Transcripts For CSPAN2 Health Care Innovation 20170607 : vim

The Health Care Industry or a discussion hosted by pepperdine university. This is one hour and 20 minutes. Please welcome to the stage John Figueroa cochair of the Health Care Symposium committee and ceo of genoa health care. [applause] what an incredible morning. The insight that doctoring emanuel regarded the results in the future the affordable parents as well as integrated care and Power Industries moving to a valuebased system was fascinating. Equally as intriguing was the description of our complex and everchanging Health Care System by our esteemed panel of doctors and health care administrators. I trust that their years of practical experience and i trust that they have certainly confirmed the complexity of our Health Care System and the speed in which its changing in america. Im going to take a little bit of a different view on this some of his comments consistent with some of the complexity issues of the day, consistent with things that we need to do to change the system to make it better but a slight difference in quality perspective. Today as the indicated health care represents approximately 18 of our countries gdp. I think it is safe to say that the Health Care Industry is perhaps the most important part of our economy and growing fast. That was something that was confirmed with all speakers today. Because of this over the past decade we have been Building Health care around the aaa concept that came 10 years ago and what we need to do as a society within health care to increase and improve health care , to increase quality, to decrease cost and to improve the visit and the accessibility for our country. What we learned this morning is that we have made tremendous progress with this initiative and the next massive shift will continue to be towards bodybased health care. Getting paid for products and services on the basis of how well they achieve the aaa. After reflecting on what we have heard today i think you can come away with a few impressions. One is that in this country we have massive issues with both cost and accessibility throughout health care but we dont have those major issues as it relates to quality of health care in america and thats a little area where i take exception to some of the things that have been said not only this morning but when you watch the news or when you talk about health care and a general setting we sometimes lose the focus of the exceptional quality of health care that we have in our country and it has remained constant from a highquality perspective. Sometimes that gets politicized and not talked about at all. The fact is that america has the highest Quality Health care in the world and certainly the best technology and impact positive outcomes. We heard a lot of talk during the Election Campaign of our systems and comparing our systems to sweden. We even heard our system compared to morocco today. No disrespect to sweden or Barack Obama Mike 26 years in the industry ive never heard a person say i would like to get a procedure done in morocco. [laughter] never. Granted a lot of these countries that we were talking about through the election process has Health Care Coverage for all citizens and thats great but the other thing we dont talk about is thats not free and for those of you who studied business at our great school of business at pepperdine or anywhere else used it learned day one and economics that everything has a cost. In fact my grandmother who had a ninth grade education always said nothing is free. Our great system has come at a cost no doubt and its up to us to again continue to drive quality at a lower cost and make it accessible to all. We have always been a caring nation and the notion that we will allow people to perish because they did not have insurance is frankly nonsense and you heard cedarssinai in mayo clinic talk about the fact that a number of their procedures and care is given and no cost at all to the patient. In fact when the Affordable Care act they get paid pennies on the dollar for a number of procedures that they do every day. Most of our hospitals and care centers are notforprofit. Mental health for example 95 of Community Mental Health Centers, and these places take care of 90 of our country severely mentally ill are notforprofit. There Charity Organizations that would never turn away a patient that has no insurance and a lot of people who do those services are here today and i want to thank you for what you do for our patients and our Health Care System. Granted sometimes you may not get the highest ranked hospital in the country to take care of you if you have insurance but theres always a place for care in america. This is true before the aca and its true today. I suspect it will be true in a new Health Care Program announced in d. C. However its also true and very possible that a major procedure could bankrupt you and our system or that an uninsured person will be taken enduring the crisis but cant afford her band of care. Again this happen before the Affordable Care act and it still happens today. We must continue to strive towards an industry and we are. Another fallacy is that they Large Pharmaceutical Companies are the primary reason for instability and health care costs. Total pharmaceutical costs in health care represents about 15 of the total cost. Even if drug inflation rates went to 0 it would not change the overall escalating cost of care. Today 85 of prescription drugs are generic and an average cost of 10 per month per 30day prescription. Because our Health Care System operates in silos there can be a shortsighted emphasis on reducing costs in each silo and im not advocating that there is nothing that can be done to the pharmaceutical industry and there are plenty of examples where costs are way too high and we need to as an industry address those issues but we cant take any of health care one silo at a time. Let me give you an example of what happens when you concentrate specifically on pharmaceutical spending. In the spotlight is focused if the spotlight is focused on pharmaceutical spending and increases seen as problematic. If spending on pharmaceuticals need to increase to achieve overall reduction in the total cost of care. For example and patience to stay their meds you will see an increase in drugs. An Insurance Company if they see somebody experiencing 96 adherence rate from 20 they are going to spend more on pharmaceuticals. What you have to look at is the total cost of care. It has to reduce the higher amenable cost. Recently we did a study that determined if in fact you are putting pharmacies inside these Community Mental Health Centers and you are taking away the ability for them to leave the center and then go get their prescription severely mentally ill patients will fill their prescription at least 20 of the time. If theres a pharmacy and vetted and integrated in the Community Mental Health Center sibile severely mentally Health Patients take their meds 96 of the time. Thats what the journal of managed care said. A 40 reduction in hospital stay 18 reduction in your visits amounted to over 400 Million Dollars in savings on the basis of 500,000 patients. I dont understand the word trillion like any of us but i do understand 400 billion the impact to this patient population. So thats what i want to leave you with. The fact that lets not look at silos. Lets continue to Work Together to look for total cost of care and lets make sure as a society and the Health Care Industry would continue to reduce costs increase access and improve health. So with that we are going to talk a little bit about technology and the Technology Impact that its having on quality of care in our system. Todays panel is pretty exciting. We have heard a lot of talk about telemedicine and earlier conversations today and last years symposium and entire symposium on Data Technology and the impact its having. Today we have three great panelists and we also have a moderator that comes to us as one of our panelists last year kathleen grave who has a history of making sure innovation is impactful. She is one of the designers and executives of watson with pbm and is currently now part of the Watson Program with the Weather Channel revolutionizing what we do with technology. Please welcome kathleen grave. [applause] hello and thank you. What a great morning its been so freer so far. Im looking forward to having this conversation. First i wanted to see you too telemedicine. What do we need bike along the the what do we mean by telemedicine and telehealth . Telehealth is a general term that encompasses all Inclusive Health care provided by a means of telecommunications and information technology. It can include preventive promoter than Curative Care delivery. Telemedicine is more specific to the gauge meant of the interaction between the provider and the patient and the medical services that are provided. It is patient Clinical Care delivery remote services. Can be Critical Care. Can be Emergency Care and it can include technical and diagnoses remotely and often for critical condition. Between the doctor and the physician and the patient telemedicine provides access longdistance and remotely to experts with experience that otherwise would not be available in remote areas of the world or remote provinces or rural areas of united states. American Telemedicine Association likes to give us a very early example of telemedicine and that is the medical care provided in the monitoring of the astronauts and the earlystage program that continues today. It was also used in military or remote deployments to keep the troops safe. Telemedicine provides three areas of patient care focused on instrumented interconnected and intelligent s in transmission access for radiology imaging and this gives us the inside and provides insights that are needed to provide the information for the details of the data. Also Remote Monitoring of the chronic care or special circumstances so for example congested heart earlier for example one needs to get the regular vitals of the hydration and the vitals of the patient. Clinical consultation is the third in lieu of facetoface interaction for convenience and to allow for it to happen more often on a regular basis. The use of electronic information and telecommunication technologies to support is now common and its coming to provide longdistance Critical Care health education, Public Health and health of frustration to technologies include videoconferencing and the internet is a very common practice now. Includes forward imaging streaming media and terrestrial and wireless communication. Theres no end of the communication happening around this area of health care and we are going to see it counts many folds in the next few years as well. Data and sites offer the fingertips of the provider of the caregivers to transform the patient experience. Never before have we had as much information at their fingertips to take care of the information being shared between payer provider and patient. With the transformations include telemedicine and mobile Health Solutions and patient Care Management we have the opportunity to increase access to improved highperformance Health Care Systems improving clinical decisionmaking at point of care enabling access to all levels of special care while reducing cost and resources in minimizing the patient ensured. We have the opportunity to extend patient care beyond the office for convenience consultation promote access and as i said and rural areas. He can be focused on patient specific management or Risk Management for population with common chronic care or need such as Heart Disease diabetes although depending on which Care Management program is created. Access to previously to an accessible specialist is outside the metropolitan area so when providers graduate from college and would like to stay in the city they can provide Remote Access to patient and to provide support to those doctors and patients that are remote. It reduces travel for patients who might need frequent visits checkups and monitoring for clinical situations. Enabling flexible learning options for physicians consultation training Care Management programs bringing together a team of specialist to discuss a specific Case Management provide an opportunity for feedback and even bring in other nonclinical roles are experts you can contribute to that information based on the environmental cultural nature of the patient. One common view of the trusted information means experts can now contribute from all facets of their expertise. It is now my privilege to bring on the stage iii panels who will share their experience and expertise as well as their perspective to answer some of our questions about the industry their specific as those models and application of telemedicine. Our first panelist is mr. Hill ferguson chief executive of doctors on the man with two decades of experience in global technology. Hill has Led Companies from all stages of growth from being a founder to an executive to a highgrowth company. He also holds a deep commitment to putting customers first by delivering the best possible products of value that resonates with doctor commitment to its leading industry clinical quality and best in Class Customer experience. Before joining ferguson helped transform paypal into a focused Technology Company and eventually serving as the companys chief roderick officer. Prior to joining paypal in 2011 hill was Vice President of marketing which pioneered technology that enable consumers to take weight and easily use a mobile phone. John built a vast network of two or 50 applications and operated in over 50 countries are building a Merger Network fund leading Digital Goods and on line and worked as general manager for he helped develop and market personal Financial Management software and Consumer Payment products used by leading Financial Institutions produce a senior product manager at yahoo he helped create the awardwinning Yahoo Finance web site and developed a variety of payment services. He also cofounded loan back to help consumers manage 1. 7 billion in loan from friends and family. Hill of the badgers degree and mba from vanderbilt and the San Francisco bay area so lets welcome into the stage. [applause] our second panelist is samir malik. Samir is the Vice President come senior Vice President general manager of genoa the quality of a health care company. He came into this role for an acquisition of this company a citybased telepsychiatry company which he founded and served as ceo. The Company Expands access to Mental Health care in rural america. Samirs team is built the Technology Enabled Services Company from scratch treating 50,000 patients across the country and prior to that samir was the presence of Signature Health care and to Health Care Service companies that he started and led. These two endeavors have grown the past five years from two employees to over 150 employees while improving access to Health Care Market and populations in need of Mental Health access. From 21,022,012 samir was the director planning at centerpoint hospital and 150 bed Health System in st. Louis missouri where he designed and built a new model for outpatient until Health Programs across three states. Bredesen prehospital samirs were became as a Business Analyst for a focused and strategic and operational initiatives for Large Organizations both inside and outside