Orchestrating Value

Orchestrating Value: Population Health in the Digital Age focuses on the leadership thinking and mindset changes needed to transition from brick and mortar healthcare to digital health and connected care. The fourth industrial revolution, with convergent disruptions in biology, business models, computer science, and culture, has the potential to transform the healthcare system like never before. Digital health startups, Big Tech and progressive health systems will change the way health and healthcare are delivered to increasingly digitally savvy consumers. This book challenges readers to rethink the role of data and technology in creating and designing the future. Rather than hooking value-based care and population health management onto traditional healthcare business models, it focuses on the emergence of digital ecosystems. Using the analogy of an orchestra, the book introduces the importance of platforms in the formation of communities and markets with network effects to allow participants to collaborate, create, and innovate. With quotes from healthcare industry leaders and change agents, it helps the strategist understand the three stages of the transition from volume to value. As conductor of the orchestra, the CEO must navigate important leadership pivots to move beyond silo-based thinking. Finally, the Care Management Platform is described as a new operating model for population health in the digital age. As the next generation beyond foundational EHRs, capabilities such as interoperability, analytics, care management and patient/consumer engagement will fundamentally change the way healthcare enterprises operate and deliver value to customers.

Pam Arlotto, MBA, FHIMSS, is CEO and President of Maestro Strategies, LLC, a management consulting firm focused on transformation, innovation and the orchestration of change in the healthcare industry. She advises CEOs and other executives on digital strategy, and consumer-centric design of new health and healthcare business and operating models. Ms. Arlotto created the award-winning series Return on Investment: Maximizing the Value of Healthcare Information Technology and has authored four previous books on planning for and realizing the value of data and technology. She has held a number of important healthcare and industry leadership positions that include: - Board of Trustees Member, Georgia Tech Foundation - Advisory Board Member, Wallace H. Coulter School of Biomedical Engineering at Georgia Tech and Emory University, Scheller College of Business at Georgia Tech - National President and Fellow of the Healthcare Information and Management Systems Society (HIMSS) - Adjunct faculty member in the Healthcare Informatics program at University of Alabama at Birmingham - Board Member numerous privately held companies and not for profit organizations Ms. Arlotto is a popular and frequent speaker at healthcare industry and corporate meetings and has authored a number of journal and magazine articles. Susan P. Irby, MSHS, is the Managing Director of Business Intelligence and Analytics for Maestro Strategies, LLC, and has over 30 years of healthcare experience with providers and as a consultant. Ms. Irby built the firm's ROI Toolkit and specializes in financial planning, decision support, and IT benefits realization. Her experience includes: - Transformation Strategy advisory consulting work including planning for Care Management Platforms, Enterprise Analytics Management Systems, clinical integration and population health management for a variety of health systems - Return on Investment and Value Management Strategies for health systems, solution companies and associations - Director of Strategic Planning and Decision Support at Alta Bates Health System where she pioneered early decision support system and benefits realizations applications in healthcare - Arthur Young consultant with experience in strategic planning, operating and capital budgeting, cost accounting, financial planning, and forecasting

List of Figures. List of Tables. Foreword. Preface. Acknowledgments. About the Authors. Section I SETTING THE STAGE. 1 Orchestrating Value in the Digital Age. 2 The Journey to High-Value Healthcare: A Framework. 3 Digital Health and the Fourth Industrial Revolution. Section II LEADERSHIP THINKING, MINDSETS, AND CULTURE. 4 The CEO and the Orchestra Conductor. 5 Healthcare Silos and the Leadership Pivot in Decision Making. 6 Collaborate, Create, and Innovate: Platform Thinking. Section III THE CARE MANAGEMENT PLATFORM. 7 The Care Management Platform, Its Layers and Hubs. 8 The Value of EHRs as Foundational Systems. 9 Interoperability and High-Performing Networks. 10 Knowledge Management and Analytics. 11 Advanced Care Management. 12 Consumer and Patient Engagement. Section IV MAKING VALUE ACTIONABLE. 13 The Population Health Services Organization. 14 Final Thoughts. Index.