Bridging Food Medicine and Health for All Prototype Center My Story Aminas Story Dr stuff medicine scalpel hospitalclinic Sick care to Health care End economic segregation of healthcare ID: 780043
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Slide1
June 17, 2017
Health Commons Vision Board
Bridging Food, Medicine, and Health for All
Prototype Center
Slide2Slide3My
Story
Slide4Amina’s Story
Slide5Dr stuff - medicine, scalpel, hospital/clinic
Slide6Sick care to Health care
End economic segregation of healthcare
VISION
Transform the
Culture of Healthcare
Slide7Prototype
Center
Paradigm
Sustainable Model
SCOPE
Karisha Community Austin
Conscious Healthcare
NexCenter Health
Slide8PROCESS
A Vision In Creation
Vision
Operations
Numbers
Karisha Community
Slide9COMMUNITY
Community
Basis for model of health
Basis for Karisha’s creation
Slide10Hire Team
Break Ground
& Build Center
TIMELINE
2018
Welcome to Karisha
Open Memberships
to Guests
NexCenter
Support
2019
2017
Community Guidance
(Health Commons)
Permitting
Bank
Financing
Slide11Walk-In Clinic (Urgent Care)
Continuity Care
Wellness (Membership)
Healing Kitchen
Mind Body Center
Adjunctive
• Supplements/herbs
• Yoga and heating pads
• Health assessments
• Group medical
• Cooking classes
(in-person and online)
• Food As Medicine
(affordable family meals)
• Walk-in freezer (local farms)
• IDEAS: Celebrity Chefs
Dr.’s (Cook w/ a Doc)
Ethnic foods
$50/mo. w/ insurance
$100/mo. w/o insurance
*1000 SF*
• Yoga (General/Specific)
• Mindfulness Based Stress
Reduction (Group)
• Fitness
• Meditation
• Dance • Music
• Mindfulness
(Group/Individual)
*For Members Only*
• MD/PCP • Nutrition
• Physical Therapy
• Mental Health • Massage
• Chiropractor • Yoga
• Naturopathic Care
• Traditional Chinese Medicine
• Mindfulness Based Stress
Reduction
FOR: • Karisha Members
• Anyone (public)
INCLUDES: • MDs
• Mental Health
• Massage Therapy
• Mindfulness
• Yoga Therapy
Technology
Guest
Navigation Team
• Check-In kiosk
- scan ID and insurance
- choose services
• Guest portal
• Electronic Medical
Records (EMR)
• Triage RN
• Community Health
Workers
• Navigation MAs
• Reception
• Call center
Community Programs:
• Talks/lectures
• Conferences
• NAMI, etc.
OPERATIONS
MODEL
Slide12Walk-In Clinic (Urgent Care)
Continuity Care
Wellness (Membership)
Healing Kitchen
Mind Body Center
Adjunctive
• Supplements/herbs
• Yoga and heating pads
• Health assessments
• Group medical
• Cooking classes
(in-person and online)
• Food As Medicine
(affordable family meals)
• Walk-in freezer (local farms)
• IDEAS: Celebrity Chefs
Dr.’s (Cook w/ a Doc)
Ethnic foods
$50/mo. w/ insurance
$100/mo. w/o insurance
*1000 SF*
• Yoga (General/Specific)
• Mindfulness Based Stress
Reduction (Group)
• Fitness
• Meditation
• Dance • Music
• Mindfulness
(Group/Individual)
*For Members Only*
• MD/PCP • Nutrition
• Physical Therapy
• Mental Health • Massage
• Chiropractor • Yoga
• Naturopathic Care
• Traditional Chinese Medicine
• Mindfulness Based Stress
Reduction
FOR: • Karisha Members
• Anyone (public)
INCLUDES: • MDs
• Mental Health
• Massage Therapy
• Mindfulness
• Yoga Therapy
Technology
Guest
Navigation Team
• Check-In kiosk
- scan ID and insurance
- choose services
• Guest portal
• Electronic Medical
Records (EMR)
• Triage RN
• Community Health
Workers
• Navigation MAs
• Reception
• Call center
Community Programs:
• Talks/lectures
• Conferences
• NAMI, etc.
OPERATIONS
MODEL
Slide13OPERATIONS MODEL
UNINSURED / HIGH DEDUCTIBLE PLAN
$100/mo
Benefits:
Annual preventive visit
3 acute visits / year - any provider
4 wellness classes / mo
10% discount on holistic providers
Technology platform
smart scheduling
kiosk
guest portal
INSURED
$50/mo
Benefits:
Annual preventive visit (thru insurance)
Acute visits, co-pay per plan
4 wellness classes / mo
10% discount on holistic providers
Technology platform
smart scheduling
kiosk
guest portal
MEMBERSHIPS
Slide14Work-Life Balance
Collaboration
Guest Navigation
Beautiful Healing Space
FRAMING/ ASSUMPTIONS: PROTOTYPE CENTER
Technology
Space Design
Job Structure
Slide15PROTOTYPE CENTER: ANNUAL EXPENSES
ANNUAL EXPENSES
FY 1-2
2017-18
FY 3
2019
STARTUP EXPENSES
$1,100,000
• Legal
•
Executive Team
•
Communications
•
Equipment
($550,000)
REAL ESTATE/CONSTRUCTION
$700,000
• Architecture
•
Construction
ANNUAL OPERATING EXPENSES
$3,000,000
• Team • Operations (utilities, internet, etc.)
• “Healthcare Team” • Service on loans
*Open Doors*
FY 1-2
2017-18
Slide16PROVIDER
SALARY
WORK WK.
RAMP UP
TCM/Acupuncture
$90,000
0.5 time
0.8 FTE @ 6 mo.
Physical Therapy
$60,000
0.5 time
0.8 FTE @ 6 mo.
Nutrition
$65,000
0.5 time
0.8 FTE @ 6 mo.
Mental Health
$80,000
0.5 time
0.8 FTE @ 6 mo.
Naturopathic
$90,000
0.5 time
0.5 FTE @ 1 yr.
Chiropractic
$90,000
0.5 time
0.8 FTE @ 1 yr.
Massage
$45,000
0.5 time
0.8 FTE @ 1 yr.
MBSR
$60,000
0.25 time
0.5 FTE @ 1 yr.
Yoga Therapist
$45,000
0.25 time
0.5 FTE @ 1 yr.
MDs - PC/UC
$175,000
0.8 time
0.8 FTE @ 1 yr.
PROVIDER EXPENSES
PROTOTYPE CENTER:
ANNUAL EXPENSES
Slide17MEMBERSHIP REVENUE
PROTOTYPE CENTER: ANNUAL REVENUE
# of Members
% Capacity
Membership/Month
$/Year
2000
50%
$75
$1,800,000
4000
100%
$75
$3,600,000
TOTAL ANNUAL REVENUE
PROVIDER REVENUE
$2,100,000
MEMBERSHIP
REVENUE
$1,800,000
$3,600,000
YEARLY TOTAL
$3,900,000
$5,700,000
Slide18Work-Life Balance
Collaboration
Quality (Time & Guests)
KARISHA SUMMARY
Our
Goal
Slide19Memberships (1300 = break even)
Cost/Revenue Center Awareness
Non-profit support
A new operating system defined
KARISHA SUMMARY
Needs
Slide20PATIENT MIX
*“For All” Model = Medicare and uninsured comparable to surrounding demographic
Room to Flex
• Limit Medicaid
• Adjust cost of membership for uninsured (from $100/mo)
Slide21Slide22WHAT DETERMINES HEALTH?
“The conditions in which people are born, grow, live, work and age, and which are shaped by the distribution of money, power and resources at global, national and local levels” --World Health Organization (WHO)
“The term social determinant of health is often used to refer broadly to any nonmedical factors influencing health.” --Paula Braveman and coauthors,
Slide23Social Determinants
of HealthFrom Creative Commons Attribution
October 2016
Slide24How does Medical Care Impact Health?
11% of health outcomes
Slide25DETERMINANTS OF HEALTH (WHO)
Only 11%
Medical Care!
Other factors (89%):
38% Individual Behavior
23% Social Circumstances
21% Genetics & Biology
7% Physical Environment
Slide26NEW OPERATING SYSTEM: CHARACTERISTICS
Reflect our lived reality: ever-changing
→ nimble & responsive systemRestorative →
supports determinants of health and
well
being
Agency
→
developed in individuals and communities
Individual and community ownership
→
instead of corporate
Preventive, practical
→
saves money to system
Slide27NEW OPERATING SYSTEM: CARE
Adequate SleepSocial Supports
Nourishing FoodResilience / Stress ManagementPhysical Activity / Weight Management
Outdoors / Green SpaceSense of Purpose / Spirituality
Incorporates
The Social
Determinants
Of Health
Slide28‘Conscious Health Care’: Prototype & NexCenters
Thinkery for Adults
Incorporates medical care and the social determinants of healthOperations
Hiring & training
Space design & facilities
Collaborative model
Vision and values based
Group Visits
Slide29Define New Paradigm
Prototype center (Karisha Community) & NexCentersOperationalize Conscious Health Care
Financially sustainable, replicable model
Share - power of attraction for providers and communities
Ownership? Financing? Guidance and oversight?
Ensure purpose pervades, equal to profitability
‘Conscious Health Care’:
Prototype & NexCenter
Slide30Conscious Healthcare &
a New Operating System:
Resisting underlying beliefs
Slide31Behind every thought curtain
is a pure state of consciousness
Slide32Behind every thought curtain
is a pure state of consciousness
Slide33PARADIGM:
CONSCIOUS HEALTHCARE
Guest (patient) guided care
Collaborative
Healing Care
Accessible
Technology enabled
Service
Self care & Self Development
Conscious Healthcare
Slide34CONSCIOUS HEALTHCARE:
SELF DEVELOPMENT
PQ:
Physical Intelligence
EQ: Emotional Intelligence
IQ:
Skills & Training
SQ: Spiritual Intelligence
SI:
Systems Intelligence
Slide35CONSCIOUS HEALTHCARE:
SELF DEVELOPMENT
PQ:
Physical Intelligence
Foundation of health
Adequate sleep
Nourishing alimentation
Exercise
Healthy weight
Stress resilience
Social support
Slide36CONSCIOUS HEALTHCARE:
SELF DEVELOPMENT
EQ: Emotional Intelligence
Next step of health - relationships and community
Self-awareness
Self-regulation
Motivation
Empathy
Social skills
Family and community
Slide37CONSCIOUS HEALTHCARE:
SELF DEVELOPMENT
IQ:
Skills & Training
Necessary component of health
Vocation and skills development
Confidence and mastery in your chosen vocation
Slide38CONSCIOUS HEALTHCARE:
SELF DEVELOPMENT
SQ: Spiritual Intelligence
Ability to act with wisdom and compassion, from a place of well being, no matter what
Self awareness
Universal awareness
Self mastery
Social mastery
Slide39CONSCIOUS HEALTHCARE:
SELF DEVELOPMENT
SI: Systems Intelligence
Intelligent behavior in the context of complex systems involving interaction and feedback
Engage successfully
Perception/Influence
Observation
Slide40PARADIGM:
CONSCIOUS HEALTHCARE
Guest (patient) guided care
Collaborative
Healing Care
Accessible
Technology enabled
Self care
Service
Conscious Healthcare
Slide41What could be added?