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Where Are We Going?

Where Are We Going?. Are We All Rowing In the Same Direction ? Peter Rutherford, MD. Key Thoughts. We are all in this together. Success will be measured by the overall improvement in “health” in our communities, in this region.

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Where Are We Going?

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  1. Where Are We Going? Are We All Rowing In the Same Direction? Peter Rutherford, MD

  2. Key Thoughts • We are all in this together. • Success will be measured by the overall improvement in “health” in our communities, in this region. • No one organization can do it all, and do it well. (Cost, Quality, and Access). • We have to prove that what we do, we do well.

  3. Key Thoughts • Patient/community engagement is paramount. • We can not have participants who have a siloed agenda. To quote Lee Iacoca “Lead, follow, or get out of the way” • We need to focus on a few things at a time, do them well, then move on to the next thing. • Equally, we must decide what we are not going to do. • We need to go to our patients where practical. Expecting them to come to us all the time does not build trust or engagement

  4. Key Thoughts • Funding now is in silos, that will not continue long term. • There will be a single pot, and outcomes will determine who has access to the pot. • The need is not just medical, and psychiatric. It also is engagement, education, social, economic. • The best outcome and the most sustainable will include the appropriate components of all of these.

  5. Transparency, Communication, Coordination and Accountability are Paramount • What are you doing? • Why are you doing it? • Who are you providing it to? • Who are you working with? • How are you measuring “success”? • What are you not doing?

  6. Confluence Vision • Health is a regional issue • Health is not just medical. It is psychiatric, social, economic, educational. • It can not be siloed • We need to use the special skills of groups, organizations, people to the “top of their license/skill set. • We need a tiered approach. What can be done locally, what can be done where most helpful to the patients, where patient engagement is best, is where it needs to be done. • Where it needs to be aggregated to fully utilize people or equipment, do it. • Where we can not do it well, find who can and make sure we get our patients/ our community members there, and then get them back as close to home as possible for continued care. • We have to measure what we do. If we do not measure, we can not tell if we are improving or not. • There is a financial reality. We do what we can.

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