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HOT BUTTONS FORECASTING THE FUTURE OF HEALTH CARE?! Forrest W. Calico MD, MPH

HOT BUTTONS FORECASTING THE FUTURE OF HEALTH CARE?! Forrest W. Calico MD, MPH Senior Advisor for Quality, NRHA April 11, 2007 Plainfield, Indiana. Now that you are clear that I’m NUTS, some scenarios…. Like before only more so… (next verse worse than the first)

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HOT BUTTONS FORECASTING THE FUTURE OF HEALTH CARE?! Forrest W. Calico MD, MPH

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  1. HOT BUTTONS FORECASTING THE FUTURE OF HEALTH CARE?! Forrest W. Calico MD, MPH Senior Advisor for Quality, NRHA April 11, 2007 Plainfield, Indiana

  2. Now that you are clear that I’m NUTS, some scenarios… • Like before only more so… (next verse worse than the first) • “The Great Pretender” (on political correctness) • Let’s get real!! (but it’s too hard!) • There’s got to be a pony in here somewhere! (the eternal optimist)

  3. More of the same only worse • Reimbursement games • Dollar driven • Fighting over scraps (remember J. L. Seagull?) • Non-system (error-prone and all that) • Uninsured? Just a fact of life (in the market) • Escalating costs, tanking value • Competition is king and win-lose is life

  4. Let’s pretend... • Best health care system in the world! • Liability reform! • Fraud!! • Budget neutrality! • It’s just about the money.. • Sound bites for politics • Just a few small fixes.. • Pay for performance will fix everything!

  5. Let’s get real (about the current state) • Perverse reimbursement • Exclusion • Financial rationing • Administrative waste • Inappropriate care • Physician autonomy: top operational value? • Duplication • Non-”STEEPE” • Technology-challenged • And much, much more

  6. Now let’s get real about improving • Institute of Medicine Quality Chasm series • Best practices • Models that are working • Institute for Healthcare Improvement • Population health status improvement • System building (including HIT) • The reason we exist! • Safe, timely, effective, efficient, patient-centered and equitable care for all

  7. Finding the pony • Reform • Leadership • Culture • Inclusion • Opportunity • Informatics • Health improvement • It’s about how we care for the people we serve

  8. How about some examples? • From Minnesota • From Vermont • From Indiana • From Oregon • From Washington (the State) • And we could go on…

  9. Let’s talk about our future.. Discussion time Include Information and Communications Technology as a focal point.

  10. For further information, contact Forrest W. Calicocalico@nrharural.org606-355-7891orNRHA 703-519-7910

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