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US Health Care Delivery System Evolution

Community Integrated Healthcare. Healthy Population Centered Population Health Focused Strategies Integrated networks linked to community resources capable of addressing psycho social/economic needs Population based reimbursement Learning Organization: capable of

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US Health Care Delivery System Evolution

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  1. Community Integrated Healthcare • Healthy Population Centered • Population Health Focused Strategies • Integrated networks linked to community resources capable of addressing psycho social/economic needs • Population based reimbursement • Learning Organization: capable of • rapid deployment of best practices • Community Health Integrated • E-health and telehealth capable US Health Care Delivery System Evolution Health Delivery System Transformation Critical Path Community Integrated Healthcare System 3.0 Coordinated Seamless Healthcare System 2.0 Acute Care System 1.0 Outcome Accountable Care Episodic Non Integrated Care • Patient/Person Centered • Transparent Cost and Quality Performance • Accountable Provider Networks Designed Around the patient • Shared Financial Risk • HIT integrated • Focus on care management • and preventive care • Episodic Health Care • Lack integrated care networks • Lack quality & cost performance • transparency • Poorly Coordinate Chronic Care Management Neal Halfon, UCLA Center for Healthier Children, Families & Communities

  2. Health Delivery System Transformation Acute Health Care System 1.0 Coordinated Seamless Health Care System 2.0 Community Integrated Health Care System 3.0 • High quality acute care • Accountable care systems • Shared financial risk • Case management and preventive care systems • Population-based quality and cost performance • Population-based health outcomes • Care system integration with community health resources • High quality acute care • Accountable care systems • Shared financial risk • Case management and preventive care systems • Population-based quality and cost performance • Population-based health outcomes • Care system integration with community health resources • High quality acute care • Accountable care systems • Shared financial risk • Case management and preventive care systems • Population-based quality and cost performance • Population-based health outcomes • Care system integration with community health resources

  3. The Second Era (Today) The Third Era (Tomorrow) The Evolving Health Care System The First Era (Yesterday) • Focused on acute and infectious disease • Germ Theory • Short time frames • Medical Care • Insurance-based financing • Industrial Model • Reducing Deaths • Increasing focus on chronic disease • Multiple Risk Factors • Longer time frames • Chronic Disease Mgmt & Prevention • Pre-paid benefits • Corporate Model • Prolonging Disability free Life • Increasing focus onachieving optimal health • Complex Systems - Life Course Pathways • Lifespan/ generational • Investing in population-based prevention • Network Model • Producing Optimal Health for All Health System 2.0 Health System 1.0 Health System 3.0

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