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Future Trends in Health Care
Jim O’Loughlin, President & CEO Memorial Hospital
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The Traditional Means
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How the Millennial Will Access Care
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The New Tradition Methods of Providing Care Patient Satisfaction
Employer-Based Clinics Retail Clinics Urgent Care Centers Virtual Health Services Patient Satisfaction Social Media
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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
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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
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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
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Virtual Health Services
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Virtual Health Services
Clinician to Clinician Telecommunications Telepathology Telepharmacy Teleradiology Telestroke eConsults eED eICU Virtual Multidisciplinary Conferences
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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
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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
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Price Transparency
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Avoidance of Up-front Payments Will Alter How Consumers Shop for Virtual Visits
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Inpatient Demand Forecast (South)
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Outpatient Demand Forecast (South)
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10-Year Cumulative % Change
Inpatient Outpatient
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Price transparency
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Highs and Lows
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New Payment Models Are Defined by 2 Dimensions: Scope and Degree of Risk
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Shared Savings Differs From Capitation in Several Key Aspects
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Acute Care and Procedural Bundles
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Medicare’s Acute Care Episode (ACE) Demonstration
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Several Health Plans Are Piloting Procedural Bundles
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The Sg2 Disrupters Series
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The Sg2 Disrupters Series
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