We just wrapped up a power-packed first day at The 2020 OPEN MINDS Strategy & Innovation Institute. The two opening sessions today had a singular focus—innovation. While innovation in health care has always been slow (with a 17-year lag from scientific validation of a promising practice to widespread adoption by consumers), the current pandemic has changed the expectations for innovation. I think it will move from “how you stay relevant” to “how you survive” in the year ahead.
I opened the Institute with a summary of our Innovation Adoption Among Specialty Provider Organizations: The 2020 OPEN MINDS National Innovation Survey. Needless to say the biggest change in innovation adoption, since 2019, has been in telehealth. Seventy-eight percent of specialty provider organizations and 88% of primary care organizations and federally qualified health centers (FQHC) are now using telehealth, an increase of 25 percentage points over 2019 for both.
After telehealth, peer support specialists (59%) and medication assisted treatment (MAT) for addictions (45%) were the most adopted innovation by specialty provider organizations. And, for primary care and FQHCs, the most adopted innovations were behavioral health/primary care service co-location (74%) and primary care medical homes (70%).
The biggest changes in specialty provider organizations, other than telehealth, were an 8% increase in the use of computerized cognitive behavioral therapy (eCBT) and an 11% drop in the number of organizations providing readmission prevention programs. In primary care and FQHCs, there was a 24% increase in the number of organizations offering peer support specialist and recovery self-management tools.
In reviewing the new market data, two of my assumptions about the market were confirmed. First, primary care provider organizations and FQHCs are making significant program investments for serving the behavioral health population. They have added programs like peer support (+24%), medication administration for serious mental illness (+12%) and addiction treatment (+6%), co-location models (+12%), and more.
The second is that specialty provider organizations are not successfully bringing innovative programming to market. Not only are there very small increases in new program adoption, the data appears to indicate that some programs are not finding success in the market and are being discontinued.
This leaves me with the question about “what next” in terms of innovation by specialty provider organizations. The telehealth phenomenon is an adoption by force—a market restriction created by the pandemic crisis that prevented provider organizations from serving most of their consumer population unless they used telehealth. This was “unplanned” reactive innovation. The question is whether most executives in the field can incorporate innovation into strategy development and execution.
Immediately after my review of our 2020 survey data, there was a great opening keynote by Carl Clark, M.D., chief executive officer of the Mental Health Center of Denver, with a deep dive into their team’s philosophy and practices for innovation. In his presentation, Dr. Clark discussed some of the “building blocks” of innovation including a plan for addressing organizational impediments to innovation. His comment that stuck with me was that we are all “creatures of habit.”
If there is anything a crisis has taught us, it is that some habits need to be broken. I am reminded of the quote by former president of India, Abdul Kalam, “You cannot change your future, but you can change your habits, and surely your habits will change your future.”
On our web site, you can listen (or re-listen) to Dr. Clark’s opening keynote today—see Innovation By Design: Capturing Value In Health Care). And, for a chance to have live discussions with our faculty, don’t miss our open forum sessions this week:
- Tuesday, 6/2/20 at 1:30 p.m. EDT—Open Forum On New Benefits Models For Dual Eligible Consumers With Allison Rizer, Former Vice President of Strategy & Health Policy, UnitedHealthcare
- Tuesday, 6/2/20 at 4:30 p.m. EDT—Open Forum On Planning For Post-Crisis Success With OPEN MINDS Senior Associates Joseph P. Naughton-Travers, Sharon Hicks, Ken Carr & Leon Hoover
- Wednesday, 6/3/20 at 4:00 p.m. EDT— Open Forum On Strategy & The New Leadership Mindset For Growth With Monica E. Oss, Chief Executive Officer, OPEN MINDS
- Thursday, 6/4/20 at 5:00 p.m. EDT— Open Forum On The Future Of Managed Care For I/DD Services With Michael J. Hammond, Vice President, Product Strategy & Partnership Development, Optum Health
- Friday, 6/5/20 at 4:00 p.m. EDT— Open Forum On How To Develop Health Home & Care Coordination Programs With OPEN MINDS Senior Associates Sean Klutinoty, Joseph P. Naughton-Travers, Paul Neitman & George Braunstein
- Friday, 6/5/20 at 5:00 p.m. EDT— Open Forum On Innovations In Children’s Services With Josh Boynton, Vice President, Aetna; Kathy Szafran, Executive Director, Mountain Health Promise, Aetna; Elizabeth Wendell, Business Project Program Manager, Aetna; Kevin Campbell, Model Author Family Finding, Center for Youth Connectedness; Sonni Vierling, Vice President, PACE Center For Children’s Services, Community-Based Services, Orchard Place & Carl M. Coyle, Chief Executive Officer, Liberty Resources, Inc.
For more on the innovations, as well as the strategies, that are leading provider organizations through one of the most trying times in recent memory, stay tuned all week as we discuss strategy for specialty provider organization management. You can follow us on twitter @openmindscircle #OMstrategy.