Prentice Tom, MD FACEP2016 VSee Conference:Secrets to Success

The Asian Financial Crisis, Bosnia and Jeet Kune Do

Culture, Team and Adaptability: The Keys to Enterprise Success

CEP America2000 → 2016

Enterprise Success = Creating a Differentiating Value through Innovation

Ski tough or go home!

Whoa, steep!!

What’s up with zombies

?

Jay Jenkins Feb 28, 2014 at 8:08PM

You've worked hard, saved money, and even started investing. You're prepared for a financially fit future. That is until the hoards of zombie marauders come knocking. In the zombie apocalypse, where should you stash your hard-earned money?

Gold has been a store of value for as long as goods have been traded. People want gold, a finite resource, which drives its value far beyond its intrinsic value. And in a zombie apocalypse, I think gold would do quite well. If society collapses, those who survive will likely turn to gold as the de facto currency of post-apocalyptic trade.

Overstock.com is prepared for the worst, with a stockpile of precious metals in a secure location in Utah.

The company has enough food, and cash stored up to survive a disaster scenario that would doom the average retailer, CEO Patrick Byrne told Buzzfeed News.

That means hiding away $6 million in gold… in an undisclosed “safe space” in Utah, plus a 30 day supply of food.

1997 Asian

Financial Crisis

South Korean Stock Exchange1997 - 1998

Estimated time to recovery = 10 years

South Korean Stock Exchange1998 Recovery

Actual time to recovery = 18 months

South Korean Stock Exchange1998 Recovery

Actual time to recovery = 18 monthsSince 1997, South Korea has managed to triple its per capita GDP. Indeed, it resumed its role as the world's fastest-growing economy…

…catapulting South Korea into the ranks of the world’s wealthiest nations. South Korea’s ability to endure hardship and bounce back points to another lesson: the need for a sense of shared purpose and willingness to sacrifice. South Koreans rallied to help their nation, spending less, saving more and learning to be more competitive._______________1https://en.wikipedia.org/wiki/1997_Asian_financial_crisis[11/19/2016 4:26:28 PM]

2 Nytimes.com/2011/01/07/world/asia/07seoul. Lessons Learned, South Korea Makes Quick Economic Recovery. Martin Fackler, Jan. 6, 2011

Alone we can do so little.

Together we can do so much.

Bosnia was a crazy

place to be in ‘93.

Evil triumphs when good men do nothing. - Edmund Burke

600-800 patients /day (14 hours)

8 Million citizens300,000 deaths

Essentials for Prevailing Against Immense Challenge

Strong Culture• Camaraderie• Respect• Resolve• Engagement

Team Coordination• Shared mission• Focused effort• Sense of purpose• Communication

Culture = f (Leadership)Communicating the Why is

Critical

Illness and suffering triumphif care providers do nothing.

We have the opportunity to make change that matters

Hmm, I wonder if that snowball will turn into an avalanche?

Dude, that

would be total

chaos!!

Edward N. LorenzChaos Theory

Does the Flap of a Butterfly’s Wings in Brazil Set Off a Tornado in Texas? (1972)

Long range forecasts are impossible to predict

“Small” events can have unexpected consequences

The Libby Zion Example

Died 1984 at NYHCMC Meperidine + phenelzine

Resulted from long hours and lack of supervisionResident work hour limits, direct supervision, and cap on admissions

Libby Zion

… consequence of the regulatory changes in physician training… is the loss of professionalism by physicians… now viewing themselves as hourly workers … may sever the bond between doctor and patient - a bond that has been the bedrock of our conception of a physician.

The Bell Commission: Ethical Implications for the Training of Physicians 136-139 Ian R. Holzman, M.D. and Scott H. Barnett, M.D. The Mount Sinai J of Med, 67 (2); 2000

If we can’t predict the future,how does an organization deal with uncertainty?

Organizational Jeet Kun Do

“The most efficient means of countering is the stop-hit...When an opponent attacks, you

intercept his move with a thrust or hit of your own.”

Before the client can say: “We need the physicians to see patients faster.”

CEP has already said: “We have created a program that improves patient flow.”

Understand your customers so that you can predict and respond.

“I hope to free my followers from clinging to styles, patterns, or molds. ... My movements

are simple, direct.”

Patient experience:

Callback ProgramAirway Risk:

Difficult Airway CMEMD – RN Communication: Board

Rounds

Be laser focused.

“Put water into a cup, it becomes the cup.

Put water into a bottle, it becomes the bottle.

Put it into a teapot, it becomes the teapot.

Be water, my friend.”Population health is an issue

Readmissions is an issue

Bundled payments is an issue

CEP is population health programs

CEP is decreasing readmissions

CEP is bundled payment

“Aggressive Adaptability”

Aggressive Adaptability

??The slope is flatter. No

need to peddle hop. I can just link my turns

You have the cultureYou have the team.

You have the capabilities and resources.Still…

Without the 1% inspiration,the 99% perspiration is just

wasted effort.

Fragmented, difficult to access, risk averse client

Long sales cycle (bandwidth, evaluation time, low margins, cost over revenue mentality due to largely fixed revenue)

Our Healthcare Environment

BD resources are critical Capital and organizational fortitude

(to survive > 5-7 years without sig revenue) Consider your exit strategy at the

outset E.g.: merging with a large player

Technology Interoperability Big data Uniformity through care algorithms Provider clinical management through

EMR

Our Future Healthcare Environment

Commoditization of care and technology

How you partner with payers/providers will be

as important as your product Your value proposition will be your relationship with

clients – consider how you will innovate in this area Eg: Data without programmatic application has little

value Eg: Telecom that doesn’t address delivery system

processes will have little impact (and longer adoption).

Commoditization of payers/providers Consolidation

Convergence

Our Future Healthcare Environment

Large players integrated in local environments

“Medicine without Walls”

Understand how you fit (your value proposition), and be prepared for the changing

paradigm in health care delivery.

CMS Programs

Evolving Value Proposition Through Innovation

Callback

Program

Patient FlowRME

Risk Management

CDI / CMI

Population Health

Strategy

Palliative CareIntegrated

Clinical Pathways

Psychiatric Emergency Services

Telehealth

Service Excellence

Patient Experience

Practitioner

Education

EMR Support

Knowledge Management

MD – RN Relationships

Sepsis Program

ED Ultrasound

Leadership Training

Client Relationships

Product Enhancement

Infrastructure /Operations

“Signature Competency ”

Your unique enterprise value proposition(s) that differentiate your organization’s brand.

Core Competencies

Medicine without Walls

Culture

Team

AggressiveAdaptability

SignatureCompetencies

and enjoy these days.

Prentice TomPLTom@aol.com

Ski tough….