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This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Hey Siri. Take me to value-based care!
Deborah Bulger, CPHQ
Executive Director, Strategic Programs
Change Healthcare
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Modern navigation
• Route
• Roadblocks
• Rest stops
• Recalculating!
• Restraint(?)
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
“Healthcare is a little more than 25 years into a
40-year-long transformation from fee-for-
service to value-based payment.”
- Michael Leavitt, president of Leavitt Partners, former governor and HHS secretary
Global Perspectives: Mike Leavitt on Health Care Costs and Higher Education
April 23, 2019
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
“We can’t predict. But we can prepare.”
- Margaret Heffernan, author, The human skills we need in an
unpredictable world
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Hey Siri…Take me to value-based care!
Get Set Go!On Your MarkUnderstand the markers that drive
opportunity and action
Define opportunity segments
based on market characteristics
Take the pulse of your own
organization
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Hey Siri…Take me to value-based care!
“Like many hard problems in business
or life in general, seemingly impossible
measurements start with asking the
right questions.”
Douglas W. Hubbard, How to Measure Anything: Find the
Value of “Intangibles” in Business
On Your MarkUnderstand the markers that drive
opportunity and action
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Markers
susceptibility to failure in the transition from
fee-for-service to value-based care
ability and willingness to invest in activities
needed to achieve success
Burden Propensity to act
Bed utilization
Hospital compare Star rating
% Medicare/Medicaid revenue
# ACOs/CINs
Revenue from risk-based contracts
Operating margin
Case mix index
Market concentration
Operating expense
VBC penalties
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Key characteristics
susceptibility to failure in the transition from
fee-for-service to value-based care
ability and willingness to invest in resources
needed to achieve success
Burden Propensity to act
HIGHHIGH
LOW LOW
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Quantitative analysis
Propensity to act HIGHLOW
Burd
en
HIGH
LOW
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Qualitative analysis
Propensity to act HIGHLOW
Burd
en
HIGH
LOW
Fee-for-service market;
tried and failed at ACO
Not taking on risk but
wants to “behave as
though we were”
Early mover with multiple
ACOS, increasing
financial risk
Market climate driven;
outpacing our ability to
“keep up”
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Propensity to act
Qualitative analysis
Propensity to act HIGHLOW
Burd
en
LOW
HIGH
Leverage your “unfair
advantage”
Innovate
“Move the herd” at a
pace they can sustain
Educate & Equip
Design “with a purpose”
Land & Expand
Find a “reason to
believe”
Protect & Defend
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Get SetDefine opportunity segments
based on market characteristics
Hey Siri…Take me to value-based care!
“Life's messy, clean it up, organize it, and
put it into a Bento Box.”
Brene Brown, research professor, author
The Power of Vulnerabilty
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Opportunity Map
HIGH LOW
LOWHIGHLOWHIGH
Burden
Propensity to actPropensity to act
Leverage your “unfair
advantage”
Innovate
“Move the herd” at a
pace they can sustain
Educate & Equip
Design “with a purpose”
Land & Expand
Find a “reason to
believe”
Protect & Defend
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
HIGH
HIGH
Burden
Propensity to act
A real unfair
advantage is something
that cannot be easily
copied or bought by your
competitors
Service
Quality & Safety
People
Growth
Cost
Community
Navigation plan
• Capitalize on your
organizational strengths
• Elevate your personal brand
Leverage your “unfair
advantage”
Innovate
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
HIGH Burden
Propensity to act
Desired Outcome
Strategic Goals
Strategic Goals
Strategic Goals
Strategic Goals
Value Milestones
Value Milestones
Value Milestones
Value Milestones
Measure & Reward
Measure & Reward
Measure & Reward
Measure & Reward
Decide what action you will take based on measure results.
Outcomes
Achievement
Plan
LOW
“Move the herd” at a
pace they can sustain
Educate & Equip
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
HIGH Burden
Propensity to act
LOW
Decide what action
you will take based
on measure results.
“If you can’t identify a decision that could be affected by a
proposed measurement and how it could change those
decisions, then the measurement simply has no value.”
-Douglas W. Hubbard, How to Measure Anything, Finding the Value of “Intangibles” in Business
“Move the herd” at a
pace they can sustain
Educate & Equip
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
HIGH Burden
Propensity to act
LOW
Decide what action
you will take based
on measure results.
Better
Same
Worse
Up the ante?
Re-evaluate?
Corrective action?
Navigation plan
• Develop an outcomes
achievement plan
• Stay focused on milestones
“Move the herd” at a
pace they can sustain
Educate & Equip
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
LOW
HIGH
Burden
Propensity to act
5 Stages of Design Thinking
Empathize
Define
Ideate
Prototype
Test
This work is in the public domain in the United States because it was published (or registered with the U.S. Copyright Office) before January 1, 1924.
Design “with a purpose”
Land & Expand
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
LOW
HIGH
Burden
Propensity to act
This work is in the public domain in the United States because it was published (or registered with the U.S. Copyright Office) before January 1, 1924.
Design “with a purpose”
Land & Expand
Empathize
Walk me
through…
Describe
the experience
If I were to
listen in…?
How do
you…?
Navigation plan
• Establish an “early adopter”
• Engage in design thinking
Design “with a purpose”
Land & Expand
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
LOW
LOW
Burden
Propensity to act
Building A Storybrand: Clarify Your Message So Customers Will Listen, Donald Miller
What does the
hero want?
Who or what is
getting in the way?
What is at stake if
the hero fails?
Who came to
the rescue?
What was the
outcome?
Improve OR
start time
accuracy
Surgeons
arrive late$210,000 per year
in excess cost
Chief of
Surgery80%
improvement
Find a “reason to
believe”
Protect & Defend
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
LOW
LOW
Burden
Propensity to act
Building A Storybrand: Clarify Your Message So Customers Will Listen, Donald Miller
Tell me the “so what?”
Navigation plan
• Departmental initiatives that
improve quality
• Tell your “story”
The personal,
emotional,
meaningful
outcome…the
human narrative.
Find a “reason to
believe”
Protect & Defend
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Go!Take the pulse of your own
organization
Hey Siri…Take me to value-based care!
“One way to motivate action is to make
people feel as though they’re already closer
to the finish line than they might have
thought.”
Chip & Dan Heath, Switch: How to Change Things When
Change Is Hard
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Introducing… Explorer Opportunity Map
40
This document (including, without limitation, any product roadmap or statement of direction data) illustrates the planned tes ting, release and availability dates for TIBCO products and services.It is for informational purposes only and its contents are subject to change without notice. © Copyright 2014-2019 TIBCO Software Inc. All rights reserved. TIBCO Proprietary Information.
Resources
Books
How to Measure Anything: Find the Value of “Intangibles” in Business, Douglas W. Hubbard
The Organized Mind, Daniel J Levitin
Building A Storybrand: Clarify Your Message So Customers Will Listen, Donald Miller
Switch: How to Change Things When Change Is Hard, Chip & Dan Heath
Articles
Leading a team approach to value, Michele Molden, MBA, FACHE https://healthcare-conversation.com/2019/03/26/leading-a-team-approach-to-value/
14 unfair advantages you don't realize your startup has By Chris HeivlyCo-founder, MapQuest, and entrepreneur In residence, Techstars
https://www.inc.com/chris-heivly/14-unfair-advantages-you-don-t-realize-your-startup-has.html
Design Thinking, Interactive Design Foundation Deb's note: "I do not promote any particular methodology, however, this site has a really good outline of the phases of design thinking"
https://www.interaction-design.org/literature/topics/design-thinking
Design thinking in healthcare, Henry Doss, contributer, Forbes, Inc. https://www.forbes.com/sites/henrydoss/2014/05/23/design-thinking-in-healthcare-one-step-at-a-time/#6772d0843f1a
TED Talks/Videos
The Power of Vulnerabilty, Brene Brown https://www.ted.com/talks/brene_brown_on_vulnerability?language=en
It's not fair having 12 pairs of legs, Aimee Mullins https://www.youtube.com/watch?v=JQ0iMulicgg
The human skills we need in an upredictable world, Margaret Heffernan https://www.ted.com/talks/margaret_heffernan_the_human_skills_we_need_in_an_unpredictable_world?language=en
Storybrand One Liner Exercise | Donald Miller | EntreLeadership TakeawaysDeb's note: "This is a great way to both tell your story AND find your "unfair advantage" and brand!
https://www.youtube.com/watch?v=HFergI0UOAs