Presentation on Healthcare Trends 2013 to Medical Staff Leadership.

1. The Harbin Clinic
Leadership Academy
Session 1: A New Mindset
Leading a Healthcare Organization 2013 – 2018
Presenter:
Dr. Michael Burcham
EXECUTIVE AURA, LLC
105 Broadway, Suite 200
Nashville, TN 37201
In life, there is no dress
rehearsal. You get one
shot. Make it count.

2. Two Investable Themes
Regardless of the Pace & Path of Change
• True Innovation. The market will reward companies delivering
clinically meaningful, economically sound outcomes.
• Cost-cutting. Companies that trim costs by offering more
efficient care and realigning incentives will succeed.

3. Consideration 1:
The Integration of Technology and Data
Into Healthcare Services

4. T
The Convergence of Multiple Changes Drives
Tipping Point for Innovation

5. The New Value Pathways

6. Applying Early Success At Scale Could Reduce
Costs by $300 billion - $450 billion

7. Innovations Are Weighted Toward Individual
Decision-Making Levers

8. Healthcare Companies Will Develop a Range
Of Data Capabilities

9. Consideration 2:
The Age of the Consumer and Their
Influence in Healthcare

11. Largest Opportunity I See Today:
Patient Engagement

15. Consideration 3:
The Fortune 50
Engaging the Healthcare Marketplace

16. Fortune 50
Company Involvement in Healthcare
In 2013, 76%
of the Fortune
50 companies
have a
connection to
the health
industry
24%
Traditional
Health
Industry
Categories
52%
New
Health
Industry
Categories
0 10 20 30
Implementers
Connectors
Fixers
Retailers

17. New Opportunities in Healthcare
Health
System:
Consumers
Health
Organizations
Government
Implementers
Thrive on Government
Programs & New
Regulation.
Retailers
High-Volume,
Standardized Mkts with
Low Margins.
Fixers
Attack dysfunction.
Improve Processes.
Reduce Costs.
Connectors
Link Information & Tech
Across System. Analysis &
Context.

18. The FixersAttack dysfunction. Improve Processes. Reduce
Costs.
• Insurers are paying
nurse practitioners to
deliver primary care.
• Kiosks for patient
registration.
• Mobile robots for patient
monitoring.
• HIT systems to
integrate patient records
/ data from multiple
sources.
Fixers are
simplifying the health
system by
applying
technology and
creating more
efficient delivery
models and care
settings.

19. The ImplementersThrive on Government Programs & New
Regulation.
• Integration tools to
support reform
changes.
• Technologies to help
providers adjust to new
payment systems.
• Tools to access
information and data
via smart phones and
other remote devices.
• Methods to provide off-
The overall mobile
health market size is
estimated to grow
from $1.4 billion
in 2008 to
$12.7 billion
by 2014.

20. The RetailersHigh Volume, Standardized Markets with Low
Margins
• Expansion and growth of
retail clinics.
• Technologies to provide
24-hour support through
online and telephonic
hotlines.
• “Big Box” retailers bring
wireless and remote
devices to the consumer
market.
• Mobile apps and tools to
The overall
Direct-to-Consumer
market is estimated
to grow to
$43 billion.
Consumers will
pay a premium
for access, reduced wait
times, on-line check in,
home monitoring tools for
aging parents.

21. The ConnectorsLink Information & Technology Across the System.
Analysis & Context.
• Data mining that drives
marketing, revenue and
customer satisfaction.
• CRM Tools that link the
hospital into the
consumers’ lives.
• Explosion of Social Media
and information services
companies – linking
consumers into affinity
groups, exchanges, rating
systems, costs.
In 2010
92% of hospitals
reported using some
form of social media to
reach consumers,
but only
13%
reported that social
media use was driving
an increase in patients
and revenue.

22. Consideration 4:
There Is Significant Opportunity To
Improve Efficiency & Effectiveness

23. Use of Information Technology More Effectively
Clinicians and patients should have real-time access to medical records
and use technology to streamline administrative tasks
Source: Institute of Medicine

24. Create Systems to Manage Complexity
Prompts, technologies, and delivery systems should help clinicians manage
the growing complexity of medical knowledge and care required
Source: Institute of Medicine

25. Make Healthcare Safer
Hospitals and providers should constantly assess performance
and learn from experience to reduce errors and harm
Source: Institute of Medicine

26. Improve Transparency
Patients and clinicians should have easy access to the prices of tests and
procedures and to reliable information about care outcomes and quality
Source: Institute of Medicine

27. Partner with Patients
Clinicians should fully incorporate the needs and
preferences of patients into care decisions
Source: Institute of Medicine

28. Consideration 5:
Technology-Enabled Services Are
Transformative for Our Industry

29. Average Annual Healthcare Spending Per Person
$4500 $8650
Online Health Information Seekers
68M 192M
2000 2012
US Healthcare Expenditures Annually
$1.4T or 14% of GDP $2.5T or 18% of GDP
Physicians Online
37% 99% 84% of these onsider online
access critical to their work
The Wired Consumer

31. Chronic Disease Continues to be the Heart of the Problem
$1.7 Trillion Addressable Problem
Chronic Disease Diseased Americans Annual Cost*
Cardiovascular Disease 80 Million $475 Billion
Diabetes/Pre-Diabetes 80 Million $174 Billion
Obesity 90 Million $147 Billion
1
Cancer 10 Million $107 Billion
Alzheimer’s 4.5 Million $100 Billion
Arthritis/Osteoporosis 48 Million $80 Billion
Respiratory Disease 47 Million $63 Billion
133 M Americans,
or 45% have at
least 1 Chronic
Disease
Chronic Disease
accounts for nearly
75% of total
healthcare
spend
Opportunity to
reduce cost and
improve care with
greater patient
engagement
+ =

33. IT’S NOT JUST HEALTHCARE
IT’S ALSO SELF-CARE
consumer health apps currently in the iTunes store
expected by next summer
9,000
+4,000
These apps offer a mind-boggling array of
health support, like:
• Calculating calories burned during
exercise
• Creating soundtracks to help people fall
asleep
• Displaying pictures that can elicit
memories from Alzheimer’s patients
• Quantifying pain over time

34. TOOLS THAT EMPOWER
PATIENTS
Sanofi-Aventis created GoMeals to support people managing their diabetes.
The clever app has calculators and tools that make mealtime decisions
easier.
~3,000 people per month
visit the GoMeals site. The
app itself has 264 reviews
across two app stores with
an average rating of
3.5 – 4 stars.

35. AND TOOLS THAT POWER LASTING
COMMITMENTS
50% of people who should get colonoscopy screenings choose not to.
The reasons are familiar: it’s scary, the prep is awful. Salix decided to
create a tool that answered all their real questions – in the voice of
someone like me.
• Up to 50,000
visitors/month
• Used on provider sites
• 30,000 requests for
printed copies
• 200 hospital requests
• 2,000 HCP requests

37. Opportunities for Innovation

38. Players
Funding
Public Policy
Technology
Customers
Accountability
Consumers
The Way We
Buy & Use
Health Care
Technology
Products, Svcs
& Packaging
Models
Horizontal &
Vertical
Integration
Innovation
3 Kinds of Innovation
Helped or Destroyed by 6 Forces