

GANTT chart

Budget issues

Monitor

Management cover

Where do you fit in? Business plan Expert assistance EHR Operational planning Implementation

Business plan

Expert assistance

EHR

Operational planning

Implementation

Who has the first question?