2. Director of Outreach Health Initiatives
Chris Calkins, Ph.D.
• Penn State Alumnus (1983, 2008 g)
• 25+ years professional experience
• Health Policy & Administration faculty since 1993
• Director of Special Projects and Executive
Assistant Dean: College of Health and Human
Development (2001–2005)
3. Director of Outreach Health Initiatives
Chris Calkins, Ph.D.
• Penn State Alumnus (1983, 2008 g)
• 25+ years professional experience
• Health Policy & Administration faculty since 1993
• Director of Special Projects and Executive
Assistant Dean: College of Health and Human
Development (2001–2005)
4. Director of Outreach Health Initiatives
Chris Calkins, Ph.D.
• Clinical
Liaison Officer: PS Hershey Medical
Center (2005–2008)
• Joined Penn State Outreach in November 2008
• Appointedto Governor’s Office of Health
Reform, Community Engagement
sub-committee (May 2009)
18. Healthcare Consumers
People with Older People
Health Conditions 50-64 Boomers, Medicare 65+,
Acute; Chronic; Multiple Boomers turn 65 in 2011
19. Healthcare Consumers
People with Older People Poor People
Health Conditions 50-64 Boomers, Medicare 65+, Medicaid (50 million),
Acute; Chronic; Multiple Boomers turn 65 in 2011 Federal Poverty Rate
20. Healthcare Consumers
People with Older People Poor People
Health Conditions 50-64 Boomers, Medicare 65+, Medicaid (50 million),
Acute; Chronic; Multiple Boomers turn 65 in 2011 Federal Poverty Rate
Uninsured People
50 million
(1 in 6)
21. Healthcare Consumers
People with Older People Poor People
Health Conditions 50-64 Boomers, Medicare 65+, Medicaid (50 million),
Acute; Chronic; Multiple Boomers turn 65 in 2011 Federal Poverty Rate
Uninsured People Caregivers
50 million Providing unreimbursed services
(1 in 6) and support to all of the above
22. Older People in US (Medicare)
Poor People in US (Medicaid)
Uninsured People in US
Population of Canada
0M 13M 25M 38M 50M
34. Life Cycle
of a Health
Condition
Individual and
Their Family
35. Life Cycle
of a Health Symptoms
& Self Care
Condition
Individual and
Their Family
36. Life Cycle
of a Health Symptoms
& Self Care
Diagnosis >
Condition Physician
Individual and
Their Family
37. Life Cycle
of a Health Symptoms
& Self Care
Diagnosis >
Condition Physician
Individual and Critical
Their Family Transitions
38. Life Cycle
of a Health Symptoms
& Self Care
Diagnosis >
Condition Physician
Individual and Critical
Their Family Transitions
Treatment
39. Life Cycle
of a Health Symptoms
& Self Care
Diagnosis >
Condition Physician
Individual and Critical
Their Family Transitions
Treatment
Monitoring &
Transition to
Self Care
40. Life Cycle
of a Health Symptoms
& Self Care
Diagnosis >
Condition Physician
Individual and Critical
Their Family Transitions
Episode
Management Treatment
Monitoring &
Transition to
Self Care
41. Life Cycle
of a Health Symptoms
& Self Care
Diagnosis >
Condition Physician
Transition
Individual and Critical
Between
Their Family Transitions
Settings
Episode
Management Treatment
Monitoring &
Transition to
Self Care
42. Life Cycle
of a Health Return
to Health,
Symptoms
& Self Care
Diagnosis >
Condition New Normal,
End of Life
Physician
Transition
Individual and Critical
Between
Their Family Transitions
Settings
Episode
Management Treatment
Monitoring &
Transition to
Self Care
44. How Big is the
Healthcare Market?
• 14million employees
(10% of US Labor Force)
45. How Big is the
Healthcare Market?
• 14million employees
(10% of US Labor Force)
• Larger
than entire
population of Pennsylvania
46. How Big is the
Healthcare Market?
• 14million employees
(10% of US Labor Force)
• Larger
than entire
population of Pennsylvania
• Projectedgrowth in all
health professions over
the next 5 years
47. How Big is the
Healthcare Market?
• 14million employees • Largest
private sector
(10% of US Labor Force) employer in Pennsylvania
• 850,000 people
• Larger
than entire • 16.9% of private sector
population of Pennsylvania employment
• Projectedgrowth in all
health professions over
the next 5 years
48. How Big is the
Healthcare Market?
• 14million employees • Largest
private sector
(10% of US Labor Force) employer in Pennsylvania
• 850,000 people
• Larger
than entire • 16.9% of private sector
population of Pennsylvania employment
• Projectedgrowth in all • Since 2001, added
health professions over 110,000 jobs in
the next 5 years Pennsylvania
50. Potential Consumer Markets
Facilities
Hospitals
5,700
86% are
community based,
not-for-profit
—
254 in
Pennsylvania
51. Potential Consumer Markets
Facilities
Nursing
Hospitals Homes
5,700 16,100
86% are 725 in
community based, Pennsylvania
not-for-profit
—
254 in
Pennsylvania
52. Potential Consumer Markets
Facilities
Nursing Home Care
Hospitals Homes Agencies
5,700 16,100 9,284
86% are 725 in 245 in
community based, Pennsylvania Pennsylvania
not-for-profit
—
—
3.4 million visits
254 in to 153,000
Pennsylvania individuals
53. Potential Consumer Markets
Facilities
Nursing Home Care Hospice
Hospitals Homes Agencies Programs
5,700 16,100 9,284 3,257
86% are 725 in 245 in 144 in
community based, Pennsylvania Pennsylvania Pennsylvania
not-for-profit
—
—
3.4 million visits
254 in to 153,000
Pennsylvania individuals
55. Potential Consumer Markets
Workforce
Physicians
817,000
40% work in
Primary Care
—
5% are mental
health providers
—
25,000 in
Pennsylvania
56. Potential Consumer Markets
Workforce
Physicians Nurses
817,000 2.5 million
40% work in 164,000 in
Primary Care Pennsylvania
—
5% are mental
health providers
—
25,000 in
Pennsylvania
57. Potential Consumer Markets
Workforce
Physicians Nurses Other
817,000 2.5 million 817,000
40% work in 164,000 in Therapists
Primary Care Pennsylvania
— Technicians
5% are mental
First Responders
health providers
— Caregivers
25,000 in
Pennsylvania
58. Potential Consumer Markets
Workforce
Physicians Nurses Other
817,000 2.5 million 817,000
40% work in 164,000 in Therapists
Primary Care Pennsylvania
— Technicians
5% are mental
First Responders
health providers
— Caregivers
25,000 in
Pennsylvania
59. Projected Nursing Job Growth
By Employment Site
Offices of Physicians
Home Health Care
Outpatient Centers
Employment Services
Hospitals
Nursing Care Facilities
0% 10% 20% 30% 40%
60. Projected Nursing Job Growth
By Employment Site
Offices of Physicians
Home Health Care
23% 587,000
Outpatient Centers
growth new job
by 2016 s
Employment Services rate
Hospitals
Nursing Care Facilities
0% 10% 20% 30% 40%
62. Current Market Drivers
Aging
Pennsylvania the
2nd oldest state
—
16% of PA
population is 65+
—
Fastest growing
segment: 85+
63. Current Market Drivers
Aging Disease
Burden
Pennsylvania the Growing
2nd oldest state population with
— multiple health
16% of PA conditions
population is 65+
—
Fastest growing
segment: 85+
64. Current Market Drivers
Aging Disease Workforce
Burden Shortages
Pennsylvania the Growing Nurse shortage:
2nd oldest state population with 350,000–500,000
— multiple health by 2020
16% of PA conditions —
population is 65+ PC Physician
— shortage: 85,000
Fastest growing by 2020
segment: 85+ —
Allied Health
Professionals
65. Current Market Drivers
Uninsured &
Underinsured
Delayed care
seeking
—
Rise in use of
emergency
departments for
primary care
—
Caregiver stress
66. Current Market Drivers
Uninsured & Health
Underinsured Literacy
Delayed care Navigating the
seeking health system
— —
Rise in use of Understanding
emergency options and
departments for participating in
primary care decision making
— —
Caregiver stress Changing
behaviors
67. Current Market Drivers
Uninsured & Health Use of Web
Underinsured Literacy
Delayed care Navigating the Explosion of
seeking health system information
— — —
Rise in use of Understanding Decision making
emergency options and —
departments for participating in Information
primary care decision making quality
— — —
Caregiver stress Changing Social Support
behaviors
68. Current Market Drivers
Uninsured & Health Use of Web
Underinsured Literacy
Delayed care Navigating the Explosion of
seeking health system information
— — —
Rise in use of Understanding Decision making
emergency options and —
departments for participating in Information
primary care decision making quality
— — —
Caregiver stress Changing Social Support
behaviors
72. Challenge and Opportunity
New New New
entrant entrant
High Barriers to entry
supplier
New
entrant
New
supplier New
supplier
New
supplier New
entrant
New New
entrant entrant
91. Insight
Translation
Compelling Story
Dissemination
92. Insight
Translation
Compelling Story
Dissemination
Public Understanding
93. Health related
76 programs at almost
health related every campus and
program areas special mission unit
120
health related
degree and certificate
programs
95. Health Resources in Outreach
Continuing Office of Penn State
and Distance Economic and Cooperative Public
Education Workforce Extension Broadcasting
Development
96. Health Resources in Outreach
Continuing Office of Penn State
and Distance Economic and Cooperative Public
Education Workforce Extension Broadcasting
Development
World Campus
Continuing
Education
Justice and Safety
Institute
Conferences and
Institutes
97. Health Resources in Outreach
Continuing Office of Penn State
and Distance Economic and Cooperative Public
Education Workforce Extension Broadcasting
Development
World Campus Leadership
Development
Continuing Community
Education Development
Justice and Safety Training
Institute
Conferences and
Institutes
98. Health Resources in Outreach
Continuing Office of Penn State
and Distance Economic and Cooperative Public
Education Workforce Extension Broadcasting
Development
World Campus Leadership Children, Youth
Development & Families
Continuing Community Nutrition
Education Development and Health
Justice and Safety Training
Institute
Conferences and
Institutes
99. Health Resources in Outreach
Continuing Office of Penn State
and Distance Economic and Cooperative Public
Education Workforce Extension Broadcasting
Development
World Campus Leadership Children, Youth Public Media
Development & Families
Continuing Community Nutrition Video
Education Development and Health On Demand
Justice and Safety Training Media Sales
Institute
Conferences and Research
Institutes Collaboration
100. Outreach Health Initiatives
Vision
Establish Penn State Outreach as
the trusted source
for research-based Health content
that meets the needs of our customers
where and when
they want it delivered
101. Outreach Health Initiatives
Mission
To develop and leverage the
resources of Penn State and
Penn State Outreach to
improve human health
through community engagement,
education, applied research,
knowledge transfer, and programming
123. New
Revenue
Models
Health Portal:
market and
navigate
PSU Health
124. New
Revenue
Models
Conference
Health Portal:
attendees
market and
become
navigate
distribution
PSU Health
channels
125. New
Revenue
Models
Conference
Health Portal: Target
attendees
market and audiences
become
navigate find education
distribution
PSU Health and training
channels
126. New
Revenue
Models
Conference
Health Portal: Target Portal
attendees
market and audiences functions as
become
navigate find education a delivery
distribution
PSU Health and training platform
channels
127. New
Revenue Quick response
to market
Models opportunities!
Conference
Health Portal: Target Portal
attendees
market and audiences functions as
become
navigate find education a delivery
distribution
PSU Health and training platform
channels
145. Of all the forms
of inequality,
injustice in health care
is the most shocking
and inhumane.
-Martin Luther King, Jr.
146. To think that you are not
going to fail is an illusion.
Fail faster, you will only be
closer to what you want.
-Anonymous
147. Choose your rut carefully,
you will be in it for the next 25 miles.
-Alaskan rural road sign
148. Back to the Hospital
Medicare Re-hospitalization Rate
Cumulative percentage of patients re-hospitalized after:
1 month 3 months 6 months 1 year
20% 34% 45% 56%
Total Discharged
2,961,460
Source: New England Journal of Medicine
