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Where We Serve
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Do we feed the Beast or Grow the Village ?
- Statement of intent
– Proactively shape our future – Integrate/partner with physician – Invest in information technology and tele‐health
- Care without borders
– Utilize technology to remove cultural barriers and geographic boundaries to care delivery
- Innovate, leverage technology and change the model of care delivery
– Medical home concepts utilizing team care and extensions of primary care models – Utilize technology to eliminate the disparity of medical care delivery – Use data for descriptive, prescriptive and predictive analytics
- Coordinate care and make it patient centric
– Centralized disease management – Care on demand – 24/7 – Delivery at multiple venues
- Leadership
– Bring physicians and nurses into non traditional administrative and partnering roles – Look outside health care for innovative leadership and change 3
Supply and Demand Incentives
- There are not enough Doctors and Hospitals are not being utilized
appropriately at the same time there is increasing demand
– Aging population – More chronic diseases – living longer – Primary Care remains the foundation of our care model
- Morph the physician centric model allowing for 24/7 access to primary care
- Difficult to maintain Primary Care support in Rural and Inner City locations –
we need to support primary care so the model can change
– Specialties
- Mal‐distributed
– Centered around urban medical centers
- Procedurally oriented
- Tremendous variation in care delivery
- Incentives are misaligned as is the clinical value system
- Physicians and Hospitals are paid to utilize
- Pay providers to keep people healthy and prevent events from occurring
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