Succeeding in the World of Value-Driven Healthcare

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At a recent conference held by CPNUG (the independent CentricityTM Perinatal Users Group), discussions were flowing. As I walked from session to session, I heard doctors, nurses, and IT professionals from healthcare systems across North America sharing ideas and best practices. It was exciting to be there.

One of the speakers invited by the CPNUG Board was Michael Dahlweid, VP Product & Portfolio Management for GE Healthcare IT. In his session titled “Succeeding in the World of Value-Driven Healthcare,” he compared the healthcare industry to others like the travel, banking, and retail industries which have gone through changes similar to those the healthcare industry is undergoing today. One example he cited from the travel industry is going from the previous model that included limited travel agency hours and locations to the current model in which a traveler can leverage online and on-demand booking and real-time pricing. He tied several examples across other industries to the ongoing shift happening in healthcare towards personalization of treatments and protocols, availability of on-demand services, and a focus on outcomes.

Michael spends a lot of time talking with healthcare organizations and often hears similar challenges that they’re grappling with. So what are the top 5 challenges he hears from executives in U.S. healthcare organizations?  Here they are—do they resonate with you?

  • Consumerization of healthcare. With consumers being asked to pick up more of their healthcare costs previously covered by employers and often pay higher insurance deductibles, patients are getting more involved in their healthcare and the choices they have.
  • Costs outpacing revenue. This is the case in many hospitals across the US, putting even more pressure on improving margins. As a result, more hospitals are looking to attack inefficiency with automation and care coordination, leveraging IT in the process.
  • An increasing patient population and one that is out-pacing growth of the labor pool. With a larger aging population and insurance coverage expanding, the need for healthcare is also increasing. But at the same time, the number of doctors isn’t keeping pace. Organizations are looking to technology to help drive efficiency to help with the challenge.
  • Managing risk. Michael talked about how providers are managing the risk that is increasingly being pushed their way. He shared that by 2018, Accountable Care Organizations (ACOs) are expected to cover a third of all covered lives in the US, and that almost 40% of providers feel that in three years, the majority of their income will come from value-based payments.1
  • Improving and measuring outcomes. This challenge is at the heart of everything medicine is about and the mission of caring for patients. How can you deliver better outcomes? And what tools and processes can help you do that?

Michael talked about all the players engaged in this evolution of the healthcare industry: providers, payers, patients, vendors, not to mention the government. With lots of change underway and rarely enough resources, we want to help you overcome the challenges you and your organization face by providing solutions that address your needs—whether that’s software, services, insights, or all of the above. Let us know how we can help.

1 Growth and dispersion of ACOs, June 2012


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