Type: Presentation
Size: 5329920
Description: This webinar gives participants an understanding of health care reform and its implications for hospitals. Specifically, the webinar will focus on the need for hospitals to adopt best practices in all areas of operations, including facility design and construction. Presented June 14, 2011.
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the implications of health care reform
the implications of health care reform
Slide 3
reform in
america
employer-sponsored health care
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employer-sponsored health care
government-sponsored health care
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government-sponsored health care
To provide coverage for the elderly as well as poor women and children, Congress enacted Medicare & Medicaid in the mid-1960s.
Slide 8
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employer mandate?from a republican??
?What I am proposing will require employers to provide basic health insurance for their employees. In the past, we have taken similar action to assure workers a minimum wage, to provide disability and retirement benefits. We should go one step further and guarantee that all workers will receive adequate health insurance protection.?
President Richard Nixon
February 18, 1971
Slide 9
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health care for all?through an unfunded mandate
The Emergency Medical Treatment and Active Labor Act (EMTALA) of 1986 requires hospitals to screen and stabilize (treat) every patient who comes to the hospital ED seeking care, regardless of the patient?s ability to pay and regardless of what it costs the hospital to provide the care.
Slide 11
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government-centric reform?
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no thanks!
Dole and his fellow Republicans argued for a market-based system designed around an individual mandate and the creation of state insurance exchanges.
Slide 14
2006
medicare expanded
the affordable care act
2010
the affordable care act
strategic directions
strategic directions
? coverage
? delivery system
reforms
? payment reforms
? transparency
? health IT
Slide 19
Slide 20
implications for hospitals
implications for hospitals
? achieve solid hospital-physician (clinical) alignment
? measure, report and deliver
superior outcomes
? reduce costs
? form strategic alliances
implications for physicians
implications for physicians
? apply evidence-based practices to achieve best clinical results
? deliver the right care?at the least cost
? coordinate your patients? care with other providers
? learn to manage risk in partnership with hospital and physician colleagues
Slide 25
To repeal, or not to repeal?
Slide 26
players in the repeal drama
Slide 27
Slide 28
Questions so far?
implications for hospitals
implications for hospitals
? achieve solid hospital-physician (clinical) alignment
? measure, report and deliver
superior outcomes
? reduce costs
? form strategic alliances
Slide 31
?The study of ?high reliability??or consistent performance at high levels of safety over long periods of time?began with investigations of organizations that manage extreme hazards with exemplary safety records, far better than those in health care today.? Chassin & Loeb, Health Affairs, April 2011
?The study of ?high reliability??or consistent performance at high levels of safety over long periods of time?began with investigations of organizations that manage extreme hazards with exemplary safety records, far better than those in health care today.? Chassin & Loeb, Health Affairs, April 2011
Three requirements for achieving high reliability:
Leadership
? Safety Culture
? Robust Process Improvement
heart attack patients given pci within 90 minutes of arrival
heart attack patients given pci within 90 minutes of arrival
Collaboration accelerates performance improvement!
Slide 35
high reliability
Slide 36
if 99.9% were good enough?
if 99.9% were good enough?
? Major plane crashesà 3 per day
ATM errorsà 37,000 per hour
Pacemaker incorrectly installedà 291 per year
Babies given to wrong parentà 12 per day
Erroneous medical proceduresà 107 per day
Slide 39
Transmit Transport Treat
mission lifeline
mission lifeline data
mission lifeline data
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©2010, American Heart Association
average door to balloon time
average door to balloon time
Time in minutes
improvement rate: 33%
state comparisons
state comparisons
Hospital Compare latest data
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Slide 49
the implications of health care reform
the implications of health care reform
stop bsi collaborative
stop bsi collaborative
Baseline and Remeasurement Rates for STOP BSI Collaborative
Baseline and Remeasurement Rates for STOP BSI Collaborative
36% reduction
21% reduction
safe surgery 2015
Goal: 100% of South Carolina?s acute care hospitals using the surgical checklist in every operating room for every surgical patient by 12/31/2013
safe surgery 2015
implications for facility design
implications for facility design
? quality and reliability will be of paramount concern to hospitals
? design features and materials that can reduce unintended harm will be prized
? evidence-based practices will prevail; expect hospitals to favor design professionals who demonstrate willingness to learn from others? mistakes (in addition to their own)
Healthcare 201: The Implications of Healthcare Reform - One State's Perspective
Location:
Contributor:
Susan Parrish
Published:
5/4/10 2:00 PM
Posted Date:
6/21/11 3:12 PM
Last Viewed:
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