Global Health System Transformation

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Bernice Cook
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1 Global Health System Transformation Stephen C. Alder, Ph.D. Professor and Vice Chair Family and Preventive Medicine Chief, Division of Public Health April 18, 2016

2 Overview A Common Challenge The Business of Transformation The Base of the Pyramid Proceeding Globally The PCCHC

3 A Common Challenge

5 Triple Aim Care: Improving individual experience of care Health: Improving the health of populations Cost: Reducing the per capita costs of care for populations Berwick DM, Nolan TW, Whittington J. (2008) The Triple Aim: Care, Health, and Cost. Health Aff, May 2008, 27, 3,

6 There are tremendous opportunities to improve the public s health through partnership between the public health and healthcare sectors. Working together, public health and primary care have the opportunity to lower the number of people who need care and the cost of that care, improve the quality of clinical care and other services that they receive, and improve the overall health of communities.

The Health Map. Susan Powell et al. Family Practice 2008;25:i17-i19 The Author 2008.

8 Health System Performance in Ghana = patient need addressed Cost Severity of Disease 8

9 The Business of Transformation

10 What happens to Global Health when industryleading business innovation, profound humanitarianism and world-class scholarship combine?

11 What happens to Global Health when industryleading business innovation, profound humanitarianism and world-class scholarship combine? They construct a transformative network of world-class partners in which an economy of knowledge and innovation can revolutionize global public health to transform health care systems in developed and developing countries alike.

THE GLOBAL HEALTH INITIATIVE A PLATFORM FOR GLOBAL INNOVATION As a central operational hub, the Global Health Initiative (GHI) will serve as an anchoring platform to support scalable, sustainable and

12 THE GLOBAL HEALTH INITIATIVE A PLATFORM FOR GLOBAL INNOVATION As a central operational hub, the Global Health Initiative (GHI) will serve as an anchoring platform to support scalable, sustainable and globally dispersed programs. GHI will utilize University resources and expertise in big data, health services and policy research, innovation, and commercialization to support experimentation and coordination of training, education and the dissemination of knowledge. Initial components will include:

15 Ensign College of Public Health

16 Asia Campus

17 Global Health Institute Innovation Transformation Impact

19 The Base of the Pyramid

20 Source: Wellspan Health Cost is not evenly distributed

21 Integrated Health System Approach: Healthy Families, Ghana Graphic courtesy of Brian Rivette Cost Severity of Disease 21

22 Care Continuum While we have focused on hospital based care, we are becoming accountable for every other stage along the way. Skilled Nursing Assisted Living Home Health Population Health & Wellness: Poor PHW drives patients into the system Skilled Nursing, Assisted Living & Home Health: Mismanaged EOL care drives patients back into the system

23 Proceeding Globally

24 Department of Family and Preventive Medicine Improving quality-of-life through scholarship that advances health and well-being in homes, workplaces and communities in Utah and around the world.

25 Family and Preventive Medicine Community-based Populations Medical Care System

By connecting global health investors from the public, private, and philanthropic sectors across all asset classes, FIGH aims to build a global health marketplace in

26 By connecting global health investors from the public, private, and philanthropic sectors across all asset classes, FIGH aims to build a global health marketplace in which reimagined financial models, novel technologies, and uncommon partnerships can harness untapped potential to address the world s most urgent health challenges.

27 Population Health Strategy Define geographically-based population Residents Employees Visitors Health outcomes orientation Integrate Primary Care and Public Health New model financing Incentives to preserve and promote health Move from sick care approach Data analytics to diagnose community needs and evaluate impact of population health strategy

29 Integrated Health System Approach: Healthy Families, Ghana Graphic courtesy of Brian Rivette Cost Severity of Disease 29

30 Global Connections

31 Managing Population Health

34 PCCHC The intent of the Person and Community Centered Health Consortium is to transform health care and health systems worldwide. The mission of the Person and Community Centered Health Consortium is, therefore, to engage partners who are committed to strengthening primary care and community health activities, and mobilize them to create health systems that: Improve access to, and organized delivery of, primary care; Enhance coordination of primary care with specialty and hospital services; and Elevate the health and well-being of people and the communities in which they live.

Opportunity Knocks: Population Health in State Innovation Models

Opportunity Knocks: Population Health in State Innovation Models John Auerbach, Debbie I. Chang, James A. Hester, Sanne Magnan* August 21, 2013 *Participants in the activities of the IOM Roundtable on