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Building
                                                             a Resilient
                                                           Organization
                                                             to Manage
                                                              Medicare
                                                                    Risk
                                      Wayne Pan, MD, MBA
                                      Chief Medical Officer
                  Pacific Partners Management Services, Inc.
Medicare Risk Revenue Management - Best Practice Operation Strategies • Washington, DC • June 12, 2012
welcome
workshop
no cell phones
           active participation
             group learning
         bring your experiences
          challenge each other

© nile flow gallery
designthinking
designdoing
?
whydesign

            8
?
whynot

         9
what got you here


         marshall goldsmith
won't get you there




           marshall goldsmith
insanity:
 doing the
     same
thing over
  and over
       and
expecting
 different
    results
see the whole
see the holes
?
    whoarewe
designingfor
thinkhuman
some
basics
human
nature
human
nature
lazy
human
nature
social
human
nature
creaturesofhabit
human      lazy
           social
nature     habit


notgood@
change
human    lazy
         social
nature   habit



socialnorms
human       lazy
            social
nature      habit



statusquo
human    lazy
         social
nature   habit



socialnorms
doctor
nature
doctor
nature
competitive
doctor
nature
independent
doctor
nature
curious
doctor      competitive


nature
            independent
            curious




formsilos
doctor   competitive


nature
         independent
         curious




notgood@
cooperation
doctor    competitive


nature
          independent
          curious




notgood@
collaboration
doctor    competitive


nature
          independent
          curious




curious
doctor   competitive


nature
         independent
         curious




competitive
doctor   competitive


nature
         independent
         curious




competence
leverage
our nature
leverage
our nature
4 behavior
change
simplesocialfun
always
think
simple
“Simple can be harder than
complex. You have to work hard to
  get your thinking clean to make
  it simple. But it’s worth it in the
 end, because once you get there,
      you can move mountains.”

            Steve Jobs
exercise #
small groups of 3
introduce yourself
exercise #
roles
finance
compliance
quality
medical mgmt
benefits
member services
network mgmt
operations
list as many
processes you can
think of related to
Medicare risk
management
process
exercise #
partners
exercise #
drawtheBIGpicture
from: Jeanne Liedtka and Tim Ogilvie, Designing for Growth (2011)
exercise #
brainstorm
patient perspective
physician perspective
exercise #
iteration
don’t be afraid to FAIL....
failfast
it’saboutthepatient
Thank you!
  wpan@ppmsi.com
  slideshare.net/bonedoc97




WWW.SNOOPY.COM

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Building a resilient org to manage medicare 12 jun12