HANS WIIK, FACHE, MPH, MHA, RPH
Hans is a healthcare executive with over 40 years experience as a hospital CEO and long standing consulting experience nationally, working with hospitals, health care systems, large physician groups and employers for leading and implementing value driven health care reform.
Most recently he was the President and CEO of the Centura Health sponsored iPN – one of the largest clinically integrated physician networks in the Colorado – front range market.
Working with both Primary Care Practices and Specialist practices on one common EMR platform, the iPN has been instrumental in its ACO managed care contracting working with both commercial insurers and large self-funded employers.
Performance improvement in quality and cost reduction is the cornerstone for new value provided to all stakeholders in healthcare reform – employers, payers, insurers, providers and most importantly for patients.
He is currently President and CEO of the Hans Wiik Health Group, LLC – a Colorado based consulting group that works with both providers and employers as to ACO development, positioning, contracting and overall performance.
New innovative models in population health management, care coordination, ACO contracting, value based benefit design for large employers and the importance of trusted and validated decision support – primary source, clinical and claims data for providers are key areas of focus for the firm.
He also holds a current Colorado and Oregon Pharmacy License and works with large employers and PBM’s on value based drug formulary design, and currently a program to add 4th year pharmacy students, as part of their rotations to Colorado based PCMH Primary Care practices to advance medication reconciliation and adherence.
He currently serves on the Board of Directors of Mental Health Partners of Boulder and Broomfield Counties, including the successful development and implementation of the integration of behavioral health staff/providers into local PCMH Primary Care practices.
Value Added Healthcare Reform – Focusing on Quality Improvement and Cost Reduction
Meaningful and Value Added Healthcare Reform requires new models of healthcare delivery and financing. It requires that Employers, Providers, Payers and Patients to all collaborate and interact in new innovative plans and models. Whether new benefit designs and wellness initiatives for employer sponsored health plans or in new clinically integrated primary care networks with proactive models for effectively managing chronic disease, all the stakeholders have a key role in helping to maintain an affordable health care system for the nation. Payers – Commercial Insurers, Medicare and Medicaid are all implementing new collaborative health plans partnering with selected, organized physician networks to hopefully deliver significant value, with aligned cost and quality incentives. Patients and families also need to be engaged at all levels with their employers, insurers and most importantly with their providers to be active participants in their prevention and wellness programs – especially in an aging society with increasing levels of chronic disease – diabetes, heart disease, cancer and all auto-immune diseases. This presentation overviews the key elements and functionality that needs to be in place for value based purchasing and successful health care reform.
Designing and Implementing Physician Led Clinical Integration
Successful Clinical Integration to support the Triple Aim in improving the patient experience, improving quality outcomes and reducing cost requires many key ingredients for market success. The following areas or critical success factors will be overviewed from personal experience in building and leading one of the first successful, clinically integrated multi-specialty physician networks in the nation.
- Physician Leadership – Interest and Knowledge in Clinical and Claims Data Analytics
- Primary Care Network Emphasis – Broad Geographic Access and Culture
- Quality Coaches at the Practice/Provider Level to ensure trusted/validated EHR data
- Team Based Care / Patient Centered Medical Home Standards and Certification
- Collaborative Payers to support the needed infrastructure and related costs
- Accountability at the Practice and Provider Level
- Population Health Initiatives – the proactive management of high risk patients
Employer Solutions for Affordable Healthcare
All employers are focused on solutions for their increasing health care costs and to encourage and promote a healthier workforce. There are many areas where employers, especially large self-funded employers, can be innovative in supporting and providing affordable health care insurance for their employees. The following areas are emphasized for employers to examine with their brokers, commercial insures and PBM’s and the local provider community to bring significant value forward.
- Benefit Design – Educating and Incenting employees to be part of the solution
- Employee Wellness Programs that are proven and sustainable
- Direct Provider Community Engagement for Employees with Chronic Disease
- Cost transparency solutions for High Deductible Plans/Incentive Rewards
- PBM – Pharmacy Benefit Manager Collaboration – Developing and implementing a value based Drug Formulary
- Beyond annual HRA’s – Health Risk Appraisals – What is currently working?
Population Health - Care Coordination and Care Transitions
Organized Primary Care networks and clinically integrated multi-specialty networks are increasingly facing financial risk from payers as to contractually required quality outcome and cost metrics. Understanding the key cost drivers and developing and initiating new community partnerships with the overall provider community will be critical for long term success and delivered value. Sharing data, reviewing performance, measuring success with key clinical leadership from each party will be required in new constructs with the overall provider community – with emphasis to care transitions. Post-acute services in Home Health Care, Skilled Nursing, Assisted Living, Physical and Occupational Therapy, Rehabilitation Hospitals, Hospice and Palliative Care are often independent and sometimes out of network for the patient. The organized PCP network will have to be selective and focused on building value based – win/win relationships for all key episodes of care, many of which are now starting the journey on bundled payments with full or shared financial risk. Building bridges in a current environment of silos of key providers will be an increasing focus for the provider community entering new risk models from the payer community.
Click here to view videos of Hans' presentations: http://hanswiikhealthgroup.com/keynote-speaking/health-care-videos/
- Consumerism and Retail Health Care
- Delivering Value through Delivery System Innovation
- Future of Health Care
- Health Care Reform
- Information Technology and Data Analytics
- Innovation and Change Management
- Medical Staff Development
- Mergers, Affiliations, Partnerships and Networks
- Patient Advocacy and Engagement
- Performance Improvement
- Physician Leadership
- Population Health
- Positioning for the New Insurance Markets
- Quality and Patient Safety
- Rural Health Care
- Strategic Planning
- Workforce Issues
- Breakout Presenter
- Group Facilitator
- Keynote Presenter
- Presentation Moderator