26 May 2017

Dr Johan Oelofse

SpesNet Healthcare executive

The DNA of current healthcare modelsIs mutation needed?

Is it inevitable?

This is only the start

Lifestyle is “lekker”

The burden of disease• Long term complications

• Still to be discovered (Dx, making Dx, Rx)

• Non-medical

Corporate invasion• Everybody wants to be in IT & Healthcare

Managed healthcare • Preventing DM or 2nd heart attack?

Medico-legal litigation• Hopefully the catalyst for change

Regulatory reboot

“Just restart your computer”

Dynamic leadership• Noble Health Idea

• Defragment the silos

• Align resources and actions

Legislations• Align existing

• New legislation & guidelines• eHealth

• Managed Healthcare

Health systems• Coding, Billing, IT systems

War of Words

Stop washing the “dirty” linen in public

Stop the Blame Game • Rocketing Malpractice Insurance

• Adding huge costs • directly (eg insurance)

• Indirectly (defensive medicine)

• Losing valuable clinical time

Why not talk?• Mediation

Learn from Donald Trump

The enemy of “Good”

“The aim is not Perfection but rather a drive for Excellence”

We will never get it 100% right• Confidentiality, Auntie POPI

• Treatment protocols

• Non-medical

Let’s get on with it• Fair and Transparent pricing

• Data sharing

• Don’t compromise on Patient Care

• The same rules must apply to all, always

• Agree on definition of SUCCESSManage

Managed Healthcare

The danger of Innovation

“The Frank Sinatra Syndrome”

Everybody wants to be an Entrepreneur & Business Owner• If you want the fame and ownership,

• Take the risks and accountability as well

Proudly South African = Proudly different• Inherent ability to disagree

• Proudly Peanut Gallery: Stop shooting

Lets call a spade a spade• “Different / new” is not always better

• Sometimes “abstract /modern art” is just new form of ugly

• Some new ideas are “useless”

Minimize medico-legal risks• No missing information• Less human error• Better communication • More automated processes

How are you using technology to

Benefit the patient• Make the patient experience wow• Better coordination of care• Improve access & affordability• Save costs• Improve morbidity

Improve business efficiencies• Minimize admin time• Able to manage more patients• Streamline integration

Improve clinical outcomes• Results faster (and more) to doctor• Have a better bird's eye view

• (more & historical)• Initiate treatment faster

Make your day and work more fun

Integrated care

The “so what’s?” are just a phase

Selling devices? Or part of integrated solution?• Data must feed into agnostic platform

• Real or AI applied, Diagnosis vs Suggestions

• Info to integrated provider portal

• Decisions made, actions automated

Managed healthcare and whatever added, must• Not add costs

• Streamline processes

• Improve outcomes on the long term

• Control (?reduce) costs

To who? Why?

When? How?

And then?

Integrated care2 most underutilized resources

To get patient buy-in; to effect change

make healthcare data

understandable, personal, actionable

Let’s stick with the known

“Don’t drive for Perfection but rather a drive for Excellence”

We will never get it 100% right• POPI & Confidentiality

• Informed consent

eHealth• Clinical notes

• Cyber security, even some deaths are likely

Coding • Huge variety and variations

Cost-effectiveness

“Clinical dictator vs Population Health”

Cost• Total costs of all parties

• Long term costs and ROI

Effective• Indications

• Outcomes - clinical

Should CHOICE be a luxury?

Who must be the Custodian of Care?• “Is the referee good?”

Big words require actions

Are you willing to say “OK your way is also OK”?

Where to compete vs Where to Collaborate• Everybody is a expert, and has another one in support

Fundamental changes in decision-making are required”• Business strategy

• Product design especially Technology platform

• Negotiations and Partnerships

• Contracting & documentation

Trust & be Trustworthy

26 May 2017

Dr Johan Oelofse

SpesNet Healthcare executive

The DNA of current healthcare models

Is mutation needed?Is it inevitable?