SLIDE 1
Objective
- Create a common understanding of some key
themes for rural health systems in health care transformation.
- Link those themes to the importance of the
Why Invest? Rural Health Challenges and the Case for Accessing - - PowerPoint PPT Presentation
Why Invest? Rural Health Challenges and the Case for Accessing - - PowerPoint PPT Presentation
Why Invest? Rural Health Challenges and the Case for Accessing Resources Objective Create a common understanding of some key themes for rural health systems in health care transformation. Link those themes to the importance of the
SLIDE 2
SLIDE 3
Creating a common understanding
- Health care systems face the largest challenges and
- pportunities in the last 75 years (or maybe ever).
- Rural health care systems face exponentially tougher
challenges and have important strengths.
SLIDE 4
The transformation; aka the shaky bridge
- From volume to value;
- From “how many?” to
“how did it go?”;
- Moving to quality
- utcomes, incentives to
keep a population healthy, and effectively manage illness/injury.
- This changes nearly
everything.
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The challenges: volumes still matter
- Decipher the development path from how many visits to how
many people.
- Work under directly opposing financial incentives.
- Develop the new while taking care of patients within thin to
nonexistent margins.
- No system is perfect ; flaws and challenges uncovered in the
new paradigm.
- Bring understanding in the community.
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The opportunities
- Take developmental steps that are neither too slow or too fast.
- Redesign mostly “sick care” systems to true health care
- systems. (While still caring for sick people.)
- Remake yourself to decrease outward migration and create
stronger links to primary care.
- Together with others, build greater health in rural
communities.
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Defining health “larger”
- Attend differently to the 80% of influences on health
- utside clinical care.
- Integration of mental health, chemical dependency and
- ral health.
- Partnerships and networks; moving beyond the walls of
the organization, new ties between a broader set of health organizations.
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Plain talking “social determinants of health”
- Your opportunity for health starts long before you need
medical care.
- Health begins where we live, learn, work and play.
- The opportunity for health begins in our families,
neighborhoods, schools and jobs.
http://www.rwjf.org/content/dam/farm/reports/reports/2010/rwjf63023
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Some of the implications
- Define the population as the community, regional
service area, market share?
- Quality is the new ground for payment,
competition and market share.
- Hand data pulls take too many resources.
- HIT drives effective reporting on measures which
drives payment.
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The implications
- To compete on quality, you need data but you also need
the public perception of quality; a challenge in a Hill- Burton era facility.
- Workforce challenges are still present; employee
experience, recruitment and retention may be linked to up-to-date facilities and technology.
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Form follows function and it all follows the money…
- The emerging role of hospitals in relationship to primary
care, what implications does this have for bricks and
mortar?
- Wiring up for telehealth/telemedicine is becoming
- essential. What spaces facilitate optimal use?
- To do “health” care, what functional space do you
need?
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Information push/park/pull
- To manage population health, you
need networks.
- To participate in networks effectively
you need 2-way information flow and technology solutions to make that possible.
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Technology enables a network
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