{
  "docId": "019de070-33b3-745d-8072-46921cecce4b",
  "docSlug": "5a5dcc7331e3d5727136da28569c31ab",
  "documentTitle": "Oak Street Health | IPO Presentation Deck | 35 slides",
  "authorId": "oak-street-health",
  "authorName": "Oak Street Health",
  "documentKindSlug": "pitchdeck",
  "documentKindLabel": "Pitch deck",
  "sourceTypeSlug": "investment_bank",
  "sourceTypeLabel": "Investment bank",
  "presentationDate": "2020-07-01 00:00:00",
  "orientation": "landscape",
  "aspectRatio": 1.7777778,
  "pageNumber": 8,
  "pageCount": 35,
  "prevPage": 7,
  "nextPage": 9,
  "slideType": "problem_statement",
  "function": "frame_problem",
  "density": "overcrowded",
  "nDataPoints": 1,
  "notes": "The slide uses a two-column layout to categorize problems into 'Existing Primary Care Challenges' and 'Structural Impediments'.",
  "elementsJson": null,
  "metadataConfidence": 1,
  "imagePath": null,
  "slideHref": "/slides/019de070-33b3-745d-8072-46921cecce4b/8",
  "deckHref": "/decks/019de070-33b3-745d-8072-46921cecce4b",
  "deckJsonHref": "/decks/019de070-33b3-745d-8072-46921cecce4b.json",
  "deckAnchorHref": "/decks/019de070-33b3-745d-8072-46921cecce4b#slide-8",
  "components": [
    {
      "bbox": {
        "h": 0.15,
        "w": 0.4,
        "x": 0.05,
        "y": 0.65
      },
      "kind": "list",
      "text": "Limited access to additional services like home-based care, medication management, behavioral health needed to manage patients' health",
      "attrs": null,
      "subkind": "bullet",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "108c0c9f-569d-424c-923a-8caf16c9fbf7",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.15,
        "w": 0.4,
        "x": 0.05,
        "y": 0.45
      },
      "kind": "list",
      "text": "Limited patient care coordination between visits",
      "attrs": null,
      "subkind": "bullet",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "1a20717a-501e-4072-a0bf-99261e5eabfd",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.15,
        "w": 0.4,
        "x": 0.52,
        "y": 0.65
      },
      "kind": "list",
      "text": "Limitations of Technologies Utilized: Technology solutions utilized today are built to enable fee-for-service business models and have limited effectiveness against population health management and care coordination",
      "attrs": null,
      "subkind": "bullet",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "1c2e49d5-0953-49f8-b25c-5381e116f4bc",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.15,
        "w": 0.4,
        "x": 0.52,
        "y": 0.45
      },
      "kind": "list",
      "text": "Fee-For-Service Business Model: Legacy fee-for-service business models incentivize maximizing patient volume, restricting the length of visits and limiting physicians' bandwidth to engage in care coordination efforts between their patients' visits",
      "attrs": null,
      "subkind": "bullet",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "8b60a888-eaeb-4bc5-a645-d0d20a1fce85",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.15,
        "w": 0.4,
        "x": 0.05,
        "y": 0.25
      },
      "kind": "list",
      "text": "Not enough time spent with patients -- ~55% of recommended preventative services being delivered",
      "attrs": null,
      "subkind": "bullet",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "d6d3f5b1-ec84-40f7-b27d-68b4f0a5c4bf",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.15,
        "w": 0.4,
        "x": 0.52,
        "y": 0.25
      },
      "kind": "list",
      "text": "No Patient Type Specialization: Large, diverse patient panels (mix of young and old, healthy and complex) limit practices' ability to optimize operating and payment models",
      "attrs": null,
      "subkind": "bullet",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "f508c494-a31c-4ffd-b3ff-43f5b2b0f2d4",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.03,
        "w": 0.3,
        "x": 0.05,
        "y": 0.95
      },
      "kind": "source-note",
      "text": "Based on a 2009 study from the Annals of Family Medicine",
      "attrs": null,
      "subkind": null,
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "d733971e-aee3-4ba6-b2a8-88ba8c4becc5",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.05,
        "w": 0.45,
        "x": 0.05,
        "y": 0.15
      },
      "kind": "title",
      "text": "Existing Primary Care Challenges Limit the Efficacy of PCPs...",
      "attrs": null,
      "subkind": "headline",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "0c8f0300-6418-43a2-b57b-19fb0f53b05f",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.1,
        "w": 0.9,
        "x": 0.05,
        "y": 0.05
      },
      "kind": "title",
      "text": "The Current Primary Care Infrastructure is Unable to Provide the Necessary Level of Care Quality and Patient Experience",
      "attrs": null,
      "subkind": "headline",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "7433c458-a2ef-4587-9c0c-0a8567897657",
      "frameworkName": null,
      "frameworkSlug": null
    },
    {
      "bbox": {
        "h": 0.05,
        "w": 0.45,
        "x": 0.52,
        "y": 0.15
      },
      "kind": "title",
      "text": "... and Structural Impediments have Inhibited its Evolution",
      "attrs": null,
      "subkind": "headline",
      "toolName": null,
      "toolSlug": null,
      "confidence": null,
      "componentId": "f37bf1bc-5ac4-4be9-8218-65b7bbc50e1c",
      "frameworkName": null,
      "frameworkSlug": null
    }
  ],
  "metrics": [],
  "tools": [],
  "frameworks": [],
  "arcBeats": [
    {
      "to": 8,
      "from": 8,
      "beatId": "5aef6565-a194-44e5-99b2-7e250c9a634f",
      "arcName": "The Sequoia Pitch",
      "arcSlug": "sequoia-pitch",
      "beatName": "Problem",
      "beatSlug": "sequoia-pitch-problem",
      "evidence": "The current primary care infrastructure is unable to provide necessary care quality and patient experience",
      "position": 0,
      "confidence": 0.8,
      "parentBeatName": "Complication",
      "parentBeatSlug": "complication"
    }
  ],
  "loops": [
    {
      "to": 23,
      "from": 8,
      "name": "Cost Of Inaction",
      "slug": "27-cost-of-inaction",
      "bestFor": "Urgent budget requests, compliance, risk mitigation",
      "matchId": "7bd6d561-8bd4-480a-b930-2a8f4c8bb499",
      "evidence": "The deck highlights the potential long-term tailwinds of improving primary care",
      "position": 0,
      "objective": "What are the consequences of not improving primary care for Medicare patients?",
      "structure": "The Status Quo -> The Hidden Costs Accumulating -> The Future State of Inaction -> The Tipping Point",
      "confidence": 0.7,
      "description": "Quantify what happens if the audience does nothing"
    },
    {
      "to": 23,
      "from": 7,
      "name": "Why Now",
      "slug": "15-why-now",
      "bestFor": "Sales pitches, fundraising, requesting immediate budget approval",
      "matchId": "a6c33a4d-96f3-4b33-952c-8e96e22825d5",
      "evidence": "The deck emphasizes the intersection of two big trends in healthcare and the company's preparedness to capitalize on them",
      "position": 1,
      "objective": "Why is now the right time to invest in Oak Street Health?",
      "structure": "The Context (Trends) -> The Trigger Event -> The Window of Opportunity",
      "confidence": 0.6,
      "description": "Create temporal urgency by proving that the window of opportunity is opening or closing"
    }
  ],
  "imagePathAlt": null,
  "thumbSrc": null,
  "thumbSrcAlt": null,
  "locked": true
}