An Invitation to the journey May we look upon this time with new - - PowerPoint PPT Presentation

An Invitation to the journey…

May we look upon this time with new eyes; With hindsight for what was; Insight for what is; Foresight for what can be.

Kathy Orland, RN

A New Context for Health A New Context for Health

From Evidence to Innovation

Nursing in a Transforming Health System

Tim Porter-O’Grady, DM, EdD, ScD(h), APRN, FAAN, FACCWS

Rule # 1 If you don’t have a sense of humor….. Why bother?

NEW RESOURCE FROM THE NATION’S LEADING VISIONARIES

Evidence To Innovation

A Textbook of New Leadership

“Leadership of innovation is essentially a work in progress—a never-ending journey with facets and elements that add up to a broad and complex mosaic”

• From the Preface

Davidson, Weberg, Porter-O’Grady, Malloch, 2017, Jones and Bartlett Learning, Boston, MA.

Order easily from Jones and Bartlett website

A Culture of Value-based Health Practices

• “The greatest difficulty in the world is

not for people to accept new ideas but to get them to forget their old ones.”

John Maynard Keynes John Maynard Keynes

Credit to Don Berwick

Building the Accountable Care Infrastructure Building the Accountable Care Infrastructure

The 5 Themes (undercurrents) of Health Transformation The 5 Themes (undercurrents) of Health Transformation

• From volume to value economics
• Models of accountable care
• Trans-disciplinary team decision/action
• User-driven technology
• Triple Aim (Service, Quality, Price)
• From volume to value economics
• Models of accountable care
• Trans-disciplinary team decision/action
• User-driven technology
• Triple Aim (Service, Quality, Price)

Value-driven Practice

Excellence Resource Engine Partnership Fiscal fit Knowledge capital Value equation Validation of value Good infrastructure Fit process - outcome Know your user(s) Evidentiary Care Ownership Integration Engagement

“Value” vs. “Volume” Measures of Work

Focus on process Numbers Job enlarging Function payment Task load Amount of work Busy, (work for its own sake) Repetitive Activity-based Focus on results Synthesis Evidence Impact Paying for Quality Meaning E3 Mobility-driven Sustainable Duke

Volume ( Industrial) Value (Post-digital)

From Evidence to Innovation From the Floor to the Ceiling Of Practice

Future Realities for Practice

Capacity for Innovation

Creative Processing Skills Expertise Motivation Knowledge Technical Value-based Conceptual Imagination Mental Models Dissonance Emergent Patterns Passion Rewards Outcomes Collective wisdom Environment

New Language Of the New Age New Language Of the New Age

• Accountability based processes
• Focus on evidence (impact)
• Technology drives everything, (creating “fit”)
• “Users” drive the relationship
• Transdisciplinary is now the unit of service
• Building “bundles” from point-of-service
• Now “one price”
• Accountability based processes
• Focus on evidence (impact)
• Technology drives everything, (creating “fit”)
• “Users” drive the relationship
• Transdisciplinary is now the unit of service
• Building “bundles” from point-of-service
• Now “one price”

Into the Age of Evidence And Innovation

• Value not volume
• Pay for performance not process
• Must have evidence of impact
• “Best-practices” drive quality/payment
• EMR / Digital is non-negotiable
• Excellence is driven from P-O-S (are at the center)
• Evidence is not unilateral

New Age

Value-based Quality

Movement Advancement Driving Forces

Reform Economics Triple Aim

Leading In The 21st Century

Best Practices

Professional Environment

Innovation Models Quantum Leadership

“User” Centered 21st Century Practice Competence Health

Capacity Tools Connection Control Mobility/Synthesis/Access Inter-disciplinary Early Engage/Facilitate Techno-Clinical

Genomics Virtual / Telecom Pharma/Nano Mobile

Population-based Health Prescriptive Sustained / Safe Resource Sensitive Socio-political Priority

New Model of 21st Century Health