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ECHO 2013 / Echocardiography in 2013 and Beyond Where We Are and Where We Are Going

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30,000,000 New Patients with Health Insurance in 2014

•Young (18-49)

•Educated

•Internet Savvy

•Informed Consumers

•Skeptical of Traditional Medical Practice

MR2010:51

Washington, 2/21/13

MR2010:52

7 Trends in Healthcare (And How Echocardiography Can Lead The Way)

•The Value Proposition

•The Triple Aim

•Focus on Patient Safety

•1 Patient, 1 Test

•Patients as Partners

•From Fee for Service to Population Health

•A Focus on Appropriateness

MR2010:53

Who Is Best Prepared To

Be A Cost Center?

•

Low Platform Cost

•

High Platform Cost

•

Low Staffing

•

High Staffing

 

Requirements

 

Requirements

 

 

 

•

Low Supply Cost

•

Expensive Isotopes

•

High Throughput

•

Low Throughput

MR2010:54

Relative Cost

Echo vs Nuclear

5.3 Echocardiograms for Every Nuclear Study

Echo

Nuc

MR2010:55

Incredible Range of Options

MR2010:56

7 Trends in Healthcare (And How Echocardiography Can Lead The Way)

•The Value Proposition

•The Triple Aim

•Focus on Patient Safety

•1 Patient, 1 Test

•Patients as Partners

•From Fee for Service to Population Health

•A Focus on Appropriateness

MR2010:57

Echocardiography of Prosthetic Valves

Appropriate Use Criteria

Modified Delphi process…

Douglas et al. JASE 2011; 24: 229-67

58

Changes in Healthcare are

Daunting…But There is Hope

Sir Winston Churchill

“Americans can always be counted on to

do the right thing...after they have

 

exhausted all other possibilities."

MR2010:59