What do the New Health Care Structures Means for Health Care Ethics?
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What do the New Health Care Structures Means for Health Care Ethics? Philip Boyle, STL, Ph.D VP, Mission & Ethics
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What do the New Health Care Structures Means for Health Care Ethics?. Philip Boyle, STL, Ph.D VP, Mission & Ethics. My plan. New Structures Continuum and hand-offs (LTC, home health, PACE, hospice) CINs & ACOs Partnerships Physicians Common mechanisms Facilitation Education Policies - PowerPoint PPT Presentation
Transcript of What do the New Health Care Structures Means for Health Care Ethics?
What do the New Health Care Structures Means for Health Care Ethics?Philip Boyle, STL, Ph.D
VP, Mission & Ethics
My plan
New Structures• Continuum and hand-offs (LTC, home health,
PACE, hospice)• CINs & ACOs• Partnerships• Physicians
Common mechanisms• Facilitation• Education• Policies
Moral Problems
New Structures
• Continuum & hand-offs• LTC• Home health & hospice• PACE Programs
• CINs & ACOs
• Partners- Walmart, CVS, Walgreens
• Physicians
Clinically Integrated Networks
A mechanism for addressing population health management ; infrastructure
A contractual agreement between insurance provider and a network of health care providers
• Health Systems• Employed Physicians• Independent Physicians
Members share the risk in caring for an assigned group of patients (covered lives) across the continuum of care
Addresses Triple Aim: 1) improving quality/satisfaction of care experience, 2) improving health of populations, 3) reducing per capita health costs
Methods to address
• Facilitation• How to access?• Who possesses competencies?
• Education• Problems specific to setting• Delivery methods: Web & virtual ECs
• Policy• Specific policy: e.g., smoker & oxygen
Content
• Allocation & appropriate care
• Population health
• Consumerism
• Conflicts of interest
• Cooperation
