1.5.1 Changing Demographics

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From the course by University of Minnesota

Healthcare Delivery Providers

121 ratings

University of Minnesota

Healthcare Delivery Providers

121 ratings

Course 2 of 5 in the Specialization Healthcare Marketplace

Welcome to the exciting world of Healthcare Delivery Providers! This second course in the Healthcare Marketplace Specialization will help you understand the various providers of healthcare across the U.S. delivery continuum. We will explore the unique value proposition of the various providers- from hospitals and clinics to physicians to community based providers. We will dissect this important value chain using various lenses such as- site of care delivery, people who provide the care and payers who pay for care. You will also learn about the challenges facing these providers and the innovations they are creating in order to help transform this important industry. I will use readings such as a case study and videos to make this learning more experiential for you, so that you can see and feel the world of healthcare delivery. I will also explain the various acronyms and specialized terms used in healthcare, so that you become more proficient and familiar with the language. Given the fact that Healthcare is one of the largest industries in the U.S. and growing at an rapid pace, it is critical that current and future leaders understand the internal and external drivers that are shaping this industry. Current and future leaders will need to constantly innovate in order to sustain this industry into the future- by creating value for the end customer and the entire population, as well as increasing engagement of the humans who work within this industry. Get ready to take a deep dive into the complex ocean that is U.S. healthcare delivery- and make sure your oxygen tank is securely fastened!

From the lesson

INTRODUCTION TO U.S. HEALTHCARE DELIVERY

Welcome to the world of healthcare delivery providers! In this first module, I will introduce important concepts in this field including how value in healthcare is measured, what some key influencers of healthcare are and how the healthcare delivery system will be examined in this course. We will use various lenses such as: site of care delivery, payment models, payers and humans that work in the delivery system to dissect this value chain. I will also discuss emerging paradigms like the Triple and Quadruple Aims and Accountable Care, which are rapidly spreading across the US healthcare industry.

1.5.1 Changing Demographics6:38

1.5.2 Healthcare Reform4:18

1.5.3 Other Infuencers6:42

Meet the Instructors

Dr. Rahul Koranne
Faculty
Carlson School of Management, Department of Finance

This is the healthcare delivery provider's part of

the Healthcare Marketplace Specialization.

This is Module 1.5.1, Changing Demographics.

The learning outcomes for this lecture are that you'll understand key

demographic changes that impact the healthcare delivery system and

discuss some of the challenges that might lie ahead.

Great job so far.

You're almost at the end of the first module in my course.

So, great job.

Great job with all of the quizzes.

Well done.

So these last few lectures, I will look at what are some of the other

influencing factors for health care delivery system in the US?

So this particular lecture will focus on the various changes in

the demographics that are happening in the US and how they are influencing, and

could potentially influence the healthcare delivery system.

So as you can imagine in any population, as it becomes more chronically ill or

it becomes more healthy or starts aging more.

The healthcare delivery system is going to have to change in response to that.

So, that's critical.

Obviously, the triple aim will change.

The cost may go up or it may go down, if the population becomes healthy.

So that's the point of this particular lecture to look at the demographics and

then we'll close off this module with looking at some of the other influencers,

and then you are done with the first module.

Great job and let's keep going.

So as I just discussed, this particular system

of care that we have discussed is not static and

it changes as the demographic changes.

So, let's think about Harlan.

Let's say, he gets better.

May not need as much hospitalization.

May not need as much skilled nursing facility.

May need much more primary care clinics and

specialty clinics or if he gets worse, he might need the opposite.

So again, the population and how it changes, both socioeconomically and

also health wise directly impacts the healthcare delivery system and

the healthcare delivery providers.

Let's look at a few of the important demographic changes.

The first one, obviously is aging.

So, here's a simple statistic of 65 plus individuals who represented

14% of the population in 2013 are estimated to grow to 22% by 2040.

So, with aging comes an increase in the burden of chronic illness sometimes.

Also, there is a direct impact on social and

welfare programs like Social Security, Medicare Medicaid and others.

And also, one direct correlation between aging that we need to

think about is the workforce.

The nurses and the physicians, and the pharmacists, and others are also aging.

So that needs to be thought about and what are the demands and

the needs of the new generations and the new workforce that is coming in?

So again, that will directly impact the healthcare delivery system.

Diabetes, for example is another condition that is growing in

the demographics of the US, the incidents is growing.

There's also increasing number of undiagnosed cases and there is obviously,

a direct correlation between diabetes and strokes, heart disease and

many other important conditions that cause morbidity and death.

Also, we are finding that there is some health disparities in diabetes and

we are starting to look at race, ethnicity and language data to look at

are we serving all the diabetics equally and is there health equity?

Also, data is emerging, for example, through ACOs and

other models that the cost for diabetics is double than those patients or

populations that do not have diabetes.

Let's take a short quiz.

Another important public health condition is obesity.

So more than a third of the US adults have obesity,

it is obviously linked to many comorbidities.

Again, diabetes, heart disease and others.

And again, like diabetes, there is a link between obesity and

high health care costs.

Another important condition is mental and behavioral health.

So again, mental conditions in populations and

patients are associated with increased incidents of many other disease.

Also, there is lower use of medical care.

So, patients may not go in or lower adherence with the prescribed care plans.

So they may not take medications, may not followup and

all those lead to poor medical care and poor outcomes.

And again, similar to diabetes and obesity, mental and

behavioral health conditions when not treated appropriately

directly impact the cost for any given population.

Some of the other demographic factors, for example, would be health disparities.

So, language barriers or other barriers in health inequities and

disparities that are starting to be looked at as part of the social determinance.

There is the concept of built environments.

So, are there roads and accessibility options for

the various folks that live in the population.

The importance of increasing dementia and

the needs of the patients who have memory loss or dementia, and

then also we started talking a little bit about the generational differences

between workforce, between patients of different generations.

And what they demand and expect from the healthcare delivery system is shaping and

transforming the system as a whole.

So in summary, there are several important demographic changes that

are happening in the population, which impact the delivery providers.

The healthcare systems of tomorrow will absolutely need to take many

of these changes into consideration in order to create value,

remain sustainable and to succeed.

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