College of Health Solutions and Delivery Science Keith D. Lindor, MD Executive Vice Provost and Dean

 Focusing on the development of safe, cost-effective, patient-centered health care systems  Emphasis is on health as well as health care  Developing different interprofessional delivery models as payment systems change Science of Health Care Delivery

Home of the College of Health Solutions: The ASU Downtown Phoenix Campus

 Help ASU Develop New Models  To Improve Health  Lower Costs  Enhance Access College of Health Solutions Mission

 Formed in 2012  Create a new health education model  Serve as bridge across ASU to create synergy within university and with strategic partners College of Health Solutions

 ASU is right university  No medical center  Many resources  Vested interests  Broad interest in health  No status quo to protect Why Arizona?

 School of Nutrition and Health Promotion  School for the Science of Health Care Delivery  Department of Biomedical Informatics  Department of Speech and Hearing Science  Nicholas A. Cummings Behavioral Health Program College of Health Solutions Programs

 4,240 undergraduate students  548 graduate students  651 online students  200 faculty  $9.7 million in research expenditures  92 Barrett Honors College Scholars College of Health Solutions by the #’s

 Bachelor of Science in Biomedical Informatics  Bachelor in Health Education and Health Promotion  Bachelor of Science in Medical Studies  Bachelor of Science in Nutrition (Food and Tourism Concentration)  Bachelor of Science in Public Health  Bachelor of Science in the Science of Health Care Delivery New Undergraduate Studies

 Master of Science in Biomedical Diagnostics  Master of Science in Clinical Exercise Physiology  Master of Science in Exercise Wellness ( Healthy Aging)  Master of Science in Obesity Prevention and Management  Master of Public Health (Administration and Policy)  Master of Public Health (Nutrition) New Graduate Studies

 College of Nursing and Health Innovation  School of Biological and Health Engineering  Center for Health Information and Research  Health Delivery and Policy Program  Healthcare Transformation Institute  Center for Metabolic and Vascular Biology Allied and Affiliated Units

 Mayo Medical School  Research  Center for the Science of Health Care Delivery Collaboration with Mayo

American College Testing Program National Reports An overview of top student-planned educational majors:

Private-Sector Employment in Health Source: IOM (Institute of Medicine) Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press. Percentage of total private-sector health care industries

A Working Definition  Applies scientific insights to understand the elements that influence health outcomes  Models the relationships between those elements  Alters design, processes, or policies based on the resultant knowledge In order to produce better health at lower cost Systems Approach to Health Source: Kaplan G, Bo-Linn G, Carayon P, et al. Bringing a systems approach to health. Discussion Paper, Institute of Medicine and National Academy of Engineering. 2013

 Accountable Care Organizations and other models aimed at rewarding outcomes  Penalties for inappropriate hospital readmissions  Movement towards medical home model where care is coordinated  Integration of acute care and behavioral healthcare Changes in Care Delivery Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.

By 2020  > 250,000 public health worker shortage  Public health schools have to triple the # of grads to meet projected needs Public Health Workforce Shortage Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.

U.S. Workforce Employment, 2008 and Projected 2018 Occupation Total job openings due to growth and net replacements, (in thousands) Change (percentage) Health care practitioners and technical occupations 3, Health care support occupations 1, Sales and related occupations 5, Education, training, and library occupations 3, Community and social services occupations 1, Office and administrative support occupations 7, IOM (Institute of Medicine) Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press.

Science of Health Care Delivery Statistical Tools and Bioinformatics for Health Health Care Systems Design Becoming Leaders Who Matter (Leadership and Professionalism in Health Care) Healthy Lifestyle Promotion (includes behavioral aspects of health) Economics, Policy and Payment Models in Health Care Leading Organizational Change Health Disparities and Access Law & Health Creativity & Innovation (in Health Care Settings) Capstone Seminar

35 students preparing for the future in health care delivery  Quality improvement  Health disparities  Health education  Health economics  Data and Health program analyses  Public policy  Evidence based assessment  Interprofessional teamwork and management MS SHCD First Cohort

Future of Health  Focus away from health care  Health is the issue  Home  Community  School  Workplace

The Strategy That Will Fix Health Care 1 Organize into integrated units (IPUs) 2 Measure Outcomes and Costs for Every Patient 3 Move to Bundled Payments for Care Cycles 4 Integrate Care Delivery Across Separate Facilities 5 Expand Excellent Services Across Geography 6 Build an Enabling Information Technology Platform Porter ME, Lee TH. The Strategy That Will Fix Health Care. Harvard Business Review. October Retrieved: strategy-that-will-fix-health-care/ar/prhttp://hbr.org/2013/10/the- strategy-that-will-fix-health-care/ar/pr

Situation  More than 1 million Arizonans entering system  An aging population living longer  Move from fee-for-service to pre-paid service  ACOs emerging and driving cost savings  Health providers incentivized to provide right level of affordable care  Technological advancements altering traditional health care

Predictions  Focus on health vs. health care  Transition from “big” to “broad” access  Prevalence of health and wellness programs  Rise of self-monitoring devices to manage and mitigate health issues  Need for health advocates to educate and encourage healthy lifestyles  Reorganization of what health professionals do (new delivery models require different training)  Interprofessionalism is no longer an option… it’s required

Thank you! Questions?