One Day Event!
Connect with Like-minded people
Together We Can Fix This
December 4, 2019 9:00AM to 5:00PM
Networking Dinner 5:30 to 7:30PM
Queen Mary Hotel, Long Beach, CA
About the Summit
Breakfast, lunch, afternoon break (high tea) and dinner are included
Issue Round Table — identifying “hot topic” issues to inform session speakers and the Healthcare Issue Index
Educate and Engage Sessions —
Healthcare Delivery Excellence — Anatomy/characteristics of an excellent healthcare delivery system
Laura Landry, Patient/Caregiver Perspective
Healthcare System Minimum Viable Processes and Payment Framework — Identify and codify the processes and payment models of a 2.0 version of healthcare delivery
Paul McKinley, DO
Robert M. Cothren, PhD
Peer Sessions — (12) one-hour work sessions where participants engage in solution thinking
Fresh theories will be the foundation of all discussions. Expect to select work sessions that include:
Dividing care into four categories: Routine/preventive, chronic, major medical, and end of-life
The economics of each are different
Addressing each of these verticals may be the “how” we pivot to Value payment models
How does healthcare for the "secondary market" (homeless, imprisoned, ex pats......) fit into this model
Overcoming the biggest obstacle – entrenched/vested interests.
Turning them into allies
Challenging the giants of the system to do good while doing well for their shareholders
Using the example of Amazon and other industry disruptors to cost less and perform better
What does it take to bend the cost curve?
Cracking the “DNA” of simultaneously addressing cost, quality and access
In addition to the learning of the individual participants, the Summit will produce the following publications. The publications will include a de-identified summary of the participants by title and stakeholder group as well as acknowledgement of Summit sponsors.
Industry Paper: Healthcare delivery system minimum viable product — an end-to-end user- and customer-centric set of prioritized processes and requirements; , target publish date 1/31/2020
Policy Brief: Health Issue Index — issues ranked by severity and urgency, mapped to the MVP requirements; , target publish date 1/15/2020
Industry paper: Breakthrough Solution Index0 — identified potential breakthrough solutions plus a section for gaps to be filled (solutions may be business processes or technology enablers); , target publish date 2/15/2020
Conference Proceedings — target publish date 12/31/2019
The Whole is Greater than the sum of its parts
The power of crowdsourcing is immense. We have seen it everywhere from funding patient medical treatment to launching startups and even regime change. The Summit is focused on crowdsourcing around this (overly simplified) Opportunity Statement:
“The U.S. healthcare delivery system is:
Difficult for consumers and providers (suppliers) to use,
Has far too many workarounds for simple, and
Costs too much.”
It is no longer feasible – or advisable -- to wait for “someone” to solve the problems we face daily that are driving our patients to bankruptcy, our physicians to burnout, and our monthly health plan premiums through the roof. There is overwhelming activity that, so far, has not produced dramatic improvements.
It is crucial to start acting with confidence to rapidly resolve long-term and intractable issues that plague healthcare’s simplest business processes. Here are just a few simple examples that could provide breakthrough relief, but somehow never seem to get implemented:
Standard patient registration forms
Standard financial assistance forms
Standard provider credentialing forms
Reboot Healthcare Summit 2019 cultivates an environment where participants are encouraged to bring their frustrations and concerns, communicate them responsibly, learn from each other, and work together in order to take practical, operational solutions back to the office.
This is where the power of the crowd meets the opportunity of healthcare transformation.
I still have questions, How can I find out more?
Please feel free to drop us a line to get your question answered.
What’s going on with Healthcare
HPI*: Spending Outpaces Improvement
*HPI = History of Present Illness
Since 2010: $40B invested in EHR adoption, $40B invested in “Digital Health”. If Health IT investment was the answer, you would be happy with the healthcare system nine years later.
Here’s what we hear:
Physicians are burning out at record setting rates
The basic business processes of healthcare are cumbersome and inaccurate
Patients and/or caregivers are inundated with managing Out of Pocket expenses as well as chronic and emergent health issues
First mile dollars (large deductibles/out of pocket co-insurance) bar people from early interventions in major diseases like cancer
Breakthrough solutions are proprietary — even by non-profit organizations
Patient outcomes are not measured by intervention protocols but by patient adherence to treatment
Modern healthcare reform started in 1974 with Richard Nixon’s State of the Union address. Every president since (that’s 45 years) has invested significant time and energy into healthcare reform.
Diagnosis: Root Problem Avoidance
The healthcare industry is frenetically making changes and “improvements” like the following:
Large system mergers
Spending more money on healthcare insurance premiums
Pushing out “first mile” patient risk via large out of pocket deductibles
Variations on a technology/integration theme: technology investments, clearing houses, RCM solutions, specialized networks, value-based incentives, confusing Explanation of Benefits (EOBs), patient portals, secure messaging, collection agencies, etc.
Objective analyses of the above suggest changes are not improving patient or provider experiences.
In 2006-2016 the industry largely believes adopting technology would solve the systemic problems. As an industry, we’ve adopted $BB in technology ($40B from HITECH alone to date), and yet dissatisfaction by physicians, patients, and other licensed medical professionals increases annually.
So then… what is the root problem?
As an industry, we have been trained to think inside this fragmented framework we have inherited over the last 45 years. Everyone in healthcare is willing to do their part — modify things just a little bit, improve things “around the edges”.
But as an industry, we do not implement structures to consider a complete metamorphosis.
Treatment Plan: Different Mind SET
“Problems cannot be solved with the same mind set that created them.”— attributed to Albert Einstein
The disruptive successes of modern society are fueled by different mind sets addressing trends then-market leaders would or could not acknowledge. Amazon, NetFlix, and Uber spring to mind as the most recent, but Microsoft and Apple came before that. Each of them took down market leaders – whether independent taxi cabs or large national corporations – through three simple principles:
Let’s face it – we all know that, in retrospect, these modern juggernauts were challenged in the beginning. The meteoric growth occurred long after the internal churn of doing something different and actually succeeding at selling it to consumers and industries against the likes of IBM, Borders/B.Dalton, and Blockbuster Video.
Our staff and advisors have participated in and observed healthcare projects – strategic and operational – that included organizational and technological transformation spanning the last 40 years. Nineteen years later – after HIPAA, after HITECH, after Meaningful Use, and after Value Based Healthcare – healthcare struggles with the same basic problems.
Healthcare churns through the same three steps:
Constituents are unhappy and contact government representatives (local, state, federal)
Elected representatives see a growing issue and write complex legislation
Healthcare organizations divert their attention from strategic initiatives developed internally to regulatory compliance initiatives
All available industry financial and human resources are focused on solving focused, incremental pieces of the healthcare delivery system problem (e.g. cost of pharmaceuticals, adoption of electronic records, implementation of public health mandates, and more)
Two decades is long enough to say this is not working.
Intervention: Reboot Healthcare Summit 2019
All of the topics at the Summit are “Mind Set” topics. Facilitated discussions are specifically focused on defining the functional criteria of a modern, functional, integrated healthcare delivery system.. These conversations will result in an actionable advocacy platform to be taken back to local quality improvement efforts, organizational leaders, and elected representatives.
We will define inputs and outputs of critical healthcare processes, which can be used for evaluation purposes.
Participants of the summit will be diplomats sent into the next round of “how do we fix healthcare” discussions that are continuously happening at every level.
This conference is for you if:
You are a market change agent focused on defining healthcare success differently
You see the value of creating a set of measurable criteria for a functional healthcare delivery system, rather than trying to retrofit the dysfunctional one we have
You can imagine what it would look like when you pull out the Healthcare Delivery System Minimum Viable Product at your next Value Based Care meeting and apply the meeting topics to the MVP.
You are clear continuing to do what we have done for the last 10 years is not solving the problem
Achieving better quality-of-life for patients, practitioners, and other stakeholders alike means looking at the big picture as well as searching down in the weeds.
The Summit examines the barriers and solutions to resolving healthcare issues as a system—admittedly, a system of intricate and interlinking parts that must communicate ubiquitously.
The healthcare system is massive and complex making it all-too-easy to focus on resolving issues that do not resolve problems the people of healthcare face on a daily basis.
We’re convening the Summit so healthcare stakeholders can reflect on their needs, discuss their challenges, and collaborate to re-think, re-design, and re-build a system that works for all of us.
STRUCTURED FOR ContinUED COLLABORATION
The Summit is designed to unleash the untapped creativity and power of the people in healthcare: the patients, doctors, nurses, administrators, entrepreneurs and host of others who hold it all together.
Reboot Healthcare staff will capture and distill the meta-data from the sessions and publish those insights along with participant-submitted articles in the conference proceedings.
After the conference, Reboot Healthcare will allow for continuation and/or formation of work groups to continue the collaboration.