Project Overview November 19, 2008 Dubai Presentation by: Dr. Colleen Conway-Welch

1. Global Knowledge Exchange Network Project Overview November 19, 2008 Dubai Presentation by: Dr. Colleen Conway-Welch colleen.conway-welch@vanderbilt.edu

2. Global Health Crisis • Globally industrialized nations are faced with a health care crisis: rising healthcare costs threatening system sustainability, human resource shortages, increasingly frustrated consumers, and an absence of shared solutions and cross country communications. • There is a need for the identification, exchange and cross country promotion of better healthcare system practices through traditional and non-traditional channels.

3. Global Knowledge Exchange Network Vision: The Global Exchange will become the recognized neutral venue for evaluating and promoting better practices in achieving cost-effective health outcomes from across industrialized nations. Mission: To improve health and the value of healthcare by comparing and contrasting key drivers and approaches to addressing healthcare costs and outcomes across industrialized nations, with a goal of identifying and promoting successful, relevant, and replicable strategies.

4. Global Knowledge Exchange Network Outcome:Well-vetted ideas with relevance to industrialized nations’ healthcare cost and delivery systems and cultures, for programs and policies that improve health outcomes and promote individual and systems accountability.  Scope: GKEN will identify and publish better practices in the organization, financing, and delivery of care, including elements that influence outcomes and cost. GKEN will source replicable better practices from healthcare systems across industrialized nations.

5. Global Knowledge Exchange Network Product: GKEN will disseminate the results of its robust interactive knowledge exchange through a variety of media, including printed materials, videos, conferences, toolkits, and a public internet site. The website will provide information on healthcare system better practices and promote cost-effective healthcare improvements to a wide audience across industrialized nations.

6. GKEN Operating Principles • We will focus on process improvement rather than medical science. • GKEN is principally a communication enterprise focused on promoting better healthcare practices among industrialized nations. • Our ultimate goal is to promote better practices across all of the core components of health and healthcare • We believe that improving health systems will lead to population health improvements. • We have a patient/consumer focus. • We will build on current knowledge and look for effective emerging practices. 

7. GKEN Operating Principles • We will help enable health systems to decrease its focus on illness and increase its focus on wellness. • We will capture better practices with measurable outcomes. • We favor private policy/action (that which can be done by organizations without governmental action) over direct influence of public policy • Our work will be unique and distinctive. • Our work will be dynamic; that is, amenable to continuous refinement.

8. GKEN Areas of Focus • Workforce and Training • Individuals’ Active Participation in Health • Health Promotion and Wellness •  Chronic Illness •  Integration •  Metrics •  Efficiencies • Health Disparities

9. Merton Declaration Whereas industrialized nations are faced with escalating healthcare cost threatening system sustainability, increasingly frustrated consumers and a dearth of shared solutions to those problems and, Whereas we all know that there are sound healthcare practices utilized by nations all over the world but information about those practices is not organized for learning, readily exchanged or widely adopted by industrialized nations and, Whereas the Global Knowledge Exchange Network on healthcare (GKEN) is dedicated to the improvement of individual health and health system advancements and, Whereas GKEN is a non-profit organization dedicated to the identification, exchange and promotion of better healthcare practices through traditional and non-traditional channels, We the undersigned declare our commitment to work in collaboration with GKEN and through our various professional channels to promote the awareness and adoption of better practices in healthcare throughout the developed world.

10. GKEN Participants Catharina Maulbecker Armstrong , Associate Partner, McKinsey, Germany Cathy Baase, Global Director of Health Services, Dow Chemical, US Russ Bantham, President, Bantham Consulting, Former General Counsel to PhRMA, US Gordon Best, Director, OD Partnerships Network, UK Yank Coble, Professor & Director, Center for Global Health & Medical Diplomacy, U. of N. Fla.; Clinical Prof. of Medicine, U. of Fla.; Past President, World Medical Association, US Marty Davis, Founder & President Applied Communications Institute, Former Dir., Special Campaigns & Promotions, AARP, US Mike Farrar , Chief Executive, NHS Northwest, UK Pam Garside, Newhealth, Judge Business School, University of Cambridge, UK Paul Ginsburg, President, Center for Studying Health System Change, US Ed Hanway, Chairman & CEO, CIGNA, US Johan Hjertqvist , President, Stockholm Network and Health Consumer Powerhouse, Sweden Maria Hofmarcher-Holzhacker , Institute of Advanced Studies France, Austria Delon Human, Pres., Health Diplomats, Immediate Past Pres. World Medical Association, Switzerland Pere Ibern, Professor, Universitat Pompeu Fabra, Spain Frances Kelleher, VP Market Intelligence, CIGNA HealthCare, US Lowell Kruse, CEO, Heartland-Health Meng Kin LIM, Professor, National University of Singapore Beverly Malone, CEO, National League for Nursing, US LaMar McGinnis, Clinical Prof. of Surgery, Emory Univ.; Past Pres., American Cancer Society, US

11. GKEN Participants (cont.) Chris Mc Swain, Director Global Benefits, Whirlpool Corp., US Jonathan Meakins, Nuffield Professor of Surgery, John Radcliffe Hospital, Oxford UK Surya N. Mohapatra, Chairman & Chief Executive Officer, Quest Diagnostics, Inc. US Russ Newman, Provost and Vice President for Academic Affairs, Alliant University, US Rick Norling, CEO, Premier Inc., US Mike O’ Grady, Sr. Fellow, National Opinion Research Center, U. Chicago; Principal, O'Grady Health Policy, LLC, US Stig Pramming, CEO, Oxford Health Alliance; Co-Founder, Oxford Alliance & 3four50.com, UK Jerry Reeves, Principal, Health Innovations LLC & Chairman, World Doc, US Murray Ross, VP, Kaiser Foundation Health Plan; Director, Kaiser Institute for Health Policy, US Barbara Safriet, (former) Assoc. Dean for Academic Affairs & Lecturer on Law, Yale law School, US Sophia Schelette, Senior Health policy advisor Bertelsmann Foundation John Seffrin, CEO, American Cancer Society Michael Showalter, SVP, HealthCare Strategy & Marketing, CIGNA HealthCare, US Shane Solomon, Chief Executive, Hong Kong Hospital Authority, China Dominik von Stillfried, Managing Director of Zentralinstitut für die kassenärztliche Versorgung (ZI), Germany Karen Timmons, President and CEO, International Joint Commission, US Neil Trautwein, Vice President, Nat’l Retail Federation, US Janet Trautwein, CEO, Nat’l Assoc of Health Underwriters, US Jo Webber , Deputy Policy Director, NHS Confederation, UK Colleen Conway-Welch, Professor & Dean, Vanderbilt University, School of Nursing, US

12. Global Knowledge Exchange Network Project Overview November 19, 2008 Dubai Presentation by: Dr. Colleen Conway-Welch colleen.conway-welch@vanderbilt.edu