In­flu­encers: Shap­ing the Fu­ture

Rick Pol­lack Dr. Te­jal Gandhi Dr. James Weinstein

Modern Healthcare - - CONTENTS -

Rick Pol­lack

Pres­i­dent and CEO Amer­i­can Hos­pi­tal As­so­ci­a­tion

I see an Amer­ica in which every sin­gle Amer­i­can has cov­er­age for health­care, where no Amer­i­can lives in fear of be­ing bankrupted by the cost of ill­ness or in­jury. I see an Amer­ica in which pa­tients have their care co­or­di­nated so they’re not bounced around from one un­con­nected fa­cil­ity to the next. I see an Amer­ica in which our payment sys­tems be­tween physi­cians and hos­pi­tals and other providers are aligned so there’s a fo­cus on wellness and preven­tion. I see an Amer­ica in which hos­pi­tals con­tinue to play a lead­er­ship role but are closer to their com­mu­ni­ties.

Even un­der the best sce­nario with the Af­ford­able Care Act af­ter 10 years, 23 mil­lion peo­ple will still be left uninsured.

The other big chal­lenge we face is find­ing new care mod­els for the fu­ture. What are the new mod­els that en­sure hos­pi­tals can con­tinue to pro­vide a lead­er­ship role in their com­mu­nity in serv­ing as an ac­cess point? And what are the new con­fig­u­ra­tions that should oc­cur so that they can do it in an ef­fi­cient way that is most re­spon­sive to com­mu­nity needs?

Dr. Te­jal Gandhi

Pres­i­dent and CEO Na­tional Patient Safety Foun­da­tion

Mov­ing for­ward 10 or 20 years, I think qual­ity and safety will be even more in­te­gral to how we de­liver care. It will be part of the train­ing for all clin­i­cians go­ing into health­care, and it will also be part of how we get re­im­bursed for the work that we do. And I think there will be more trans­parency around qual­ity and safety that will be avail­able to the gen­eral pub­lic and to pa­tients.

One thing that could get in our way is the lack of mea­sures that are valid, and also too many mea­sures. I think we’re re­ally go­ing to have to do a bet­ter job of think­ing about what are the right mea­sures—the mea­sures that re­ally mat­ter—and fo­cus­ing on those.

An­other bar­rier that we need to tackle is en­gag­ing gov­er­nance and lead­er­ship so that or­ga­ni­za­tions have a cul­ture that’s fo­cused on qual­ity and safety and that pri­or­i­tizes qual­ity and safety even when other pri­or­i­ties come to the fore­front.

Dr. James Weinstein

Pres­i­dent and CEO Dart­mouth-Hitch­cock

I be­lieve our coun­try is at a cross­roads in the health­care space. There’s been a lot of dis­rup­tion over the last seven, eight years with the ACA. But I would say there are three prin­ci­ples im­por­tant to mov­ing this for­ward.

First, we should think about things based on pop­u­la­tion, not mar­ket share. Sec­ond, we should think about val­ue­based so­lu­tions and not vol­ume-based so­lu­tions. And third, we need to think of new payment mod­els that ac­tu­ally pay only when pa­tients re­ceive what they want and need and when they’re well-in­formed.

The other thing that’s go­ing to make it pos­si­ble to cre­ate real change is trans­parency of costs—and not cost alone but also the ac­tual clin­i­cal out­comes, where the pa­tients can know as much about their health­care sys­tem as they know about what’s in a ce­real box.

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