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

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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