future of healthcare - aia minnesota · future of healthcare agenda jim lammers rick hintz david...

5/23/2018

FUTURE OF HEALTHCARE – DISRUPTIVE AGENTS OF CHANGE

5/23/2018

WELCOME

PRESENTATION - FUTURE OF HEALTHCARE: DISRUPTIVE AGENTS OF CHANGE

DISCUSSION

FUTURE OF HEALTHCARE AGENDA

JIM LAMMERS RICK HINTZ JENNIFER UKURADAVID VOLLER

5/23/2018

FUTURE OF HEALTHCARE – CAUSE VS RESPONSE

5/23/2018

CAUSE:EXTERNAL

DRIVER OF CHANGE

RESPONSE:PROVIDER INITIATIVE

FACILITY: ENABLING STRATEGY

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

SOCIAL / POLITICAL /

ECONOMIC /

TECHNOLOGICAL

FORCES IMPACTING

HEALTHCARE INDUSTRY

PROVIDERS


ECONOMIC /

TECHNOLOGICAL

FORCES IMPACTING

HEALTHCARE INDUSTRY

DESIGN & FACILITY

INTERVENTIONS


ECONOMIC /

TECHNOLOGICAL

FORCES IMPACTING

HEALTHCARE INDUSTRY

SOCIAL

POLITICAL

ECONOMIC

TECHNOLOGICAL

DRIVERS OF

CHANGE

5/23/2018

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C

5/23/2018

Technology

Social Determinants

FLAT-WORLD

PHENOMENA

Research

Breakthroughs

Consumerism

Demographics

Revenue

Stream

Self-Reliance

Climate Change

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C

5/23/2018

Technology

Social Determinants

FLAT-WORLD

PHENOMENA

Research

Breakthroughs

Consumerism

Demographics

Revenue

Stream

Self-Reliance

Climate Change

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C

New Revenue Sources

Disaster Preparedness

M&As

Population

Health

Telehealth

AI VR AR

Biometrics IoT

Data Analytics

Home Care

Robotics

Community

Engagement

Transparency

“Person”-Centered Care

EBD

Wellness

Chronic Care

Management

Staff Engagement

De-Siloing

Self-Testing

Visible Leadership

Change Management

Cooperative Care

Holist ic MedEMR

Alliances

Non-Traditional

Partners

Speed to Market

GamificationContinuum of

Care

5/23/2018

Daylighting

SimulationsExperience Mapping

Health Villages

Micro Hospitals

Core Concept

Safe Havens

Benchmarking

Mock-upsFlexibility

Resource Tracking

Prefabrication

Modularity

ROI

Analysis

Branding

Resiliency

Areas of Respite

Sense of Place

STANDARDIZATION

Intuitive

Wayfinding

Positive Distraction

Data Analytics

GIS Mapping

COEs

Lean

Technology

Social Determinants

FLAT-WORLD

PHENOMENA

Research

Breakthroughs

Consumerism

Demographics

Revenue

Stream

Self-Reliance

Climate Change

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C

New Revenue Sources


M&As

Population

Health

Telehealth

AI VR AR

Biometrics IoT

Data Analytics

Home Care

Robotics

Community

Engagement

Transparency


EBD

Wellness

Chronic Care

Management

Staff Engagement

De-Siloing

Self-Testing

Visible Leadership

Change Management

Cooperative Care

Holist ic MedEMR

Alliances

Non-Traditional

Partners

Speed to Market


Care

5/23/2018

Daylighting


Health Villages

Micro Hospitals

Core Concept

Safe Havens

Benchmarking

Mock-upsFlexibility

Resource Tracking

Prefabrication

Modularity

ROI

Analysis

Branding

Resiliency

Areas of Respite

Sense of Place

STANDARDIZATION

Intuitive

Wayfinding


Data Analytics

GIS Mapping

COEs

Lean

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C

Technology

Social Determinants

FLAT-WORLD

PHENOMENA

Research

Breakthroughs

Consumerism

Demographics

Revenue

Stream

Self-Reliance

Climate Change

New Revenue Sources


M&As

Population

Health

Telehealth

AI VR AR

Biometrics IoT

Data Analytics

Home Care

Robotics

Community

Engagement

Transparency


EBD

Wellness

Chronic Care

Management

Staff Engagement

De-Siloing

Self-Testing

Visible Leadership

Change Management

Cooperative Care

Holist ic MedEMR

Alliances

Non-Traditional

Partners

Speed to Market


Care

5/23/2018

DRIVERS OF CHANGE

5/23/2018

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



CC

Technology

Social Determinants

FLAT-WORLD

PHENOMENA

Research

Breakthroughs

Consumerism

Demographics

Revenue

Stream

Self-Reliance

Climate Change

5/23/2018

Increase of those over 65 x2

Utilization of those 65+ x3.5

DEMOGRAPHICS

Key Take-Away:

Demand (2010-2030) 700%+

5/23/2018

Key Take-Away:

Poorest outcomes

at the highest cost

HEALTHCARE REFORM

SOURCE: The Advisory Board

5/23/2018

Key Take-Away:

Unsustainable Financial Burden

HEALTHCARE REFORM

SOURCE: The Advisory Board

5/23/2018

HEALTHCARE REFORM

Key Take-Away:

Externalities--What’s good for HC

may not be the primary motive

5/23/2018

REVENUE STREAM

Key Take-Away:

Revenue incentives are

turning upside down

• Single Payer

• Value-based model

• Universal Coverage

• Bundled Payments

• Risk Shifting

• ACOs (Accountable Care Organizations)

• MACRA(Medicare and CHIP Reauthorization Act of 2015)

• APM (Alternative Payment Models)

• MIPS (Merit-based Incentive Payment System)

5/23/2018

SOCIAL DETERMINANTS

Key Take-Away:

Health outcomes largely determined by

factors outside the healthcare profession

GRAPHIC: Rick Hintz, AIA (Perkins+Will)

5/23/2018

CLIMATE CHANGE

Key Take-Away:

Intensity & Frequency: Hospitals

failed when most in need

5/23/2018

CONSUMERISM

Key Take-Away:

“One size fits all” in HC

is going the way of Herberger’s

• Transparency

• Innovative/Disruptive driving changes in delivery

– Insurance/Industry (non-traditional partners)

– New services (community paramedics, telehealth)

– New entrants (Chologaurd/Self-monitoring and care)

• Access to knowledge/Informed buyers

• Increased accountability by care teams/services

5/23/2018

• Preventive Analytics

• Genomics

• Data (EHR) Analytics

• DNA Analytics

• Flu Predictions

• Crowd Sourcing Diseases

• Self-Testing

• Telehealth

• Less Invasive Procedures

• Drug Safety

• Evidence-Based

• AI and Robotics

TECHNOLOGY

Key Take-Away:

Technology is Pervasive

5/23/2018

RESEARCH BREAK-THROUGHS

POINT OF CARE SEQUENCING

KETAMINE DEPRESSION

CELLULAR IMMUNOTHERAPY MICROBIOME CULTUREGENE EDITING

COCHLEAR IMPLANTSBIOSOLUABLE STENTS LIQUID BIOPSIES

Key Take-Away:

Expedite, minimize, eliminate

need for clinical interventions

5/23/2018

EHR mining:

• Racial disparities in healthcare access

• County-by-county differences in how physicians treat common diseases

• Problems when children take adult medications

• Rates at which people experience drug side effects

• Early signs of difficult-to-diagnose conditions

RESEARCH BREAK-THROUGHS

Key Take-Away:

Breakthroughs are

happening every day

5/23/2018

SELF-RELIANCE

Key Take-Away:

Consumers are more

knowledgeable and want more

control over their Healthcare

SOURCE: Medscape

SOURCE: Medscape

5/23/2018

SELF-RELIANCE

Key Take-Away:

Consumers are more

knowledgeable and want more

control over their Healthcare

5/23/2018

FLAT-WORLD PHENOMENA

Key Take-Away:

Global market: Comparable

expertise/results at half the cost

5/23/2018

DISCUSSION

5/23/2018

RESPONSE – PROVIDER INITIATIVES

5/23/2018

CCC

Technology

Social Determinants

FLAT-WORLD

PHENOMENA

Research

Breakthroughs

Consumerism

Demographics

Revenue

Stream

Self-Reliance

Climate Change

CAUSE:EXTERNAL

DRIVER OF CHANGE



For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

5/23/2018

CCC

Technology

AI VR AR

Biometrics IoT

Data Analytics

Home Care

Robotics

Self-Testing

EMR

CAUSE:EXTERNAL

DRIVER OF CHANGE



For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

5/23/2018

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C

Consumerism Biometrics IoT

Home Care

Transparency


Population

Health

Wellness

Chronic Care

Management

Self-Testing

Cooperative Care

Holist ic Med

Continuum of

Care

5/23/2018

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C

Revenue

Stream

New Revenue Sources

M&As

Data Analytics De-Siloing

Change ManagementNon-Traditional

Partners

Speed to Market

Home Care

Population

Health

Chronic Care

Management

Continuum of

Care

5/23/2018

DISCUSSION

5/23/2018

FACILITY– ENABELING STRATEGIES

5/23/2018

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C

New Revenue Sources


M&As

Population

Health

Telehealth

AI VR AR

Biometrics IoT

Data Analytics

Home Care

Robotics

Community

Engagement

Transparency


EBD

Wellness

Chronic Care

Management

Staff Engagement

De-Siloing

Self-Testing

Visible Leadership

Change Management

Cooperative Care

Holist ic MedEMR

Alliances

Non-Traditional

Partners

Speed to Market


Care

5/23/2018

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C


Mock-ups

Lean

Benchmarking

STANDARDIZATION

Data Analytics

Change Management

5/23/2018

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

CBenchmarking

STANDARDIZATION

Data Analytics

Population

Health

ROI

AnalysisCOEs

5/23/2018

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C

Daylighting

Health Villages

ROI

Analysis

Branding

Areas of Respite

Sense of Place


COEs

Wellness

5/23/2018

Daylighting


Health Villages

Micro Hospitals

Core Concept

Safe Havens

Benchmarking

Mock-upsFlexibility

Resource Tracking

Prefabrication

Modularity

ROI

Analysis

Branding

Resiliency

Areas of Respite

Sense of Place

STANDARDIZATION

Intuitive

Wayfinding


Data Analytics

GIS Mapping

COEs

Lean

C

CAUSE:EXTERNAL

DRIVER OF CHANGE



C

For-

Profits

Non-

ProfitsNew

Players

Group

PracticesIndies

C

Technology

Social Determinants

FLAT-WORLD

PHENOMENA

Research

Break-Throughs

Consumerism

Demographics

Revenue

Stream

Self-Reliance

Climate Change

New Revenue Sources


M&As

Population

Health

Telehealth

AI VR AR

Biometrics IoT

Data Analytics

Home Care

Robotics

Community

Engagement

Transparency


EBD

Wellness

Chronic Care

Management

Staff Engagement

De-Siloing

Self-Testing

Visible Leadership

Change Management

Cooperative Care

Holist ic MedEMR

Alliances

Non-Traditional

Partners

Speed to Market


Care

5/23/2018

WHAT IS THE HOSPITAL HEALTHCARE OF THE FUTURE?

5/23/2018

DISCUSSION

future of healthcare - aia minnesota · future of healthcare agenda jim lammers rick hintz david...

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