Preliminary ResultsPhysicians

Hospital Management

Lawyers

Researchers

Legislators

Bureaucrats

Patients

Everyone

Educators

Insurance

Health Businesses,Industry Lobby, Media

Who Created the Problems with our Health System? *

75%

10%

8%3% 4%

Encourage Collaboration

Congressional Leadership

Professions Should Find aMiddle Ground

Allow for a Market Approach

One Profession Should Createa Strategy

45%

9%

36%

9%

Physicians

Educators

Legislators

Lawyers

Best StrategyWhat's the Move Forward?to

13%

2%

5%

48%

7%

2%

5%

2%

2%

2%

12%

Lack of Access

Lack of CollaborationUn- and Underinsured

CostLack of Quality and Waste

Lack of Political Will Health Disparities

ACALack of Preventive Care Physician Shortage

Systems-Based Problems

What is the single Biggest Issue? **

* Total count of responses by participants** Categorized open-ended responses

4%

23%

16%

3%16%

6%

9%

5%

13%

2% 2%

What is the single Best Solution? **

Ensure Equal Access

Ensure Equal Treatment

Focus on Policy Solutions

There is No Single Solution

Cost Control

Collaborative Enterprise

Create Improved Delivery Models

Decrease Regulation

Increase Physician or Decrease Adminstration Pay

MD: “Everyone, Legislators, Physicians, Hospital Management”MPH: “Everyone, Legislators, Bureaucrats, Hospital Management”JD: “Legislators, Everyone, Hospital Management”

Everyone Agrees:“We need to Encourage Collaboration”

“Cost is the Biggest Issue”Everyone Agrees

Which Profession?

MD: “Policy Solutions, Single Payer, Other”MPH: “Single Payer; Focus on Cultural Issues, Population Health or Other; Policy Solutions”JD: “Single Payer; Focus on Cultural Issues, Population Health or Other; Policy Solutions”

MD: “Legislators, Bureaucrats, Everyone”MPH: “Everyone, Legislators, Physicians and Hospital Management”

JD: “Legislators, Everyone, Hospital Management”

Survey Results From Graduate Students:83 MPH, 93 MD, 20 JD, 19 Doctoral, 12 MBA, 8 PA, 11 Joint Degree

The United States health care delivery process operates within a large network of healthcare providers, administrators and other professionals. Separate training within each profession has undermined the e�ectiveness of professionals’ complementary roles resulting in a decentralized, inne�ective and inne�cient health care system. These roles must collaborate and share responsibility to build a better, improved system.

Roundtable on American Healthcare Delivery (RAHD) provides an opportunity to address an unmet educational need within Drexel’s professional student constituency. RAHD is composed of Drexel graduate students from the College of Medicine, School of Public Health, School of Law, and College of Business that come together bimonthly to dialogue about multifaceted healthcare-related topics and to apply knowledge through collaborative, experiential and project-based learning.

Single Payer System

Focus on Cultural Issues, Population Health, or Other

(A)synchronous discussions, brainstorming, and value-mapping

360 view of current topics in health delivery

Diverse stakeholders, innovative thought streams

Non-member participation for broad conceptualization

Semi-monthly meetings

Problem-based experiences

Application of Design-thinking

Analysis Synthesis

References:

59

73

45

25

10265

39

152

35

Who is Responsible For Making Change? *

47

77

64

11785

39

103

11 23

Roundtable on American Health DeliveryIntroduction 39%

32%

2%

27%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

Yes Maybe No, I'm notinterested incollaboration

No, for otherreasons

Wish you were part of aCollaborative Group?

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Yes No Opinion

Do you believe in a need forMore Collaboration?

How vital is it that we changethe systems and practices of care?

1-10

0

10

20

30

40

50

60

70

1 2 3 4 5 6 7 8 9 10

N

We sent a survey to a number of Drexel graduate studentsWe received 235 responses in one week, mostly from MD, MPH and JD students

Demonstrated Need

The Future of RAHD

Methods

36%

24%

2%

37%

42%

39%

0%

19%

45%

30%

5%

20%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Yes Maybe No, I'm not interested incollaboration

No, for other reasons

MD

MPH

JD

Project-Based Learning focused on solutions 360 Analysis Synthesis Public Health need for better demonstration of ROI Chart of Accounts

Health Policy Proposal competition

Business Plan case competition (Mammography SOC)

Root Cause Analysis and Synthesis

The AHRQ assembled the US Preventive Services Task Force with experts from various �elds

Research approach similar to the USPSTF Higher Ground, Better Solutions

IOM leadership representative experts in diverse array of health care organizations

RAHD creates opportunities for professional student leadership to develop in a

necessarily diverse and complex environment

Expanded use of IT and public access to project work

1

2

3

Current Academic Silos University Setting With Engaged

Interdisciplinary Program

RAHD

1. Institute of Medicine. 2012. For the Public’s Health: Investing in a Healthier Future. Chapter 3, Informing Investment in Better Health. Washington, D.C. <nap.edu/catalog.php?record_id=13268>

2. Baiada Incubator Competition / Ian J. Berg Business Plan Competition / Business Concept PaperCompetition, Drexel University Baiada Institute for Entrepreneurship

3. a. AAMC focus on Root Cause Analysis / Student Super-Utilizer Poster Competition at JU Population Health Colloquium <https://www.aamc.org/initiatives/hotspotter/>

b. Call for Root Cause Analysis in Health Systems Auditing Szostek, J. et al. 2010. A Systems Approach to Morbidity and Mortality Conference. Am J Med.

Alexander Krengel Cand: MPH, Ashley Landicho Cand: MD, MBA, Andrew Sheridan MBA, Viren Doshi, Cand: JD/MPH, Anthony Magdalinski Cand: JD, Yolande Greene Cand: MPH

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