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Impact of Current Economic Situation in Healthcare INsights to Quality AHQ Region III Jeff Francis, , MBA, CPA Art De

2. Agenda. Current Economic Drivers of Change JF (1-7)Future Economic Drivers of Change AD (8-14)Responses to Change JF (15-22)Short Term - JFIntermediate Term - JFLong Term AD (23-25)Questions

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Impact of Current Economic Situation in Healthcare INsights to Quality AHQ Region III Jeff Francis, , MBA, CPA Art De

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    2. 2 Agenda Current Economic Drivers of Change – JF (1-7) Future Economic Drivers of Change – AD (8-14) Responses to Change – JF (15-22) Short Term - JF Intermediate Term - JF Long Term – AD (23-25) Questions & Answers

    3. 3 The position of healthcare is not defined and on a unsustainable trajectory in costs

    4. 4 Growth In Per Capita National Health Expenditure

    5. 5 Strong healthcare systems are earning 5 cents on every dollar of revenue Top 10% of health systems earn 7 cents on every dollar

    6. 6 Due to the change in health insurance and fewer employers providing insurance, the industry is seeing reduced revenue

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    8. 8 Different Perspectives Sg2 Kaufman Hall Stuart Altman Population and Risk

    9. 9 Health Care 2020 Sg2’s Perspective “The Shifting Health Care Landscape 2008 – 2020” Fragmented care will give way to seamless care organized around the patients’ specific needs Payment moving from fragmented fee for service into bundled arrangements Health care will continue to evolve toward service and clinical integration Future success will stem not from maximizing the performance of an individual health care unit, but from maximizing the performance of the entire system

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    14. 14 Health Care Risks Concentrated – Sickest 10% Account for 64% of Expenses

    15. 15 Must address in three ways Short term Intermediate Long term

    16. 16 Short term – cost control Intermediate – innovation Long term – delivery of care

    17. 17 Focus on Controllable Costs Staffing Productivity Pay practices Supply Cost Savings Renegotiate contracts Standardize and reduce supplies Other Savings Software maintenance Benefits

    18. 18 Innovation is Process Improvement

    19. 19 Engaging your people Continuously Reducing: Waste Operational Service design Continuously Enhancing: The Mission of organization Everyone’s capabilities

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    22. 22 Focus on short term (2010 budget) with an eye to the future Balance cost control and innovation (LEAN) Balance cost control with investing in the future

    23. 23 Vision: Shifting Mission of Healthcare Delivery Organizations

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    25. 25 Developing the Integrated Clinical Enterprise

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