C H A N G E I S I N E V I T A B L E , W I L L Y O U B E R E A D Y F O R I T ?

R A Y C L A R K , M A , B S N , R N R E G I O N A L V I C E P R E S I D E N T – C L I N I C A L O P E R A T I O N S

G E N T I V A O D Y S S E Y H O S P I C E

Roadmap to Success: Navigating Through Change

Objectives

• Identify changes in the future of healthcare

• Discuss strategies that will help you navigate the changes for success.

• Identify strategies for forecasting change.

Delivery Models Refined

Healthcare providers can work collaboratively to achieve new milestones in defining, measuring and delivering value, while developing new models for promoting health and delivering care, even within the growing resource constraints and other challenges.

Individuals must play a role in taking care of their own health, and therefore citizens’ and patients’ participation and empowerment need to be regarded as core values in all health-related outcomes.

The Changing Health Care Landscape

More patients seeking health care

Aging population, sicker patients

Cost pressures on health care

Shift to clinical and home-based care

New models of care delivery

New models of paying for care

Why Invest in an Aging, Frail Population?

Age 65 & over will double 2006-2030 to 72m One in six need long-term care (6 million) 90% with at least one chronic condition

Age 85 & over will more than triple by 2050 7.7 million people will have Alzheimer’s disease in

2030, up from 4.9 million in 2007 More living longer, but more living with functional

impairments and chronic diseases

There is NO other choice, but to INVEST!!

The Supply Side: An Aging Workforce

Over 23% of active physicians are 60 or over Projected shortages: 132,000 by 2025

By 2020, close to half of RNs will be 50 or over Projected shortages of 1,000,000 by 2025

About one-third of active social workers will soon reach retirement age

30% of direct care workers over 55 by 2018

The Affordable Care Act

Covers over 30 million new patients 14 million as of 1/1/14

Promotes new models of care Improve coordination of care Lower costs Increase quality (higher satisfaction, lower readmissions) Shift from hospital to clinical and home-based care

Workforce Implications

With fewer physicians, more responsibility for Advanced Practice Nurses (APNs). PA’s, etc.

Higher quality demands for all clinical staff “work at the top of their license;” better teamwork

New roles and functions emerging: Care coordination Patient navigation, case management Health educators/coaches Health information technology

Challenges

Workers Basic skill needs, including job readiness Family and life issues Lack of career information Employers Lack transparent career pathways Resource constraints – underinvestment in workforce Educational Institutions Program offerings not fully aligned with needs of workers, adult

learners, and employers Regulatory Organizations Reluctant to recognize “out of the box” approaches

Looking to the Future: Common Mistakes

Making predictions rather than attaching probabilities to possibilities.

Simply extrapolating current trends.

Thinking of only one future.

People consistently overestimating the effect of short term change and underestimating the effects of long term change.

Why Bother with the Future?

The point is not to predict the future, but to prepare for it, be involved in it, and to shape it.

Redefining Value: From ‘Sick Care” to “Health Care”

The main focus of health care providers is to diagnose and treat “sick people”.

This is considered reactionary practice and becoming increasingly unaffordable as the cost is caring for the “illness” and not the person.

Whereas “Health Care” models, through information technology capabilities, have better access to ever-expanding, relevant patient information and clinical knowledge.

They more we know about the patient, the more likely that health promotion or care can be personalized and evidence-based, greatly increasing effective and efficient care delivery.

New Ways to Promote Health & Deliver Care

Wellness/Prevention Wellness Centers; Retail Clinics

Acute Care Complementary Medicine; Concierge Medicine; Tele-

Medicine/E-Visits; Medical Tourism; Ambulatory Centers; Specialty Hospitals

Chronic Care Visiting Physicians Home Health Palliative Care Hospice

Implications of the Shifting Landscape

Patient relationship

Competitors

Basis for competition/differentiation

Innovation

Culture

Processes

Information Management

Five Strategic Competencies

Empower and Activate Patients

Collaborate and Integrate

Innovate

Optimize Operational Efficiencies

Enable through Information Technology (IT)

Conclusion

Status quo is NOT an option for healthcare systems. Value focused healthcare systems will emphasize

new value dimensions (ex. The ability to activate patients and the ability to continuously improve and innovate).

Redefine existing dimensions (ex. Quality metrics may increasingly emphasize prediction; prevention; early detection; treatment; time and resources extended for a correct and complete diagnosis; and care coordination).

Final Thoughts

Your past weaves into the present. Your future is before you.

It is not what you gather, but what you scatter that tells what kind of life you have lived.

People will forget what you said; people will forget what you did; but people will never forget how you made them feel.

Thank You

I want to express a sincere and warm thank you to the participants of this conference.

The future depends on how will we embrace the challenges before us today!

For further information, you can email me at raymond.clark@gentiva.com