nasscom bpm summit 2014 : keynote : what us healthcare is learning as affordable care act moves it...
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Presentation by Brian Baker, Carealytics in NASSCOM BPM Summit 2014TRANSCRIPT
Copyright 2014 www.care-alytics.com
US Population ~ 330 Million
US Government supported healthcare enrollees 107.5 Million
US GDP = $17 Trillion, ~1/4 of the global GDP; Growth ~5% Annually
US Healthcare Spend (2012) ~ $2.7 Trillion
Healthcare as a % of total GDP ~18% of GDP
2012 Avg Individual Healthcare Spend, all payers $8,915 (Rs 544,042)
10 year projected growth 2012-2022 (Historic ~7%) ~5.8%
Some Key Statistics
Copyright 2014 www.care-alytics.com
Copyright 2014 www.care-alytics.com
Copyright 2014 www.care-alytics.com
December 2003 Journal of the American Medical Informatics Association
Ten Commandments for Effective Decision Support: Making the Practice of Evidence-based Medicine a Reality
“Evidence-based has broad based support but remains difficult to get physicians to practice it. Practice lags behind knowledge by at least several years.”
June 2006 Office of the National Coordinator
A Roadmap for National Action on Clinical Decision Support
Recommendation: “…to ensure that optimal, usable and effective clinical decision support is widelyavailable to providers, patients, and individuals where and when they need it to make health care decisions.”
January 2017 Centers for Medicare Services (CMS)
Mandate: Prior to certain medical tests being authorized,they must first be vetted using an approved decision support or appropriateness criteria software.
Copyright 2014 www.care-alytics.com
1. Be the least replaceable player
2. Become the owner of quality
3. Follow the customer
4. Manage the growth story
5. Demonstrate / IncentivizeAdapted from HBR July-August 2013
“How to Drive Value Your Way”Michael G. Jacobides and John Paul MacDuffie
Moving up the Value Chain