2. INTRODUCTION
• What will be covered today is the vast array of information that surrounds the
healthcare industry on a day-to-day basis and how important it is to our economy
that we continue to have such a robust and growing healthcare system.
3. LANGUAGE USED IN HEALTHCARE
• The vast amount of terms and acronyms used in healthcare is quite astonishing and the first two weeks will be a blur and there will be
terms and acronyms thrown about the office that don’t seem real yet everyone else will understand them. It’ll take a while to get even a
small grasp on all of the terminology used within healthcare and towards the end of this internship there will still be completely new
terms and acronyms that will still pop up.
• A few common terms and acronyms that will be used in this internship
• ACO
• Access
• BCBS
• BSWH
• CC
• CTX
• HTPN
• Integration
• MA
• NTX
• OR
• PAC
4. PROBLEMS THE HEALTHCARE INDUSTRY IS
FACING TODAY
• Complying with government requirements and mandates
• Responsible for over 30% of the day–to-day challenges
• AI moving into back office and supply chain roles
• Tackling the opioid epidemic
• 64,000 deaths from opioid overdoses in 2016—nearly half of which involved a prescription opioid
5. MERGERS & ACQUISITIONS AND WHY
THEY’RE HAPPENING
• Cigna acquires Express Scripts
• $67 billion acquisition
• CVS acquires Aetna
• $69 billion acquisition
• Advocate Health Care and Aurora Health Care Merger
• Combined revenue of nearly $11 billion
• Created the 10th largest not-for-profit hospital system in the country
• Dignity Health and Catholic Health Initiatives Merger
• Combined revenue of over $27 billion
• Became the largest not-for-profit hospital system in the country
• Why are they happening?
• Expands the scope of services available to patients
• Result in efficiencies that can unleash savings, innovation and quality improvement
6. • Insider Misuse
• People get jobs in healthcare for the sole purpose of gaining access to patient health information
• Responsible for over 15% of security breach incidents
• Increase of High Deductible Plans
• Uncertain Outlook of the Affordable Care Act
• Cyber Attacks
• Medical Device Hacking
• Phishing and Ransomware
• Poor healthcare funding affecting security
• Internet-enabled healthcare attacks
• Increased use of Cloud computing and online security
THREATS TO THE HEALTHCARE INDUSTRY
7. • Healthcare Consumerism
• Hospitals need to think more like the best-loved consumer brands to develop lasting relationships with healthcare
consumers
• Rising rates of disease diagnosis and treatment
• More patients being diagnosed with a wider range of diseases is resulting in healthcare systems being taxed with treating a
growing number of people moving forward
• High and rising out-of-pocket spending on healthcare
• Health expenses in the U.S. are out of control and the rising rates of out-of-pocket spending will only make that reality more
unpredictable
• Physician shortages
• Supply of clinicians appears to be threatened and that will challenge hospitals
• Trump Administration
• Attempting to repeal and replace the Affordable Care Act
DISRUPTORS IN THE HEALTHCARE INDUSTRY
• Mergers and acquisitions
• High rate of mergers will continue as companies seek growth by acquisition, new
technologies and expertise
8. • Indispensability
• Healthcare systems must make themselves indispensable with an offering that community residents, patients and payers
cannot refuse
• Reinvent patient experience
• Reinvent core patient processes to leverage technologies and drive dramatically better patient engagement and experience
• Transformational leadership
• Leaders must be able to envision and execute on new, unprecedented futures while being highly skilled in the interpersonal
skills needed to partner with physicians and care providers and to support and encourage creativity while maintaining
discipline
• Leveraging new technology
• Establish a strong capability and capacity to leverage information technology, including but not limited to mobile and web
technology
• Innovation
• Healthcare systems need to have an embedded competency for creativity to continually innovate and change
• New horizons
CRITICAL SUCCESS FACTORS FOR THE
HEALTHCARE INDUSTRY
9. • A good healthcare system is vital to the economy and is one of the most self-
sustaining industries in the world and will to continue to be far into the future. If
healthcare suddenly disappeared, our economy would be in disarray and people
would begin suffering from even the smallest of things. The day-to-day operations of
the healthcare industry is vital in a number of different ways from treating the sick and
elderly to fixing broken bones to sewing stitches. Healthcare is at the forefront of the
world economy right now and it isn’t looking back anytime soon.
CONCLUSION