Embed Size (px)
Citation preview
Disruptive Model for the Future of MedicineClay Johnston, MD, PhDDean, Dell Medical School
Broken
Cost ofhealthcarePer person spending
Wells Fargo Insurance Services
US lifeexpectancy
Return
Investment
1U.S. is the number one spender on healthcarein the world
But only34th in health outcomes
252627282930313233343536373839
3 Glaring Examples
3 No one pays forprevention
2 No onereminds you totake your meds
Hospitalgowns exposeyour rear1
Broken healthcaredelivery system
Invested in the status quo
Doing more, rather thandoing better
Treating the sickest rather than promoting health
Resistant to technology and other approaches to enhance efficiency
Broken communityhealth system
MDs + toolsCare SettingsCommunity
Cause of death in San Francisco women (2003–2004)
1. HIV/AIDS2. Drug overdose,
unintentional3. Self-inflicted injuries,
all mechanisms4. Breast cancer5. Pancreas cancer
Cause of death in San Francisco men (2003–2004)
1. Violence/assault, all mechanisms
2. Drug overdose, unintentional
3. HIV/AIDS4. Self-inflicted injuries,
all mechanisms5. Alcohol use disorders
Broken research system
Research
Care
Apply for grant
Apply for grant Get grant
Apply for grant Get grant
Important results
Apply for grant Get grant
Important resultsChange health
Dell Medical School:
Opportunity to startfrom scratch
Photo: Christopher Sherman
Can wecreate a betterecosystemfor healthinnovation?
Faster Innovation Cycles:Lean Start-Up Model
Requirementsfor an improvedhealth ecosystem
The product is valuevalue = quality/cost
The product is valuevalue = quality/cost
Value is measurable
The product is valuevalue = quality/cost
Value is measurable
Value is embraced by culture
Barriers to aligning incentives are minimized
Barriers to aligning incentives are minimized
Participants can be innovators
Barriers to aligning incentives are minimized
Participants can be innovators
Scaling is possible
Barriers to aligning incentives are minimized
Participants can be innovators
Scaling is possible
Innovation is built into the funding model
Focus on makingAustin a modelhealthy city
What needs tohappen
Create funding streams based on health valueNew partnerships with self-insured businesses, insurers, hospitals, local health districts and CMS
Requires orchestration of multipledisjointed entities
Better dataNot just for prioritization, but also to assess impact on an ongoing basis
New approaches to educationPhysicians who are not just willing partners but leaders in creating better systems
Community Hospitals & Doctors
Government / Employers
People
Academic Hospitals & Doctors
Entrepreneurs
Community Hospitals & Doctors
Government / Employers
People
Community Public Health Entities & Nonprofits
Community Hospitals & Doctors
Government / Employers
People
Community Public Health Entities & Nonprofits
Community Hospitals & Doctors
Government / Employers
People
Community Public Health Entities & Nonprofits
Liberate entrepreneurs
