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Reimagining Healthcare Delivery for Chronic Disease

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Isaac Holeman
Isaac Holeman

The document discusses problems with the current US healthcare system and proposes solutions. It argues that the system was designed for infectious diseases but now must address chronic conditions. It proposes agreeing on a shared vision focused on population health, costs, and patient experience. Further, it suggests that financing and delivery models are separate issues and leadership must start at the local level to drive nationwide change.

Santé & MédecineBusiness
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The Archimedes Movement Isaac Holeman www.WeCanDoBetter.org [email_address] ,[object Object],[object Object],[object Object]
Why are you here? Isaac Holeman www.WeCanDoBetter.org [email_address]
We are the Archimedes Movement Isaac Holeman www.WeCanDoBetter.org [email_address]
We are active citizens Isaac Holeman www.WeCanDoBetter.org [email_address]
Why are we here? How did we get here? What do we really want? How do we get there?
Get ready for a demographic tidal wave How did we get here? What do we really want? How do we get there?
The KEY to understanding the health care debate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Problems with our delivery system ,[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Infectious disease model not designed to treat chronic disease How did we get here? What do we really want? How do we get there?
Infectious disease model not designed to treat chronic disease How did we get here? What do we really want? How do we get there?
Infectious disease model not designed to treat chronic disease How did we get here? What do we really want? How do we get there?
Infectious disease model not designed to treat chronic disease How did we get here? What do we really want? How do we get there?
Chronic disease = dying How did we get here? What do we really want? How do we get there? Back when our health system was being created
Evolution of the System ,[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Three outdated structures in our delivery system ,[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Employer Sponsored Coverage: an accident in history ,[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Employer Sponsored Coverage: bad for a mobile economy ,[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Medicare: hasn’t adjusted for demographic boom ,[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Medicaid: categorical eligibility was a bad idea ,[object Object],[object Object],[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Coverage Gap Medicaid Medicare Employment-based coverage Private Public 50 million Americans (You, your friends) How did we get here? What do we really want? How do we get there?
Cost Shift (shifting accountability) ER Change Eligibility Drop Coverage Public Private How did we get here? What do we really want? How do we get there? You, your friends
The Current Debate: we are barking up the wrong tree ,[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Buying more hover crafts won’t help them drive on the freeway How did we get here? What do we really want? How do we get there?
What can we do about it? How did we get here? What do we really want? How do we get there?
The Greatest Generation ,[object Object],[object Object],[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Agreeing on a Shared Vision ,[object Object],How did we get here? What do we really want? How do we get there?
Agreeing on a Shared Vision ,[object Object],How did we get here? What do we really want? How do we get there?
Institute for Healthcare Improvement: Triple Aim ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Chronic Care How did we get here? What do we really want? How do we get there?
People with Chronic Conditions: Percent of Health Care Spending ,[object Object],[object Object],[object Object],George Halvorson, Health Reform Now How did we get here? What do we really want? How do we get there?
Managing Chronic Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],George Halvorson, Health Reform Now How did we get here? What do we really want? How do we get there?
In order to focus on the delivery system, we need… ,[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
[object Object],[object Object],[object Object],[object Object],Finding Solutions How did we get here? What do we really want? How do we get there?
Economic Stakeholders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Politics & Economics ,[object Object],[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Barack Obama ,[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Barack Obama: expected results ,[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
John McCain ,[object Object],[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
John McCain: expected results ,[object Object],[object Object],How did we get here? What do we really want? How do we get there?
John McCain ,[object Object],[object Object],How did we get here? What do we really want? How do we get there?
John McCain & Barack Obama ,[object Object],[object Object],[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
John McCain & Barack Obama ,[object Object],[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
How did we get here? What do we really want? How do we get there?
The questions need to be ,[object Object],[object Object],How did we get here? What do we really want? How do we get there?
Leadership Starts With Us ,[object Object],[object Object],[object Object],[object Object],[object Object],How did we get here? What do we really want? How do we get there?
A role for nurses? ,[object Object],[object Object]
Take Home Messages ,[object Object],[object Object],[object Object],[object Object],Isaac Holeman www.WeCanDoBetter.org [email_address]
The Archimedes Movement ,[object Object],[object Object],[object Object],Isaac Holeman www.WeCanDoBetter.org [email_address]

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Reimagining Healthcare Delivery for Chronic Disease

  • 1.
  • 2. Why are you here? Isaac Holeman www.WeCanDoBetter.org [email_address]
  • 3. We are the Archimedes Movement Isaac Holeman www.WeCanDoBetter.org [email_address]
  • 4. We are active citizens Isaac Holeman www.WeCanDoBetter.org [email_address]
  • 5. Why are we here? How did we get here? What do we really want? How do we get there?
  • 6. Get ready for a demographic tidal wave How did we get here? What do we really want? How do we get there?
  • 7.
  • 8.
  • 9. Infectious disease model not designed to treat chronic disease How did we get here? What do we really want? How do we get there?
  • 10. Infectious disease model not designed to treat chronic disease How did we get here? What do we really want? How do we get there?
  • 11. Infectious disease model not designed to treat chronic disease How did we get here? What do we really want? How do we get there?
  • 12. Infectious disease model not designed to treat chronic disease How did we get here? What do we really want? How do we get there?
  • 13. Chronic disease = dying How did we get here? What do we really want? How do we get there? Back when our health system was being created
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20. Coverage Gap Medicaid Medicare Employment-based coverage Private Public 50 million Americans (You, your friends) How did we get here? What do we really want? How do we get there?
  • 21. Cost Shift (shifting accountability) ER Change Eligibility Drop Coverage Public Private How did we get here? What do we really want? How do we get there? You, your friends
  • 22.
  • 23. Buying more hover crafts won’t help them drive on the freeway How did we get here? What do we really want? How do we get there?
  • 24. What can we do about it? How did we get here? What do we really want? How do we get there?
  • 25.
  • 26.
  • 27.
  • 28.
  • 29. Chronic Care How did we get here? What do we really want? How do we get there?
  • 30.
  • 31.
  • 32.
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  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43. How did we get here? What do we really want? How do we get there?
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.