College of Health Solutions and Delivery Science
Keith D. Lindor, MDExecutive Vice Provost and Dean
Focusing on the development of safe, cost-effective, patient-centered health care systems
Emphasis is on health as well as health care Developing different interprofessional delivery
models as payment systems change
Science of Health Care Delivery
Home of the College of Health Solutions:
The ASU Downtown Phoenix Campus
Help ASU Develop New Models To Improve Health Lower Costs Enhance Access
College of Health Solutions Mission
Formed in 2012 Create a new health education model Serve as bridge across ASU to create
synergy within university and with strategic partners
College of Health Solutions
ASU is right university No medical center Many resources Vested interests Broad interest in health No status quo to protect
Why Arizona?
School of Nutrition and Health Promotion School for the Science of Health Care
Delivery Department of Biomedical Informatics Department of Speech and Hearing
Science Nicholas A. Cummings Behavioral Health
Program
College of Health Solutions Programs
4,788 undergraduate students 548 graduate students 651 online students 200 faculty $9.7 million in research expenditures 92 Barrett Honors College Scholars
College of Health Solutions by the #’s
Bachelor of Science in Biomedical Informatics Bachelor in Health Education and Health
Promotion Bachelor of Science in Medical Studies Bachelor of Science in Nutrition (Food and
Tourism Concentration)
Bachelor of Science in Public Health Bachelor of Science in the Science of Health
Care Delivery
New Undergraduate Studies
Master of Science in Biomedical Diagnostics
Master of Science in Clinical Exercise Physiology
Master of Science in Exercise Wellness (Healthy Aging)
Master of Science in Obesity Prevention and Management
Master of Public Health (Administration and Policy)
Master of Public Health (Nutrition)
New Graduate Studies
College of Nursing and Health Innovation
School of Biological and Health Engineering
Center for Health Information and Research
Health Delivery and Policy Program
Healthcare Transformation Institute
Center for Metabolic and Vascular Biology
Allied and Affiliated Units
Mayo Medical School Research Center for the Science of Health Care
Delivery
Collaboration with Mayo
1999 2001 2003 2005 2006 2007 2008 2009 20100
50,000
100,000
150,000
200,000
250,000
300,000
350,000
Health Science/Allied HealthUndecidedBusiness/MgmtEducationSocial SciencesVisual and Perf ArtsSciences (Bio and Physical)EngineeringCommunicationsCommunity and Personal Ser.
American College Testing Program National Reports
An overview of top student-plannededucational majors: 1999-2010
Private-Sector Employment in Health
Source: IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press.
Percentage of total private-sector health care industries
A Working Definition Applies scientific insights to understand the
elements that influence health outcomes Models the relationships between those elements Alters design, processes, or policies based on the
resultant knowledge
In order to produce better health at lower cost
Systems Approach to Health
Source: Kaplan G, Bo-Linn G, Carayon P, et al. Bringing a systems approach to health. Discussion Paper, Institute of Medicine and National Academy of Engineering. 2013
Accountable Care Organizations and other models aimed at rewarding outcomes
Penalties for inappropriate hospital readmissions
Movement towards medical home model where care is coordinated
Integration of acute care and behavioral healthcare
Changes in Care Delivery
Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives
VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.
By 2020 > 250,000 public health worker shortage Public health schools have to triple the # of
grads to meet projected needs
Public Health Workforce Shortage
Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives
VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.
U.S. Workforce Employment,2008 and Projected 2018
OccupationTotal job openings due to
growth and net replacements, 2008-2018 (in thousands)
Change (percentage)
Health care practitioners and technical occupations
3,139 21.4
Health care support occupations
1,595 28.8
Sales and related occupations
5,713 6.2
Education, training, and library occupations
3,332 14.4
Community and social services occupations
1,033 16.5
Office and administrative support occupations
7,225 7.6
IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press.
Science of Health Care Delivery
Statistical Tools and Bioinformatics for Health
Health Care Systems Design
Becoming Leaders Who Matter(Leadership and Professionalism in Health Care)
Healthy Lifestyle Promotion (includes behavioral aspects of health)
Economics, Policy and Payment Models in Health Care
Leading Organizational Change
Health Disparities and AccessLaw & Health
Creativity & Innovation (in Health Care Settings)
Capstone
Seminar
35 students preparing for the future in health care delivery
Quality improvement Health disparities Health education Health economics Data and Health program analyses Public policy Evidence based assessment Interprofessional teamwork and management
MS SHCD First Cohort
Future of Health
Focus away from health care Health is the issue
Home Community School Workplace
The Strategy That Will Fix Health Care
1Organize into
integrated units (IPUs)
2Measure
Outcomes and Costs for
Every Patient
3Move to Bundled
Payments for Care Cycles
4Integrate
Care Delivery Across
Separate Facilities
5Expand
Excellent Services Across
Geography
6 Build an Enabling Information Technology Platform
Porter ME, Lee TH. The Strategy That Will Fix Health Care. Harvard Business Review. October 2013. Retrieved: http://hbr.org/2013/10/the-strategy-that-will-fix-health-care/ar/pr
Situation
More than 1 million Arizonans entering system
An aging population living longer Move from fee-for-service to pre-paid service ACOs emerging and driving cost savings Health providers incentivized to provide right
level of affordable care Technological advancements altering
traditional health care
Predictions
Focus on health vs. health care Transition from “big” to “broad” access Prevalence of health and wellness programs Rise of self-monitoring devices to manage and
mitigate health issues Need for health advocates to educate and
encourage healthy lifestyles Reorganization of what health professionals do
(new delivery models require different training) Interprofessionalism is no longer an option… it’s
required
Thank you!
Questions?