The document discusses the evolution of the healthcare system from focusing on safety in the 1980s to adding a focus on quality in the 1990s, access in the 2000s, and consumerism in the 2010s. It notes that healthcare expenditures have grown from $250 million to $3 trillion during this time period. The author argues that a revolution in healthcare services is needed to transform the system and that their company was built to deliver better care from the ground up by focusing on relationships, accessibility, behavioral factors, provider satisfaction, and technology.

1. Designing
Health Care
for Care
Ryan Armbruster | Harken Health | @ryanarmbrusterx
October 2nd, New York City

2. I N S E R V I C E D E S I G N,
C O NTE XT I S E V E RYTH I N G.

3. 1980s 1990s
SAFETY

4. 1980s 1990s 2000s
SAFETY
QUALITY

5. 1980s 1990s 2000s 2010s
SAFETY
QUALITY
ACCESS

6. 1980s 1990s 2000s 2010s
SAFETY
QUALITY
ACCESS
CONSUMERISM

7. 1980s 1990s 2000s 2010s
SAFETY
QUALITY
ACCESS
CONSUMERISM
$250M

8. 1980s 1990s 2000s 2010s
SAFETY
QUALITY
ACCESS
CONSUMERISM
$3T
$250M

9. 1980s 1990s 2000s 2010s
SAFETY
QUALITY
ACCESS
CONSUMERISM
$6T
$3T

10. $10,000$5,000
$8,508
H EALTH E XP E N D ITU R E S / CAP ITA

11. HighLow
O V E RALL H EALTH CAR E RAN KI N G

12. C O ST H EALTH

14. care

15. A R E V O LUTI O N I N S E R V I C E CAN
TRAN S FO R M H EALTH CAR E.

16. care

17. care RELATIONSHIP

18. care RELATIONSHIP TRUST

19. care RELATIONSHIP TRUST HEALTH

20. C O ST H EALTH

21. S O W E B U I LT A
C O M PANY.

22. D E S I G N E D TO D E LI V E R
B ETTE R CAR E
FR O M TH E G R O U N D U P.

23. FOCUS ON RELATIONSHIPS
HOME-BASE FOR HEALTH
CLOSE LOOPS
BE LOCAL
ACCESSIBILITY/ENGAGEMENT
BEHAVIORAL
TIME FOR YOU
SIZE OF CENTERS/TEAMS
PROVIDER SATISFACTION
CULTURE
PHYSICAL ENVIRONMENT
TECHNOLOGY TOOLS
CONTENT

24. THAN K YO U.
@ryanarmbrusterx
@harkenhealth