The Power of the Patient Mark D. Smith MD MBA 1 CONFIDENTIAL Do - - PowerPoint PPT Presentation

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The Power of the Patient Mark D. Smith MD MBA 1 CONFIDENTIAL Do - - PowerPoint PPT Presentation

Nov 08, 2023 112 likes •305 views

The Power of the Patient Mark D. Smith MD MBA 1 CONFIDENTIAL Do not reproduce or distribute Outline 1. Prevention 2. Financial 3. Co-Design & Co-production of Care 4. Care delivery: Self-Care 5. Political 2 CONFIDENTIAL Do

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The Power of the Patient

Mark D. Smith MD MBA

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Outline

  • 1. Prevention
  • 2. Financial
  • 3. Co-Design & Co-production of Care
  • 4. Care delivery: Self-Care
  • 5. Political

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The Medical-Industrial Complex

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Financial

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Vote with their feet and wallets for high-value plans and providers: But - This requires:

  • Greater availability of useable data on cost and quality
  • Greater supply of lower-cost providers
  • Value-based insurance design
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Co-Design & Co-production of Care

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“Co-production”

  • End-of-life care : The Conversation Project
  • Home care/safety: “Discharge to Assess (D2A)” / “CAPABLE”
  • Pediatric IBD (and others): Collaborative Chronic Care Networks

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Mechanisms of action:

  • 1. Patients generally select lower- or no- cost interventions that

maximize quality of life.

  • 2. Patients co-produce services that deliver better health outcomes

(for any given amount of investment)

  • 3. Patients, families and caregivers expand the workforce in a way

better equipped to deal with chronic disease at relatively low cost to the system

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Care Delivery Self-Care

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Strep throat

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Hypertension

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Anticoagulation

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Dialysis (in Sweden)

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Dialysis (in West Philly)

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From Edward R Jones, MD, MBA Medical Director - Self-care FMC Mt. Airy Philadelphia, PA.

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Types of Self-Care

  • Technology- and protocol- driven diagnosis

– pregnancy, HIV; – Strep throat; ear infection; mono; flu

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  • Managing chronic conditions

– Hypertension – Diabetes – HIV – Anti-coagulation – Congestive heart failure

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Types of Self-Care , cont.

  • Providing treatment
  • Computerized Cognitive Therapy
  • Wound Care
  • Dialysis?

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Politics

  • Vote
  • Highlight and push back on ruinous pricing practices

– e.g.“gotcha” out-of-network bills

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Outline

  • 1. Prevention
  • 2. Financial
  • 3. Co-Design & Co-production of Care
  • 4. Care delivery: Self-Care
  • 5. Political

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Thank You!

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