1 / 14

What is Driving Health Care Reform and How to Use it for Success

What is Driving Health Care Reform and How to Use it for Success. Edward O’Neil, PhD, MPA, FAAN eoneil@thecenter.ucsf.edu Director and Professor The Center for Health Professions University of California, San Francisco.

kiri
Download Presentation

What is Driving Health Care Reform and How to Use it for Success

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. What is Driving Health Care Reform and How to Use it for Success Edward O’Neil, PhD, MPA, FAAN eoneil@thecenter.ucsf.edu Director and ProfessorThe Center for Health Professions University of California, San Francisco

  2. Sources of Growth in Projected Federal Spendingon Medicare and Medicaid (Percentage of GDP) Health Care Cost and Obama Agenda • Cost doubled as % of GDP in thirty years • CBO is projecting double again to 30% by 2035. • Increases not driven aging population • Costs do not appear to contribute to quality. • An enormous opportunity for the nation to rebuild health care on a more effective and responsive foundation. Source: CBO Health Fact Sheet, http://www.cbo.gov/publications/collections/health.cfm

  3. Current Drivers - Demographic - Aging Source: U.S. Census Bureau

  4. Current Drivers - Diversity- Disparity White Female Black Female White Male Black Male Source: National Center for Health Statistics, HHS, National Vital Statistics Report, August 19, 2009http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_01.pdf

  5. Changes in Cause of Death, 1900–1999 Source: Centers for Disease Control and Prevention. Control of infectious diseases, 1900–1999. Morbidity and Mortality Weekly Report 1999; 48:621–629.

  6. Growing Disease Burden • By 2030, 171 million Americans, nearly half the population, will have one or more chronic condition • Medicare spending is 12% of the federal budget and is expected to increase 8% every year from 2007 to 2016 6 Source: Wu, Shin-Yi and Green, Anthony. Projection of Chronic Illness Prevalence and Cost Inflation. RAND Corporation, October 2000

  7. Current Drivers - Epidemiology SOURCE: Health US, 2003, USHHS, CDC,NCHCS, October 2003, 56.

  8. Paradigms • Effective tools • Make things work • Provide coherence • Eventually, limit what we think we can do • Fail

  9. Current Situation- Comparative use SOURCE: Health Affairs, V 28, 5, 2009, p1311

  10. Warning: Not actual RNs Consumer- Emerging View Changing Role • Consumer choice • New market entrants • Price sensitive • 4 of 5 bankruptcies in 08 • Richer array of services • Consolidated broker/integrators

  11. Manage Prevent Diagnosis Treat • Training • Money • Technology • Consumer Macro Reform: Change the Model or… Practice Model Expensive Good models Professional role Great leverage Long-term Consumer driven Practice Models • Self-help groups • Oral health • Dx centers • Self tests • Start of life • Drug delivery • End of life • Chronic disease

  12. What does it take to keep the paradigm going?

  13. Transition • Tomorrow • Chronic prevention and management • Price competitive • Consumer responsive • Ambulatory – Home and Community • Team • Evidence based practice • Information as tool • Consumer engagement and accountability • Today • Acute treatment • Cost unaware • Professional prerogative • In-patient • Individual profession • Traditional practice • Information as record • Patient passivity Strategic Success Source: Center for the Health Professions, UCSF.

  14. More Help At: • Leadership • Research • Data • Policy analysis • Opinion HTTP://FUTUREHEALTH.UCSF.EDU

More Related