Beyond ACOs and Medical Homes: Redefining Chronic Disease Care
Chronic medical conditions drive more than 75% of all health care spending, but people with a chronic condition typically get care through a system designed for acute care, a glaring strategic misalignment that diminishes health. People with chronic medical conditions often need help to make dramatic lifestyle changes, something that the current system simply can’t do. Instead of fragmented, medically-focused and episodic care triggered by an adverse health event, people with chronic medical conditions need tightly integrated, lifestyle-focused, continuous care that addresses their unmet health needs and slows or stops the progression of chronic conditions. Scott Wallace looks at the chronic disease epidemic and the fundamental differences between acute and chronic conditions, and delves deep into teaching audiences to understand patients’ unmet health needs and to create integrated teams of caregivers and patients that can provide efficient, effective and convenient health solutions for patients and families.
Making Health IT Meaningful in the Age of Meaningful Use
The Federal government’s commitment to invest more than $22 billion in health IT triggered a stampede to adopt electronic health records. Along with the cash, though, came the requirement to demonstrate ‘meaningful use’ of these systems, an evolving standard that has little to do with improving health outcomes of care. In the rush to grab the Federal subsidy (and avoid the looming Medicare penalty), providers have lost sight of the big picture: better health care outcomes and more effective care delivery. Organizations need a clear strategy to advance their care delivery and business objectives, and they can use health IT to support that strategy. A leading health care IT authority, Scott Wallace explores the evolving meaningful use rules and the common problems implementing and using EHRs. He offers several approaches for clinicians, IT professionals, executives and trustees seeking to effectively use IT to support better care outcomes.
Understanding Employees/Patients Unmet Health Needs: Redesigning Care and Benefits
Managers often assume that high health care costs result from insatiable demand for care or from an entitlement mentality. That view rests on the fallacy that people want more treatment. What they want is more health. It is the exception, not the norm, to want more invasive procedures, more tests, more time in hospital gowns, longer hospital stays or more time at a clinic. Health care treatment is a burden patients bear in the quest for better health. The biggest impediment to employees’ improved health is the failure to address their unmet health needs. Employees’ health needs differ meaningfully, by company, by region, by type of work. Scott Wallace uses the results of his proprietary Experience Group™ model to identify and understand the unmet needs that drive employees’ poor health and reviews case studies of companies implementing new benefit designs to address those unmet needs.