College of Health Solutions and Delivery Science

1. College of Health Solutions and Delivery Science Keith D. Lindor, MD Executive Vice Provost and Dean

2. Science of Health Care Delivery • Focusing on the development of safe, cost-effective, patient-centered health care systems • Emphasis is on health as well as health care • Developing different interprofessional delivery models as payment systems change

3. Home of the College of Health Solutions: The ASU Downtown Phoenix Campus

4. College of Health Solutions Mission • Help ASU Develop New Models • To Improve Health • Lower Costs • Enhance Access

5. College of Health Solutions • Formed in 2012 • Create a new health education model • Serve as bridge across ASU to create synergy within university and with strategic partners

6. Why Arizona? • ASU is right university • No medical center • Many resources • Vested interests • Broad interest in health • No status quo to protect

7. College of Health Solutions Programs • School of Nutrition and Health Promotion • School for the Science of Health Care Delivery • Department of Biomedical Informatics • Department of Speech and Hearing Science • Nicholas A. Cummings Behavioral Health Program

8. College of Health Solutions by the #’s • 4,788 undergraduate students • 548 graduate students • 651 online students • 200 faculty • $9.7 million in research expenditures • 92 Barrett Honors College Scholars

9. New Undergraduate Studies • Bachelor of Science in Biomedical Informatics • Bachelor in Health Education and Health Promotion • Bachelor of Science in Medical Studies • Bachelor of Science in Nutrition (Food and Tourism Concentration) • Bachelor of Science in Public Health • Bachelor of Science in the Science of Health Care Delivery

10. New Graduate Studies • Master of Science in Biomedical Diagnostics • Master of Science in Clinical Exercise Physiology • Master of Science in Exercise Wellness (Healthy Aging) • Master of Science in Obesity Prevention and Management • Master of Public Health (Administration and Policy) • Master of Public Health (Nutrition)

11. Allied and Affiliated Units • College of Nursing and Health Innovation • School of Biological and Health Engineering • Center for Health Information and Research • Health Delivery and Policy Program • Healthcare Transformation Institute • Center for Metabolic and Vascular Biology

12. Collaboration with Mayo • Mayo Medical School • Research • Center for the Science of Health Care Delivery

13. An overview of top student-plannededucational majors: 1999-2010 American College Testing Program National Reports

14. Private-Sector Employment in Health Percentage of total private-sector health care industries Source: IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press.

15. Systems Approach to Health A Working Definition • Applies scientific insights to understand the elements that influence health outcomes • Models the relationships between those elements • Alters design, processes, or policies based on the resultant knowledge In order to produce better health at lower cost Source: Kaplan G, Bo-Linn G, Carayon P, et al. Bringing a systems approach to health. Discussion Paper, Institute of Medicine and National Academy of Engineering. 2013

16. Changes in Care Delivery • Accountable Care Organizations and other models aimed at rewarding outcomes • Penalties for inappropriate hospital readmissions • Movement towards medical home model where care is coordinated • Integration of acute care and behavioral healthcare Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.

17. Public Health Workforce Shortage By 2020 • > 250,000 public health worker shortage • Public health schools have to triple the # of grads to meet projected needs Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.

18. U.S. Workforce Employment, 2008 and Projected 2018 IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press.

19. Science of Health Care Delivery

20. MS SHCD First Cohort 35 students preparing for the future in health care delivery • Quality improvement • Health disparities • Health education • Health economics • Data and Health program analyses • Public policy • Evidence based assessment • Interprofessional teamwork and management

21. Future of Health • Focus away from health care • Health is the issue • Home • Community • School • Workplace

22. The Strategy That Will Fix Health Care 1 Organize into integrated units (IPUs) 2 Measure Outcomes and Costs for Every Patient 5 Expand Excellent Services Across Geography 3 Move to Bundled Payments for Care Cycles 4 Integrate Care Delivery Across Separate Facilities 6 Build an Enabling Information Technology Platform Porter ME, Lee TH. The Strategy That Will Fix Health Care. Harvard Business Review. October 2013. Retrieved: http://hbr.org/2013/10/the-strategy-that-will-fix-health-care/ar/pr

23. Situation • More than 1 million Arizonans entering system • An aging population living longer • Move from fee-for-service to pre-paid service • ACOs emerging and driving cost savings • Health providers incentivized to provide right level of affordable care • Technological advancements altering traditional health care

24. Predictions • Focus on health vs. health care • Transition from “big” to “broad” access • Prevalence of health and wellness programs • Rise of self-monitoring devices to manage and mitigate health issues • Need for health advocates to educate and encourage healthy lifestyles • Reorganization of what health professionals do (new delivery models require different training) • Interprofessionalism is no longer an option… it’s required

25. Thank you! Questions?