Celebrating Imitation: Spreading Ideas that Work - Amy Compton-Phillips, MD

1. Celebrating Imitation
S P R E A D I N G I D E A S T H AT W O R K
Amy Compton-Phillips, MD
EVP, Chief Clinical Officer
Providence Health & Services
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2. The Problem
Americans have the:
• Most Costly
• Least satisfying
• Most Fragmented
• Worst outcome generating
healthcare system of the modern industrialized world.
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3. 3
Average Health Care Spending per Capita, 1980–
2012
Adjusted for Differences in Cost of Living
0.
1000.
2000.
3000.
4000.
5000.
6000.
7000.
8000.
9000.
1980 1984 1988 1992 1996 2000 2004 2008 2012
US ($8,745)
NOR ($6,140)
SWIZ ($6,080)
NETH ($5,219)*
GER ($4,811)
DEN ($4,698)
CAN ($4,602)
FR ($4,288)
SWE ($4,106)
AUS ($3,997)*
JPN ($3,649)
UK ($3,289)
NZ ($3,172)*
Source: OECD Health Data 2014.
* 2011.

4. 4

5. 5
The best care in the US is somewhere
today, it’s just not everywhere.

6. Dartmouth Atlas
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7. 7
V I E T N A M E S E
B A B I E S
P O S I T I V E D E V I A N C E

8. Leveraging Design Thinking
Learning From What Worked
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9. 9
Vision
Trust
Data
Capacity

10. Vision: Start with Why
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11. Trust
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Create a Team; form a Network
Spread elements, not workflow

12. Building Networks
Spread Across Structural Holes
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13. Trust: Spread Elements
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• “Chunk” the work to a
minimum set of key
practices
• Spread the Why,
What and How you
know
• Locally develop the
Who and the How

14. Data:
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• Measure what
matters
• Have to see it to
believe it

15. Capacity
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• Skills
• Tools
• Resources

16. 16
Scale is Science
Spread is Social

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Amy Compton-Phillips, MD
EVP, Chief Clinical Officer
Providence Health & Services
amy.compton-phillips@providence.org