Looking for Solutions, putting it together, what is at stake? - - PowerPoint PPT Presentation

Looking for Solutions, putting it together, what is at stake?

Dakota Tribal Wisdom: When you discover you’re riding a dead horse, the best strategy is to dismount. However in healthcare, we often try other strategies with dead horses….:

• Author unknown. Modified by Medic Management Group, LLC

Healthcare version of Dakota tribal wisdom…..

• 1. Buy a stronger whip.
• 2. Change riders.
• 3. Threaten the horse with termination.
• 4. Say things like, “This is the way we have

always ridden this horse.”

• 5. Appoint a committee to study the horse.
• 6. Arrange to visit other sites to see how they

ride dead horses.

• 7. Lower the standards so that dead horses can be included.
• 8. Appoint a tiger team to revive the dead horse.
• 9. Ride the dead horse “outside the box.”
• 10. Buy a commercial off-the-shelf dead horse.
• 11. Create a training session to increase our riding ability.
• 12. Reclassify the dead horse as “living-impaired.”
• 13. Compare the state of dead horses in today’s environment.
• 14. Change the autopsy report to declare that “This horse is not

dead.”

• 15. Kill all the other horses, so this one will look the same.
• 16. Name the dead horse “Paradigm Shift” and

keep riding it.

Author unknown. Modified by Medic Management Group, LLC.

• 17. Ride the dead horse “smarter” not harder.
• 18. Change the Dead Horse’s compensation

model.

• 19. Harness several dead horses together for

increased speed.

• 20. Do a time management study to see if the lighter riders would

improve productivity.

• 21. Declare that “No horse is too dead to beat.”
• 22. Call the dead horse a “joint venture” and let
• thers ride it.
• 23. Provide additional funding to increase the horse’s performance.
• 24. Do a cost analysis study to see if contractors can ride it cheaper.
• 25. Purchase additional dead horses and call it an

“integrated health system”.

• 26. Declare the horse is “better, faster, and cheaper” dead.
• 27. Form a quality circle to find uses for dead horses.
• 28. Declare that “This horse was procured with cost as an

independent variable.”

• 29. Get the horse a Web site.
• 30. Promote the horse to a supervisory position.

A STORM IS COMING….. …Called Consumerism

WHOSE VISION?

EHR

Patient Info Data Patient Info

Lab Order Lab Order

EHR EHR EHR EHR EHR EHR

Referral

R e f e r r a l Rx

Rx

Hospital Info

Reports

Guide lines Patient Info Patient Info Reports Guide lines Patient Info Lab Results

X Ray Order

Radiology Report Radiology Report

X Ray Order Lab Results

Do your patients really care if you are in an ACO, PHO or are a Medical Home?

Learn this word: CONSUMERISM

Mark Bertolini, Chairman and CEO Aetna commenting on CVS merger

We believe that this agreement further validates the important role that CVS Health's integrated and innovative pharmacy care model plays in today's health care system… …Strategy is to solve a need…patients are in the ‘system only 0.4% of the time…

• CVS is in the community 85% of population within

5 miles of a CVS

• Aetna in provider community…building open

source patient centered community model

• Forget Minute Clinic…forget current store model

…No longer about Big Data…personal healthcare…’AAA triptik’

DRUG STORE - OR COMPETITION?

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Mission, Sites, Services

Degree Of Business Integration Impact On Cost ,Quality, And Profitability

Access to Capital Joint Negotiations w/Payers and Suppliers Shared Operating Standards Share Expertise Across Business Units

Rationalizing Care Sites & Delivery

Shared Clinical Systems

Triaging Patients Across Sites

GROUP FORMATION FOR LEVERAGE DEVELOPING EFFICIENCY THROUGH BEST IN CLASS OPERATIONS REDUCING VARIATION AND MANAGING CARE

USE OF NEW TECH TO MONITOR PATIENTS

WHAT ELSE?

RE-ENVISION YOUR PRACTICE

Lower Operating Costs

SUCCESSFUL PHYSICIAN GROUP

• 1. DETERMINE HOW TO RUN YOUR

BUSINESS BETTER

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• Assemble an ‘A’ team
• Develop annual business plans, marketing

plans and operating budgets

• Address any issues now
• Keep better records

– Identify opportunities to maximize revenue and cash – Reduce overhead via tighter expense control and considering outsourcing

• 2. INVEST IN NEW TECHNOLOGY – BE

THE DISRUPTIVE PRACTICE

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• 3. STUDY POSSIBLE MERGERS AND

ACQUISITIONS THAT FIT YOUR BUSINESS MODEL AND HELP ACHIEVE YOUR GOALS

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• 4. IDENTIFY HOW TO STAND OUT FROM

THE COMPETITION

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• Access
• Technology
• Sub-Specialties
• Procedures / Services

FINALLY , EXECUTE YOUR PLANS

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You will need to make a choice…

Our challenge to you… Innovation Cocktail Hour

Find two people, share what you see as the future…