1. Healthcare Delivery in the 21st Century: Catholic Health Initiatives
An Environmental Assessment of Key Drivers of Change and Implications for Spiritual Care
Alan E. Bowman, MDiv, MBA
VP, Ministry Formation
Catholic Health Initiatives

2. Healthcare Delivery in the 21st Century: An Environmental Assessment of Key Drivers of Change and Implications for Spiritual Care
Objectives
At the end of the module, participants will be able to:
 Name the major shifts occurring in the structure and delivery of healthcare in the 21st Century
Comprehend what major trends will arise from this shifts
Identify how these major shifts will affect spiritual care

3. CHI’s Environmental Assessment and Key Drivers of Change
Consumerism
Aging
Chronic Disease
Catholic Identity
Health Care Reform
Physician Dynamics
Rural Challenges
Talent
Treatment & Technology
Payment / Financial Trends 3

4. Environmental Assessment: Critical Planning Issues Health Care Reform
Why is it needed?
When did the Patient Protection and Affordable Care Act, ACA become law?
What are the key benefits of the ACA?
Catholic Health Care Organization
“REALIZING OUR VISION FOR U.S. HEALTH CARE”
“KEY BENEFITS OF THE AFFORDABLE CARE ACT”
What happens if the Supreme court deems the ACA unconstitutional? 4

5. Environmental Assessment: Critical Planning Issues Payment/Financial Trends
What is “Fee for Service”?
How are chaplains services covered?
CMS identifies up to 40% of “waste” in Medicare spending
Transparency and Focus on Quality over “Fee for Service” and,
Population Health Management 5 5

6. Environmental Assessment: Critical Planning Issues Treatment and Technology
Virtual technologies extend access
Technology will redesign care
Data repository
Electronic Health Records 6 6

7. Environmental Assessment: Critical Planning Issues Physician Dynamics
Engagement and alignment of physicians
Physician leadership formation
Medicare Physician payment formula and cuts in Medicare and Medicaid reimbursement
Expanding the numbers of employed physicians
Clinical Integration 7

8. Environmental Assessment: Critical Planning Issues Catholic Identity
Consolidation among providers
Strengthening the relationships with Catholic Bishops is increasingly important
Growth opportunities will challenge and redefine Catholic identity
Some Catholic health care facilities are at risk
Catholic systems becoming more innovative 8

9. Environmental Assessment: Critical Planning Issues Talent
New business and clinical models
Licensure legislation historically protects turf
Shortages will challenge health care delivery systems,
Catholic hospitals’ develop new formation opportunities 9 9

10. Environmental Assessment: Critical Planning Issues Consumerism
Escalation of health care costs
Consumers will change the health care landscape
Increased demand for convenience and transparency
Efficiency expectations 10

11. Environmental Assessment: Critical Planning Issues Implications for Spiritual Care
Education and Formation:
Changes in healthcare
New payment models—where is spiritual care?
Better utilize technology
Better integrate into emerging markets
Cultural competencies
Pastoral Identity expansion
Pastoral Role expansion (beyond comfort care and pastoral presence) 11

12. Environmental Assessment: Critical Planning Issues Implications for Spiritual Care
Education and Formation (continued):
Integration with Interdisciplinary teams
Expansion of Scope of Service
Researching, Documenting and Communicating value and purpose of Spiritual Care
Expansion of Pastoral Skills
Standards of Practice to meet changing needs 12

13. Environmental Assessment: Critical Planning Issues Implications for Spiritual Care
Dialogue: What are your questions? 13

14. Environmental Assessment: Critical Planning Issues Resources
Association for Clinical Pastoral Education:
Association for Professional Chaplains:
Catholic Health Association of the United States:
Catholic Health World, April 1, 2012 volume 28, Number 6
Fierce Healthcare:
Health Leaders:
National Association for Catholic Chaplains:
National Association of Jewish Chaplains: 14