Hi, this is Nick Webb and welcome back to the final of my five quick videos on fixing healthcare by reestablishing the amazing relationship between a caregiver, a doctor and a patient. That relationship has to be reestablished before we can fix healthcare. Yes, we have technologies. Yes, we have the economic aspects. Yes, we have all of these other complex variables, but without that essence that that relationship between the doctor and the patient, we’re never going to be able to fix healthcare.

So in this series, I talked about four things that have to happen immediately. Number one, I talked about time, you know, believe it or not, there are there are consultants that are crawling around the country, providing consulting services that we call patient movement analysis. Or patient throughput analysis and optimization. And these are fancy consulting terms, meaning how many patients can we shove on this conveyor belt and get them through your clinic so you can make the most money that’s actually happening. So we have to give caregivers time, we have to give them time. patients want to talk to their doctor, they have questions, they have concerns, this is their life. This is their health. And doctors want to know their patients, not as a biological node that they transact by providing prescriptions. They want to know their patients from a perspective of ethnography. How do they live? What is their current mental state? What are the stressors? What’s their economic situation? What are some of the things that is impacting this human in their journey here in life that is ultimately resulting in the causality of disease and illness? Because if we don’t understand that we can’t really have the essence of what we need for prevention. So we need to have time. We need to buy back time for patients and doctors. We have to bring back the time. Nobody talks about this. But you can’t have a thoughtful, meaningful relationship. In a minute and a half or two minutes. You’re overweight, you’re hypertensive. Here’s your prescription. Thanks for coming. 10,000 of those are happening right now, across the country as we speak. And it’s not the doctors fault. The doctor is disincentivized to spend time with the patient. The doctor is economically disincentivized for prevention. But ironically, many caregivers are incentivized to do surgery on that patient or to do a treatment on that patient. And they’re incentivized just to write script just to get them out. Because they have to comply with patient throughput. It’s horrible. It’s horrible, but it’s real. Got to get patients and doctors time again.

The other thing that we need to do is we need to get far better data. And in order to get better data, we’re going to be using continuous patient monitoring. sounds scary. I know most people think it’s Orwellian. But the truth of the matter is, it will have an amazing impact keeping people happy and healthy. And well, it really will.

The third thing we have to do is we have to give doctors two types of resources. We have to give them training resources on prevention and wellness, and to really help them understand how to use new tools to focus on wellness and prevention over gratuitous intervention. And then the other thing that we need to do in the area of resources is that we have to train them, we have to train them and we have to give them the tools, training and tools are the two resources that doctors need today. I work at one of the largest medical schools in the country. And I can tell you that, you know, historically we have not done much in the way of teaching nutrition and prevention and wellness. But luckily because of the great work of our medical school, we are actually focusing on all kinds of modalities from integrated health to prevention, wellness, anticipation, predictive analytics, new telemedicine solutions, and the list goes on and on. Let’s make sure that our doctors are rockstars in the way in which they are trained to be able to offer up wellness instead of intervention sickness resources. And let’s give them those tools. Right now, the average caregiver has no tools whatsoever to help you lose weight, which is the primary cause of most chronic disease. They don’t have much in the way of resources of any kind for everything from mental illness to stress management to weight management. But I mean, come on, this is the core of why these people are sick. Why are we, why are we not doing that? It’s crazy. We need to change the incentives.

And that’s the last point of my video series. How do we do that? Well, there’s an adage that suggests that good fences make for good neighbors. And to that I would like to suggest that good economic reimbursement models makes for good caregivers, insurance companies, hospitals, clinics, drug companies, device companies. Like I wrote a book recently entitled, The Innovation Mandate. And in that book and the research from learning from some of the greatest thought leaders in the world, what I found was, is that we need to change the innovation targets. Think about it for the last hundred years, all of our innovation targets in healthcare have been targeting sickness intervention. Let’s incentivize drug companies. Let’s incentivize device companies. Let’s incentivize hospitals and insurance companies to do something different. Let’s reward them for prevention. Instead of having this bizarre economic model that rewards them for treatment.

Now I speak with great experience here. I worked with many of the largest drug companies and device companies and hospitals in the world. Are they evil? No. They’re not evil. In fact, chances are, if you’re watching this video right now, you have probably had your life saved by a drug company, a device company, at a hospital or clinic. So is that evil? No. Do we still want them to be able to intervene with disease processes and injury, of course, but we need to change the trigger mechanism. We don’t want treatment to be the automatic trigger mechanism. The overwhelming majority of healthcare costs as much as 70% is self inflicted chronic disease. So let’s align our ability to fix the causality of disease with economic incentives. Without that we can’t fix healthcare.

So as I wrap wrap up this series, let me just do a really quick review. Number one, we have to stop this business of patient throughput modeling. In increasing patients through a clinic. We need to figure out ways to be more thoughtful about developing a range of services and a range of clinical models that focus on prevention and wellness. It’s doable, and we’re going to show some stories of how doable This is, in the documentary film fixing healthcare. The other thing that we need to do is we need to find ways to get better data. Although three to five years out terms of a timeline, data will be a very, very big deal. It’s the new innovation medium. Data is the new innovation medium in healthcare. We can get data about patients continuously in a non invasive and private way. We can identify disease processes before they become lethal, and expensive. And we’re gonna do that. The third thing that we have to do is we have to have those two modules or two sort of hemispheres of resources for doctors. On the one hand, we have to train the physician of the future, which we’re already doing. Certainly, we’re doing it in our medical school. The second thing that we have to do is we have to give them wellness and prevention, anticipatory and data analytic resources to help them be able to get to a healthy state, and that means coaching and that means compliance coaching, and it means accountability. It means all of the things that we know that we can do to make it work through gamification and social engagement. It works. We need wellness and health resources. And we need educational resources for caregivers. And then lastly, look until we change the economic models that pay doctors to do stuff to patients, that pays hospitals to do stuff to patients, that pays drug companies to do stuff to patients that pays device companies and insurance companies do stuff to patients until we stop that economic model. We are never, ever going to fix healthcare.

Now one last point on the incentive piece. Healthcare is broken. But it is contributory negligence is contributory negligence, what I mean by that it’s not the monster drug companies. It’s not the monster clinics. It’s not the monster, anything in the industrial side, they’re just opportunistic. They see an opportunity to make money to treat people they’re gonna do that. It’s not the evil patient. But remember, 70% of the causality of the cost in healthcare is self inflicted chronic disease. So we’ve got patients eating way into chronic disease, and we’ve got the healthcare industrial complex more than happy to provide the intervention de jour. This must change.

In the film, I talk about the concept of the big shift. The big shift is a movement from hyper intervention to one of prevention, anticipation and wellness. To one of disconnect to one of hyper connectivity. We go from punitive models in healthcare to beautiful models in healthcare. You watch the film, you’ll see that we learn from some of the greatest thought leaders in the world with beautiful case studies and patient stories about how all of these things and these five modules I talked about, actually work. Thanks again for taking this incredible journey with me as we attempt to do something very, very big and that is fixing healthcare.


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