the strategic plan
the future of healthcare
Politics
An Historic Election
The Crystal Ball’s 2016 Electoral College ratings Updated Sept. 15, 2016
How would they change healthcare?
Support incentives encouraging all states to expand Medicaid Issue He Said She Said Obamacare Repeal Defend Prescription Drug Pricing Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products Hold drug companies accountable so they get ahead by investing in research Medicaid Expansion Block-Grants Support incentives encouraging all states to expand Medicaid Mental Health Reform programs to gives families the information and tools they need to help their loved ones Reform programs to have mental health treated the same as physical health (Parity) Healthcare & Immigrants Restrict uncontrolled granting of visas to relieve healthcare cost pressures on the government Expand access to affordable healthcare to families regardless of immigration status
Consumerism
Ask your doctor…
Here’s the one I’m waiting to see…
How to think like a consumer…
The Current State of Quality Routine safety processes fail routinely Hand hygiene Medication administration Patient identification Communication in transitions of care Uncommon, preventable adverse events Surgery on wrong patient or body part Fires in ORs, retained foreign objects Infant abductions, inpatient suicides Mark Chassin, MD, President, The Joint Commission
Service: The low-hanging fruit
“Nobody spends somebody else's money as wisely or as frugally as he spends his own.”
based on input from Members: Regional CEO Focus Groups, membership surveys, personal meetings, Leadership Summit Staff: Staff focus groups, SWOT analysis, idea sessions Partners: SC Office of Rural Health, SC Depart. of Health & Human Services, SC Dept. of Health & Environmental Control, BlueCross BlueShield, The Duke Endowment, SC Primary Health Care Association SCHA Board: “It’s getting better!”
the plan builds on 3 major functions of SCHA Engage health systems to Transform health and Advocate for better health policy
key finding: systems of care
a plan for the future of healthcare Rapid Market Consolidation Need for Greater Physician Leadership Uncertainty of Future Financial Models Transforming Access and Delivery Models Workforce and Labor Challenges Broaden Focus to Systems of Care Engage clinical leaders in SCHA’s work Prepare for new business models Improve health and healthcare Address needs for a changing workforce
rethinking the way we do business Reexamining name and governance structure Gathering more effective member input Engaging clinicians within SCHA Integrating quality and transformation work
moving the needle Improving Health and Healthcare Behavioral Health Workforce Quality and Safety 2.0 Population Health Access to Coverage Access to Services Workplace Safety Workforce Development
legacy vs. next generation CON • Telemedicine • Scope of Practice
coming soon! Create regional policy boards Establish a clinical leadership council Create a population health roadmap Prepare for value-based payments to physicians Incorporate worker safety into high reliability