Looking for Solutions, putting it together, what is at stake? - PowerPoint PPT Presentation

Looking for Solutions, putting it together, what is at stake?

Dakota Tribal Wisdom: When you discover you’re riding a dead horse, the best strategy is to dismount. However in healthcare, we often try other strategies with dead horses….: -Author unknown. Modified by Medic Management Group, LLC

Healthcare version of Dakota tribal wisdom….. 1. Buy a stronger whip. 17. Ride the dead horse “smarter” not harder. 2. Change riders. 18. Change the Dead Horse’s compensation 3. Threaten the horse with termination. model. 4. Say things like, “This is the way we have always ridden this horse.” 19. Harness several dead horses together for increased speed. 5. Appoint a committee to study the horse. 20. Do a time management study to see if the lighter riders would 6. Arrange to visit other sites to see how they improve productivity. ride dead horses. 21. Declare that “No horse is too dead to beat.” 7. Lower the standards so that dead horses can be included. 22. Call the dead horse a “joint venture” and let 8. Appoint a tiger team to revive the dead horse. others ride it. 9. Ride the dead horse “outside the box.” 23. Provide additional funding to increase the horse’s performance. 10. Buy a commercial off-the-shelf dead horse. 24. Do a cost analysis study to see if contractors can ride it cheaper. 11. Create a training session to increase our riding ability. 12. Reclassify the dead horse as “living-impaired.” 25. Purchase additional dead horses and call it an “integrated health system”. 13. Compare the state of dead horses in today’s environment. 14. Change the autopsy report to declare that “This horse is not 26. Declare the horse is “better, faster, and cheaper” dead. dead.” 27. Form a quality circle to find uses for dead horses. 15. Kill all the other horses, so this one will look the same. 16. Name the dead horse “Paradigm Shift” and 28. Declare that “This horse was procured with cost as an keep riding it. independent variable.” 29. Get the horse a Web site. Author unknown. Modified by Medic Management Group, LLC. 30. Promote the horse to a supervisory position.

A STORM IS COMING … .. … Called Consumerism

WHOSE VISION? Hospital Info Radiology Report EHR EHR EHR Radiology Patient Report EHR Info X Ray EHR Order EHR Patient Reports R Lab Lab Info Lab e EHR f Patient Rx Results Results e r Order r a Info Rx l Patient Guide Info lines Data Lab Order Patient Info X Ray Referral Order Reports Guide lines

Do your patients really care if you are in an ACO, Learn this word: CONSUMERISM PHO or are a Medical Home?

DRUG STORE - OR COMPETITION? Mark Bertolini, Chairman and CEO Aetna commenting on CVS merger We believe that this agreement further validates the important role that CVS Health's integrated and innovative pharmacy care model plays in today's health care system … … Strategy is to solve a need … patients are in the ‘system only 0.4% of the time … • CVS is in the community 85% of population within 5 miles of a CVS • Aetna in provider community … building open source patient centered community model • Forget Minute Clinic … forget current store model … No longer about Big Data … personal healthcare … ’AAA triptik’ 7

SUCCESSFUL PHYSICIAN GROUP USE OF NEW TECH TO MONITOR PATIENTS GROUP FORMATION DEVELOPING EFFICIENCY THROUGH REDUCING VARIATION FOR LEVERAGE BEST IN CLASS OPERATIONS AND MANAGING CARE Rationalizing WHAT ELSE? Impact On Cost ,Quality, And Profitability Care Sites & Delivery Triaging Lower Patients Operating Across Sites Costs Shared Clinical Systems Share Expertise Across RE-ENVISION Business Units Joint Negotiations w/Payers and Suppliers YOUR PRACTICE Shared Operating Standards Mission, Sites, Services Access to Capital Degree Of Business Integration

1. DETERMINE HOW TO RUN YOUR BUSINESS BETTER • Assemble an ‘A’ team • Develop annual business plans, marketing plans and operating budgets • Address any issues now • Keep better records – Identify opportunities to maximize revenue and cash – Reduce overhead via tighter expense control and considering outsourcing 9

2. INVEST IN NEW TECHNOLOGY – BE THE DISRUPTIVE PRACTICE 10

3. STUDY POSSIBLE MERGERS AND ACQUISITIONS THAT FIT YOUR BUSINESS MODEL AND HELP ACHIEVE YOUR GOALS 11

4. IDENTIFY HOW TO STAND OUT FROM THE COMPETITION • Access • Technology • Sub-Specialties • Procedures / Services 12

FINALLY , EXECUTE YOUR PLANS 13

You will need to make a choice…

Our challenge to you… Innovation Cocktail Hour Find two people, share what you see as the future…