Part-I of this article can be found here.

In so many ways, it seems that the future of medicine is already here. Continuing the list of some of the key drivers in the transformation of healthcare:

The revolution of primary care: The current state of primary care delivery does not seem to be working for patients or for providers. Rushed visits in the office, long waits and frequent outside referrals creates an unsatisfying experience for everyone involved. Watch for giant pharmacy (CVS Health, Walgreens) and retailers (Walmart) to offer more primary care services at lower cost with better convenience compared to standard doctors’ office visits.

Wellness and the measured-self: Sports companies that gather data to enhance performance for athletes are in good position to leverage their knowledge and experience to engage with consumers who are looking for more in the measured-self space. Individual monitoring of not only steps, nutrition and sleep, but also heart rate, energy levels, and other biometrics will continue to trend. Wearable technology and sensors to measure and manage both disease and wellness will continue to emerge.

Vertically integrated services for health systems: Health systems will continue to focus on high quality subspecialty care. These will need to be grouped based on vertical integration where a patient is treated by highly trained specialty teams with care coordination and predictive models for complex conditions. Examples include a stroke team, a cancer team, and a trauma team. Face-to-face based models of care should diminish in the health systems as telehealth and mhealth alternatives take hold.

Consumer engagement: Consumers will become even more engaged with their healthcare choices as (a) technology and the Internet increasingly educate and enable, and (b) as cost increasingly shifts to their paychecks and out-of-pocket requirements. Consumers will spend more time searching for reliable data on cost, quality and patient experience before making their purchasing decision.

More care decisions will be made by the millennial generation for themselves, their children and their parents. Most of these decisions will be made by women. They will use a mobile device to research services and to purchase these services. What’s more they will avoid telephone interaction with bureaucracies, phone trees and call centers.

How do you see things? Tell us your experience and perspective…

Depending on your prism, healthcare currently looks like a field of landmines or a field of opportunities.

If you are steeped in the traditional healthcare delivery models—fee-for-service, face-to-face encounters, volume based delivery, dependence on the large insurers for payment without diversification of your business model—then the current era in healthcare feels turbulent.

If you are embracing the changes that are already taking place—collection of big datasets, analytics of healthcare delivery, transparency of outcomes in quality and service, using mathematical models to predict population health, providing consumer-driven health from the mobile device, the blurring of sports performance, wellness and health—then right now is the best time to be involved with healthcare.

We’d be pleased to hear what you think about the present and pending disruption of healthcare. Is change leading to innovation, improved service and a better delivery system? What’s your experience, and how do you see the future?

The article, Healthcare Disruptions: For Better or Worse?, by Paul Rosen, MD, appeared first on the Healthcare Success blog and is presented here with permission.

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Paul Rosen, MD was named ‘One of the First 100 Innovators’ by the U.S Federal Government Agency for Healthcare Research and Quality. He is a blogger, podcast host, TEDx speaker, author, and teacher. Dr. Rosen is a pediatric rheumatologist at Nemours/Alfred I. duPont Hospital for Children. He serves as the Clinical Director of Service and Operational Excellence for Nemours. He is an associate professor of pediatrics at the Sidney Kimmel Medical College at the Thomas Jefferson University. He is the director of the physician executive leadership program at SKMC. He serves as volunteer faculty at the University of Central Florida College of Medicine. Dr. Rosen was named the head of the Philadelphia/Delaware chapter of the Society of Physician Entrepreneurs (SoPE). He teaches medical students about improving the patient experience. He received a masters of public health degree from Harvard University and a masters of medical management degree from Carnegie Mellon University. Dr.Rosen’s interests include patient-physician communication, family-centered care, team building across health disciplines, the patient experience, and improvement of health care delivery.

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