The Role of the Built Environment in Increasing Healthcare ValueCraig ZimringDirector, SimTigrate Design LabProfessor, School of Architecture
Speed up Learning and Innovation with Simulation Analyze Problems Conduct Research Develop Guidance Evaluate relevant issues impacting healthcare delivery and design Observe practices and processes in the settings, and use our simulation tools to explore solutions Allow organizations to explore new and more efficient design and operational models Translating the evidence base into resources to provide consistent, high-quality care
Philips Lighting HKS Architects US Army Medical Command DoDTricare Management Activity HDR Architects Emory Healthcare Emory School of Nursing Children’s Healthcare of Atlanta Research Triangle Institute Sponsors & Partners Robert Wood Johnson Foundation US Agency for Healthcare Research and Quality
We seek to to understand how the built environment and health IT can be catalysts for creating and sustaining patterns of care that provide best value for the patient. We analyze patterns of care using the best tools of science, engineering and design: research, simulation, and human-centered design.
Value is improving the experience and outcomes of care, and improving population health, at lower cost.
Southcentral Foundation (SCF) • An Alaskan Native owned and operated system with 25 years of history • Innovative, relationship based, customer driven systems • 55,000 local clients including 10,000 in over 50 remote villages, 140,000 statewide clients • Nuka Model of Care provides US-leading outcomes at 60% of the US cost
Southcentral Foundation Source: Douglas Eby, MD, 2013
Native ownership begins Source: Douglas Eby, MD, 2013
Native ownership begins • Excludes Newborns and Delivery Moms and Length of Stay must be more than 1 day Source: Douglas Eby, MD, 2013
Why listen to the SCF story Evidenced-based generational change reducing family violence 50% drop in Urgent Care and ER utilization 40% drop in Hospital Admissions 60% drop in specialist utilization 20% drop in primary care utilization 75-90%ile on most HEDIS outcomes and quality Childhood immunization rate of 93% Diabetes with 50% of HbA1c below 7% Employee Turnover rate less than 12% annualized Customer and staff overall satisfaction over 90% In an urban Alaska Native community with huge challenges Source: Douglas Eby, MD, 2013
Southcentral Foundation (SCF)A Native Alaskan Owned and Operated System Utilization 75% decrease in hospital admissions since 1999 71% decrease in hospital days per 1000 since 1999 36% decrease in outpatient visits per 1000 customer-owners Clinical quality Level 3 NCQA Patient Centered Medical Home 75 or 90 percentile for HEDIS outcome measures Diabetes Cancer Cardiovascular disease Source: Douglas Eby, MD, 2013
“The Southcentral Foundation is the future of US healthcare” Donald Berwick, July 8, 2013