alaska health care: a changing landscape & innovation kosin wed 230.pptx.pdf• 2.0 beds per...
TRANSCRIPT
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Alaska Health Care: A Changing Landscape & Innovation
Jared C. Kosin, J.D., M.B.A President & CEO
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• 9% of Southeast’s regional workforce
• 24% wage growth over past 3 years
• $569 million in economic impact to Southeast AK
Health Care and the Economy
Health Care is Economically Relevant
Hospitals and nursing homes contribute
$4.5 billion to Alaska’s economy
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• What is changing?
• What does change look like in Alaska?
• Where does (should) this all end?
A Changing Landscape
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NATIONAL - Medicare • I/P Surgeries: Total Knees
ALASKA - Medicaid
• Funding
LOCAL - Consumers
• Transparency Laws
What is Changing?
Ambulatory Setting
Lower Cost
Accessible
Response to Cost of Care
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What Does Change Look Like in AK?
Capacity
Hospitals
• 21 Hospitals
• 2.0 Beds per 1,000 Alaskans
• 21% of Beds NOT on Road System
Long Term Care Facilities • 19 LTC Facilities
• Fewest Facilities in the U.S.
• Fewest Avg Beds per Facility in U.S. (40)
• Fewest Beds per 1,000 Persons 65+ (8.7)
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What Does Change Look Like in AK?
$
Community Care
Primary / Specialty Care
Emergency Dept
Hospital Inpatient
LTC Care Facility
Assisted Living
Community Care
“The” Continuum
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What Does Change Look Like in AK?
$
Community Care
Primary / Specialty Care
Emergency Dept
Hospital Inpatient
LTC Care Facility
Assisted Living
Community Care
System inefficiencies drive and trap patient care at highest cost point
Alaska’s Continuum
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Change Looks Like Innovation • Coordinated Care Demo
• Emergency Dept Info Exchange
Change Requires Recognition • Capacity is Fragile; Don’t Undermine
Change Must be Rational • Starting Point; Volume to Value; Prioritization
Where Should This All End?
• Crisis Intervention
• High Utilizer Mat-Su
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Questions?
Jared C. Kosin, J.D., M.B.A
President & CEO