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Jay Parkinson, MD, MPH + visit my site and see who i am + view my google calendar and choose a time + symptoms and address iphone + i make a house call and you pay me via paypal

Pecha Kucha

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My presentation from Pecha Kucha NY at Le Poisson Rouge on March 23, 2009

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Page 1: Pecha Kucha

Jay Parkinson, MD, MPH

+ visit my site and see who i am

+ view my google calendar and choose a time

+ symptoms and address iphone

+ i make a house call and you pay me via paypal

Page 2: Pecha Kucha

why did i create this?

+ i could

+ i like good relationships

+ we live in the age of DIY

+ i can’t work for the MAN

Page 3: Pecha Kucha

the System is broken

- pre-tax income = 17%, 26%, 41%

uncoordinated, unfocused, inconsistent

unmeasured, very inefficient, perversely incented

excessively expensive, sometimes dangerous

-

-

-

Page 4: Pecha Kucha

born in the age of easy fixes

- if we can’t fix you now, you die tomorrow

antibiotics and vaccines

diabetes, heart, cancer, asthma, depression-

+

10% spend 80% of $2.5 trillion-

Page 5: Pecha Kucha

office visits and scalpels

- we need to change our lifestyle

$10,000 to treat your diabetes, $300 to prevent it-

we get paid to do more = supply creates demand-

two hours with each diabetic and 8,764 hours without-

Page 6: Pecha Kucha

health care = environment

- inexpensive to solve the first 90% of a problem

technology has to be invented and executed-

chronic health care needs to be re-invented-

hugely expensive to solve the last 10%-

Page 7: Pecha Kucha

times they are a changin’

+ the internet has revolutionized everything

+ mobile phones

+ efficient communication

+ better, closer, funner relationships

Page 8: Pecha Kucha

i want this with my patients

+ secure platform to connect you and me

+ connect people with the same problems

+ your healthstream coming at me in my newsfeed

+ i can do my job better and you’ll like me again

Page 9: Pecha Kucha

+ an “Amazon Webstore” for doctors

+ find and friend your local doctor

+ 1st visit = office. 2nd visit = email, im, video, office

+ it’s a direct connect. like having a doctor friend

hellohealth

Page 10: Pecha Kucha

middleman-free health care

+ 10% of $2.5 trillion goes to docs

+ much less need for health care “institutions”

+ doctor fees are transparently part of their profile

+ a social network for docs to connect to each other

Page 11: Pecha Kucha

we’re starting out with cash

+ docs are only paid for office visits

+ we try to keep you out of our office

+ combine us with a high deductible plan = ideal

+ our overhead is half of a regular doctor

Page 12: Pecha Kucha

health and wealth

+ our overhead is half of a regular doctor

+ savings passed on to you

+ docs get paid by the hour

+ rent as much time as you need

Page 13: Pecha Kucha

new ways to connect

+ text us your blood sugar

+ comment on your last visit

+ share your doctor on facebook

+ connect with others who have the same problem

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this helps the PROBLEM?

+ old people and chronic illnesses are expensive

+ payment needs reformation

+ docs need to get paid for keeping sick people well

+ we need an open market like lasik and boob jobs

Page 19: Pecha Kucha

facebook began with kids

+ didn’t solve your parents problem in 2004

+ facebook leveraged the power users

+ it got bigger, better, and more powerful

+ 5 years later, your parents are friending you

Page 20: Pecha Kucha

can we begin with you?

+ join our network and help us learn from you

+ more doctors, more patients = more value

+ tell your doctors, friends, employers

+ help us change health care. you. me. the internet