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 Patient Satisfaction Employer-Based Clinics Retail Clinics Urgent Care Centers Virtual Health Services Patient Satisfaction Social Media

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

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

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

Virtual Health Services

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

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

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

Price Transparency

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

Inpatient Demand Forecast (South)

Outpatient Demand Forecast (South)

10-Year Cumulative % Change Inpatient Outpatient

Price transparency

Highs and Lows

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

Shared Savings Differs From Capitation in Several Key Aspects

Acute Care and Procedural Bundles

Medicare’s Acute Care Episode (ACE) Demonstration

Several Health Plans Are Piloting Procedural Bundles

The Sg2 Disrupters Series

The Sg2 Disrupters Series