We cannot think linearly about an exponential world

The current health situation provides a magnifying glass for critical aspects of organizations’ ability to continue their business and clinical operations after this crisis.

Organizations with indefinite purposes and legacies are at serious risk of survival in post-Covid-19.

The traditional and even more prevalent system of remuneration in the health area is the “fee for service”, a hospital-centered model based on payment for performed services, which encouraged and encourages doctors to request more tests and procedures, often without indication. This form of payment of assistance, worked until now, will no longer exist.

Encouraging health promotion and prevention care, reducing hospital stays, reducing demand for emergency services, and investing in new remuneration arrangements will be part of the new health system scenario.

We will still have many challenges regarding the operation of these new organizations, after all service buyers are making it clear that this is a path of no return. Service providers are unlikely to see results and cost savings immediately when implementing a service coordination platform.

We know that it takes time and motivation for these changes to be made and that they can impact real savings and improvements in patient quality and safety. We believe that this transformation in assistance will be oriented towards the rational and appropriate use of resources, improving the quality of service and the satisfaction and experience of users, consequently improving the health of the population.

 The New Scenario

An innovation is the implementation of a new or significantly improved product, good or service. The new scenario will be built around better data. These new solutions should provide secure, real-time data that make it possible to answer social questions that directly impact the health of the population:

  1. How do the social determinants interfere in the subjects’ conduct, bringing them danger?
  2. How does the association between psychological and social indicators occur with the advance of diseases?
  3. How do elements of the social field and behavior determine disease?

We are talking about a technological transformation. The prospects for the sustainability of health services involve developing serious strategies to benefit from the Digital Revolution.

The so-called Digital Revolution facilitates the advance of increasingly broad and rapid disruptive innovations, generating new opportunities for the stability of the health system in Brazil. The current analytical tools are not enough to keep up with the disruption for the emerging scenario.

It is essential that decision makers are increasingly involved and aware that the future and sustainability of the system are in the digital world. The question is how to define the best strategies to coordinate planning and actions in search of greater efficiency, agility, and transparency in the implementation of a digital innovation agenda.

The big question is: how to do it? First of all, adopt a disruptive mental model and understand that not even a deep knowledge of the health industry will make it disruptive, since the tendency is to limit our creativity to the current limits, imposed by the scenario we know. The difficulty in studying these transformations lies in knowing the extent to which technologies will make small changes or a large wave capable of sweeping the entire ecosystem.

New technologies should impact the configuration of health services, both in the availability of new devices and direct intervention processes with patients, and in the configuration of business models.

The agenda for improvement is urgent. The theme requires a sense of urgency.

The value chain concept represents the set of activities performed by an organization, from relations with suppliers and production and sales cycles to the final distribution phase.

This is the future for reducing health costs, not reducing reimbursement, and not making access to the system more difficult, but investing in quality promotion and prevention care, focused on health care and not disease.

Cost leadership and quality differentiation add value to the product and / or service and provide the organization with a competitive advantage.

Creating the New Normal The Post-Pandemic Health System Reform
Hospital Infantil Dr. Jeser Amarante Faria

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