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?