Health care is undergoing major disruption which represents great opportunity to transform to a new business model that achieves greater results for patients and consumers. A different way of thinking is needed as companies are faced with the rapid pace of change and the need to place the consumer at the center. There is also an opportunity to accelerate problem solving by involving everyone in the supply chain of care and payment in identifying ways to get better leading to innovation. This presentation represents a small but necessary conversation about where to begin for one specific case study.

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Health Care
Transformation!
Jeff Lamb
www.linkedin.com/in/jeffreyalamb
For internal use only by Jeff Lamb

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Contents
n Executive Summary – 5 Slides
n The Big Picture: How Transformation Takes Shape
n Population Health: Amped UP! Unleashing Value
n Market Leadership: Disruptors = Opportunities
n Enabling Wellness Action: Faster DataèActionèOutcomes
n Next Steps
n Expanded Discussion:
n The Big Picture: How Transformation Takes Shape
n Population Health: Amped UP! Unleashing Value
n Goal: Position wellness services for growth
n Enabling Wellness Action: Faster DataèActionèOutcomes
n Goal: Automate the wellness data analytics and business intelligence
processes to convert information to actions much faster than today
For internal use only by Jeff Lamb

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Executive Summary (1 of 4)!
The Big Picture: How Transformation Takes Shape"
Premise: Health Care providers face significant change as the industry and regulatory environment shifts to a value-
based delivery and payment model. The new business model, enabled by a new way of thinking and delivering
services along with breakthroughs in technology represent an opportunity to continue to grow market leadership.
Define the Strategic Objective
• Articulate a compelling ‘Why’ – Engage Our Stakeholders
• Make sure the objective ties to the enterprise strategy
Put the Customer in the driver’s seat
• Identify the customer(s) or customer groups
• Create a Customer Journey Map
Score our Gap to get from here to there
• Assess Capability Performance
• Perform SWOT Analysis
Prioritize investment for greatest impact and
opportunity
Rapidly and iteratively deploy people and capabilities
to achieve the vision
Measure and make adjustments along the journey
For internal use only by Jeff Lamb
• Cost Control
• Profitability
• ….
• Increase Value
• Promote Well-being
• ….
• Promote Healthy
Choices
• Increase Productivity
• Reduce Cost
• ….
• Happiness and Well-
Being
• Smart Shoppers
• ....
Members
Employers
Payers
Care
Providers

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Executive Summary (2 of 4)!
Population Health: Amped Up! Unleashing Value
For internal use only by Jeff Lamb
Behavior
Education
Access
Nudge
Manage
Rapidly Transforming Data Into Knowledge-Based Action
Technology | Back Office Administration | Digital Experience Data
Privacy | Risk Management | Security | Compliance
• Measure
• Monitor
• Administer
• Care
Continuum
• Prescribe
• Incentivize
• Nutrition
• Alternative
Treatments
• Clinical Care
• Treatment
Options and
Outcomes
• Informed
Consumer
• Coaching
• Guidance
• Mindfulness

5. +
Executive Summary (3 of 4)!
Market Leadership: Disruptors = Opportunities
For internal use only by Jeff Lamb
Wellness Coaching & Mindfulness
Virtual Care– Tele-health, Omni-Channel
Nudge: Prescribed lifestyle change
Patient Advocacy and Wellness Promotion
Uber model for health services, virtual partnerships
Homeopathic and alternative treatment
Artificial Intelligence, Genomics

6. +Executive Summary (4 of 4)!
Enabling Wellness Action: Faster DataèActionèOutcomes"
For internal use only by Jeff Lamb
Project Goals and Business Value
• Enable business speed and agility to
convert population data to intelligence
• Fully automated system without manual
intervention
• Highly scalable and efficient system to
overcome data integrity & organizational
issues
• Achieving in-depth operational reporting
• Ensure data privacy, HIPPA Compliance
High level business requirements
1 Trigger extract, transformation and loading
of data without human intervention
2 Automate edits to cleanse data to reduce
lead time for reporting
3 Automate the answers to relevant
business questions (population wellness
drivers)
4 Convert information to wellness action
(campaigns)
5 Accessible by business users
6 Secure data, data privacy
Gather
data
Generate
Metrics
Apply
Decision
Algorithm
Generate
Actions
Campaign
Population
Segment
Coach and
Monitor
• Cost Control
• Profitability
• Fact based pricing
and underwriting
• Faster, more
targeted services
and solutions
• Opportunity for
greater leverage with
Payers
• Better informed to
manage costs
• Connect behavior
to increased
Productivity
• Reduce Cost
• EE Happiness
• Proactive
recommendations
• Tailored plan for
health and wellness
• Confidence
• Empowerment
Members
Employers
Payers
Care
Providers

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Next Steps
Step Outcome
Review &
Prioritize
Align with vision and goals, set
priorities and approach
Stakeholder
Communi-
cation
Identify other stakeholders; engage
and socialize the business value;
validate priorities; sync with other
enterprise efforts
Formalize
Recommend-
ation
Based on stakeholder feedback,
formalize a recommended approach
to achieve the business priorities
Finalize
Proposal
Based on recommendation and
stakeholder feedback; objectives,
phases, actors, time and cost
For internal use only by Jeff Lamb
Track 1: Strategic Track 2: BI Automation
Step Comments
Review &
Prioritize
Align with vision and goals, set
priorities and approach
Perform
Assessme
nt
Perform an assessment of the current
state processes and technologies;
create the project backlog (gather
requirements)
IT
Govern-
ance
Understand how the approach will fit
with IT enterprise architecture and
governance requirements
Design &
Proposal
Design the high level blueprint for
future state fast data analytics and
business intelligence; provide an
iterative phased plan with objectives,
phases, actors, time and cost