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Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
This document discusses wellness and primary prevention as the keystone to transforming healthcare. It outlines that the current healthcare system focuses more on sickness and disease management rather than prevention. A shift needs to occur towards prioritizing health promotion and preventing disease to lower costs. A five step strategic approach is proposed: 1) Organize the population by risk level, 2) Conduct a corporate health audit, 3) Adjust corporate culture, 4) Implement programs to keep low risk low and move high risk lower, 5) Evaluate, update and maintain programs. The document argues that wellness is not just an individual responsibility but a shared social contract between society and individuals with both rewards and penalties.
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Michael Samuelson, Keynote,Wellness at Work Conference, June 14, 2010
- 1. Wellness & PrimaryPrevention The Keystone to Healthcare Transformation Michael H. Samuelson President & CEO, The Health & Wellness Institute Adjunct Professor, Health Services Administration The University of Rhode Island
- 2. Outline ! Radar: Pay Attention ! Context & Texture ! What is Wellness? ! Fundamental Understandings ! Healthcare vs. Sickcare: Time to Level Set ! Framing the Challenge: The 5 Ws ! What’s Happening? – Current Conditions ! So What? – Trends and Consequences (DNA) ! What Now? – Triage and First Things First ! What’s Next? – Strategic Intent and Plan ! What Difference Will/Did it Make? – ROI ! The Health Care Social Contract ! The 5 Critical Components of a Prevention Strategy ! Q&A
- 3. then and now: A30+ Year Journey 1978" 2010"
- 4. then and now: A40+ Year Journey 1978 1968 2010
- 5. radar & mountains Indian Mountain AFS, AK, 1968
- 6.
- 7. Tao Te Ching - Lao Tzu, 6th century BC Thirty spokes share the wheel’s hub; It is the center hole that makes it useful. Shape clay into a vessel; It is the space within that makes it useful. Cut doors and windows for a room; It is the holes which make it useful. Therefore profit comes from what is there; Usefulness from what is not there.
- 8. healthcare 2010: Critical Areasof Concern Genomics Indigent Population Aging Population Medical Tourism Access Convenient Care Affordability Technology Uninsured Malpractice Economic and Health Impact of Behavior Paternalism/Entitlement Universal Healthcare Mandated Benefits Single Payer Defensive Medicine Growth of Chronic Care Immigrant Healthcare Shared Responsibility Health Literacy Personal Accountability Health Education Specialty Pharmacy Never Events End of Life Issues Rx Drug Reform Legislative Streamlining and Reform Electronic Medical Records Culture/Language Barriers Emergency Medicine (disaster/pandemic) Transparency Pay for Performance Medical Report Cards Tele-Medicine Economics & Enforcement of HIPPA Shift to the Prevention Side of the Care Continuum Orphaned Diseases Medical Divide (regional, global, cultural, ethnic disparity) On-Line Rx E-Health Information & Misinformation (WEB) Media Influence (TV/Movies) Tort Reform
- 9.
- 10. definition of wellness" WELLNESS is an umbrella descriptor for programs, policies and initiatives that promote health, prevent certain diseases and compress morbidity (shorten length of illness). Wellness is also an objective and subjective incremental state of well-being with infinite variations. - The Health & Wellness Institute !"
- 11. Ten Fundamental Understandings 1. Change is a linear and sequential process. intellectual emotional visceral cellular
- 12. Ten Fundamental Understandings 1. Change is a linear and sequential process. 2. The incumbent has the power. 3. People run from pain faster than they run toward pleasure. 4. There is no power stronger than self-fulfilling prophesy. 5. What you learned in Kindergarten is not enough.
- 13. Ten Fundamental Understandings 6. Beware, the law of assimilation. 7. What you don’t know can hurt you! 8. It is critical that you secure your own mask before assisting others. 9. Without innovation, you are simply living a memory. 10. “He not busy being born is busy dying.” - Bob Dylan
- 14.
- 15. Healthcare vs. Sickcare:Time to Level Set 1. Nothing and Nobody will Lower your Healthcare Costs. 2. Death is not a Curable Disease. 3. “Wellness” is an amorphous, dangerous & distracting term. 4. The issues of concern are health promotion, disease PREVENTION, compressed morbidity, increased productivity and medical cost control. 5. Ultimately, organization measure success by mission and margin. Individuals (employees) measure success in terms of subjective well-being.
- 16. Healthcare vs. Sickcare:Time to Level Set 6. There is no political will to change healthcare: The question is not HOW do we improve health? The question is WHY don’t we care? One answer is science, the other is art. 7. If “greed” is good…”sickness” is better. 8. Pogo was right… 9. Healthcare spend & focus needs to shift from disease management (survival) to primary prevention (thrival). 10. It is arrogant and presumptuous to suggest that a list has independent value.
- 17. Context & Texture Clarity & Meaning Derek
- 18. The Five Ws:Wellness in Context
- 19. the five Ws:wellness in context" framing the challenge: the 5 Ws: • what’s Happening? – current Conditions • so what? – trends and consequences (DNA) • what now? – triage and first things first • what’s next? – strategic intent and plan • what difference will/did it make? – ROI
- 20. #$%&'()#" *$++#" ,$%-)" The Healthcare Social Contract " &$.##)'."" /)0)&#$1"
- 21. The Health CareSocial Contract" 2)',(*"3'&)"4$%5',"3$1(&'%(" The Health Care Social Contract
- 22. the health caresocial contract Health Care Social Contract" responsibilities Society (Government, Medical Providers/Employers) Individual • Awareness • Healthy Choices • Education • Self-Observation/Care • Access • Evidenced-Based Screenings • Supportive Infrastructure (Age/Gender) • Evidence-Based Medicine & • Timely & Appropriate Prevention Support Attention • Medical Compliance
- 23. the health2)',(*"3'&)"4$%5',"3$1(&'%(" contract care social penalties Society (Government, Medical Providers/Employers) Individual • Removal from Public Office • Increased Financial Obligation (Government) • Compressed Quality of Life/ • Fines (Employer) Expanded Morbidity • Reduced Reimbursements • Potential Criminal Charges (Medical Providers) (Re: Care of Minors)
- 24. the health2)',(*"3'&)"4$%5',"3$1(&'%(" contract care social rewards Society (Government, Medical Providers/Employers) Individual • Re-Election (Government) • Favorable Insurance and Co- • Tax Credits and Favorable Pay Rates Insurance Rates (Employer) • Expanded Quality of Life & • Higher Reimbursements Compressed Morbidity (Medical Providers) • Happier & Healthier Dependants
- 25. A Five StepStrategic Approach" 1. Organize population by risk level 2. Conduct corporate health audit • Senior management & employee attitudes • Policies and benefits • Communications systems • Environment 3. Adjust corporate culture 4. Implement program of awareness, education, and intervention to keep low-risk low and move high-risk to low-risk 5. Evaluate, update, and maintain
- 26. thank you! 1978 1968 2010
- 27. Wellness & PrimaryPrevention The Keystone to Healthcare Transformation Michael H. Samuelson President & CEO, The Health & Wellness Institute Adjunct Professor, Health Services Administration The University of Rhode Island