college of health solutions and delivery science keith d. lindor, md executive vice provost and dean
TRANSCRIPT
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College of Health Solutions and Delivery Science
Keith D. Lindor, MDExecutive Vice Provost and Dean
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Focusing on the development of safe, cost-effective, patient-centered health care systems
Emphasis is on health as well as health care Developing different interprofessional delivery
models as payment systems change
Science of Health Care Delivery
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Home of the College of Health Solutions:
The ASU Downtown Phoenix Campus
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Help ASU Develop New Models To Improve Health
Lower Costs
Enhance Access
College of Health Solutions Mission
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Formed in 2012
Create a new health education model
Serve as bridge across ASU to create synergy within university and with strategic partners
College of Health Solutions
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ASU is right university No medical center
Many resources
Vested interests
Broad interest in health
No status quo to protect
Why Arizona?
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School of Nutrition and Health Promotion
School for the Science of Health Care Delivery
Department of Biomedical Informatics
Department of Speech and Hearing Science
Nicholas A. Cummings Behavioral Health Program
College of Health Solutions Programs
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4,240 undergraduate students 548 graduate students 651 online students 200 faculty $9.7 million in research expenditures 92 Barrett Honors College Scholars
College of Health Solutions by the #’s
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Bachelor of Science in Biomedical Informatics
Bachelor in Health Education and Health
Promotion
Bachelor of Science in Medical Studies
Bachelor of Science in Nutrition (Food
and Tourism Concentration)
Bachelor of Science in Public Health
Bachelor of Science in the Science of Health
Care Delivery
New Undergraduate Studies
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Master of Science in Biomedical Diagnostics
Master of Science in Clinical Exercise Physiology
Master of Science in Exercise Wellness (Healthy
Aging)
Master of Science in Obesity Prevention and
Management
Master of Public Health (Administration and Policy)
Master of Public Health (Nutrition)
New Graduate Studies
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College of Nursing and Health Innovation
School of Biological and Health Engineering
Center for Health Information and Research
Health Delivery and Policy Program
Healthcare Transformation Institute
Center for Metabolic and Vascular Biology
Allied and Affiliated Units
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Mayo Medical School Research Center for the Science of Health Care
Delivery
Collaboration with Mayo
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1999 2001 2003 2005 2006 2007 2008 2009 20100
50,000
100,000
150,000
200,000
250,000
300,000
350,000
Health Science/Allied Health
Undecided
Business/Mgmt
Education
Social Sciences
Visual and Perf Arts
Sciences (Bio and Physical)
Engineering
Communications
Community and Personal Ser.
American College Testing Program National Reports
An overview of top student-plannededucational majors: 1999-2010
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Private-Sector Employment in Health
Source: IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press.
Percentage of total private-sector health care industries
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A Working Definition
Applies scientific insights to understand the
elements that influence health outcomes
Models the relationships between those elements
Alters design, processes, or policies based on the
resultant knowledge
In order to produce
better health at lower cost
Systems Approach to Health
Source: Kaplan G, Bo-Linn G, Carayon P, et al. Bringing a systems approach to health. Discussion Paper, Institute of Medicine and National Academy of Engineering. 2013
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Accountable Care Organizations and other models aimed at rewarding outcomes
Penalties for inappropriate hospital readmissions
Movement towards medical home model where care is coordinated
Integration of acute care and behavioral healthcare
Changes in Care Delivery
Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives
VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.
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By 2020 > 250,000 public health worker shortage Public health schools have to triple the # of
grads to meet projected needs
Public Health Workforce Shortage
Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives
VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.
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U.S. Workforce Employment,2008 and Projected 2018
OccupationTotal job openings due to
growth and net replacements, 2008-2018 (in thousands)
Change (percentage)
Health care practitioners and technical occupations
3,139 21.4
Health care support occupations
1,595 28.8
Sales and related occupations
5,713 6.2
Education, training, and library occupations
3,332 14.4
Community and social services occupations
1,033 16.5
Office and administrative support occupations
7,225 7.6
IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press.
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Science of Health Care Delivery
Statistical Tools and Bioinformatics for Health
Health Care Systems Design
Becoming Leaders Who Matter(Leadership and Professionalism in Health Care)
Healthy Lifestyle Promotion (includes behavioral aspects of health)
Economics, Policy and Payment Models in Health Care
Leading Organizational Change
Health Disparities and Access
Law & Health
Creativity & Innovation (in Health Care Settings)
Capstone
Seminar
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35 students preparing for the future in health care delivery
Quality improvement Health disparities Health education Health economics Data and Health program analyses Public policy Evidence based assessment Interprofessional teamwork and management
MS SHCD First Cohort
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Future of Health
Focus away from health care
Health is the issue Home
Community
School
Workplace
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The Strategy That Will Fix Health Care
1Organize into
integrated units (IPUs)
2Measure
Outcomes and Costs for
Every Patient
3Move to Bundled
Payments for Care Cycles
4Integrate
Care Delivery Across
Separate Facilities
5Expand
Excellent Services Across
Geography
6 Build an Enabling Information Technology Platform
Porter ME, Lee TH. The Strategy That Will Fix Health Care. Harvard Business Review. October 2013. Retrieved: http://hbr.org/2013/10/the-strategy-that-will-fix-health-care/ar/pr
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Situation
More than 1 million Arizonans entering system
An aging population living longer Move from fee-for-service to pre-paid service ACOs emerging and driving cost savings Health providers incentivized to provide right
level of affordable care Technological advancements altering
traditional health care
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Predictions
Focus on health vs. health care Transition from “big” to “broad” access Prevalence of health and wellness programs Rise of self-monitoring devices to manage and
mitigate health issues Need for health advocates to educate and
encourage healthy lifestyles Reorganization of what health professionals do
(new delivery models require different training) Interprofessionalism is no longer an option… it’s
required
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Thank you!
Questions?