Healthcare Delivery in the US, May 2015, Upper Austria

Healthcare Delivery in the United StatesPatient Protection and Affordable Care Act (PPACA) and the Paradigm shift for Leadership, Quality and Change in Healthcare

By: Erik Hollander, MBAMilwaukee, WI (United States)May 2015, Upper Austria

Overview• Overview• History of Healthcare in the US

-Prof. Hollander • Current State• Future State• Review

Slide Title

Bio

• Retirement• Work• Education• Teaching• Family• Leisure

History of HC in US

Source: Adapted from: A Brief History: Universal Health Care Efforts in the US: transcribed from a talk given by Karen S/ Palmer, MPH, MS in San Francisco at the Spring, 1999 PNHP meetingSource: Adapted from: PBS Healthcare Crisis: Healthcare Timeline,Source: Adapted from US Dept. of Health and Human Services, Historical Highlights, 2014 Source: Adapted from Kaiser Family Foundation, Timeline: History of Health Reform in the US, May 2013

Source: Adapted from: CIS Portfolio, Julieth Rojas, St. Olaf College, 2015

Current

Source: Adapted from: Are Healthcare Consumers at the Forefront of Digital Health? By Barbara Ficarra, RN, BSN, MPA and Ben HeublSource: Adapted from: Experts say rural healthcare in crisis: OIG report, Medicaid opt-outs cause concern; August 29, 2013 by Zack BudrykSource: Adapted from: 8 Issues Affecting Population Health Management Right Now; Dec. 16th, 2012, by Matthew Smith

United States Census Bureauhttp://www.gwu.edu/~forcpgm/Ortman.pdf

Source: Adapted from: U.S. Population Projections 2012 – 2060; Presentation for the FFC/GW Brown Bag Seminar Series on Forecasting; Washington, D.C., February 7, 2013 by Jennifer M. Ortman, Population Division, United States Census Bureau

Current

Source: Adapted from: How to Effectively Implement Organizational Change; By Brad Sugars, 2014

Charity Care

Source: Adapted from: Milwaukee-Area Hospital Systems; Milwaukee Business Journal,Charity Care, bad debt increased in 2011; Corrinne Hess, December 23, 2011Source: Milwaukee Business Journal, More Charity at Hospitals, June 29 th, 2006, by Ben FishcerSource: Hospitals seeing drop in bad debt, charity care, October 22, 2010, by Corrinne Hess

Current – Medicare / Medicaid

Current

Source: Adapted from: The Joint Commission, Quality logo, 2015Source: Adapted from: Commission on Cancer, Logo, 2015Source: Adapted from: NCI, Community Oncology Research Program, 2015Source: Adapted from: ASCO, QOPI, 2015Source: Adapted from: Univ. of Nebraska, FACT, 2015

Price per Capita - OECD

Growth in Total Health Expenditure Per Capita, U.S. and Selected Countries, 1970-2008

Source: adapted from:

Organization for Economic Co-operation and Development (2010), “OECD Health Data”, OECD Health Statistics (database). doi: 10.1787/data-00350-en (Accessed on 14 February 2011).Notes: Data from Australia and Japan are 2007 data. Figures for Belgium, Canada, Netherlands, Norway and Switzerland, are OECD estimates.  Numbers are PPP adjusted. Break in series: CAN(1995);  SWE(1993, 2001); SWI(1995); UK (1997). Numbers are PPP adjusted.

Estimates for Canada and Switzerland in 2008.

Quality and Benchmarks

• Quality and Reports– Hospital Comparison Benchmark Reports (HCBR)– Rapid Quality Reporting System (RQRS) Flyer– Quality Care Measures

Source: Adapted from American College of Surgeons, Commission on Cancer, Quality Cancer Tools, 2015

Survivorship – Distress, Psychosocial

Source: Adapted from NCCN, Distress Management Tool, 2015

Survivorship

Source: Adapted from ASCO, Breast CancerSurvivorship Care Plan, 2015

Current / Future

•Reform

Source: Adapted from: Does the Private Option sink or save providers by Katie Bo Williams, March 14, 2014Source: Adapted from: Dances with Fat: Fat Chance for Healthcare Access, January 20, 2011Source: Adapted from: The Case for Single Payer, Universal Health Care for The United States: Outline of Talk given to the assocaition of State Green Parties, Moodus, Connecticut on June 4, 1999; by John R. Battista, M.D. and Justine McCabe, PhD.

Future of Healthcare Delivery

• Fee for Service (FFS) vs. Episodes• ER Utilization• Length of Stay (LOS)• Insurance Coverage (40 million)• Tiered System

• Best Health System in the World (Videos)

Healthcare Video

• Healthcare Video

Source: Concordia University Wisconsin, MBA 920, Economics and Policy in Healthcare, 2013 by: Erik Hollander, MBA

Future of Healthcare Delivery

• Cultural Beliefs / Values• Social• Technological• Aging Population / Population

Health• Providers

Review

• Review– Prof. Hollander

• History of Healthcare in the U.S.• Current State• Future State• Review

Thank you!

Thank you for your time and attention!

Questions? / Fragen?