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Harbin Clinic Presentation | Part 1


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Presentation on Healthcare Trends 2013 to Medical Staff Leadership.

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Harbin Clinic Presentation | Part 1

  1. 1. The Harbin Clinic Leadership Academy Session 1: A New Mindset Leading a Healthcare Organization 2013 – 2018 Presenter: Dr. Michael Burcham EXECUTIVE AURA, LLC 105 Broadway, Suite 200 Nashville, TN 37201 In life, there is no dress rehearsal. You get one shot. Make it count.
  2. 2. Two Investable Themes Regardless of the Pace & Path of Change • True Innovation. The market will reward companies delivering clinically meaningful, economically sound outcomes. • Cost-cutting. Companies that trim costs by offering more efficient care and realigning incentives will succeed.
  3. 3. Consideration 1: The Integration of Technology and Data Into Healthcare Services
  4. 4. T The Convergence of Multiple Changes Drives Tipping Point for Innovation
  5. 5. The New Value Pathways
  6. 6. Applying Early Success At Scale Could Reduce Costs by $300 billion - $450 billion
  7. 7. Innovations Are Weighted Toward Individual Decision-Making Levers
  8. 8. Healthcare Companies Will Develop a Range Of Data Capabilities
  9. 9. Consideration 2: The Age of the Consumer and Their Influence in Healthcare
  10. 10. Largest Opportunity I See Today: Patient Engagement
  11. 11. Consideration 3: The Fortune 50 Engaging the Healthcare Marketplace
  12. 12. Fortune 50 Company Involvement in Healthcare In 2013, 76% of the Fortune 50 companies have a connection to the health industry 24% Traditional Health Industry Categories 52% New Health Industry Categories 0 10 20 30 Implementers Connectors Fixers Retailers
  13. 13. New Opportunities in Healthcare Health System: Consumers Health Organizations Government Implementers Thrive on Government Programs & New Regulation. Retailers High-Volume, Standardized Mkts with Low Margins. Fixers Attack dysfunction. Improve Processes. Reduce Costs. Connectors Link Information & Tech Across System. Analysis & Context.
  14. 14. The FixersAttack dysfunction. Improve Processes. Reduce Costs. • Insurers are paying nurse practitioners to deliver primary care. • Kiosks for patient registration. • Mobile robots for patient monitoring. • HIT systems to integrate patient records / data from multiple sources. Fixers are simplifying the health system by applying technology and creating more efficient delivery models and care settings.
  15. 15. The ImplementersThrive on Government Programs & New Regulation. • Integration tools to support reform changes. • Technologies to help providers adjust to new payment systems. • Tools to access information and data via smart phones and other remote devices. • Methods to provide off- The overall mobile health market size is estimated to grow from $1.4 billion in 2008 to $12.7 billion by 2014.
  16. 16. The RetailersHigh Volume, Standardized Markets with Low Margins • Expansion and growth of retail clinics. • Technologies to provide 24-hour support through online and telephonic hotlines. • “Big Box” retailers bring wireless and remote devices to the consumer market. • Mobile apps and tools to The overall Direct-to-Consumer market is estimated to grow to $43 billion. Consumers will pay a premium for access, reduced wait times, on-line check in, home monitoring tools for aging parents.
  17. 17. The ConnectorsLink Information & Technology Across the System. Analysis & Context. • Data mining that drives marketing, revenue and customer satisfaction. • CRM Tools that link the hospital into the consumers’ lives. • Explosion of Social Media and information services companies – linking consumers into affinity groups, exchanges, rating systems, costs. In 2010 92% of hospitals reported using some form of social media to reach consumers, but only 13% reported that social media use was driving an increase in patients and revenue.
  18. 18. Consideration 4: There Is Significant Opportunity To Improve Efficiency & Effectiveness
  19. 19. Use of Information Technology More Effectively Clinicians and patients should have real-time access to medical records and use technology to streamline administrative tasks Source: Institute of Medicine
  20. 20. Create Systems to Manage Complexity Prompts, technologies, and delivery systems should help clinicians manage the growing complexity of medical knowledge and care required Source: Institute of Medicine
  21. 21. Make Healthcare Safer Hospitals and providers should constantly assess performance and learn from experience to reduce errors and harm Source: Institute of Medicine
  22. 22. Improve Transparency Patients and clinicians should have easy access to the prices of tests and procedures and to reliable information about care outcomes and quality Source: Institute of Medicine
  23. 23. Partner with Patients Clinicians should fully incorporate the needs and preferences of patients into care decisions Source: Institute of Medicine
  24. 24. Consideration 5: Technology-Enabled Services Are Transformative for Our Industry
  25. 25. Average Annual Healthcare Spending Per Person $4500 $8650 Online Health Information Seekers 68M 192M 2000 2012 US Healthcare Expenditures Annually $1.4T or 14% of GDP $2.5T or 18% of GDP Physicians Online 37% 99% 84% of these onsider online access critical to their work The Wired Consumer
  26. 26. Chronic Disease Continues to be the Heart of the Problem $1.7 Trillion Addressable Problem Chronic Disease Diseased Americans Annual Cost* Cardiovascular Disease 80 Million $475 Billion Diabetes/Pre-Diabetes 80 Million $174 Billion Obesity 90 Million $147 Billion 1 Cancer 10 Million $107 Billion Alzheimer’s 4.5 Million $100 Billion Arthritis/Osteoporosis 48 Million $80 Billion Respiratory Disease 47 Million $63 Billion 133 M Americans, or 45% have at least 1 Chronic Disease Chronic Disease accounts for nearly 75% of total healthcare spend Opportunity to reduce cost and improve care with greater patient engagement + =
  27. 27. IT’S NOT JUST HEALTHCARE IT’S ALSO SELF-CARE consumer health apps currently in the iTunes store expected by next summer 9,000 +4,000 These apps offer a mind-boggling array of health support, like: • Calculating calories burned during exercise • Creating soundtracks to help people fall asleep • Displaying pictures that can elicit memories from Alzheimer’s patients • Quantifying pain over time
  28. 28. TOOLS THAT EMPOWER PATIENTS Sanofi-Aventis created GoMeals to support people managing their diabetes. The clever app has calculators and tools that make mealtime decisions easier. ~3,000 people per month visit the GoMeals site. The app itself has 264 reviews across two app stores with an average rating of 3.5 – 4 stars.
  29. 29. AND TOOLS THAT POWER LASTING COMMITMENTS 50% of people who should get colonoscopy screenings choose not to. The reasons are familiar: it’s scary, the prep is awful. Salix decided to create a tool that answered all their real questions – in the voice of someone like me. • Up to 50,000 visitors/month • Used on provider sites • 30,000 requests for printed copies • 200 hospital requests • 2,000 HCP requests
  30. 30. Opportunities for Innovation
  31. 31. Players Funding Public Policy Technology Customers Accountability Consumers The Way We Buy & Use Health Care Technology Products, Svcs & Packaging Models Horizontal & Vertical Integration Innovation 3 Kinds of Innovation Helped or Destroyed by 6 Forces