John Talbot, Ph.D., Executive Vice President, OPEN MINDS ...12 1. Develop vision of future compet...

John Talbot, Ph.D., Executive Vice President, OPEN MINDSSeptember 29, 2012, 2:30 pm — 4:00 pm

• The Link Between Strategy & New Service Lines

• New Technologies Fueling New Service Line Development

• Emerging New Service Opportunities

2OPEN MINDS © 2012. All rights reserved.

Strategy, New Service Lines & Technology


Environment Drives

Strategy

Strategy Drives

Organizational Structure

Operating Systems Support

Organizational StructureTo paraphrase Peter Drucker. . .

4

Ability to monitor brain functionality

and changes

Changing theory of brain development

and maturity – longer and later

Identification of genetic and epigenetic factors in

behavioral and cognitive disability

Better understanding of brain chemistry

Discovery of possibility of brain cell regeneration

5

Emerging Developments in

Neuroscience

OPEN MINDS © 2012. All rights reserved.

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New Functionality In New Functionality In Telecommunications

Telehealth

Telecare & Assistive

Technologyehealth

Smart home Technology

Tech-assisted cognitive retraining

Companion robots

Remote monitoring

systems

Remote vital sign sensors

Wearable wireless devices

mhealth

Smartphone applications

Text message

alerts

Telehealth

Real-time consultation

Remote audio/video

therapy

7

BioconnectivitySingle Real-Time Clinical, Admin, &

Cost Data Set

EMRs & EMR Data (NHIN of the future)

Clinical Metrics From

Telehealth

Connection of & Access To All Data Sets

Health Systems

Connection of & Access To All Data Sets Via Web Tools -- For Consumers,

Professionals, Health Systems

Clinical Data From

New Diagnostics

& Neurotech

New Health Data Systems & Informatics

Electronic health recordkeeping systems

Computer-assisted treatment planning and clinical expert systems

Predictive clinical analytics

Remote monitoring and smart homes

Web-based consumer interaction and consumer

self-management

Telehealth, virtual and alternate reality

technologies, and web-based treatment

management

Neurotech devices and computer-based

cognitive retraining tools

New pharmacological delivery systems - smart drug delivery systems: patches,

injectibles, microchips, etc.

New diagnostics – scans, biologic testing, web-

based assessments, etc.

Integrated performance metrics monitoring – clinical, HR, financial, marketing

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Synergistic Environmental Factors In

Current Market Emerging

Developments in Neuroscience

New Health Data Systems & Informatics

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New Functionality In Telecommunications

Move to Risk-Based & Performance-Based

Reimbursement

10

Complexity of diagnosis and

treatment

Time

Performance that consumers want or need

Disruptive innovation brings crisis to established institutions that cannot adopt

their business model

• Previous relationships with payer changing◦ Role of mission-based,

tax-exempt organizations evolving

• More competition• Technological

substitution reducing price point on rates

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“Specialist” organizations need strategic repositioning to maintain competitive advantage

“To win, create what is scarce”

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1. Develop vision of future competitive advantage and market positioning

2. Scenario-based strategic plan incorporating alternate future positioning options

3. Detailed plans – marketing, financial, operational, capital, HR, etc. – to implement strategy and future vision

4. Key performance metrics and metrics-based management to track strategy implementation (and allow mid-course adjustments)

5. Optimization of current operations to keep current programs as competitive (and profitable) as possible as long as possible

6. New service model development to support future vision

7. Collaborations as needed to facilitate new market vision

Making New Models A Sustainable Reality Takes New Management Practices & Management Discipline

For each strategy and service line, assess how technology adoption can:• Increase customer

preference• Reduce costs

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Sustainable business models rarely possible without deploying new technologies

14

What Are New Technologies Fueling Innovative Service Development?


• Diagnoses• Early detection• Predict and monitor the

effectiveness of medications

15

Vagus Nerve Stimulation Device Transcranial Magnetic StimulationDeep Brain Stimulation

16

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Full Immersion VR “Cave” VR

33

PERS Plus System Basic System Butler System

OPEN MINDS © 2012. All rights reserved.33

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What Are The Emerging New Service Opportunities?


1. Center of excellence/destination services2. One-stop shop/convenience services3. Mobile, community-based, and home-

based services4. Remote and e-health services5. Health and social service system

management services

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1. Specialized mental health and addiction treatment centers

2. Diagnostics centers for intellectual and mental disorders and disabilities

3. Specialized treatment programs for TBI or other brain injury

4. Schools focused on learning needs of individuals with disabilities

5. Specialized “camp” experiences for children6. Cognitive improvement centers


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Category #1: Centers of Excellence & Destination Services

#1. Specialized Mental Health & Addiction Treatment Centers




Hazelden: Center Of Excellence (Addiction Treatment)


Sierra Tucson: Center Of Excellence (Addiction Treatment)


Autism Ahead: Center Of Excellence (Autism)

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Advanced TMS Clinics: Center Of Excellence (TMS)

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Amen Clinics: Center Of Excellence (Brain Health)


Cottages on Mountain Creek: Destination Services (Serious Mental

Illness)


Boys Town National Research Hospital: Destination Services

(Pediatrics)

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#2. Diagnostics Centers for Intellectual & Mental Disorders & Disabilities



Mind Matters Clinic : Diagnostics


United Neuro Diagnotic Services : Diagnostics

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#3. Specialty Programs For Brain Injury



ResCare: Brain Injury


Craig Hospital: Brain Injury


Spaulding Rehabilitation Network: Brain Injury


Centre For Neuro Skills: Brain Injury


Kessler Institute for Rehabilitation: Brain Injury


NYU Langone Medical Center: Brain Injury

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#4. Schools For Consumers With Specific Disorders & Disabilities



The Help Group: Schools


ResCare: Schools

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#5. Specialized “Camp” Experiences For Children



LeBonheur Children’s Hospital: Camps


Merrimack Hall Performing Center: Camps


ASAP: Camps


Adam’s Camp: Camps


Fowler Center: Camp

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#6. Cognitive Training & Rehabilitation Centers



Mind Spa: Cognitive Training


Sparks of Genius: Cognitive Training


VibrantBrains: Cognitive Training


My Ray: Cognitive Training

1. Services imbedded in retail centers2. Services imbedded in health spas3. Services in primary care locations


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Category #2. One-Stop Shop

Or Convenience Services

#1. Services Imbedded In

Retail Centers



NowClinic: Imbedded in Retail


2. One-Stop Shop Or Convenience Sminuteclinic: Imbedded in Retail

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Category #2. One-Stop Shop

Or Convenience Services #2.

Specialty Services

Imbedded in Spa Locations



TurningLeaf: Imbedded in Spa


The Chopra Center: Imbedded in Spa

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#3. Specialty Services

Imbedded In Primary Care

Locations


1. Remote support and monitoring services for consumers with disabilities

2. “Aging in place” support services for older individuals

3. In-home health care and mental health care services

4. In-home tutoring services5. Sober companion support services


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Category #3. Mobile,

Community-Based, & Home-Based Services#1. Remote Monitoring/ Supports for

Consumers With Disabilities



Res Care: Remote Monitoring

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• Remote caregiver◦ Telecams◦ Sensors◦ Two-way

audio

• On-call first responder


Res Care: Remote Monitoring


SmartHome: Remote Monitor

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Community-Based, &

Home-Based Services

#2. “Aging In Place” Support

Services



Ecumen: “Aging In Place”


QuietCare: “Aging In Place”


Intel-GE: “Aging In Place”

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Community-Based, &

Home-Based Services

#3. In-Home Clinical Services



In Home Health Services : In Home Clinical services

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Community-Based, &

Home-Based Services

#4. In-Home Tutoring & Learning

Assistance


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Community-Based, &

Home-Based Services

#5. Sober Companion &

Recovery Support

ProgramsOPEN MINDS © 2012. All rights reserved.


HiredPower: Recovery Support


Sober Companions: Recovery Support

1. On-line and telephonic mental health counseling

2. Telepsychiatry consultation3. On-line second opinions and expert

consultation4. Virtual reality5. Smartphone applications


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Category #4. Remote & E-

Health Services#1. Telephonic/

On-Line Counseling

Services



Caring Therapy: On-line Counseling


LIVEPERSON: On-line Counseling


Ask The Internet Therapist: On-line Counseling


Breakthrough: On-line Counseling


Complete Counseling Solutions: On-line Counseling


Cope Today: On-line Counseling


E Mental Health Center: On-line Counseling


eTherapist: On-line Counseling


Barton Associates: On-line Counseling

1. Behavioral health benefit management (carve-out programs)

2. Management of IDD support benefits3. Chronic disease management programs4. Management of government-funded child

care services5. Management of mental health courts and

drug courts6. Disability management services7. Organizational crisis management services


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Category #5. Health & Social Service System Management

Services#1. Behavioral Health Benefit Management

Programs



Magellan: Behavioral Health Benefit Management

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Services#2. IDD/Autism

Benefit Management

Programs



Magellan: Autism Benefit Management

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Services#3. Specialty

Disease Management

Programs



CompCare: Substance Abuse Disease Management


Magellan: Obesity & Behavioral Health Disease Management

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Service#4. Management Of Government-

Funded Child Care Programs



ResCare: Management of Children’s Services

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Service#5. Management

Of Specialty Court Services



Providence Service Corporation: Drug Court

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Service#6. Disability Management

Services



Cascade Disability Management, Inc : Disability Management

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Service#7. Crisis/

Disaster Response Programs



ComPsych: Crisis Services


Caron & Hanley: Merger


Meridian: Merger With Health Clinics


Prism: Collaboration with Mental and Primary Care

[email protected]‐334‐1329|877‐350‐6463

163YorkStreet,Gettysburg,Pennsylvania17325

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John Talbot, Ph.D., Executive Vice President, OPEN MINDS ...12 1. Develop vision of future compet...

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