the dna of current healthcare models is mutation … may 2017 j oelofse...the dna of current...
TRANSCRIPT
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?