What are the Transformative ChangesWhat are the Transformative ChangesRequired to Deal with the Healthcare of the Future?Required to Deal with the Healthcare of the Future?

History of the Future Exercise History of the Future Exercise What Will You Wish You Had Done in What Will You Wish You Had Done in

2011 Looking Back Ten Years From Now2011 Looking Back Ten Years From Now

Welcome to the CelebrationWelcome to the Celebration

It is January 24, 2021It is January 24, 2021 Your hospital system had prepared for the Your hospital system had prepared for the

initiatives of the future back in 2011initiatives of the future back in 2011 As a physician/board/administrative leader As a physician/board/administrative leader

you have acquired the skill sets for an you have acquired the skill sets for an optimistic futureoptimistic future

What were the initiatives you were most What were the initiatives you were most prepared for and whatprepared for and what’’s changed the most s changed the most since 2011.since 2011.

History of the Future ApproachHistory of the Future Approach

Anchor 2020 as a time horizon in your lifeAnchor 2020 as a time horizon in your life Personal milestones between 2006-2016Personal milestones between 2006-2016 Family membersFamily members

Give each participant time to think about Give each participant time to think about elements of their own elements of their own ““back to the futureback to the future”” Recognizing non incremental nature of changesRecognizing non incremental nature of changes Be creativeBe creative

Set the stage by inviting the group to describe Set the stage by inviting the group to describe the physical setting and mentally travel to a the physical setting and mentally travel to a future time and placefuture time and place Must use the past tenseMust use the past tense When asked a question—make up a specific answerWhen asked a question—make up a specific answer

Build on statements like improv theaterBuild on statements like improv theater React spontaneously in collaborative wayReact spontaneously in collaborative way

The Not So Optimistic The Not So Optimistic Past and PresentPast and Present

I’m for leaving the status quo like it is...

Yogi Berra

We are at a crossroads…one road leads to total destruction, the other despair…let’s hope we choose the right one...

Woody Allen

What can we learn from What can we learn from the the futurefuture that will help us that will help us create a better create a better presentpresent for for healthcare?healthcare?

A History of the Future ApproachA History of the Future Approach

Physicians View of the FuturePhysicians View of the FutureView From the PresentView From the Present

70 % felt 70 % felt ““we were doomedwe were doomed”” and that and that ““there was nothing to do but wait for there was nothing to do but wait for the apocalypsethe apocalypse””

Of the 30% that felt Of the 30% that felt there was an optimistic there was an optimistic future only 18% felt that future only 18% felt that they they (physicians)(physicians) would would find the answersfind the answers

Scenario 1 - Scenario 1 - The Bleak ScenarioThe Bleak Scenario

It is now 2020It is now 2020 Physicians have lost control of the Physicians have lost control of the

systemsystem Medical care is now run by large Medical care is now run by large

insurance companies and non-medical insurance companies and non-medical professionalsprofessionals

Physicians are a commodity and are Physicians are a commodity and are hired by these mega corporationshired by these mega corporations

What Happened???What Happened???

Scenario 2 - Scenario 2 - The Optimistic ScenarioThe Optimistic Scenario

It is now 2020It is now 2020 Physicians have regained control of the Physicians have regained control of the

systemsystem There is alignment of incentives between There is alignment of incentives between

good health care and reimbursementgood health care and reimbursement Physician groups have become Physician groups have become

entrepreneurial with growing success and entrepreneurial with growing success and more funmore fun

What Happened???What Happened???

Did I Really Say That?Did I Really Say That?Docs Were Often Surprised by Their Creative ResponsesDocs Were Often Surprised by Their Creative Responses

Acceptance of integrative healthAcceptance of integrative health

Product line approachesProduct line approaches

Innovative customer service modelsInnovative customer service models

““CoopetitionCoopetition”” models models

Importance of leveraging quality, service Importance of leveraging quality, service and technologyand technology

Top Initiatives of HospitalsTop Initiatives of HospitalsPreparing For the FuturePreparing For the Future

Service Lines on SteroidsService Lines on Steroids Providers Available Across SpecialtiesProviders Available Across Specialties

Centers of Excellence Without WallsCenters of Excellence Without Walls

Preparation for the new wave of technologiesPreparation for the new wave of technologies

Improvements in Customer ServiceImprovements in Customer Service Recognition of Different CompetitorsRecognition of Different Competitors

““CoopetitionCoopetition”” models with other entities and models with other entities andwith the medical staffwith the medical staff

Incorporation of Incorporation of ““integrativeintegrative”” or or ““globalglobal”” health health

Transforming the Hospital-Medical Staff RelationshipTransforming the Hospital-Medical Staff Relationship

The Future: 2020 QualityThe Future: 2020 Quality

Measurement of quality and role of Measurement of quality and role of technologytechnology

Pay for performance initiativesPay for performance initiatives Variations in clinical practiceVariations in clinical practice Role of individual physicians, non Role of individual physicians, non

health care businesses, employers, health care businesses, employers, MCOs and government in mandating MCOs and government in mandating or facilitating this changeor facilitating this change

The Future: 2020 ServiceThe Future: 2020 Service

Role of service mandates and service Role of service mandates and service guaranteesguarantees

Role of advanced practitioners Role of advanced practitioners and/or integrative medicineand/or integrative medicine

Use of the internet, emails and Use of the internet, emails and interactive technologyinteractive technology

Crossing of department lines and Crossing of department lines and ““product lineproduct line”” approaches approaches

The Future: 2020 TechnologyThe Future: 2020 Technology

Use of technology to reduce medical Use of technology to reduce medical errorserrors

Two way communication between Two way communication between patients and providerspatients and providers

Use of PDAs, smart cards, and Use of PDAs, smart cards, and wireless wireless

technologiestechnologies Evaluation of the electronic medical Evaluation of the electronic medical

record and paperless chartrecord and paperless chart

It is Impossible to be Ahead of the Pack if It is Impossible to be Ahead of the Pack if you Think about the Future in Todayyou Think about the Future in Today’’s Termss Terms

““Well, lemme think... YouWell, lemme think... You’’ve stumped me, son. Mostve stumped me, son. Mostfolks only wanna know how to go the other way.folks only wanna know how to go the other way.””