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5 Disturbing Trends Facing the Healthcare Industry Today

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The state of the hospital/healthcare system is in flux. This report identifies the troubling trends in the industry and offers suggestions on how to correct them. This report gathered information from …

The state of the hospital/healthcare system is in flux. This report identifies the troubling trends in the industry and offers suggestions on how to correct them. This report gathered information from industry statistics, reports, interviews and first hand experience.

Published in: Health & Medicine

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  • Transcript

    • 1. 5 Disturbing TrendsWhich Are Straining the US Healthcare System
    • 2. The Current US Healthcare Market ✴U.S. Population: 314,000,000 ✴U.S. Population without health insurance coverage: 49,900,000 ✴Medicare recipients: 44,300,000Johns Hopkins Hospital ✴Medicaid recipients: 48,600,000 Source: 2010 US Census
    • 3. Current US Healthcare Statistics ✴5,574 registered hospitals ✴942,000 hospital beds ✴36,915,331 admissions (more than 10% of the population was admitted to a hospital annually) ✴14,400,000 employed nationally in the healthcare industry American Hospital Association 2011Cleveland Clinic US Bureau of Labor Statistics
    • 4. $750,000,000,000The amount that hospitalsare responsible for of the $2.7 Trillion American healthcare dollars spent. The Office of the Actuary (OACT) of the Centers for Medicare and Medicaid Services
    • 5. How the Healthcare dollars are spent Source: Health Affairs 2012
    • 6. 5 Disturbing TrendsWhich Are Straining the US Healthcare System 1. Extreme Financial Challenges 2. Implementation of the “Patient Protection and Affordable Care Act” 3. Patient Records, Safety & Quality 4. Physician / Hospital Relations 5. Using Less than the Most Effective Technology for Patients / Physicians / Nurses
    • 7. Extreme Financial Challenges✴ Balance Sheets still reeling from 2008 meltdown✴ Philanthropy since 2008 is down✴ More under or uninsured patients✴ Needing to provide more care with less reimbursement✴ Many have reduced “Days Cash on Hand”
    • 8. U.S. Not-For-Profit Healthcare Quarterly Ratings Downgraded Debt Trumps Upgraded Debt in Second Quarter 2012 Reversing Prior Trends ” Source: Debt Ratings directly effect your bottom line
    • 9. Continuous Escalating Cost of Operations Equipment IT & Insurance Employee Benefits Energy Compensation Workman’s
    • 10. Patient Protection & Affordable Care Act The Strain1. Time Taken a. Time for training b. Time for implementation c. Time away from other priorities2. Costs Incurred a. Cost for upgraded systems b. Cost for training c. Cost for implementation
    • 11. Readmission Reduction Program Begins $280,000,000 issued in penalties at 1% maximum for 2012 2013: 2% Maximum Penalty 2014: 3% Maximum Penalty Source: Kaiser Health News August 14, 2012
    • 12. Readmission Reduction Program Begins 2,211 (40% of total) The number of hospitals penalized in 2012 Penalties mean less money for operations Source: Kaiser Health News August 14, 2012
    • 13. Ben Franklin on CMS Reimbursents Nothing is certain except death, taxes and reimbursement uncertainty for healthcare providers.
    • 14. Security of Patient Records A few of the recent breaches Name of Entity State Individuals Date of Breach Type of Breach Location of Affected Breached Info Accendo AZ 175,350 01/01/2011 Unauthorized Paper Access/Disclosure S. Carolina Dept. of SC 228,435 1/31/12-4/2/12 Unauthorized Email Health & Human Services Access/Disclosure Seacoast Radiology, PA NH 231,400 11/12/2010 Hacking/ IT Incident Network Server Emory Healthcare GA 315,000 02/07/2012 Unknown Other (Backup Disks) Affinity Health Plan, Inc. NY 344,579 11/24/2009 Other Other Sutter Health CA 943,434 10/15/2011 Theft Computer Eisenhower Med Center CA 514,330 03/11/2011 Theft Computer South Shore Hospital MA 800,000 02/26/2010 Lost Data Shipment Backup Tapes Nemours Foundation DE 1,055,489 08/10/2011 Went Missing Backup Tapes Bronx Healthcare NY 1,700,000 12/23/2010 Theft Backup Tapes Network
    • 15. As of December 31, 2011, nearly three yearsafter the passage of the HITECH BreachNotification Rule ... 407 Breaches Involving 500 or More 2011 Top States for Top 5 Causes of People Reported Incidents Data Breaches in 2011 1. California - 15 1. Lost/Stolen Device - 49% 2.Texas - 11 2. Third-party snafu-46% 3. Illinois - 8 3.Unintentional employee 4. Florida - 7 action - 41% 19,134,403 4. New Jersey -7 4. IT systems glitch - 33% Individuals 5. Criminal attack - 30% Affected $2.2 Million: $6.5 billion: $ $ The Approximate The Approximate 7,231,697 Economic Annual Cost Records Impact of of Healthcare $ $ Compromised a Data Breach on Data Through an organization Breaches Loss Infograph Data Provided by Kaufman, Rossin, & Co. and The Ponemon Institute
    • 16. A few recent headlines that terrify patients Q: Can your budget or reputation handle this?
    • 17. 85% The percentage of patients / respondents to a recent poll that expressed concern over the security of their electronic medical records
    • 18. Patient Safety & Quality 100,000 The number of patients that die each year in a hospital from preventable medical errors. Source: Kathleen Sebelius Secretary of Health & Human Services
    • 19. What would happen if a 747 loadedwith 500 passengers fell out of the sky every other day for a year?That would only equal 91,000 people
    • 20. 100,000 The number of annual deaths caused by Auto accidents, Aids & Breast Cancer Combined. Source: Kathleen Sebelius Secretary of Health & Human ServicesHow long until this becomes a national outrage?
    • 21. The Healthcare Solar SystemPatients Saturn MarsVenus Administrators Physicians Nurses Different worlds that need to align
    • 22. Evolution of Hospital / Physician Relationships75% The percentage of physicians already aligned with hospitals in some way56% The percentage of physicians wanting to closer align with hospitals to increase income40% The percentage of physicians wanting to closer align with hospitals for a more consistent stream of income Source: PwC Health Research Institute
    • 23. Physicians want to work with hospitals BUT.... 57% The percentage of physicians that say they “sometimes trust” hospitals (a critical part of any business) 20% The percentage of physicians that say they “do not trust” hospitals Source: PwC Health Research Institute
    • 24. Hospital updates, renovations and expansion are down since 2008 Source: HFMA Magazine August 2012
    • 25. Physicians, nurses and staff are not provided the most modern toolsMany patients are not receiving the best care available
    • 26. Which frames below look like your hospital?
    • 27. These graduates are being taught to excel with the most modern equipment
    • 28. 1-10 How would you rank yourhospital’s facility & equipment?
    • 29. 30,000,000+ The number of additional insured that will access the system by 2019
    • 30. Can your current facility handle theupcoming patient volume increase?With 30,000,000+ additional peopleentering the healthcare system soon, hospitals are at a crossroad. Do you act now or wait?
    • 31. “If you don’t make a decision, time will make it for you.” Peter Khoury According to the Commonwealth Fund’s report titled “Hospital Quality Improvement” if you don’t choose to address these 5 trends, several things will for you: 1. A series of medical errors with tragic results, which are reported by the media 2. A change in leadership with a strong interest in patient safety & quality 3. A significant loss in market share for certain services that lead to dissatisfied staff & patients
    • 32. Definition of “Success”: Favorable or desired outcomeTo a hospital “success”means:✴ Faster patient flow & test results✴ More efficient data & fewer medication errors✴ Reduction in mortality, blood infections, pneumoniaand readmissions✴ Better able to attract quality staff & physicians✴ Decreased costs per hospitalization & length of stay Innovative Technology helps all of these improve
    • 33. All patients with a choice can check online and will know your history and reputation
    • 34. If money was no issue, what systems, technologies andpractices would you implement at your facility today?
    • 35. 1st Consideration Can you make better use of your existing technology & systems and get the following?✴ More output from existing technology✴ New functionality from existing technology✴ Link with external systems for greater capabilities
    • 36. 2nd Consideration Reorganize for a culture of QUALITY✴ Create or reenergize committees on patient quality✴ Nurture physicians and nurses to take the lead toaddress deficiencies and educate peers✴ Encourage staff to express concerns, identifydeficiencies and challenge status quo
    • 37. Challenges to Implement✴ Resistance to change in the culture✴ Limited resources✴ The urge to rest on prior success
    • 38. You can choose to act or .....
    • 39. If current technology will be part of the new culture: to include✴ Mobile Technology✴ Nurse Call Stations✴ PET, CAT or MR Imaging✴ Communication / Telephone✴ Central Computing for EHR✴ Beds or Beside Stations✴ Hand Hygiene Monitoring Systems✴ Robotics
    • 40. Now more than ever, a financial strategyis needed for IT & equipment acquisition. Leasing or Financing are two alternatives instead of using your precious cash
    • 41. Using these proven equipment financing strategies your hospital will improve it’s reputation, attract and maintain top level staff, minimize risk, be the hospital of choice in your community and maintain patient trust.
    • 42. Contact us today for a complimentary assessment of your environment & additional reporting on the 5 Disturbing Trends. John Turnacliff (415) 932-8354 jturnacliff@goldengateequipmentfinance.com
    • 43. The Trusted Leader in Equipment Leasing and Finance John Turnacliff President 145 Corte Madera Town Center, Suite 120, Corte Madera, CA 94925 Direct: 415-932-8354 | Cell: 415-505-4277 | Fax : 415-380-8471www. |