July

27, 2017 Summer Healthcare Summit - External

When: Thursday, July 27, 2017
Arrival 8:45am PST
Panel 8:55 to 9:30am (35 min total)
(Moderated panel discussion 20 min, Q&A 15 min)

What: 2017 Summer Healthcare Summit

Format: Panel topic: “Prioritizing and Supercharging Mental Health Care”

Where: Meadowood Napa Valley
900 Meadowood Ln, St Helena, CA
Vintners room

Audience: ~45-50 CEOs by invitation only to this private, non-publicized event, off the record
conversation

Note: Agenda not yet available

Additional Event Details

Agenda 8:45am Arrive at Vintners room. Lapel mic in the back of the room

8:55am You and the other panelist, Simon Stevens, CEO, NHS (National
Health Service) England, join the stage from the room (no head
table) and will be introduced by the moderator, Moira
Forbes, EVP, Forbes Media

8:55 to 9:45am Panel discussion

8:45 to 9:30am Q&A facilitated by Moira Forbes

9:30am Exit
Event Setup ● Small stage
● 80” monitors flanking stage
● Confidence monitor at foot of stage facing stage
Media Closed to the media

Contacts Bill dal Col, CEO Potomac Communications Strategies

bdalcol@aol.com, (M) 908-240-4380

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Suggested Remarks

Discussion Topics: Organizers have provided the following context for this panel discussion: “For too long,
mental health issues have frequently been: unrecognized, not prioritized when discovered, and,
subsequently, badly managed.”

Forbes will open with asking about the current mental health and wellness landscape and what barriers or
challenges the industry is facing around this issue. She will continue with asking about friction points in the
healthcare industry having to do with mental health and wellness and how to drive change in this area.
Forbes will close the conversation by asking about current efforts you’re leading to better address mental
health and wellness and how technology is helping to achieve this.

Discussion is meant to focus on how to prioritize and “supercharge” mental health care. Talking points
below reflect input from Dr. Mordecai.

Opening Remarks

● Just about everyone is touched by this issue – whether because it’s a friend, family member,
colleague or even yourself living with mental health conditions
● Globally, 1.5 billion people alive today have or will experience a mental health condition.
● More than one in five adults in America live with a mental health condition including about 14.8
million adults who live with major depression.
● Approximately 20 percent of youth ages 13 to 19 have experienced or will experience a mental
health condition, and in approximately five percent, the condition will be severe.
● Yet historically, mental health and wellness has not been an area of focus
● How we speak about mental health conditions – like a broken bone or high blood pressure can be
treated – speak about mental health and wellness with focus on hope
● ABC Company taking a stance to foster conversation – mental health and wellness as part of “total
health” incorporating mind, body and spirit
● Conversations like this important to move us along in this journey

1. What are some of the challenges or barriers to getting people the care they need and how are you
addressing those challenges?

● Access: Making sure people have access to high-quality care in settings they prefer, such as
through primary care, specialty care or remotely by telehealth and other means
● Feedback-Informed Care: Developing real-world evidence-based care through “feedback-informed
care” -- that is, what works for real people in real-world, not just based on selected groups in
academic settings
o Getting input from patients about quality of their treatment, relationship with clinicians
▪ E.g. Do they feel understood and respected? Do they understand treatment plan?
o Improves outcomes even further and facilitates shared decision making
o Note: Mental health care typically not engaged in this kind of measurement-based care
with outcomes judged by patients’ perspective (not just their therapist’s assessment)
o Treatment should be adjusted to reflect patient input
o Offers ABC Company a way to get better and better at care delivery and outcomes
● Reducing stigma

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o Changing conversation around mental health and addiction issues to get past stigma and
encourage people who need care to get care
o ABC Company’s efforts:
▪ Find Your Words launched last fall
▪ Recent Steph Curry ads on resilience
▪ World Economic Forum luncheon on the silent epidemic and stigma around
mental health conditions
o Collaboration between mental health and primary care providers improving outcomes --
breaking down barriers and stigma
● Integration with primary care so people can get care in settings where they feel comfortable
o Often, someone comes in with a physical issue… turns out related to mental health
o Redesigning mental health and wellness care to be fully integrated part of health care
experience
o Meeting our patients in a more comfortable, approachable setting is one way ABC
Company is dealing with this barrier
o Moving care “upstream,” deploying prevention and early intervention strategies
o Examples from Colorado Region:
o Not having enough dedicated resources is a challenge we face but we have
combated that by…
▪ Hired 40 additional social workers, therapists, licensed psychologists etc.,
to work in primary care departments at MOBs
▪ African American boy went to primary care provider for ADHD.
Pediatrician brought mental health provider into appointment. Discovered
significant bullying. Boy was NOT WILLING to engage just with mental
health provider because of stigma around "being different," but WAS
WILLING to meet with both providers in primary care setting


2. Where should healthcare providers be investing to drive change and ensure those in need are
receiving high-value care?

● Screening in primary and specialty care for common mental health conditions such as depression,
anxiety and concerning alcohol use
● Measuring the impact of care, continuously learning from the results (feedback-informed care)
● Developing mental health and wellness focus for our Community Benefit programs
● Recognize there’s more to improving mental health/wellness than what happens within our walls
● Example of dealing with a barrier: East Side Health Center
o ABC Company seed investor in 400-unit apartment complex under construction in
Portland for patients discharged from hospital after mental health, substance abuse stay
o ABC Company provided $4M of $21M project (largest CB grant to date in NW)
o Will provide affordable housing, along with onsite health clinic for counseling, social
services to population that has historically struggled to find housing and work after mental
health and substance abuse hospitalizations
o Unity Behavioral Health


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3. How are you using technology to better address mental health and wellness?

● Electronic health record, which allows effective communication/coordination between all providers
caring for a patient, particularly specialty mental health providers and primary care providers
o Coordinating care to ensure members being treated for mental health conditions AND
taking care of their physical health
● Technology giving patients more choices in how they connect with their providers
o Example: in person, by phone, via e-mail, or through increasingly sophisticated
technologies. Connect patients and providers in ways that make care less episodic and
more continuous (more than 50% of primary care visits now telehealth)
Close

Mental health and wellness is growing area of focus for ABC Company – reducing stigma so people who
need support will ask is critical

Must reconnect mind to the body and provide hope at all levels – mental health and wellness is
possible with the right treatment and support

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