Health Care Status Quo Results Gallery

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Collection of graphics from the havoc that status quo healthcare has wreaked on the American Dream. Impacts of price gouging and profiteering. Includes comparison between U.S. hospital prices vs international prices.

Health & Medicine

6
CATASTROPHIC MISALLOCATION OF RESOURCES
HEALTHCARE SPENDING DEVASTATES SOCIAL DETERMINANTS OF HEALTH (FY01-14, STATE OF
MASSACHUSETTS)
↓ 50% Local Aid
↓ 31% Public Health
↓ 22% Mental Health
↓ 14% Infrastructure, Housing & Economic Development
↓ 13% Law & Public Safety
↓ 12% Education
↓ 11% Human Services
+37
%Healthcare
Spending

Highly confidential. Do not share withoutpermission.
7
DEVASTATING IMPACT ON OUR KIDS

Over-prescribing enabled by status quo health plans

Hospital Pricing Comparison
vs International

59
“You can always count on
Americans to do the right thing —
after they’ve tried everything else.”
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BRIEF REPORT Screening for Depression Among Minority Young Males Attending a Family Planning Clinic Ruth S. Buzi and Peggy B. Smith Baylor College of Medicine Maxine L. Weinman University of Houston The Center for Epidemiologic Studies Depression Scale (CES-D) was used to assess depression among 535 African American and Hispanic young males ages 14 to 27 attending a family planning clinic. The assessment indicated that 119 (22.2%) males met criteria for depression. The study also examined the associations between depression, sociodemographics, and service requests. Depressed males were more likely than nondepressed males to be Hispanic and to request services related to relationships, feelings, financial resources, physical issues, and well-being. The findings indicated that young males who are affected by depression have unmet needs, but when given an opportunity, are able to express those needs. Because family planning clinics are increasing the number of male clients, they are well positioned to screen them for depression. Keywords: young males, depression, request for services Major Depressive Disorder (MDD) is recognized as one of the most common chronic conditions today. According to the U.S. Department of Health and Human Services (2012), ap- proximately 2 million adolescents, or 8.0% of the population ages 12 to 17, had at least one major depressive episode during 2010. A recent report by the Substance Abuse and Mental Health Services Administration (SAMHSA, 2012) indicates that one in five American adults aged 18 or older, or 45.6 million, people had mental illness in the past year. The rate of mental illness was twice as high among those 18 –25 (29.8%) than among those aged 50 and older (14.3%). Males experience more persistent depressive symptoms and disorders from adolescence into adulthood than females (Dunn & Goodyer, 2006; Colman, Wadsworth, Croudace, & Jones, 2007). Non-Hispanic African American males tend to have the highest rates of MDD at 13.2%, followed by Hispanics or Latinos (12.7%) and then non-Hispanic Whites (8.7%) U.S. Department of Health & Human Services, 2012). Depression among minority adolescents and young adults was found to be related to stress, lack of social resources, and low socioeco- nomic status (Brown, Meadows, & Elder, 2007). Risk factors for African American men’s depression include economic strain, interpersonal conflicts, and racial discrimination (Wat- kins, Green, Rivers, & Rowell, 2006). Hispanic and African American males also display significantly earlier onset of MDD compared with their White counterparts (Riolo, Nguyen, Gre- den, & King, 2005). Despite the fact that males also suffer from depression, they seek mental help from health care professionals less frequently than females, which only further decreases the likelihood of diagnosing their mental health disorders (Addis & Mahalik, 2003; Smith, Braunack-Mayer, & Wittert, 2006). Males often feel pressured to avoid emotional expres.

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Predictive: Relating to or having the effect of predicting an event or result. Analytics: The systematic computational analysis of data or statistics. Together they make up one of the most popular topics in healthcare today. But predictive analytics is a means to an ends, and there is little good in predicting an event or result without a strategy for acting upon that event, when it happens. If, as the Robert Wood Johnson Foundation recently published, 80% of healthcare determinants fall outside of the healthcare delivery system as we traditionally define it, should we focus our predictive analytics on the traditional 20% of traditional healthcare delivery, or broaden our focus to the 80% that includes social and economic factors, physical environment, and lifestyle behaviors? What if our predictive models reveal to us that the highest risk variable to a patient’s length of life and quality of life is their economic status? Can an accountable care organization and patient centered medical home realistically do anything to reduce that risk, in reaction to the predictive model? Given the current availability and type of data in the healthcare ecosystem, and our organizational ability or inability to realistically intervene, where should we focus our predictive and interventional risk management strategies? There is enormous potential value in the application of predictive analytics to healthcare, but, in contrast to predicting the weather, credit risk, consumer purchasing habits, or college dropout rates, the data collection, and social and ethical complexities of applying predictive analytics in healthcare are significantly higher. This session will explore some of the less technical, more human interest and philosophical issues, associated with predictive analytics in healthcare, including the speaker’s experience prior to healthcare, in the US Air Force, National Security Agency, and manufacturing.

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