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Future Trends in Health Care Jim O’Loughlin, President & CEO Memorial Hospital

Future Trends in Health Care Jim O’Loughlin, President & CEO Memorial Hospital. The Traditional Means. How the Millennial Will Access Care. The New Tradition. Methods of Providing Care Employer-Based Clinics Retail Clinics Urgent Care Centers Virtual Health Services

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Future Trends in Health Care Jim O’Loughlin, President & CEO Memorial Hospital

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  1. Future Trends in Health Care Jim O’Loughlin, President & CEO Memorial Hospital

  2. The Traditional Means

  3. How the Millennial Will Access Care

  4. The New Tradition • Methods of Providing Care • Employer-Based Clinics • Retail Clinics • Urgent Care Centers • Virtual Health Services • Patient Satisfaction • Social Media

  5. Employer-Based Clinics • One third of employers with 1,000 or more employees have on-site clinics • Scope of services is expanding • Chronic disease management • Minor procedures • Pain management • Physicals and Immunizations

  6. Retail Clinics • Over 1,600 nationwide in 42 states • CVS and Walgreens own 66% of all clinics • Half of all clinics are in just eight states • IL, FL, TX, OH, TN, MN, AZ, GA • Will provide 10% of all primary care by 2016 • 60% of the patients are without a PCP • 43% of the patients are aged 18 – 43 • 35% of metro families live within 5 miles of a retail clinic

  7. Urgent Care Centers • Approximately 9,000 in the US • One-third each are physician owned, corporate owned or hospital owned • Accepts walk-in patients of all ages • Requires lower co-pays and deductibles • Providers read ECGs and X-Rays • Provide primary care services, prescribe meds, and perform minor procedures • Treat wounds, minor trauma, closed fractures and other conditions commonly treated in ERs

  8. Virtual Health Services

  9. Virtual Health Services • Clinician to Clinician • Telecommunications • Telepathology • Telepharmacy • Teleradiology • Telestroke • eConsults • eED • eICU • Virtual Multidisciplinary Conferences

  10. Virtual Health Services • Provider to Patient • Remote Patient Monitoring • Telehealth Kiosks • Bio-monitors (BP, Glucose, etc) • Virtual Medication Management • Virtual Urgent Care • Specialist Consults • Dermatology • Pysch

  11. Virtual Health Services • Consumer Driven • Online Support Groups • Patient Portal • Access to EMR • Prescription refills • Bill-paying • Appointment Scheduling • Health Apps • Personal Activity Monitors (Fitbit) • Social Media

  12. Price Transparency

  13. Avoidance of Up-front Payments Will Alter How Consumers Shop for Virtual Visits

  14. Inpatient Demand Forecast (South)

  15. Outpatient Demand Forecast (South)

  16. 10-Year Cumulative % Change Inpatient Outpatient

  17. Price transparency

  18. Highs and Lows

  19. New Payment Models Are Defined by 2 Dimensions: Scope and Degree of Risk

  20. Shared Savings Differs From Capitation in Several Key Aspects

  21. Acute Care and Procedural Bundles

  22. Medicare’s Acute Care Episode (ACE) Demonstration

  23. Several Health Plans Are Piloting Procedural Bundles

  24. The Sg2 Disrupters Series

  25. The Sg2 Disrupters Series

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