1. What are the Transformative Changes Required to Deal with the Healthcare of the Future? n History of the Future Exercise n What Will You Wish You Had Done in 2011 Looking Back Ten Years From Now

2. Welcome to the Celebration n It is January 24, 2021 n Your hospital system had prepared for the initiatives of the future back in 2011 n As a physician/board/administrative leader you have acquired the skill sets for an optimistic future n What were the initiatives you were most prepared for and what’s changed the most since 2011. d???d???d???d???

3. History of the Future Approach n Anchor 2020 as a time horizon in your life ä Personal milestones between 2006-2016 ä Family members n Give each participant time to think about elements of their own “back to the future” ä Recognizing non incremental nature of changes ä Be creative n Set the stage by inviting the group to describe the physical setting and mentally travel to a future time and place ä Must use the past tense ä When asked a question—make up a specific answer n Build on statements like improv theater n React spontaneously in collaborative way

4. The Not So Optimistic Past and Present I’m for leaving the status quo like it is... Yogi Berra We are at a crossroads…one road leads to total destruction, the other despair… let’s hope we choose the right one... Woody Allen

5. What can we learn from the future that will help us create a better present for healthcare? A History of the Future Approach

6. Physicians View of the Future View From the Present n 70 % felt “we were doomed” and that “there was nothing to do but wait for the apocalypse” Of the 30% that felt there was an optimistic future only 18% felt that they (physicians) would find the answers Of the 30% that felt there was an optimistic future only 18% felt that they (physicians) would find the answers

7. Scenario 1 - The Bleak Scenario n It is now 2020 n Physicians have lost control of the system n Medical care is now run by large insurance companies and non-medical professionals n Physicians are a commodity and are hired by these mega corporations What Happened???

8. Scenario 2 - The Optimistic Scenario n It is now 2020 n Physicians have regained control of the system n There is alignment of incentives between good health care and reimbursement n Physician groups have become entrepreneurial with growing success and more fun What Happened???

9. Did I Really Say That? Docs Were Often Surprised by Their Creative Responses n Acceptance of integrative health n Product line approaches n Innovative customer service models n “Coopetition” models n Importance of leveraging quality, service and technology

10. Top Initiatives of Hospitals Preparing For the Future n Service Lines on Steroids ä Providers Available Across Specialties ä Centers of Excellence Without Walls n Preparation for the new wave of technologies n Improvements in Customer Service ä Recognition of Different Competitors n “Coopetition” models with other entities and with the medical staff n Incorporation of “integrative” or “global” health n Transforming the Hospital-Medical Staff Relationship

11. The Future: 2020 Quality Measurement of quality and role of technology Measurement of quality and role of technology Pay for performance initiatives Pay for performance initiatives Variations in clinical practice Variations in clinical practice Role of individual physicians, non health care businesses, employers, MCOs and government in mandating or facilitating this change Role of individual physicians, non health care businesses, employers, MCOs and government in mandating or facilitating this change

12. The Future: 2020 Service Role of service mandates and service guarantees Role of service mandates and service guarantees Role of advanced practitioners and/or integrative medicine Role of advanced practitioners and/or integrative medicine Use of the internet, emails and interactive technology Use of the internet, emails and interactive technology Crossing of department lines and “product line” approaches Crossing of department lines and “product line” approaches

13. The Future: 2020 Technology Use of technology to reduce medical errors Use of technology to reduce medical errors Two way communication between patients and providers Two way communication between patients and providers Use of PDAs, smart cards, and wireless Use of PDAs, smart cards, and wireless technologies technologies Evaluation of the electronic medical record and paperless chart Evaluation of the electronic medical record and paperless chart

14. It is Impossible to be Ahead of the Pack if you Think about the Future in Today’s Terms “Well, lemme think... You’ve stumped me, son. Most folks only wanna know how to go the other way.”