Recognizing the Stakeholders and Their Value Propositions Spine Foundation 10/25 Initiative Recognizing the Stakeholders and Their Value Propositions

Who Are the Stakeholders? Patients Caregivers Advocacy 10/25 Initiative Global PH Groups: UN, WHO Clinicians Professional Associations Policymakers Public Private Hospitals Rehab Clinics Associations Researchers Academic Institutions Purchasers, Payers: Employer Insurer Industry: Devices Pharma

Why Are They Important? Each holds a piece of the puzzle that will make the 10/25 initiative successful We must understand the value that each stakeholder brings to 10/25 We must facilitate the collaboration that will make the pieces fit together

Value Proposition: Patients, Caregivers Get information: become part of the solution Participate in research studies & provide ideas for studies Provide honest feedback and promote patient support networks Support the initiative to policymakers Help employers develop policies to support full rehabilitation/return to work ROI = Improved Quality of Life; Lower Healthcare Costs

Value Proposition: Clinicians, Professional Associations Design and participate in well- designed clinical trials Promote awareness and education about spine disease and health Lobby policymakers for improved patient benefits and care coordination Work with other stakeholders to provide care integration ROI = Better Patient Outcomes; Improved Patient and Professional Satisfaction; Research Funds

Value proposition: Hospitals, Rehab Clinics, Associations Support participation in clinical trials, new approaches to care Educate and motivate patients to be partners in care Participate in and create new approaches to end to end care coordination Encourage return to normal lifestyle and work ROI = Improved outcomes; Fewer readmissions; Better quality scores

Value Proposition: Employers, Insurers Provide palatable alternatives to disability insurance Encourage early return to work by providing reasonable work accommodations Allow time for ongoing treatment Structure benefit plans to encourage return to work with employer support ROI= Lower disability insurance costs and turnover costs; Improved worker productivity

Value Proposition: Industry—Devices, Pharma Create innovative devices and other tools to improve spine disease recovery Participate in and fund innovative clinical trials Work with insurers, FDA and others to make widely available cutting edge technology ROI = Revenues from new technology; Improved patient outcomes; Improved public goodwill

Value Proposition: Researchers, Academics Create, design and participate in clinical trials using innovative technology Design and participate in clinical trials that address psychosocial/socioeconomic issues of spinal disease Disseminate findings widely through publication and advocacy groups ROI = Increased academic visibility; Satisfaction of impacting disease outcomes; Increased research funding

Value Proposition: Global Groups—UN, WHO Bring new and different perspectives to the approaches to spine health Participate in activities, trials, projects to better define and understand success and multinational application of interventions Share, disseminate, educate across the world ROI = Global reduction in monetary and human cost of spinal injury and pain; Improved collaboration of all stakeholders

Value Proposition: Policymakers Critical aspect of program success: the solution to the puzzle Federal government: HHS, Congress signals support & provides funding State, local govt’s follow suit Insurers: Support spine programs with benefit changes Employers: Choose insurers that support spine programs; design work accommodations, back to work programs ROI = Health care costs fall; Worker productivity rises; Patients feel better; Everyone is happier