{"title":"Telehealth and Beyond: Healthcare Strategies for a Digital World.","authors":"Carla J Sampson","doi":"10.1097/HAP.0000000000000136","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000136","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":" ","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39943440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sustainable Digital Health Demands Cybersecurity Transformation.","authors":"Drexel DeFord","doi":"10.1097/HAP.0000000000000137","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000137","url":null,"abstract":"<p><strong>Summary: </strong>Technology has become a mission-critical part of healthcare business operations. The electronic health record, medical equipment, revenue cycle, enterprise resource planning, marketing, legal, planning and building new facilities… every component today is dependent on automated tools. When computer systems go offline, everyone feels the stress of conducting business and delivering care without access to all the information they need. Downtimes are especially dangerous for patients.While there are many reasons that these systems go offline, cybersecurity breaches are primary culprits. Logically then, digital innovation becomes unsustainable in healthcare without cybersecurity transformation. What was good enough at one time is not acceptable anymore. As healthcare has accelerated toward digital dependence, particularly through the COVID-19 pandemic, cybersecurity threats have also increased. The time to transform cybersecurity is now.The first thing for healthcare leaders to understand is this: You do not have a malware problem or a ransomware problem-you have a cybersecurity adversary problem. It is important to learn everything about the organizations attacking you, including their structure, motivation, and goals. Armed with those insights, you are more likely to be able to defend your health system. By transforming your cybersecurity program, you will build a foundation on which you can thrive as a modern healthcare operation.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 3","pages":"31-38"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9984311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Penn Medicine Is Advancing Care Delivery to Meet More Patients' Needs.","authors":"Kevin B Mahoney, Allison P Wilson-Maher","doi":"10.1097/HAP.0000000000000135","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000135","url":null,"abstract":"<p><strong>Summary: </strong>The University of Pennsylvania Health System was founded in 1993 as one of the nation's first integrated academic medical centers. Over the past 29 years, Penn Medicine has systematically built a care delivery system based on three core values: innovation, integration, and impact. The operating strategy is designed to meet the patient's needs in a traditional brick-and-mortar hospital as well as in an increasingly virtual world. Today's patient is demanding an omnichannel experience with superior outcomes. Although long discussed in healthcare, such a comprehensive, seamless patient experience is only possible when all four channels of care delivery-hospital, ambulatory, home, and virtual-are sustainably integrated to improve the health of the population through digital innovation and analytics.The COVID-19 pandemic forced healthcare systems around the world to pour resources into telemedicine and other telehealth tools. This shift is fueling a dramatic shift from a piecemeal digital strategy to a comprehensive approach to the digital world where increased communication among clinicians, caregivers, and patients can lead to improved outcomes at a lower cost.In this article, we present an illustrative case study focusing on two of four channels of care: the Pavilion at the Hospital of the University of Pennsylvania, where the latest in digital innovation has been built into the walls of our most ambitious capital project to date, and Penn Medicine at Home, which provides home care services, home infusion, and hospice care to patients throughout the region. The new $1.6 billion Pavilion and its technological updates have been seamlessly woven into the longstanding Penn Medicine at Home program. As a system, we did this by learning from both the victories and the setbacks to design for a future of healthcare we could once only imagine.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 3","pages":"4-9"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9990566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rapid Deployment of Technology: Patient and Staff Empowerment at Houston Methodist.","authors":"Roberta Schwartz","doi":"10.1097/HAP.0000000000000132","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000132","url":null,"abstract":"<p><strong>Summary: </strong>Digital innovations are arriving in healthcare at an increasing rate. Electronic medical records provided the foundation for this growth, and now thousands of technology companies are servicing every aspect of healthcare. Since 2018, Houston Methodist has been cultivating digital disruption, working to speed up the development of new initiatives. As our digital innovation has grown exponentially over the past few years, we have kept the patient at the center of all activities. We hold the philosophy that patient empowerment should be a process whereby patients understand their role and have access to knowledge that enables them to engage with their providers in a bidirectional relationship. Patient empowerment in the patient room, in care pathways, and in opioid reduction demonstrate the success of our approach with strongly positive outcomes. Importantly, the efforts are not only appreciated by our patients, but also widely embraced by our clinicians.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 3","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9990568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changes in the Healthcare Environment Prompt Leaders to Think Digitally.","authors":"Richard J Gannotta","doi":"10.1097/HAP.0000000000000131","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000131","url":null,"abstract":"<p><strong>Summary: </strong>Hospitals have been facing an epic crisis, with the COVID-19 pandemic overwhelming emergency departments and forcing the implementation of surge protocols to manage care delivery and treatment. These realities have affected both inpatient care delivery and caregiver effectiveness. The need to reevaluate clinical operations is challenging the healthcare delivery structure and its leadership to think differently-digitally. Supporting care for patients in the home has played an important role in mitigating many safety and access issues, accelerating telehealth adoption and solidifying its place in the ongoing transformation of healthcare delivery. As this shift continues to unfold, it is also bringing an opportunity to improve clinical outcomes, patient satisfaction, and cost reduction efforts as well as advance access and promote diversity, equity, and inclusion in the US healthcare delivery system.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 3","pages":"24-30"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9990569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter from the President and CEO.","authors":"","doi":"10.1097/HAP.0000000000000127","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000127","url":null,"abstract":"After years of planning and working to secure the future of Union Terminal, Douglass McDonald announced his retirement in December 2014. Over a 16-year career as President and CEO, Doug had the honor of hosting sitting and soon-to-be U.S. Presidents, as well as presidential hopefuls; accepting a moon rock on behalf of NASA from Neil Armstrong, the first man to walk on the moon; and receiving the Institute of Museum and Library Services National Medal and accreditation from the American Alliance of Museums.","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":" ","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39918616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Road to Value Demands a Smarter Approach to Risk.","authors":"Joseph J Fifer","doi":"10.1097/HAP.0000000000000129","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000129","url":null,"abstract":"<p><strong>Summary: </strong>As healthcare nears year three of the COVID-19 pandemic, hospitals and health systems should consider accepting significant responsibility for the total cost of care from all sources, per covered life, over time. One place to start: Reduce avoidable spending on chronic conditions, which, combined with mental health conditions, account for most healthcare expenditures. This shift will necessitate investments that strengthen the ability to identify at-risk populations and react in ways that help avoid complications and reduce unnecessary costs.Even before the pandemic, it was clear that there were missed opportunities to reduce costs of care. Failures in care coordination contributed to billions of dollars in waste each year. Now, as payers explore innovative risk-based arrangements for addressing the impacts of social determinants of health and delayed care on health outcomes, healthcare providers should seek opportunities to partner with payers in developing shared-risk approaches to patient engagement and chronic condition management. Steps toward designing a model for risk innovation include rewarding physicians and clinicians for managing the total cost of care, involving physicians in discussions around acceptable levels of risk in value-based contracts, ensuring that the organization's cost accounting approach meets its strategic needs, investing in actuaries to study data that can identify rising-risk patients, and exploring innovative partnerships for funding the infrastructure for value.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 2","pages":"30-36"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10365509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How One Health System is Demonstrating the Right Way to Build a Smart Growth Strategy.","authors":"Catherine A Jacobson, Scott Hawig","doi":"10.1097/HAP.0000000000000125","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000125","url":null,"abstract":"<p><strong>Summary: </strong>Across the United States, health system growth has been tied to significant investments in physical growth such as the build-out of large, traditional hospitals. Concurrent with this infrastructure investment, value frequently has been sought by cost cutting and large-scale closures of lower-margin facilities.At Froedtert Health, a philosophy of providing the right care at the right time in the right place is driving new growth. As the demand for unique tertiary services at its academic medical center has surged, Froedtert Health is leveraging and enhancing a new community hospital strategy while investing in new capability platforms to complement the health network's care model across Wisconsin.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":" ","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39762834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Access Drives Health System Transformation and Growth.","authors":"Jason H Sussman","doi":"10.1097/HAP.0000000000000128","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000128","url":null,"abstract":"<p><strong>Summary: </strong>Healthcare is in the midst of a \"great disintermediation.\" New care delivery models are offering novel ways of accessing care and moving the US healthcare system from a hospital-centric to a consumer-centric focus. This transformation is opening new opportunities for technology-enabled, risk-ready innovators intent on disrupting traditional ties among health systems, primary care physicians, and consumers.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 2","pages":"23-29"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10365508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When the World Changes, Opportunities for Growth Come Forward.","authors":"Bob Sutton, Thomas A Clark","doi":"10.1097/HAP.0000000000000124","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000124","url":null,"abstract":"<p><strong>Summary: </strong>Nothing will ever be the same. The idea of returning to pre-COVID-19 conditions seems less plausible every day. Nearly every business model has had to transform seemingly overnight, and hospitals and health systems are at center stage in the real-time drama that will change the way we promote, deliver, finance, and engage in healthcare for years to come.This is the next normal, the starting point for the future. Planning for Avera Health's future has taken on a new level of excitement. Emerging from the COVID-19 crisis, we are finding opportunities. We are learning how to do our work differently and better. We are exploring new partnerships and areas of business that will add to our mission work. We are focusing on the patient-consumer experience. We are shaping a new future. The notion of a new future terrifies some people-they would rather hold on to the past. At Avera, we see this as our chance to create a future to our specifications. All we have to do is let go of yesterday and dream about what tomorrow can be.Our first action was to reassess our five-year strategic plan, unveiled shortly before the pandemic. We initially thought that the plan had been stymied. What we discovered is that it has actually been accelerated. Our organization has become more agile, focused, and sustainable. Growth has been redefined as deepening our relationship with patients to increase lifetime loyalty and creating efficiencies to bend the cost curve for patients and allow Avera to expand services and service areas. This strategy puts people first, makes healthcare more affordable, and modernizes the doctor-patient relationship.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"38 2","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10365507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}