Beyond election-year dialogue, which will continue to place health care front and center, what should health care system trustees be watching in 2020? In some cases, what may seem routine trends will require more innovative and bold solutions, and some ground-breaking trends may indicate "watchful waiting." The fundamentals. Don't be fooled if these seem "ordinary." Solving the challenges that some of these ongoing trends present may require bold thinking and creative solutions to achieve the kind of impactful and sustainable results that this environment requires. Trustee talking points. (1) Routine trends present challenges that may require more creative solutions to effect sustainable change. (2) Fundamental trends include ongoing economic pressures, rising consumer expectations, an evolving workforce and continued movement toward value-based payment. (3) Acceleration of telemedicine, virtual care and advances in biotechnology, diagnostic equipment and analytic and digital tools have the potential for dramatic impact.
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