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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?