ARE ALL CONSUMERS EQUAL? Navneet Kathuria, MD, MPH, MBA, VP, Population Health and Clinical Quality, Meridian Health

Transcription

1 ARE ALL CONSUMERS EQUAL? Navneet Kathuria, MD, MPH, MBA, VP, Population Health and Clinical Quality, Meridian Health

2 Overview Definitions Health Population Consumer Provider Patient

3 Average Health Care Spending per Capita, Adjusted for Differences in Cost of Living Dollars ($US) * Source: OECD Health Data 2014.

4 Health Care Spending as a Percentage of GDP, Percent GDP refers to gross domestic product. Source: OECD Health Data 2014.

5 Spending per Hospital Discharge, 2012 Adjusted for Differences in Cost of Living Dollars ($US) * ** Source: OECD Health Data 2014.

6 Mortality Amenable to Health Care Deaths per 100,000 population* FR AUS ITA JPN SWE NOR NETH AUT FIN GER GRE IRL NZ DEN UK US * Countries age-standardized death rates before age 75; including ischemic heart disease, diabetes, stroke, and bacterial infections. Analysis of World Health Organization mortality files and CDC mortality data for U.S. Source: Adapted from E. Nolte and M. McKee, Variations in Amenable Mortality Trends in 16 High-Income Nations, Health Policy, published online Sept. 12, 2011.

7 Efficiency = Medicare Spending Per Beneficiary (MSPB) Navneet Kathuria, MD, MPH, MBA

8 VIRTUA WEST JERSEY HOSPITALS BERLIN 1.04 Efficiency = Medicare Spending Per Beneficiary (MSPB) CAPITAL HEALTH MEDICAL CENTER - HOPEWELL 1.03 DEBORAH HEART AND LUNG CENTER 1.03 HUNTERDON MEDICAL CENTER 1.03 INSPIRA MEDICAL CENTER WOODBURY 1.03 KENNEDY UNIVERSITY HOSPITAL - STRATFORD DIV 1.03 OUR LADY OF LOURDES MEDICAL CENTER 1.03 MEMORIAL HOSPITAL OF SALEM COUNTY 1.02 INSPIRA MEDICAL CENTER ELMER 1.01 NEWTON MEDICAL CENTER 1.01 LOURDES MEDICAL CENTER OF BURLINGTON COUNTY 1.00 ST LUKE'S WARREN HOSPITAL 1.00 SHORE MEDICAL CENTER 0.99 CAPE REGIONAL MEDICAL CENTER INC 0.98 Navneet Kathuria, MD, MPH, MBA => to to to to 0.98

9 Daily Sugar Consumption Navneet Kathuria

10 Alcohol Consumption Navneet Kathuria

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12 Top 10 causes Top 10 Causes of disease of Death: 1900 vs vs Jones DS et al. N Engl J Med 2012;366:

13 Population Health Navneet Kathuria, MD, MPH, MBA

14 Definition of Health WHO formulated in 1948, state of complete physical, mental and social well-being and not merely the absence of disease or infirmity Navneet Kathuria

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16 Defining Populations Geographic State of Health Disease State Access method Contracted Financial Risk Gender Age Hair Color, Eye Color, etc Genetic trait Navneet Kathuria, MD, MPH, MBA

17 Patient - Consumer Consumer a person who buys and uses up goods Patient Original meaning - expend by use a person who is under medical care or treatment a person or thing that undergoes some action Original meaning one who suffers Navneet Kathuria

18 Patient - Consumer The empowered patient movement encourages patients to become hyper-informed and to take control over their care. But providing greater information, access and autonomy so often successful in consumer settings does it drive better care or experience. Treating patients as typical proactive, in control, well-informed consumers requires them to take on increasingly complex decisions and digest ever-larger amounts of information, the consumer find themselves placed often by design in the driver s seat. High-deductible insurance plans Genetic testing Navneet Kathuria

19 Patient - Consumer Patients don t want to be there: People seek out healthcare when something is wrong and patients want to solve it and get back to normal. Patients aren t equipped to be there: Even when patients are willing to be decision makers, they may not have the tools. At a time of unusual stress, the system asks them to absorb technical information and make difficult decisions that require specialized expertise. Patients aren t in it alone: To design for patients alone is to forget that they are part of a complex system and aren t often independent decision-makers. Navneet Kathuria

20 Consumption Consumer spending, consumer demand, consumption, or consumption expenditure is the purchasing of goods and services by individuals or families. It is the largest part of aggregate demand at the macroeconomic level. There are two components of consumption in the basic model: induced consumption (which is affected by the level of income) and autonomous consumption (which is not). Navneet Kathuria

21 The Holy Grail Navneet Kathuria