College of Health Solutions
and Delivery Science
Keith D. Lindor, MD
Executive Vice Provost and Dean
Science of Health Care Delivery
 Focusing on the development of safe,
cost-effective, patient-centered health care
systems
 Emphasis is on health as well as health
care
 Developing different interprofessional delivery
models as payment systems change
Home of the College of Health Solutions:
The ASU Downtown Phoenix Campus
College of Health Solutions Mission
 Help ASU Develop New Models
 To Improve Health
 Lower Costs
 Enhance Access
College of Health Solutions
 Formed in 2012
 Create a new health education model
 Serve as bridge across ASU to create
synergy within university and with
strategic partners
Why Arizona?
 ASU is right university
 No medical center
 Many resources
 Vested interests
 Broad interest in health
 No status quo to protect
College of Health Solutions Programs
 School of Nutrition and Health Promotion
 School for the Science of Health Care
Delivery
 Department of Biomedical Informatics
 Department of Speech and Hearing
Science
 Nicholas A. Cummings Behavioral Health
Program
College of Health Solutions by the #’s
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4,240 undergraduate students
548 graduate students
651 online students
200 faculty
$9.7 million in research expenditures
92 Barrett Honors College Scholars
New Undergraduate Studies
 Bachelor of Science in Biomedical Informatics
 Bachelor in Health Education and Health
Promotion
 Bachelor of Science in Medical Studies
 Bachelor of Science in Nutrition
(Food and Tourism Concentration)
 Bachelor of Science in Public Health
 Bachelor of Science in the Science of Health
Care Delivery
New Graduate Studies
 Master of Science in Biomedical Diagnostics
 Master of Science in Clinical Exercise
Physiology
 Master of Science in Exercise Wellness
(Healthy Aging)
 Master of Science in Obesity Prevention and
Management
 Master of Public Health (Administration and Policy)
 Master of Public Health (Nutrition)
Allied and Affiliated Units
 College of Nursing and Health Innovation
 School of Biological and Health Engineering
 Center for Health Information and Research
 Health Delivery and Policy Program
 Healthcare Transformation Institute
 Center for Metabolic and Vascular Biology
Collaboration with Mayo
 Mayo Medical School
 Research
 Center for the Science of Health Care
Delivery
An overview of top student-planned
educational majors: 1999-2010
350,000
300,000
Health Science/Allied
Health
Undecided
250,000
Business/Mgmt
200,000
Education
Social Sciences
150,000
Visual and Perf Arts
Sciences (Bio and Physical)
100,000
Engineering
Communications
50,000
0
1999
2001
2003
American College Testing Program National Reports
2005
2006
2007
2008
2009
2010
Private-Sector Employment in Health
Percentage of total private-sector health care industries
Source: IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC:
The National Academies Press.
Systems Approach to Health
A Working Definition
 Applies scientific insights to understand the
elements that influence health outcomes
 Models the relationships between those elements
 Alters design, processes, or policies based on
the resultant knowledge
In order to produce
better health at lower cost
Source: Kaplan G, Bo-Linn G, Carayon P, et al. Bringing a systems approach to health. Discussion Paper, Institute of Medicine and
National Academy of Engineering. 2013
Changes in Care Delivery
 Accountable Care Organizations and other
models aimed at rewarding outcomes
 Penalties for inappropriate hospital
readmissions
 Movement towards medical home model
where care is coordinated
 Integration of acute care and behavioral
healthcare
Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives
Public Health Workforce Shortage
By 2020
 > 250,000 public health worker shortage
 Public health schools have to triple the # of
grads to meet projected needs
Courtesy of Kim VanPelt, Director-State Health & Policy, St. Luke’s Health Initiatives
VanPelt K. The Affordable Care Act: Implications for Arizona. 2013, November 7.
U.S. Workforce Employment,
2008 and Projected 2018
Occupation
Total job openings due to
growth and net replacements,
2008-2018 (in thousands)
Change (percentage)
Health care practitioners
and technical occupations
3,139
21.4
Health care support
occupations
1,595
28.8
Sales and related
occupations
5,713
6.2
Education, training, and
library occupations
3,332
14.4
Community and social
services occupations
1,033
16.5
Office and administrative
support occupations
7,225
7.6
IOM (Institute of Medicine). 2011. Allied health workforce and services: Workshop summary. Washington, DC:
The National Academies Press.
Science of Health Care Delivery
Statistical Tools and Bioinformatics for Health
Health Care Systems Design
Becoming Leaders Who Matter
(Leadership and Professionalism in Health Care)
Healthy Lifestyle Promotion
(includes behavioral aspects of health)
Economics, Policy and Payment Models in Health Care
Leading Organizational Change
Health Disparities and Access
Law & Health
Creativity & Innovation
(in Health Care Settings)
Capstone
Seminar
MS SHCD First Cohort
35 students preparing for the future in
health care delivery
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Quality improvement
Health disparities
Health education
Health economics
Data and Health program analyses
Public policy
Evidence based assessment
Interprofessional teamwork and management
Future of Health
 Focus away from health care
 Health is the issue
 Home
 Community
 School
 Workplace
The Strategy That Will Fix Health Care
1
Organize into
integrated
units (IPUs)
2
5
Measure
Outcomes and
Costs for
Every Patient
Expand
Excellent
Services
Across
Geography
4
3
Integrate
Care Delivery
Across
Separate
Facilities
Move to
Bundled
Payments for
Care Cycles
6 Build an Enabling Information Technology Platform
Porter ME, Lee TH. The Strategy That Will Fix Health Care. Harvard Business Review. October 2013. Retrieved: http://hbr.org/2013/10/thestrategy-that-will-fix-health-care/ar/pr
Situation
 More than 1 million Arizonans entering
system
 An aging population living longer
 Move from fee-for-service to pre-paid service
 ACOs emerging and driving cost savings
 Health providers incentivized to provide right
level of affordable care
 Technological advancements altering
traditional health care
Predictions
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Focus on health vs. health care
Transition from “big” to “broad” access
Prevalence of health and wellness programs
Rise of self-monitoring devices to manage
and mitigate health issues
 Need for health advocates to educate and
encourage healthy lifestyles
 Reorganization of what health professionals
do (new delivery models require different
training)
 Interprofessionalism is no longer an option…
it’s required
Thank you!
Questions?