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Extending the reach and impact of Penn State Outreach to improve health
Director of Outreach Health InitiativesChris Calkins, Ph.D.
• Penn State Alumnus (1983, 2008 g)
• 25+ years professional experience
• Health Policy & Administration faculty since 1993
• Director of Special Projects and Executive Assistant Dean: College of Health and Human Development (2001–2005)
Director of Outreach Health InitiativesChris Calkins, Ph.D.
• Penn State Alumnus (1983, 2008 g)
• 25+ years professional experience
• Health Policy & Administration faculty since 1993
• Director of Special Projects and Executive Assistant Dean: College of Health and Human Development (2001–2005)
• Clinical Liaison Officer: PS Hershey Medical Center (2005–2008)
• Joined Penn State Outreach in November 2008
• Appointed to Governor’s Office of Health Reform, Community Engagement sub-committee (May 2009)
Director of Outreach Health InitiativesChris Calkins, Ph.D.
Components: US Healthcare System
Components: US Healthcare System
Facilities
Components: US Healthcare System
Facilities Workforce
Components: US Healthcare System
Facilities WorkforceRx,
Medical Supply
Companies
Components: US Healthcare System
Facilities WorkforceRx,
Medical Supply
Companies
Education and
Research
Components: US Healthcare System
Facilities WorkforceRx,
Medical Supply
Companies
Education and
ResearchFinancing
Components: US Healthcare System
Facilities WorkforceRx,
Medical Supply
Companies
Education and
ResearchFinancing Organizing
Structure
Components: US Healthcare System
Facilities WorkforceRx,
Medical Supply
Companies
Education and
ResearchFinancing Organizing
Structure
YOU
Components: US Healthcare System
Facilities WorkforceRx,
Medical Supply
Companies
Education and
ResearchFinancing Organizing
Structure
YOU
Components: US Healthcare System
Facilities WorkforceRx,
Medical Supply
Companies
Education and
ResearchFinancing Organizing
Structure
YOU
Components: US Healthcare System
Facilities WorkforceRx,
Medical Supply
Companies
Education and
ResearchFinancing Organizing
Structure
YOU
Healthcare Consumers
Healthcare Consumers
People with Health ConditionsAcute; Chronic; Multiple
Healthcare Consumers
People with Health ConditionsAcute; Chronic; Multiple
Older People50-64 Boomers, Medicare 65+,
Boomers turn 65 in 2011
Healthcare Consumers
People with Health ConditionsAcute; Chronic; Multiple
Poor PeopleMedicaid (50 million), Federal Poverty Rate
Older People50-64 Boomers, Medicare 65+,
Boomers turn 65 in 2011
Healthcare Consumers
People with Health ConditionsAcute; Chronic; Multiple
Poor PeopleMedicaid (50 million), Federal Poverty Rate
Older People50-64 Boomers, Medicare 65+,
Boomers turn 65 in 2011
Uninsured People50 million (1 in 6)
Healthcare Consumers
People with Health ConditionsAcute; Chronic; Multiple
Poor PeopleMedicaid (50 million), Federal Poverty Rate
Older People50-64 Boomers, Medicare 65+,
Boomers turn 65 in 2011
Uninsured People50 million (1 in 6)
CaregiversProviding unreimbursed services and support to all of the above
0M 13M 25M 38M 50M
Older People in US (Medicare)
Poor People in US (Medicaid)
Uninsured People in US
Population of Canada
Navigating Health
Navigating Health
YOU
You
Navigating Health
YOU
You Health Care Provider
Navigating Health
YOU
You Health Care Provider
Insurance
Navigating Health
YOU
You HospitalHealth Care Provider
Insurance
Navigating Health
YOU
You HospitalHealth Care Provider
Insurance Drug Co.
Navigating Health
YOU
You HospitalHealth Care Provider
Insurance
Education
Drug Co.
Navigating Health
YOU
You Hospital HomeHealth Care Provider
Insurance
Education
Drug Co.
Navigating Health
YOU
You Hospital Home HealthHealth Care Provider
Insurance
Education
Drug Co.
Navigating Health
YOU
You Hospital Home HealthHealth Care Provider
Insurance
Education
Drug Co.
Prevention
Life Cycle of a Health Condition
Life Cycle of a Health Condition
Individual and Their Family
Life Cycle of a Health Condition
Individual and Their Family
Symptoms & Self Care
Life Cycle of a Health Condition
Individual and Their Family
Symptoms & Self Care
Diagnosis > Physician
Life Cycle of a Health Condition
Individual and Their Family
Symptoms & Self Care
Diagnosis > Physician
Critical Transitions
Life Cycle of a Health Condition
Individual and Their Family
Symptoms & Self Care
Diagnosis > Physician
Critical Transitions
Treatment
Life Cycle of a Health Condition
Individual and Their Family
Symptoms & Self Care
Diagnosis > Physician
Critical Transitions
Treatment
Monitoring & Transition to
Self Care
Life Cycle of a Health Condition
Individual and Their Family
Symptoms & Self Care
Diagnosis > Physician
Critical Transitions
Treatment
Monitoring & Transition to
Self Care
Episode Management
Life Cycle of a Health Condition
Individual and Their Family
Symptoms & Self Care
Diagnosis > Physician
Critical Transitions
Treatment
Monitoring & Transition to
Self Care
Episode Management
Transition Between Settings
Life Cycle of a Health Condition
Individual and Their Family
Symptoms & Self Care
Diagnosis > Physician
Critical Transitions
Treatment
Monitoring & Transition to
Self Care
Episode Management
Transition Between Settings
Return to Health,
New Normal, End of Life
How Big is the Healthcare Market?
How Big is the Healthcare Market?
• 14 million employees (10% of US Labor Force)
How Big is the Healthcare Market?
• 14 million employees (10% of US Labor Force)
• Larger than entire population of Pennsylvania
How Big is the Healthcare Market?
• 14 million employees (10% of US Labor Force)
• Larger than entire population of Pennsylvania
• Projected growth in all health professions over the next 5 years
How Big is the Healthcare Market?
• 14 million employees (10% of US Labor Force)
• Larger than entire population of Pennsylvania
• Projected growth in all health professions over the next 5 years
• Largest private sector employer in Pennsylvania• 850,000 people
• 16.9% of private sector employment
How Big is the Healthcare Market?
• 14 million employees (10% of US Labor Force)
• Larger than entire population of Pennsylvania
• Projected growth in all health professions over the next 5 years
• Largest private sector employer in Pennsylvania• 850,000 people
• 16.9% of private sector employment
• Since 2001, added 110,000 jobs in Pennsylvania
Potential Consumer MarketsFacilities
86% are community based,
not-for-profit
—
254 in Pennsylvania
Potential Consumer MarketsFacilities
Hospitals
5,700
86% are community based,
not-for-profit
—
254 in Pennsylvania
Potential Consumer MarketsFacilities
Hospitals
5,700
Nursing Homes16,100
725 in Pennsylvania
86% are community based,
not-for-profit
—
254 in Pennsylvania
Potential Consumer MarketsFacilities
Hospitals
5,700
Nursing Homes16,100
Home Care Agencies
9,284
725 in Pennsylvania
245 in Pennsylvania
—
3.4 million visits to 153,000 individuals
86% are community based,
not-for-profit
—
254 in Pennsylvania
Potential Consumer MarketsFacilities
Hospitals
5,700
Nursing Homes16,100
Home Care Agencies
9,284
Hospice Programs
3,257
725 in Pennsylvania
245 in Pennsylvania
—
3.4 million visits to 153,000 individuals
144 in Pennsylvania
Potential Consumer MarketsWorkforce
40% work in Primary Care
—5% are mental
health providers—
25,000 in Pennsylvania
Potential Consumer MarketsWorkforce
Physicians817,000
40% work in Primary Care
—5% are mental
health providers—
25,000 in Pennsylvania
Potential Consumer MarketsWorkforce
Physicians817,000
Nurses2.5 million
164,000 in Pennsylvania
40% work in Primary Care
—5% are mental
health providers—
25,000 in Pennsylvania
Potential Consumer MarketsWorkforce
Physicians817,000
Nurses2.5 million
Other817,000
164,000 in Pennsylvania
Therapists
Technicians
First Responders
Caregivers
40% work in Primary Care
—5% are mental
health providers—
25,000 in Pennsylvania
Potential Consumer MarketsWorkforce
Physicians817,000
Nurses2.5 million
Other817,000
164,000 in Pennsylvania
Therapists
Technicians
First Responders
Caregivers
Projected Nursing Job GrowthBy Employment Site
Offices of Physicians
Home Health Care
Outpatient Centers
Employment Services
Hospitals
Nursing Care Facilities
0% 10% 20% 30% 40%
Projected Nursing Job GrowthBy Employment Site
Offices of Physicians
Home Health Care
Outpatient Centers
Employment Services
Hospitals
Nursing Care Facilities
0% 10% 20% 30% 40%
23% growth
rate
587,000 new jobs by 2016
Current Market Drivers
Current Market Drivers
Pennsylvania the 2nd oldest state—16% of PA population is 65+—Fastest growing segment: 85+
Aging
Current Market Drivers
Pennsylvania the 2nd oldest state—16% of PA population is 65+—Fastest growing segment: 85+
Growing population with multiple health conditions
Aging Disease Burden
Current Market Drivers
Pennsylvania the 2nd oldest state—16% of PA population is 65+—Fastest growing segment: 85+
Growing population with multiple health conditions
Nurse shortage: 350,000–500,000 by 2020—PC Physician shortage: 85,000 by 2020 —Allied Health Professionals
Aging Disease Burden
Workforce Shortages
Uninsured & Underinsured
Delayed care seeking—Rise in use of emergency departments for primary care—Caregiver stress
Current Market Drivers
Uninsured & Underinsured
Health Literacy
Delayed care seeking—Rise in use of emergency departments for primary care—Caregiver stress
Navigating the health system—Understanding options and participating in decision making—Changing behaviors
Current Market Drivers
Use of WebUninsured & Underinsured
Health Literacy
Delayed care seeking—Rise in use of emergency departments for primary care—Caregiver stress
Navigating the health system—Understanding options and participating in decision making—Changing behaviors
Explosion of information—Decision making—Information quality—Social Support
Current Market Drivers
Use of WebUninsured & Underinsured
Health Literacy
Delayed care seeking—Rise in use of emergency departments for primary care—Caregiver stress
Navigating the health system—Understanding options and participating in decision making—Changing behaviors
Explosion of information—Decision making—Information quality—Social Support
Current Market Drivers
Use of Web
Challenge and Opportunity
Challenge and Opportunity
DEMANDfor health
care services
SUPPLY(physicians, etc.)
Challenge and Opportunity
Challenge and Opportunity
New entrant
New supplier
New entrant
New supplier
New entrant
New entrant
New entrant
New supplier
New entrant H
igh Barriers to entry
New supplier
Challenge and Opportunity
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Challenge and Opportunity
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Expand capacity, increase efficiency, quality of care impacts
Challenge and Opportunity
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Existing supplier
Expand capacity, increase efficiency, quality of care impacts
YOU
YOU
direct care
YOU
direct care
transportation
YOU
direct care
transportation communication
YOU
direct care
transportation
money
communication
YOU
direct care
transportation
money moral support
communication
Noise
Noise
Data
Noise
Data
Information
Noise
Data
Information
Knowledge
Noise
Data
Information
Knowledge
Insight
Insight
Translation
Insight
Compelling Story
Translation
Insight
Dissemination
Compelling Story
Translation
Insight
Public Understanding
Dissemination
Compelling Story
Translation
Insight
76 health related program areas
120 health related
degree and certificate programs
Health related programs at almost every campus and special mission unit
Health Resources in Outreach
Health Resources in Outreach
Continuing and Distance
Education
Office of Economic and
Workforce Development
Cooperative Extension
Penn State Public
Broadcasting
Health Resources in Outreach
Continuing and Distance
Education
Office of Economic and
Workforce Development
Cooperative Extension
Penn State Public
Broadcasting
World Campus
Continuing Education
Justice and Safety Institute
Conferences and Institutes
Health Resources in Outreach
Continuing and Distance
Education
Office of Economic and
Workforce Development
Cooperative Extension
Penn State Public
Broadcasting
World Campus
Continuing Education
Justice and Safety Institute
Conferences and Institutes
Leadership Development
Community Development
Training
Health Resources in Outreach
Continuing and Distance
Education
Office of Economic and
Workforce Development
Cooperative Extension
Penn State Public
Broadcasting
World Campus
Continuing Education
Justice and Safety Institute
Conferences and Institutes
Leadership Development
Community Development
Children, Youth & Families
Nutrition and Health
Training
Health Resources in Outreach
Continuing and Distance
Education
Office of Economic and
Workforce Development
Cooperative Extension
Penn State Public
Broadcasting
World Campus
Continuing Education
Justice and Safety Institute
Conferences and Institutes
Leadership Development
Community Development
Children, Youth & Families
Nutrition and Health
Public Media
Video On Demand
Media Sales
Research Collaboration
Training
Outreach Health Initiatives Vision
Establish Penn State Outreach as
the trusted source for research-based Health content
that meets the needs of our customers
where and when they want it delivered
Outreach Health Initiatives Mission
To develop and leverage the resources of Penn State and
Penn State Outreach to
improve human health through community engagement,
education, applied research, knowledge transfer, and programming
Outreach Health Initiatives Strategic Goals
Outreach Health Initiatives Strategic Goals
1. Alignment
Outreach Health Initiatives Strategic Goals
1. Alignment
2. Research collaboration
Outreach Health Initiatives Strategic Goals
1. Alignment
2. Research collaboration
3. Addressing health issues
Where do our opportunities lie?
KnownAudiences
New Audiences
Existing Content
NewContent
Where do our opportunities lie?
KnownAudiences
New Audiences
Existing Content
NewContent
4 Pathways
Where do our opportunities lie?
KnownAudiences
New Audiences
Existing Content
NewContent
4 Pathways
Where do our opportunities lie?
KnownAudiences
New Audiences
Existing Content
NewContent
4 Pathways
Where do our opportunities lie?
KnownAudiences
New Audiences
Existing Content
NewContent
4 Pathways
Where do our opportunities lie?
KnownAudiences
New Audiences
Existing Content
NewContent
4 Pathways
Where do our opportunities lie?
KnownAudiences
New Audiences
Existing Content
NewContent
4 Pathways
Current Health Sites: Fragmented and Disconnected
Current Health Sites: Fragmented and Disconnected
Revenue Models
Existing delivery
platforms
Revenue Models
Contracts to deliver content
Existing delivery
platforms
Revenue Models
Expand research funding
Contracts to deliver content
Existing delivery
platforms
Revenue Models
Seek underwriting and support
Expand research funding
Contracts to deliver content
Existing delivery
platforms
Revenue Models
Innovative Vision: Create a Health Portal
NewRevenue Models
Health Portal:market and
navigate PSU Health
NewRevenue Models
Conference attendeesbecome
distributionchannels
Health Portal:market and
navigate PSU Health
NewRevenue Models
Target audiences
find education and training
Conference attendeesbecome
distributionchannels
Health Portal:market and
navigate PSU Health
NewRevenue Models
Portal functions as a delivery platform
Target audiences
find education and training
Conference attendeesbecome
distributionchannels
Health Portal:market and
navigate PSU Health
NewRevenue Models
Quick response to market
opportunities!
Portal functions as a delivery platform
Target audiences
find education and training
Conference attendeesbecome
distributionchannels
Health Portal:market and
navigate PSU Health
NewRevenue Models
Metrics to Measure
✓ New enrollments
Metrics to Measure
✓ New enrollments✓ Partnerships
Metrics to Measure
✓ New enrollments✓ Partnerships✓ Student involvement
Metrics to Measure
✓ New enrollments✓ Partnerships✓ Student involvement✓ Contracts
Metrics to Measure
✓ New enrollments✓ Partnerships✓ Student involvement✓ Contracts✓ Grants
Metrics to Measure
✓ New enrollments✓ Partnerships✓ Student involvement✓ Contracts✓ Grants✓ Site Usage
Metrics to Measure
✓ New enrollments✓ Partnerships✓ Student involvement✓ Contracts✓ Grants✓ Site Usage✓ Blog posts
Metrics to Measure
✓ New enrollments✓ Partnerships✓ Student involvement✓ Contracts✓ Grants✓ Site Usage✓ Blog posts✓ Conference video
Metrics to Measure
Next Steps
✓ Start advisory boards
Next Steps
✓ Start advisory boards✓ New contacts
Next Steps
✓ Start advisory boards✓ New contacts✓ Build Health Portal
Next Steps
✓ Start advisory boards✓ New contacts✓ Build Health Portal✓ Identify core
target markets
Next Steps
Recruiting now for partners to improve health
CONTACT:Chris Calkins
Provide information and meaning.
Data tells, story sells.
-Paul BegalaPolitical consultant to President Clinton, CNN Analyst
Of all the forms of inequality, injustice in health care is the most shocking and inhumane.
-Martin Luther King, Jr.
To think that you are not going to fail is an illusion.
Fail faster, you will only be closer to what you want.
-Anonymous
Choose your rut carefully, you will be in it for the next 25 miles.
-Alaskan rural road sign
Back to the HospitalMedicare Re-hospitalization Rate
20% 34% 45% 56%
1 month 3 months 6 months 1 year
Total Discharged2,961,460
Cumulative percentage of patients re-hospitalized after :
Source: New England Journal of Medicine
