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Health Care Transformation! Jeff Lamb www.linkedin.com/in/jeffreyalamb
For internal use only by Jeff Lamb
+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 DataèActionèOutcomes 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 DataèActionèOutcomes
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
+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
+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
+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
+ Executive Summary (4 of 4)!Enabling Wellness Action: Faster DataèActionèOutcomes "
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
+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 Assessment
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