Presenters: Douglas K. Eby, MD, MPH, Vice President, Medical Services, Southcentral Foundation, Alaska Native Medical Center; Ileen Sylvester, MBA, Vice President Executive and Tribal Services, Southcentral Foundation

    This session will discuss the continuing evolution of a primary care system that has resulted in dramatic decreases in overall health care costs, ER visits, and hospital days while also improving health outcomes and patient and staff satisfaction. A redesign of the entire health care system that optimizes relationships and uses asset-based approaches, and then drives a redesign of all aspects of service delivery, will also be described.
    After this presentation you will be able to:

• Identify the key determinants of health and how they impact system design.
• Describe the performance over the past seven years of a markedly redesigned system.
• Define the operational details of this changed design of primary care.