College of Health Solutions and Delivery Science Keith D. Lindor, MD Executive Vice Provost and Dean Science of Health Care Delivery Focusing on the development of safe, cost-effective, patient-centered health care systems Emphasis is on health as well as health care Developing different interprofessional delivery models as payment systems change Home of the College of Health Solutions: The ASU Downtown Phoenix Campus College of Health Solutions Mission Help ASU Develop New Models To Improve Health Lower Costs Enhance Access College of Health Solutions Formed in 2012 Create a new health education model Serve as bridge across ASU to create synergy within university and with strategic partners Why Arizona? ASU is right university No medical center Many resources Vested interests Broad interest in health No status quo to protect College of Health Solutions Programs School of Nutrition and Health Promotion School for the Science of Health Care Delivery Department of Biomedical Informatics Department of Speech and Hearing Science Nicholas A. Cummings Behavioral Health Program College of Health Solutions by the #’s 4,240 undergraduate students 548 graduate students 651 online students 200 faculty $9.7 million in research expenditures 92 Barrett Honors College Scholars New Undergraduate Studies Bachelor of Science in Biomedical Informatics Bachelor in Health Education and Health Promotion Bachelor of Science in Medical Studies Bachelor of Science in Nutrition (Food and Tourism Concentration) Bachelor of Science in Public Health Bachelor of Science in the Science of Health Care Delivery New Graduate Studies Master of Science in Biomedical Diagnostics Master of Science in Clinical Exercise Physiology Master of Science in Exercise Wellness (Healthy Aging) Master of Science in Obesity Prevention and Management Master of Public Health (Administration and Policy) Master of Public Health (Nutrition) Allied and Affiliated Units College of Nursing and Health Innovation School of Biological and Health Engineering Center for Health Information and Research Health Delivery and Policy Program Healthcare Transformation Institute Center for Metabolic and Vascular Biology Collaboration with Mayo Mayo Medical School Research Center for the Science of Health Care Delivery An overview of top student-planned educational majors: 1999-2010 350,000 300,000 Health Science/Allied Health Undecided 250,000 Business/Mgmt 200,000 Education Social Sciences 150,000 Visual and Perf Arts Sciences (Bio and Physical) 100,000 Engineering Communications 50,000 0 1999 2001 2003 American College Testing Program National Reports 2005 2006 2007 2008 2009 2010 Private-Sector Employment in Health Percentage of total private-sector health care industries Source: IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press. Systems Approach to Health A Working Definition Applies scientific insights to understand the elements that influence health outcomes Models the relationships between those elements Alters design, processes, or policies based on the resultant knowledge In order to produce better health at lower cost Source: Kaplan G, Bo-Linn G, Carayon P, et al. Bringing a systems approach to health. Discussion Paper, Institute of Medicine and National Academy of Engineering. 2013 Changes in Care Delivery Accountable Care Organizations and other models aimed at rewarding outcomes Penalties for inappropriate hospital readmissions Movement towards medical home model where care is coordinated Integration of acute care and behavioral healthcare Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives Public Health Workforce Shortage By 2020 > 250,000 public health worker shortage Public health schools have to triple the # of grads to meet projected needs Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7. U.S. Workforce Employment, 2008 and Projected 2018 Occupation Total job openings due to growth and net replacements, 2008-2018 (in thousands) Change (percentage) Health care practitioners and technical occupations 3,139 21.4 Health care support occupations 1,595 28.8 Sales and related occupations 5,713 6.2 Education, training, and library occupations 3,332 14.4 Community and social services occupations 1,033 16.5 Office and administrative support occupations 7,225 7.6 IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC: The National Academies Press. Science of Health Care Delivery Statistical Tools and Bioinformatics for Health Health Care Systems Design Becoming Leaders Who Matter (Leadership and Professionalism in Health Care) Healthy Lifestyle Promotion (includes behavioral aspects of health) Economics, Policy and Payment Models in Health Care Leading Organizational Change Health Disparities and Access Law & Health Creativity & Innovation (in Health Care Settings) Capstone Seminar MS SHCD First Cohort 35 students preparing for the future in health care delivery Quality improvement Health disparities Health education Health economics Data and Health program analyses Public policy Evidence based assessment Interprofessional teamwork and management Future of Health Focus away from health care Health is the issue Home Community School Workplace The Strategy That Will Fix Health Care 1 Organize into integrated units (IPUs) 2 5 Measure Outcomes and Costs for Every Patient Expand Excellent Services Across Geography 4 3 Integrate Care Delivery Across Separate Facilities Move to Bundled Payments for Care Cycles 6 Build an Enabling Information Technology Platform Porter ME, Lee TH. The Strategy That Will Fix Health Care. Harvard Business Review. October 2013. Retrieved: http://hbr.org/2013/10/thestrategy-that-will-fix-health-care/ar/pr Situation More than 1 million Arizonans entering system An aging population living longer Move from fee-for-service to pre-paid service ACOs emerging and driving cost savings Health providers incentivized to provide right level of affordable care Technological advancements altering traditional health care Predictions Focus on health vs. health care Transition from “big” to “broad” access Prevalence of health and wellness programs Rise of self-monitoring devices to manage and mitigate health issues Need for health advocates to educate and encourage healthy lifestyles Reorganization of what health professionals do (new delivery models require different training) Interprofessionalism is no longer an option… it’s required Thank you! Questions?