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Healthcare Delivery in the 21 st Century: An Environmental Assessment of Key Drivers of Change and Implications for Spi

Healthcare Delivery in the 21 st Century: An Environmental Assessment of Key Drivers of Change and Implications for Spiritual Care Alan E. Bowman, MDiv, MBA VP, Ministry Formation Catholic Health Initiatives.

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Healthcare Delivery in the 21 st Century: An Environmental Assessment of Key Drivers of Change and Implications for Spi

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  1. Healthcare Delivery in the 21st Century: An Environmental Assessment of Key Drivers of Change and Implications for Spiritual Care Alan E. Bowman, MDiv, MBA VP, Ministry Formation Catholic Health Initiatives

  2. Healthcare Delivery in the 21st Century: An Environmental Assessment of Key Drivers of Change and Implications for Spiritual Care • Objectives • At the end of the module, participants will be able to: • Name the major shifts occurring in the structure and delivery of healthcare in the 21st Century • Comprehend what major trends will arise from this shifts • Identify how these major shifts will affect spiritual care

  3. CHI’s Environmental Assessment and Key Drivers of Change Treatment & Technology Talent Rural Challenges Payment / Financial Trends Physician Dynamics Chronic Disease Catholic Identity Aging Consumerism Health Care Reform

  4. Environmental Assessment: Critical Planning IssuesHealth Care Reform • Why is it needed? • When did the Patient Protection and Affordable Care Act, ACA become law? • What are the key benefits of the ACA? • Catholic Health Care Organization • “REALIZING OUR VISION FOR U.S. HEALTH CARE” • “KEY BENEFITS OF THE AFFORDABLE CARE ACT” • What happens if the Supreme court deems the ACA unconstitutional?

  5. Environmental Assessment: Critical Planning IssuesPayment/Financial Trends • What is “Fee for Service”? • How are chaplains services covered? • CMS identifies up to 40% of “waste” in Medicare spending • Transparency and Focus on Quality over “Fee for Service” and, • Population Health Management

  6. Environmental Assessment: Critical Planning IssuesTreatment and Technology • Virtual technologies extend access • Technology will redesign care • Data repository • Electronic Health Records

  7. Environmental Assessment: Critical Planning IssuesPhysician Dynamics • Engagement and alignment of physicians • Physician leadership formation • Medicare Physician payment formula and cuts in Medicare and Medicaid reimbursement • Expanding the numbers of employed physicians • Clinical Integration

  8. Environmental Assessment: Critical Planning IssuesCatholic Identity • Consolidation among providers • Strengthening the relationships with Catholic Bishops is increasingly important • Growth opportunities will challenge and redefine Catholic identity • Some Catholic health care facilities are at risk • Catholic systems becoming more innovative

  9. Environmental Assessment: Critical Planning IssuesTalent • New business and clinical models • Licensure legislation historically protects turf • Shortages will challenge health care delivery systems, • Catholic hospitals’ develop new formation opportunities

  10. Environmental Assessment: Critical Planning IssuesConsumerism • Escalation of health care costs • Consumers will change the health care landscape • Increased demand for convenience and transparency • Efficiency expectations

  11. Environmental Assessment: Critical Planning IssuesImplications for Spiritual Care • Education and Formation: • Changes in healthcare • New payment models—where is spiritual care? • Better utilize technology • Better integrate into emerging markets • Cultural competencies • Pastoral Identity expansion • Pastoral Role expansion (beyond comfort care and pastoral presence)

  12. Environmental Assessment: Critical Planning IssuesImplications for Spiritual Care • Education and Formation (continued): • Integration with Interdisciplinary teams • Expansion of Scope of Service • Researching, Documenting and Communicating value and purpose of Spiritual Care • Expansion of Pastoral Skills • Standards of Practice to meet changing needs

  13. Environmental Assessment: Critical Planning IssuesImplications for Spiritual Care • Dialogue: What are your questions?

  14. Environmental Assessment: Critical Planning IssuesResources • Association for Clinical Pastoral Education: www.acpe.edu • Association for Professional Chaplains: www.professionalchaplains.org • Catholic Health Association of the United States: www.chausa.org • Catholic Health World, April 1, 2012 volume 28, Number 6 • Fierce Healthcare: www.fiercehealthcare.com • Health Leaders: www.healthleadersmedia.com • National Association for Catholic Chaplains: www.nacc.org • National Association of Jewish Chaplains: www.najc.org

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