LEADERSHIP SKILLS FOR HEALTH REFORM Colette Croze Sandy Forquer ACMHA LEADERSHIP SEMINAR December 16, 2010.

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NEW LEADERSHIP SKILLS FOR HEALTH REFORM

LEADERSHIP SKILLS FOR HEALTH REFORMColette CrozeSandy ForquerACMHA LEADERSHIP SEMINARDecember 16, 20101Leadership Skills for Health Care ReformAgendaWhat are some of the pressures that Health Care Reform presents to Behavioral Health?

What kind of leadership skills will be required to manage within Health Care Reform?

PRESSURES FROM REFORM- Colette CrozePERFORMANCEPURCHASINGFINANCINGINNOVATIONTHE TRIPLE AIMENHANCED HEALTH CARE EXPERIENCE IMPROVED HEALTH REDUCED COSTS

PERFORMANCEPOPULATION HEALTHCONTINUOUS WELLNESSPATIENT ACTIVATION/SELF-CAREHEALTH HOMETEAM-BASED MEDICINENEW CLINICAL MODELS (E.G. SBIRT FOR MH)TECHNOLOGYCRITICAL MASS: VOLUME, INFRASTRUCTURE, QUALITYPURCHASINGSAFETY NET: COVERAGE FOR PEOPLEBENEFIT PACKAGES, NOT PROVIDER SUBSIDIES SUBSIDY CROWD OUTCOORDINATED BENEFIT PLANS: MEDICAID, HEALTH EXCHANGES, INDIGENT CAREDELIVERY SYSTEM DESIGNFINANCINGBENDING THE COST CURVEPAY FOR PERFORMANCEBUNDLED REIMBURSEMENTPOTENTIALLY AVOIDABLE CONDITIONSNEVER EVENTSINNOVATIONBALANCE COST AND QUALITYEXPECTATIONEXNOVATION A GIVENCOMPETITIVE SURVIVAL

WOULD ANY OF US ACCEPT THE CANCER TREATMENT OF TEN YEARS AGO?LEADERSHIP- Sandy ForquerNew leadership challenges in the health reform eraNew leadership skills youll need in your tool boxNew roles for your BoardNew Leadership ChallengesHealth care reform is a journey to top performance

Shift from acute care focus to a population management focus Shift from sick care to health care

IT systems will need new robust functionality for bundled payments, sub-capitation and data reporting in order to manage risk effectively in new financial arrangementsNew time spansNew responsibilities for holistic care

New Leadership Challenges (cont.)New relationship between quality and financeRecent article in Hospital and Health Networks, November 2010 discusses finance-quality integrationQuality will explicitly determine how you are paidFinance needs to understand the quality measures attached to payment; quality needs to understand the financial impact of each quality/performance measure and its cost if not metValue-based purchasing

New focus on top performance both inside your walls and outside in the community-at-largeTaking health care to the community vs. bringing the community to youNew community relationshipsCare coordination and clinical integration

The New Leadership Tool BoxCommunity relations and networking skillsIdentify community partnersCommunity orientationRelationship buildingMastery of change management and change leadership ( both the technical and human components of change strategy)High level knowledge of quality tools and getting staff to use themIT system development to manage new payment methodologies and track performance to paymentMore ToolsAssumption-Based PlanningDefined in Wikipedia as a post-planning method that helps companies deal with uncertainty. Used to identify the most important assumptions in a companys business plans, to test these assumptions, and to accommodate unexpected outcomesExample: if you have no experience with a payment methodology such as bundled payments, method allows you to test different performance assumptions and to develop what if solutions if performance falls short of expectationsResources on Assumption-based planning include:Critical assumption planning by D. Dunham & Co. Assumption-based planning by RANDDiscovery-Driven Planning by Rita Gunther McGrath and Ian C. MacMillan

New Roles for Your BoardYour Board may want to establish a community relations committee to focus on relationships with other healthcare/behavioral healthcare organizationsBrainstorm on how the organization can develop a community orientationRecruit members with experience in complexity management Strong relationship building skillsChange leadership skillsCollaboration skills

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