john talbot, ph.d., executive vice president, open minds ...12 1. develop vision of future compet...
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John Talbot, Ph.D., Executive Vice President, OPEN MINDSSeptember 29, 2012, 2:30 pm — 4:00 pm
• The Link Between Strategy & New Service Lines
• New Technologies Fueling New Service Line Development
• Emerging New Service Opportunities
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Strategy, New Service Lines & Technology
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Environment Drives
Strategy
Strategy Drives
Organizational Structure
Operating Systems Support
Organizational StructureTo paraphrase Peter Drucker. . .
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Ability to monitor brain functionality
and changes
Changing theory of brain development
and maturity – longer and later
Identification of genetic and epigenetic factors in
behavioral and cognitive disability
Better understanding of brain chemistry
Discovery of possibility of brain cell regeneration
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Emerging Developments in
Neuroscience
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New Functionality In New Functionality In Telecommunications
Telehealth
Telecare & Assistive
Technologyehealth
Smart home Technology
Tech-assisted cognitive retraining
Companion robots
Remote monitoring
systems
Remote vital sign sensors
Wearable wireless devices
mhealth
Smartphone applications
Text message
alerts
Telehealth
Real-time consultation
Remote audio/video
therapy
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BioconnectivitySingle Real-Time Clinical, Admin, &
Cost Data Set
EMRs & EMR Data (NHIN of the future)
Clinical Metrics From
Telehealth
Connection of & Access To All Data Sets
Health Systems
Connection of & Access To All Data Sets Via Web Tools -- For Consumers,
Professionals, Health Systems
Clinical Data From
New Diagnostics
& Neurotech
New Health Data Systems & Informatics
Electronic health recordkeeping systems
Computer-assisted treatment planning and clinical expert systems
Predictive clinical analytics
Remote monitoring and smart homes
Web-based consumer interaction and consumer
self-management
Telehealth, virtual and alternate reality
technologies, and web-based treatment
management
Neurotech devices and computer-based
cognitive retraining tools
New pharmacological delivery systems - smart drug delivery systems: patches,
injectibles, microchips, etc.
New diagnostics – scans, biologic testing, web-
based assessments, etc.
Integrated performance metrics monitoring – clinical, HR, financial, marketing
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Synergistic Environmental Factors In
Current Market Emerging
Developments in Neuroscience
New Health Data Systems & Informatics
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New Functionality In Telecommunications
Move to Risk-Based & Performance-Based
Reimbursement
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Complexity of diagnosis and
treatment
Time
Performance that consumers want or need
Disruptive innovation brings crisis to established institutions that cannot adopt
their business model
• Previous relationships with payer changing◦ Role of mission-based,
tax-exempt organizations evolving
• More competition• Technological
substitution reducing price point on rates
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“Specialist” organizations need strategic repositioning to maintain competitive advantage
“To win, create what is scarce”
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1. Develop vision of future competitive advantage and market positioning
2. Scenario-based strategic plan incorporating alternate future positioning options
3. Detailed plans – marketing, financial, operational, capital, HR, etc. – to implement strategy and future vision
4. Key performance metrics and metrics-based management to track strategy implementation (and allow mid-course adjustments)
5. Optimization of current operations to keep current programs as competitive (and profitable) as possible as long as possible
6. New service model development to support future vision
7. Collaborations as needed to facilitate new market vision
Making New Models A Sustainable Reality Takes New Management Practices & Management Discipline
For each strategy and service line, assess how technology adoption can:• Increase customer
preference• Reduce costs
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Sustainable business models rarely possible without deploying new technologies
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What Are New Technologies Fueling Innovative Service Development?
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• Diagnoses• Early detection• Predict and monitor the
effectiveness of medications
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Vagus Nerve Stimulation Device Transcranial Magnetic StimulationDeep Brain Stimulation
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Full Immersion VR “Cave” VR
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PERS Plus System Basic System Butler System
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What Are The Emerging New Service Opportunities?
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1. Center of excellence/destination services2. One-stop shop/convenience services3. Mobile, community-based, and home-
based services4. Remote and e-health services5. Health and social service system
management services
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1. Specialized mental health and addiction treatment centers
2. Diagnostics centers for intellectual and mental disorders and disabilities
3. Specialized treatment programs for TBI or other brain injury
4. Schools focused on learning needs of individuals with disabilities
5. Specialized “camp” experiences for children6. Cognitive improvement centers
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Category #1: Centers of Excellence & Destination Services
#1. Specialized Mental Health & Addiction Treatment Centers
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Category #1: Centers of Excellence & Destination Services
Hazelden: Center Of Excellence (Addiction Treatment)
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Sierra Tucson: Center Of Excellence (Addiction Treatment)
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Autism Ahead: Center Of Excellence (Autism)
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Advanced TMS Clinics: Center Of Excellence (TMS)
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Amen Clinics: Center Of Excellence (Brain Health)
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Cottages on Mountain Creek: Destination Services (Serious Mental
Illness)
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Boys Town National Research Hospital: Destination Services
(Pediatrics)
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Category #1: Centers of Excellence & Destination Services
#2. Diagnostics Centers for Intellectual & Mental Disorders & Disabilities
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Mind Matters Clinic : Diagnostics
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United Neuro Diagnotic Services : Diagnostics
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Category #1: Centers of Excellence & Destination Services
#3. Specialty Programs For Brain Injury
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ResCare: Brain Injury
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Craig Hospital: Brain Injury
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Spaulding Rehabilitation Network: Brain Injury
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Centre For Neuro Skills: Brain Injury
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Kessler Institute for Rehabilitation: Brain Injury
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NYU Langone Medical Center: Brain Injury
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Category #1: Centers of Excellence & Destination Services
#4. Schools For Consumers With Specific Disorders & Disabilities
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The Help Group: Schools
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ResCare: Schools
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Category #1: Centers of Excellence & Destination Services
#5. Specialized “Camp” Experiences For Children
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LeBonheur Children’s Hospital: Camps
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Merrimack Hall Performing Center: Camps
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ASAP: Camps
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Adam’s Camp: Camps
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Fowler Center: Camp
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Category #1: Centers of Excellence & Destination Services
#6. Cognitive Training & Rehabilitation Centers
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Mind Spa: Cognitive Training
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Sparks of Genius: Cognitive Training
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VibrantBrains: Cognitive Training
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My Ray: Cognitive Training
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1. Services imbedded in retail centers2. Services imbedded in health spas3. Services in primary care locations
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Category #2. One-Stop Shop
Or Convenience Services
#1. Services Imbedded In
Retail Centers
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NowClinic: Imbedded in Retail
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2. One-Stop Shop Or Convenience Sminuteclinic: Imbedded in Retail
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Category #2. One-Stop Shop
Or Convenience Services #2.
Specialty Services
Imbedded in Spa Locations
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TurningLeaf: Imbedded in Spa
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The Chopra Center: Imbedded in Spa
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#3. Specialty Services
Imbedded In Primary Care
Locations
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Mind Matters Clinic : Diagnostics
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1. Remote support and monitoring services for consumers with disabilities
2. “Aging in place” support services for older individuals
3. In-home health care and mental health care services
4. In-home tutoring services5. Sober companion support services
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Category #3. Mobile,
Community-Based, & Home-Based Services#1. Remote Monitoring/ Supports for
Consumers With Disabilities
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Res Care: Remote Monitoring
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• Remote caregiver◦ Telecams◦ Sensors◦ Two-way
audio
• On-call first responder
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Res Care: Remote Monitoring
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Mind Matters Clinic : Diagnostics
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SmartHome: Remote Monitor
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Category #3. Mobile,
Community-Based, &
Home-Based Services
#2. “Aging In Place” Support
Services
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Ecumen: “Aging In Place”
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QuietCare: “Aging In Place”
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Intel-GE: “Aging In Place”
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Category #3. Mobile,
Community-Based, &
Home-Based Services
#3. In-Home Clinical Services
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In Home Health Services : In Home Clinical services
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Category #3. Mobile,
Community-Based, &
Home-Based Services
#4. In-Home Tutoring & Learning
Assistance
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Mind Matters Clinic : Diagnostics
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Category #3. Mobile,
Community-Based, &
Home-Based Services
#5. Sober Companion &
Recovery Support
ProgramsOPEN MINDS © 2012. All rights reserved.
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HiredPower: Recovery Support
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Sober Companions: Recovery Support
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1. On-line and telephonic mental health counseling
2. Telepsychiatry consultation3. On-line second opinions and expert
consultation4. Virtual reality5. Smartphone applications
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Category #4. Remote & E-
Health Services#1. Telephonic/
On-Line Counseling
Services
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Caring Therapy: On-line Counseling
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LIVEPERSON: On-line Counseling
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Ask The Internet Therapist: On-line Counseling
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Breakthrough: On-line Counseling
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Complete Counseling Solutions: On-line Counseling
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Cope Today: On-line Counseling
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E Mental Health Center: On-line Counseling
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eTherapist: On-line Counseling
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Barton Associates: On-line Counseling
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1. Behavioral health benefit management (carve-out programs)
2. Management of IDD support benefits3. Chronic disease management programs4. Management of government-funded child
care services5. Management of mental health courts and
drug courts6. Disability management services7. Organizational crisis management services
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Category #5. Health & Social Service System Management
Services#1. Behavioral Health Benefit Management
Programs
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Magellan: Behavioral Health Benefit Management
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Category #5. Health & Social Service System Management
Services#2. IDD/Autism
Benefit Management
Programs
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Magellan: Autism Benefit Management
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Category #5. Health & Social Service System Management
Services#3. Specialty
Disease Management
Programs
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CompCare: Substance Abuse Disease Management
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Magellan: Obesity & Behavioral Health Disease Management
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Category #5. Health & Social Service System Management
Service#4. Management Of Government-
Funded Child Care Programs
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ResCare: Management of Children’s Services
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Category #5. Health & Social Service System Management
Service#5. Management
Of Specialty Court Services
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Providence Service Corporation: Drug Court
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Category #5. Health & Social Service System Management
Service#6. Disability Management
Services
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Cascade Disability Management, Inc : Disability Management
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Category #5. Health & Social Service System Management
Service#7. Crisis/
Disaster Response Programs
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ComPsych: Crisis Services
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Caron & Hanley: Merger
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Meridian: Merger With Health Clinics
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Prism: Collaboration with Mental and Primary Care
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