Can We Still Create A Tipping Point To Reform Our Health Care System The Right Way

1. Can We Still Create A �Tipping Point� To Reform Our Health Care System The Right Way? A Different Way To Look At Health Reform

2. Briefly- About Us

3. The Tipping Point Idea- Malcolm GladwellA Perspective For Health Care Reform Epidemic- �ideas and products and messages and behaviors spread just like viruses do�. �� that one dramatic moment in an epidemic when everything can change all at once�

4. Three Fundamental Principles of Creating a Tipping Point The Law of the Few- the kinds of people who are critical in spreading information Stickiness- Ideas have to be memorable and move us to action The Power of Context- Everyone in a complex enterprise sharing a common relationship

5. First- The Brutal Realities of Health Care

6. Jim Collins- �How The Mighty Fall� Where Is Our Health Care System? Stages of Decline of Organizations Stage 1: Hubris Born of Success- �We can do anything� Stage 2: Undisciplined Pursuit of More- �We can do anything in any market� Stage 3: Denial of Risk and Peril- �We�ll come out of it, don�t believe the numbers� Stage 4: Grasping for Salvation- �Starting the draconian cuts� Stage 5: Capitulation to Irrelevance or Death- �It�s over�

7. The numbers we all know

8. The Numbers We All Know

9. How Is The Money Spent?

10. FY 2008 Was A Killer

11. The Private Side Is Getting More Expensive- Employers Are Struggling

12. 80% May Be Satisfied Today- But Not For Long

13. And Consumers Aren�t Prepared For Future Health Care Costs

14. So We Aren�t Doing What We�re Supposed To Do

15. Chronic/Lifestyle Conditions Are Driving The Costs Today

16. We Will Need to Change- From Illness Focus- To Patient-Focus

17. Consumers Will Need to Be More Engaged

18. And They Need Resources They Can Trust

19. And Consumers Have A �Trust Issue�

20. Even With Employers

22. A Fear

23. Back To Jim Collins- Where Are We Today? Stages of Decline of Organizations Stage 1: Hubris Born of Success- �We can do anything� Stage 2: Undisciplined Pursuit of More- �We can do anything in any market� Stage 3: Denial of Risk and Peril- �We�ll come out of it, don�t believe the numbers� Stage 4: Grasping for Salvation- �Starting the draconian cuts� Stage 5: Capitulation to Irrelevance or Death- �It�s over�

24. Did We/Do We Have a Tipping Point Opportunity to Reform Health Care? Creating an �epidemic� of health care reform idea that spreads contagiously to all stakeholders- resulting in the changes we desire

25. Creating a Tipping Point

26. First: Law of the Few Spreading Information and Your Message With the Right Connections

27. Law of the Few- Spreading Information and Your Message

28. Law of the Few- Spreading Information and Your Message

29. Law of the Few-There are exceptional people out there who are capable of starting epidemics. All you have to do is find them.

30. Second: The Stickiness Factor- Can You Make Your Message Break Through?

31. It�s Not Only What You Say- But How You Say It That Counts There is a simple way to package information that, under the right circumstances, can make it irresistible. All you have to do is find it.

32. Messages For Consumers Today

34. And Finally, The Power of Context- How You Look At The World Context and Perspective Have A Huge Impact And, it almost always requires a change in thinking to change the way things are today to create a Tipping Point

35. The Reality For All of Us In The New Marketplace The ways of the past, will not apply in the future Context and perspective will need to change

36. A Common Context Is Important The paradox of the epidemic: In order to create one contagious movement, you often have to create many small movements first- but linked to a common idea and mission

38. In the Beginning There Was Health Care Reform

39. The White House Kumbaya Meeting- The Potential for A System-Wide Tipping Point Common Goal Common Mission Common Vision

40. Great Potential In the Beginning

41. Then The Reality of the Way Health Care Works Set In

42. The Sticky Messages and the Common Context Splintered

43. The Real Question We Have: Can We Bring It Together Again To Create A Health Care Tipping Point for Our Country?

44. Where We Think A Real Tipping Point Is Still Possible It�s Just Not Where The System is Looking Today

45. The Health Care Marketplace Is Already Changing (7 Predictions) The Health Care Market Has Already Changed- And Will Continue To Change Regardless of What Happens In Washington Relationships and Business Models Are Also Changing Communication and Transparency Will Become The Norm (Electronically) It Will All Boil Down To Value- Payment Structures Will Change (for Providers of Care- and For Consumers) Comparative Effectiveness (or Whatever You Want To Call It) Will Be A Reality The Focus on Health/Wellness/Prevention Will Increase Consumers Will Have A New Role

46. Recap: The Tipping Point Check-ListOne We Can All Use To Think About Our Business Perspectives Law of the Few- Connectors, Mavens, and Salesmen are in Place; Relationships with the Right People Stickiness- The Message is Clear, Relevant, and Memorable (Saying The Right Things To the Right People) Context- The Entire Community Shares the Vision and Recognizes the Opportunity for Change

47. A Personal Message: With all that is going on- please continue to remember our troops

48. Thank-You and Be Well