● Information Systems
Preparing for 2020’s healthcare market
Four factors are critical for success. By Pat Blake
very healthcare organization you know today will be transformed by the year 2020. Will the changes driving that transformation force our industry to retrench and cut back in order to
survive? Or will we grow and innovate to achieve new levels of service, quality and business health? T ese two possible futures are largely contingent on our ability to strategically employ information technology. It’s no mystery why healthcare is under such pressure today.
Regulatory and political reform is driving a level of change and adaptation unprecedented in the history of our industry. At the same time, the costs of delivering and paying for care are increasing even as reimbursements are drastically reduced. To accommodate a reduced cost base and improve quality, safety and effi ciency, new payment and care delivery models are emerg- ing that shift more fi nancial risk from payers to providers and patients. T is is forcing our industry to reexamine the way it’s orga-
nized and the way it functions, while coming to grips with new strategic priorities. Payers and providers are partnering in bold new ways, while physician practices are often teaming up with larger health systems. Providers will reinvent themselves as care delivery networks focus on populations holistically. Care will migrate to the lowest cost setting when possible. Patients will become healthcare consumers with the knowledge and fi nancial motivation to make informed decisions. Wellness, care manage- ment and population health will become system-wide priorities. None of this will be possible without information technology systems that automate administrative processes, share data across systems and organizations, and deliver fi nancial and clinical in- formation at the point of care. Without the support of robust IT platforms and solutions, healthcare in a value-based world will be too complex to manage, too slow and labor intensive to be cost eff ective, and too fragmented to be coordinated and intelligent. McKesson is focused on four success factors that are critical for connecting healthcare and addressing the business challenges of evolving fi nancial and care models.
16 November 2013
Pat Blake, Executive VP of McKesson Corporation and Group President of McKesson Technology Solutions. For more on McKesson: www.rsleads. com/311ht-203
To transform themselves for the healthcare market of 2020, organizations will need to: • Maximize technology: In a diverse healthcare data envi- ronment, it is critical to bring disparate data together and deliver it to the stakeholders making real-time clinical and fi nancial decisions. Such data analytics allow an organi- zation to track clinical and administrative performance, focus on impactful improvements and cost reductions, increase care quality and predict future needs.
• Improve performance and quality: Payer and provider organizations must be managed optimally in order to lower costs, improve margins and focus resources where they are needed most. Robust health IT solutions will also make it possible to apply insights gained from data and analytics to further improve quality and performance.
• Connect and coordinate care: Fragmentation in care de- livery is one of the major drivers of ineffi ciency, waste, high costs and inconsistent quality. Better health information exchange, data aggregation, performance analytics and clinical integration will enable us to coordinate care across all settings. To do so, data must be captured effi ciently, shared automatically and analyzed intelligently.
• Navigate advanced payment models: Value-based mod- els add many extra layers of complexity at a time when simplifi cation, cost reduction, speed and administrative effi ciency have become imperatives. Automation, fl uid data sharing and transparency around rules and logic are now critical for payers and providers to collaborate in real time, while also becoming clinically and fi nancially integrated at the point of care. While new approaches and policies have made their mark
over past decades, the processes by which care was delivered and paid for remained relatively unchanged. Today, we are participants in a total overhaul of those processes. T e steps we take now will help ensure that we create a healthier future for our organizations and, most importantly, the patients who depend upon them.
HMT HEALTH MANAGEMENT TECHNOLOGY www.healthmgttech.com