Lessons Learned from the World Stage

Looking at healthcare systems around the world makes one thing clear: approaches to delivering care may be different, but all systems revolve around the same set of concerns. Jan draws on her international experience to talk about challenges in access, cost, quality and data. Other considerations for healthcare systems include an aging population, the role of the consumer and population health.

Transcript

1. Lessons Learned From The World Stage Jan Berger MD, MJ CEO, Health Intelligence Partners
2. 2 Commonwealth Fund Out of 13 high income countries the United States ranks last in health value
3. Lets Take A Quick Trip Around The World
4. 4 Health Care: Myths and Realities • Single payer Health Insurance means that there is no cost to healthcare consumer • Single payer systems both finance and deliver healthcare • Single payer systems do not offer insurance choice • The United States does not have a publicly funded system • Patients can really be consumers
5. 5 We Are Not The Only Country Struggling with Healthcare Issues Cost Quality Access Aging Populations New Technologies
6. 6 Health Care Design • Spain: Public/Private relationships work • A Successful History of Health Exchanges
7. 7 The Healthcare Workforce • Health Care Education for the World • Tuition free or little medical school debt • Little malpractice concern • Equality of Pay • Utilize Nurses and others as the tip of the spear
8. 8 Quality and Pathways • France-Nationally agreed upon and reviewed regularly • Israel-Guidelines written into the EMR • Chile- Guidelines for the 36 most common healthcare problems • United Kingdom- Government produced guidelines • Cuba- Nationally agreed upon guidelines and metrics
9. 9 Transparency of Cost Cuba Canada
10. 10 Primary Care and Prevention • Cuba- The Consultario • Costa Rica- Integrated Primary Care Team • Israel-Prevention Funding Separate From The Health Basket • Saudi Arabia- Pharmacy as Primary Care • Australia- Skin Cancer Prevention
11. 11 Maternal/Infant • Israel- Infant and Toddler Focused Factory • Cuba-The Maternal Home • Chile- National Focus on infant and maternal mortality
12. 12 Aging and End of Life • Netherlands-Deinstitutionalization of Memory Care • Australia- Early diagnosis and treatment • France-A National Strategy utilizing agreed upon pathways and aligned metrics • Cuba- “Disabled Clubs”
13. 13 Technology and Innovation • Chile-Paperless and the Fingerprint • Cuba-Biotech as a public utility and ”Societal Asset” • Israel-Mass Casualty Preparation • Israel- National Focus and Investment • Australia-Unique Patient Identifier • England-The Homeless Project
14. 14 Conclusions • It would take both system changes and consumer belief changes to fully address our potential • Countries with Health Exchanges as the basis for their Health systems do work • Public/Private relationships in healthcare are successfully utilized around the world • The systems with the highest quality and most cost efficient care are based on a preventative care model • Focus on social issues pays off in the end • Innovation needs to be fostered but carefully considered
15. Questions?