Novant Health Innovation in Healthcare Dr. William Bill Hammill, MD - - PowerPoint PPT Presentation

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Novant Health Innovation in Healthcare Dr. William Bill Hammill, MD - - PowerPoint PPT Presentation

Oct 17, 2023 18 likes •235 views

Novant Health Innovation in Healthcare Dr. William Bill Hammill, MD Senior Physician Executive Chairman and Service Line Leader Department of Pediatrics Novant Health Making healthcare remarkable NOVANT HEALTH Who We Are We are

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Making healthcare remarkable

Novant Health Innovation in Healthcare

  • Dr. William “Bill” Hammill, MD

Senior Physician Executive Chairman and Service Line Leader – Department of Pediatrics Novant Health

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NOVANT HEALTH – Who We Are

10/31/2012 Novant Health: Enter Presentation Title in Footer Menu 2

We are an integrated system of physician practices, hospitals,

  • utpatient centers, and more – each element committed to

delivering a remarkable healthcare experience for you and your family. With world-class technology, personal connections, and care that’s easier to access and understand, Novant Health is with you every step of the way on your journey to health and wellness. Our promise is to deliver remarkable healthcare. Part of that promise involves being proactive in the communities we serve and helping people to be healthier every day. We aren’t just here when our patients are sick; we’re with them every step of their journey toward health and wellness. That means reaching out, starting conversations and staying engaged. And most of all, it means inspiring and empowering communities to stay healthy.

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Making healthcare remarkable

Mission

Novant Health exists to improve the health

  • f communities, one

person at a time.

Vision

We, the Novant Health team, will deliver the most remarkable patient experience in every dimension, every time.

Safety • Quality Authentic personalized relationships Voice & choice • Easy for me Affordability

Values

Diversity and Inclusion Teamwork Personal excellence Courage Compassion

Our promise

We are making your healthcare experience remarkable. We will bring you world-class clinicians, care and technology – when and where you need them. We are reinventing the healthcare experience to be simpler, more convenient and more affordable, so that you can focus on getting better and staying healthy.

Our people

We are an inclusive team of purpose-driven people inspired and united by our passion to care for each other, our patients and

  • ur communities.
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How it All Fits Together

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Capital Rating Agencies Investments & Liquidity Accounting External Environment Competition Income Statement Balance Sheet Debt Markets Banks Revenue Cycle Governance & Controls Operations & Performance Growth

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Novant Health Environmental Look Back/ Look Forward

  • Pressure on pricing
  • Increasingly uncertain state regulatory

environment – changes to CON

  • Emergence of consumer
  • Emergence of value based care and

population health

  • Improving financial environment
  • Payor mix changes with the

enactment of the Affordable Care Act Last 5 – 10 Years Next 5 – 10 Years

  • Reimbursement changes

‒ Site-neutral payments ‒ Pay for performance

  • M&A activity has grown steadily and

anticipate increased consolidation of hospital systems

  • Federal regulatory reform – changes to

the Affordable Care Act

  • State regulatory reform

‒ Managed Medicaid program ‒ CON fully/partially repealed? ‒ Medicaid expansion?

  • Consumerism

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Changing Environment

Recent Past (2012 – 2016)

  • No Medicaid expansion

in any of our footprint states

  • Significant investments

in IT (EHR) and process improvement

  • Decrease in self pay and

indigent care patients Near-Term (2017 – 2019)

  • Regulatory/political

uncertainty (future of ACA)

  • Continued shift towards

site-neutral payments

  • Growth of services

covered by bundled payments

  • Evolution of impact of

MACRA, MSSP, and Medicare ACOs

  • Increased consumerism
  • Industry consolidation;

new partnership models Medium-Term (2020 – 2025)

  • Expect drug pricing to

continue to be in the spotlight

  • Increased focus on

value-based reimbursements and bundled payments

  • Continued industry

consolidation; new partnership models

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CMS Payment Reform Impact on Novant Health

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  • Medicare, Managed Medicare, and Medicaid reimbursement changes have

been impacting us unfavorably by about $20 million per year for the past few years.

  • CMS has a stated goal of 80% of their payments to be based on “value” by

2020 so we will be forced to do more of the bundled payment arrangements.

  • Currently losing approximately $5 million a year on bundled/cost sharing

arrangements but expect that to improve as we gain experience with this new framework.

  • Managed care payors may catch up with CMS and force more value-based

payments and narrow networks.

  • CIN/ACO development by health systems will also likely gain traction.
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Current State: Declining Admissions, Rising Employment, Something Has To Give…

____________________ Source: Medicare Administrative Data (CMS), Bureau of Labor Statistics

338 National, 270 2007 2008 2009 2010 2011 2012 2013 2014 2015

Inpatient Medicare Admissions (per 1,000 beneficiaries) All Employees, Hospitals, Thousands, Seasonally Adjusted

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Across the health services sector, volume is rapid and multiples are increasing

Non-Acute Activity Is At Record Highs

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National Innovation in Healthcare

02/07/2019 Novant Health: Novant Health and Innovation in Healthcare

Amazon

  • Last year, Amazon bought online pharmacy PillPack. It also announced a partnership with Warren

Buffett’s Berkshire Hathaway (BRKB) and banking giant JPMorgan Chase (JPM) to create a new health care company that they touted would be “free from profit-making incentives and constraints.”

  • Experts expect more deals like this in the future since nobody in Silicon Valley will want to let

Amazon get a big head start on health care.

  • “Tech companies can either sit back and wait to see if Amazon messes up in health care or they

can get involved now,” said Don Townswick, director of equities portfolio management at Conning.

Microsoft and Walgreens

  • Microsoft (MSFT) announced a partnership with Walgreens Boots Alliance (WBA).
  • As part of the deal, Microsoft will become Walgreen’s new cloud provider.
  • The two said they will also work on solutions to lower health care costs.
  • Walgreens will open up 12 “digital health corners” in stores that will sell health care-related

gadgets.

  • The two companies said the partnership will help Walgreens gain personalized data about their

customers’ health, which will allow pharmacists to give better, customized nutrition and wellness solutions.

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United Healthcare’s Value-Based Care Results – Screen More, Use Hospitals Less…

https://www.uhc.com/content/dam/uhcdotcom/en/ValueBasedCare/PDFs/UHCvaluebasedcare_factsheet.pdf

And this is just for one payer…

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Novant Health and Innovation in Healthcare

02/07/2019 Novant Health: Novant Health and Innovation in Healthcare 13

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Doing More with Less

  • Healthcare Reform and federal/state budget pressures have forced not-for-profit

hospitals to deliver higher-quality care with reduced reimbursement

  • Hospitals and health system must be proactive in implementing various strategies in
  • rder to do more with less

‒ Redesign delivery of hospital care to achieve lower costs ‒ Increase physician alignment ‒ Implement growth strategies to increase scale and reduce costs ‒ Improve balance sheet by increasing reserves and reducing risk ‒ Add expertise to board and executive management

“The strategic shift now taking place will challenge business models and require forward thinking strategies to manage through a transition period that will unfold over the foreseeable future.”

– Moody’s Investors Services

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Novant Health and Innovation in Healthcare

02/07/2019 Novant Health: Novant Health and Innovation in Healthcare

CNA to RN Program

  • Charlotte, N.C. – August 29, 2018 – Novant Health and Atrium Health are

announcing an initiative to support the professional development and advancement of certified nursing assistants (CNAs) to the position of registered nurse (RN). Atrium Health and Novant Health are piloting this CNA-to-RN scholarship program for CNAs in the Charlotte area as a joint ONE Charlotte Health Alliance effort. The first scholarships have been offered to 10 CNAs – five at each health system – interested in becoming registered nurses.

  • The two health systems collaborated to identify CNAs as a segment of team

members to pilot career growth programs. This pilot program serves as an upward mobility initiative to support internal advancement and improve financial well- being among team members, particularly those living in priority zip codes as identified in the Charlotte Opportunity Task Force.

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Novant Health and Innovation in Healthcare

02/07/2019 Novant Health: Novant Health and Innovation in Healthcare

Project 658/Smith Family Wellness Center Movement Family Wellness Center

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Novant Health and Innovation in Healthcare

02/07/2019 Novant Health: Novant Health and Innovation in Healthcare

Michael Jordan Clinics

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Novant Health and Innovation in Healthcare

02/07/2019 Novant Health: Novant Health and Innovation in Healthcare

Mecklenburg County / CRC Partnership

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Novant Health and Innovation in Healthcare

02/07/2019 Novant Health: Novant Health and Innovation in Healthcare

ONE Charlotte Health Alliance

  • In 2016, Novant Health partnered with Atrium Health and Bank of America to form

ONE Charlotte, an initiative bringing partners together to address some of our community’s most critical challenges: investing in neighborhoods in need, and removing barriers to education, employment and healthcare.

  • Growing out of this effort is the ONE Charlotte Health Alliance. Working with

Atrium Health and the Mecklenburg County Health Department, we’re teaming up in a long-term collaboration to bring primary care to the highest-need pockets of

  • ur community.

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Attributes of Innovative Healthcare Organizations

10/31/2012 Novant Health: Enter Presentation Title in Footer Menu 20

Be willing to partner with nontraditional partners Be willing to move quickly to make the necessary changes and innovations that lead to better patient-focused

  • utcomes.

Be willing to believe what the data is saying about what patients want instead of relying on instinct and experience alone. Be willing to base strategic business decisions on what patients and communities need rather than what financial needs dictate. Be willing to accept that change will be difficult but necessary to succeed in the new health care economy

  • verflowing with new market entrants and vertical integrators.

Be willing to take risks if they present genuine opportunities to more effectively serve patients and communities. Be willing to embrace new digital health technologies and create a fully informed, patient-centered digital health strategy. Be willing to build a sustainable innovation infrastructure that’s well-supported by budget, talent and processes.

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Questions?

10/31/2012 Novant Health: Enter Presentation Title in Footer Menu 21

“W hen w e a re closed to id ea s, w ha t w e hea r is criticism . W hen w e a re

  • p en to criticism , w ha t w e get is a d v ice.”

Sim on Sinek