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Workshop given at the Medicare Risk Revenue Management - Best Practice Operation Strategies meeting in Washington, DC - June 11-12, 2012
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Buildinga Resilient
Organizationto Manage
MedicareRisk
Medicare Risk Revenue Management - Best Practice Operation Strategies • Washington, DC • June 12, 2012
Wayne Pan, MD, MBAChief Medical Officer
Pacific Partners Management Services, Inc.
welcome
workshop
© nile flow gallery
no cell phonesactive participation
group learningbring your experienceschallenge each other
designthinking
designdoing
8
whydesign?
9
whynot?
what got you here
marshall goldsmith
won't get you there
marshall goldsmith
insanity: doing the
same thing over and over
and expecting different
results
see the whole
see the holes
designingfor?whoarewe
thinkhuman
somebasics
humannature
humannaturelazy
humannaturesocial
humannaturecreaturesofhabit
humannaturenotgood@change
lazysocialhabit
humannaturesocialnorms
lazysocialhabit
humannaturestatusquo
lazysocialhabit
humannaturesocialnorms
lazysocialhabit
doctornature
doctornaturecompetitive
doctornatureindependent
doctornaturecurious
doctornatureformsilos
competitiveindependentcurious
doctornaturenotgood@cooperation
competitiveindependentcurious
doctornaturenotgood@collaboration
competitiveindependentcurious
doctornaturecurious
competitiveindependentcurious
doctornaturecompetitive
competitiveindependentcurious
doctornaturecompetence
competitiveindependentcurious
leverageour nature
leverageour nature4 behavior change
simplesocialfun
alwaysthinksimple
“Simple can be harder thancomplex. You have to work hard to
get your thinking clean to makeit simple. But it’s worth it in the
end, because once you get there,you can move mountains.”
Steve Jobs
exercise #
small groups of 3introduce yourself
exercise #
rolesfinancecompliancequalitymedical mgmtbenefitsmember servicesnetwork mgmtoperations
list as many processes you can think of related to Medicare risk managementprocess
exercise #
partners
exercise #
drawtheBIGpicture
from: Jeanne Liedtka and Tim Ogilvie, Designing for Growth (2011)
exercise #
brainstorm
patient perspective
physician perspective
exercise #
iteration
don’t be afraid to FAIL....
failfast
it’saboutthepatient