Presentation is loading. Please wait.

Presentation is loading. Please wait.

© 2011 Stanford Univ Arnold Milstein MD Stanford Clinical Excellence Research Center Splicing Fresh DNA into Our Care Improvement Efforts October 3, 2011.

Published byMartina Garrison Modified over 9 years ago

Similar presentations

Presentation on theme: "© 2011 Stanford Univ Arnold Milstein MD Stanford Clinical Excellence Research Center Splicing Fresh DNA into Our Care Improvement Efforts October 3, 2011."— Presentation transcript:

1 © 2011 Stanford Univ Arnold Milstein MD Stanford Clinical Excellence Research Center Splicing Fresh DNA into Our Care Improvement Efforts October 3, 2011

2 © 2011 Stanford Univ 1 Tape Wormis Buffetis 4.0% 5.0% 6.0% 8.0% 9.0% 10.0% 20042005200620072008 Year Annual Percent Change Health Care Spending GrowthGDP Growth 3.0% 2.0% 1.0% 0.0% -1.0% -2.0% Annual Percent Changes in Health Care Expenditures and in GDP (Dental work by Dr. Milstein) Data from: 1) Truffer et al. (2010). Health spending projections through 2019: the recession's impact continues. Health Affairs;29:522-9. 2) Heffler et al. (2005). U.S. health spending projections for 2004–2014. Health Affairs;23:74-85. 2009 7.0%

3 © 2011 Stanford Univ 2 How are We Doing? Better Than Flatline, But Gap Remains Wide Business Round Table; 2010 BRT Global Competitiveness of Care Index; 2010

4 © 2011 Stanford Univ 3 Will Payers & “Power Providers” Permit Strong Enough VBP/VBID to Test Our Limit? Sum = + + Care Delivery Innovations Focused Improvement Bursts Manage for Daily Improvement Adapted from W.E. Deming Health Care Professionalism + Now? Later? Never?

5 © 2011 Stanford Univ 4 Current Value Acceleration Forecast: Sunnier But Not Yet Bright Care Delivery Innovations? (US, Calif., overseas) Focused Improvement Bursts (Improvement collaboratives) Manage for Daily Improvement (Uptake of control systems) Health Care Professionalism (MD Charter; Smith/Hillner)

6 © 2011 Stanford Univ 5 Visualizing the Need to Accelerate Higher Value Care Delivery Innovations Cost/Complexity- Increasing Biomedical Innovations Cost/Complexity- Lowering Biomedical Innovations Cost/Complexity- Lowering Care Delivery Innovations (Faster Flow Required)

7 © 2011 Stanford Univ 6 Clues for Aspiring Innovators DowneyLynchburg

Download ppt "© 2011 Stanford Univ Arnold Milstein MD Stanford Clinical Excellence Research Center Splicing Fresh DNA into Our Care Improvement Efforts October 3, 2011."

Similar presentations

System Wide Strategies: Controlling Costs Illinois Health Forum Chicago, Illinois December 7, 2005 Enrique Martinez-Vidal Deputy Director RWJFs State Coverage.

System Wide Strategies: Controlling Costs Illinois Health Forum Chicago, Illinois December 7, 2005 Enrique Martinez-Vidal Deputy Director RWJFs State Coverage.
Global Development Finance 2006 The Development Potential of Surging Capital Flows By Mr. Hans Timmer June 2006.

Global Development Finance 2006 The Development Potential of Surging Capital Flows By Mr. Hans Timmer June 2006.
THE COMMONWEALTH FUND Making Care More Efficient: Promising Innovations and Policy Options Karen Davis President The Commonwealth Fund Bipartisan Health.

THE COMMONWEALTH FUND Making Care More Efficient: Promising Innovations and Policy Options Karen Davis President The Commonwealth Fund Bipartisan Health.
American Health Care: Why So Costly? Karen Davis President, The Commonwealth Fund June 11, 2003 Hearing on Health Care Access and Affordability: Cost Containment.

American Health Care: Why So Costly? Karen Davis President, The Commonwealth Fund June 11, 2003 Hearing on Health Care Access and Affordability: Cost Containment.
Exhibit ES-4. Cumulative Impact on National Health Expenditures (NHE) of Insurance Connector Approach Plus Selected Individual Options Dollars in billions.

Exhibit ES-4. Cumulative Impact on National Health Expenditures (NHE) of Insurance Connector Approach Plus Selected Individual Options Dollars in billions.
National Health Spending in 2012: Rate of Health Spending Growth Remained Low for the Fourth Straight Year Anne Martin Micah Hartman Lekha Whittle Aaron.

National Health Spending in 2012: Rate of Health Spending Growth Remained Low for the Fourth Straight Year Anne Martin Micah Hartman Lekha Whittle Aaron.
1 Building the Foundation: Health Care Costs Presentation to the Citizens Health Care Working Group May 13, 2005 Richard S. Foster and Stephen Heffler.

1 Building the Foundation: Health Care Costs Presentation to the Citizens Health Care Working Group May 13, 2005 Richard S. Foster and Stephen Heffler.
A Plan to Transform the Empire State’s Medicaid Program 2013 Ten State Regional Conference February 23, 2013 Jason A. Helgerson, Medicaid Director NYS.

A Plan to Transform the Empire State’s Medicaid Program 2013 Ten State Regional Conference February 23, 2013 Jason A. Helgerson, Medicaid Director NYS.
National Health Expenditure Projections, 2012–22: Slow Growth until Coverage Expands and Economy Improves Gigi A. Cuckler, Andrea M. Sisko, Sean P. Keehan,

National Health Expenditure Projections, 2012–22: Slow Growth until Coverage Expands and Economy Improves Gigi A. Cuckler, Andrea M. Sisko, Sean P. Keehan,
Demographics, Economics and the Minnesota Budget: The Impact on Disability Employment Tom Gillaspy, State Demographer Mn Dept of Administration May 2010.

Demographics, Economics and the Minnesota Budget: The Impact on Disability Employment Tom Gillaspy, State Demographer Mn Dept of Administration May 2010.
 The Patient Protection and Affordable Care Act : How will ACA Impact Small Business? Sponsors: St. Tammany Democratic Parish Executive Committee (DPEC)

 The Patient Protection and Affordable Care Act : How will ACA Impact Small Business? Sponsors: St. Tammany Democratic Parish Executive Committee (DPEC)
Disrupting Cancer Care: Novel Ways to Bend Cancer Spending Trend Manali I. Patel, MD MSPH Instructor of Medicine, Hematology/Oncology Stanford University.

Disrupting Cancer Care: Novel Ways to Bend Cancer Spending Trend Manali I. Patel, MD MSPH Instructor of Medicine, Hematology/Oncology Stanford University.
1 CLEVELAND The Nation’s New Healthcare Innovation Destination 2011.

1 CLEVELAND The Nation’s New Healthcare Innovation Destination 2011.
Peterson-Kaiser Health System Tracker How much does the U.S. spend to treat different diseases?

Peterson-Kaiser Health System Tracker How much does the U.S. spend to treat different diseases?
Improving Health Care Quality While Slowing Spending Growth: The Alternative Quality Contract (AQC) Dana Gelb Safran, Sc.D. Senior Vice President Performance.

Improving Health Care Quality While Slowing Spending Growth: The Alternative Quality Contract (AQC) Dana Gelb Safran, Sc.D. Senior Vice President Performance.
1 Section 1: Minnesota Health Care Spending and Cost Drivers Minnesota health care spending by source of funds Minnesota health care spending by type of.

1 Section 1: Minnesota Health Care Spending and Cost Drivers Minnesota health care spending by source of funds Minnesota health care spending by type of.
National Health Expenditure Projections, 2014–24: Spending Growth Faster Than Recent Trends Sean P. Keehan, Gigi A. Cuckler, Andrea M. Sisko, Andrew J.

National Health Expenditure Projections, 2014–24: Spending Growth Faster Than Recent Trends Sean P. Keehan, Gigi A. Cuckler, Andrea M. Sisko, Andrew J.
AAMC Contact: Jane Eilbacher Health Care Affairs National Health Expenditures 2009.

AAMC Contact: Jane Eilbacher Health Care Affairs National Health Expenditures 2009.
Some Observations on Controlling Hospital and Health Care Spending Stuart Guterman Vice President, Medicare and Cost Control The Commonwealth Fund UMBC.

Some Observations on Controlling Hospital and Health Care Spending Stuart Guterman Vice President, Medicare and Cost Control The Commonwealth Fund UMBC.
Excess cost growth in Medicare, Medicaid, and all other health care spending Source: CBO, A Federal Perspective on Health Care Policy and Costs, 2008.

Excess cost growth in Medicare, Medicaid, and all other health care spending Source: CBO, A Federal Perspective on Health Care Policy and Costs, 2008.

Similar presentations

Ads by Google