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The Changing Healthcare Landscape Kathie Rose Resilient Ambassadors of Change October 14, 2009

Changing Healthcare Landscape

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A brief slideshow about the changing environment in which healthcare is delivered.

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Page 1: Changing Healthcare Landscape

The Changing Healthcare Landscape

Kathie RoseResilient Ambassadors of Change

October 14, 2009

Page 2: Changing Healthcare Landscape

Specialist

Hospital/Ward

Primary Care Physician

Emergency Room Urgent Care Centers/Walk-in Clinics

Midwives, Alternative Medicine

Rehab Centers, Nursing Homes, Visiting Nurses

Physician Assistants/Nurse Practitioners

The Changing Healthcare Landscape

Patient volume, access, convenience, cost and patient needs will likely continue to affect task shifting and future healthcare delivery

Page 3: Changing Healthcare Landscape

A very dangerous thing

In the 1960s my mother had:

Six children and a medical encyclopedia

No health insurance

Very little cash on hand

Page 4: Changing Healthcare Landscape

A very promising thing

Today

Millions of people have unprecedented access to medical information

The ability to contribute to collective medical knowledge

Social tools and connections to effect change

Page 5: Changing Healthcare Landscape

www.travelocity.com

www.turbotax.com

www.etrade.com

www.forsalebyowner.com

A propensity for cutting out the middleman

Page 6: Changing Healthcare Landscape

80% of American Internet users have searched for health information

• The Internet as a first opinion

– Patients use “Dr. Google” for a first opinion– WebMD and Mayo Clinic among top 10 medical websites

– Doctors are unknowingly relegated to the second opinion

• The Internet for support and treatment alternatives– Patients like me

• 400K in US with MS– 14K MS patients use PLM

– iStore – • 1544 medical apps (and counting)

– Doctor in a purse or on your belt

• The Internet as a life saver– Savvy users

• Steve Jobs (Apple) liver transplant• ePatient Dave – ACOR.org

Patients are the biggest stakeholder and fear is a great motivator

Page 7: Changing Healthcare Landscape

Concerns/Cautions

• Access to internet– The gap is shrinking

• 74.1% broadband access• Elderly and minorities closing the gap

• Information overload– Credible sources

• Skills needed to assimilate information– Apomediaries (case management for a fee)– Expert patients (motivated to learn and share)

Page 8: Changing Healthcare Landscape

Primary Care Physician

Hospital/Ward

Specialist

Emergency Room

Tertiary Care Center

Physician Assistants/Nurse Practitioners

Urgent Care Centers/Walk-in Clinics

Rehab Centers, Nursing Homes, Visiting Nurses

Midwives, Alternative Medicine

A Future Healthcare Landscape

Patient networks

Web diagnostic tools (expert systems)

Google

Expanded Minute clinics

Home

Primary care physician

Patient networks