it
so it’s amazing what the students have
put on today and for me it’s just
blowing me away thank you so much for
having me and it’s it’s a wonderful
opportunity I want to bring to your
attention a few things and I want you to
take away a few things from this
discussion one is thinking differently
the other is technology how many people
here have a smartphone it’s become
commonplace we’re all connected the
other one is health not health care but
health and I’ll explain that in a little
bit I also want to bring up the
opportunity for community engagement and
also thinking differently in terms of
how we deliver care and being optimistic
about the future medicine is a really
interesting thing it takes about 15
years for any changes in medicine to
actually become enacted upon and it’s
one of the slowest businesses or
industries that we see we’re the only
industry that still uses a fax machine
for example and that’s acceptable to us
we can do better as we go through this
talk I want to just bring up a few key
points one of them is thinking about
health in terms of lifespan from the
cradle to the grave taking care of
mothers that are carrying children all
the way through to our aged population
and how well we do doing that and how we
allocate resources to it
I want to refocus our attention on how
we deliver care in terms of where we’re
at in the community so here’s a question
for you what would you do if I asked you
if I gave you seven hundred and fifty
billion dollars how would that change
healthcare how would that change health
so why do I ask that question well it
turns out that 750 billion dollars is
what we spend in this country every year
on expenditures and health that have no
impact on our health how much does the
United States spend on health care per
year it’s about 20 percent of our gross
domestic product that’s an unsustainable
number well it’s okay because we have
the best health in the world right we
don’t have any issues in this country
not true we actually rank here the worst
of industrialized countries in terms of
of maternal fetal maternal baby outcomes
we need to do better we have the
resources are they in the right place
over the course of the past three or
four decades we’ve had an immense amount
of research that’s happened in this
country on being able to actually
improve personalized medicine
biosciences have given us cures and it’s
a wonderful thing but it’s a very
expensive proposition and in order to
sustain that we need to figure out how
to improve our care that we provide to
our communities in a more cost-effective
so change is the only constant that the
world knows right and I think this quote
really sort of typifies it all for me
it’s better to build health healthy
strong children than it is to try and
repair broken adults and that’s the call
to arms for the students here in the
next generation you all and we’re
putting our faith in you and we know you
can do this you have the technology you
have the skillset you have the
capability to understand the changes
that we are starting now you will need
to complete them and if we do this right
we can really focus on improving our
health across our lifespan so the 20th
century was focused more on adding years
to somebody’s life this century must be
focused on adding life to those years if
we think about lifespan health
development across the life course you
can understand there
particular times in our lives when we’re
all that risk the first three years of
our life is incredibly important and
what we do in our environment and how
that impacts on us becomes a really key
component our environment how we react
to it our internal environment our
socioeconomic status all impacts on the
development of our brain in our body so
if we think about this in terms of how
it it pans out as we age so there’s
exposures we all accept the prenatal
smoking is not a good thing
child abuse certainly is unacceptable
and problems with socioeconomic status
in our childhood not having a place to
live not having nutritious food to eat
impacts upon our genetics and and how we
actually express what we become and it
impacts on our biochemistry and this
ultimately impacts on how we look and
how we actually express ourselves do we
get diabetes do we get many different
diseases as we age and it starts in
utero it starts in mom’s tummy so in
another way to express this is if we
don’t start to think about delivering
health and effective health early on in
life we can start to see how things pan
out as we age and anxiety disorders
school failure as we get older
obesity elevated blood pressure now the
physical ailments start to impact on us
we start to see coronary heart disease
become more prevalent issue in our
society diabetes which is a epidemic in
this country and old age so how do we
think about these in terms of being able
to take it to the next level so right
now we’re probably somewhere about here
you know I just finished my soda but we
really are a country that deals with
with chronic diseases right we can do
better right we can do better and the
students here will take us to a better
place because they get it because they
know where we need to be
they’re going to be the ones that act
upon these issues we have to do this and
if you think about in terms of how we’re
able to do these things all right under
normal circumstances even in the best
practices in pediatrics
we actually do okay we don’t do great we
do okay and if we were actually able to
do properly we would actually have a
health projectory that was infinite as
we started to age and you would be
healthy throughout your whole life and
pass away in your sleep at the ripe old
age of 100 the challenge that we have is
that many of us actually don’t do well
caring for our patients and we don’t
have the opportunity to really improve
their health and this is the at-risk
group and if you think about this in
terms of opportunity we have such an
opportunity to improve our socioeconomic
status and how we actually care for
people in this country that we have an
opportunity to really do better and it’s
it’s not hard to understand this so in
terms of opportunities right we want to
reduce our risk factors people say
smoking is not good right we know that
if we decrease smoking that our health
is better that we our overall health for
our nation’s better but there’s also
other opportunities that we can have we
can introduce here and that includes
protection protective strategies so
being able to actually intervene and
provide healthy dinners or healthy
lunches or early childcare for our for
our families and our our patients
becomes a really important part and as
we age the whole concept here is to take
our ages where we start to get these
diseases like coronary artery disease
and push them out to the 80s so you can
see early investment upfront reduces the
cost that we spend way down the line and
it’s a lot cheaper to help a family find
nutritious food to help a mom take care
of their infant than it is to pay for
coronary artery disease or chronic
there we go so you can see moving it out
changes our ability to provide good
health care so if you think about
business value is really quality over
cost and health cares of business we
don’t like to say that but it is a
business with emotions and if we really
want to think about this properly we
would put value value based health care
quality over cost and we’d include
health development divided by the
investment we put in early intervention
early investment pays off down the line
stock market does that if we get in
early on a great stock it pays dividends
down the line this is the same idea that
the difference is is that we must invest
in our communities and we must start
thinking differently about how we do
things and from our perspective it’s the
students it’s the it’s the next
generation that’s really going to take
us there
because they are thinking differently
their team they’re thinking globally
they’re connected they have the
technology to do this and one of the I
think amazing things that they’ve been
able to witness over the past five years
is the advancement of telemedicine the
Advancement of telehealth and how we’ve
been able to connect and improve access
to people who weren’t able to access
care before be that in a rural setting
be that in a disparate population area
be that in an area where people just
can’t simply get to clinics they can’t
get transportation we had a fantastic
insight with the recent project that we
did where we had a diabetes monitor that
actually allowed us to monitor women who
were pregnant who had diabetes we were
able to monitor their Sugar’s remotely
and they didn’t have to do anything they
would take their blood sugar it would be
uploaded to the cloud that information
was transmitted to our electronic
medical record and we were able to
intervene early on moms that needed help
and what that resulted in was a
reduction of babies admitted to the
neonatal intensive care unit by about
eight bed days and that’s at least
$10,000 in savings more importantly
though those babies didn’t get heart
issues because of their diabetes because
their moms diabetes they didn’t get
kidney issues and I can tell you in the
short-term it was much better for the
families in the long term the impact
will be almost unmeasurable because
we’ve been able to actually intervene
early and and alleviate them developing
that disease we did a similar project
and adults took a high-risk group of
patients that had diabetes and we were
able to reduce their visitation to the
emergency department by 70% we kept
those people in their houses in their
communities where they needed to be with
their families their friends and their
caregivers we kept them out of the
hospital 65% of the time as well that’s
all cost savings but all that aside it’s
so much better for the patient we have
the tech we know how to do these things
it’s up to the next generation to do
them and the glass is half-full and I
can tell you being at the precipice of
this it’s so exciting because when I
talk to young people the folks that are
so dynamic and what they’re able to do
it’s amazing
they understand teams and it really
takes a team we have to be part of our
community and we have to do this right
it’s always about the kids thank you so
much
[Applause]
this is West Wesley Wesley is one of my
transplant patients and I don’t let you
know his mom said it was okay to put
this picture up hard not to smile when
you see that thank you very much [Applause]
so it’s amazing what the students have
put on today and for me it’s just
blowing me away thank you so much for
having me and it’s it’s a wonderful
opportunity I want to bring to your
attention a few things and I want you to
take away a few things from this
discussion one is thinking differently
the other is technology how many people
here have a smartphone it’s become
commonplace we’re all connected the
other one is health not health care but
health and I’ll explain that in a little
bit I also want to bring up the
opportunity for community engagement and
also thinking differently in terms of
how we deliver care and being optimistic
about the future medicine is a really
interesting thing it takes about 15
years for any changes in medicine to
actually become enacted upon and it’s
one of the slowest businesses or
industries that we see we’re the only
industry that still uses a fax machine
for example and that’s acceptable to us
we can do better as we go through this
talk I want to just bring up a few key
points one of them is thinking about
health in terms of lifespan from the
cradle to the grave taking care of
mothers that are carrying children all
the way through to our aged population
and how well we do doing that and how we
allocate resources to it
I want to refocus our attention on how
we deliver care in terms of where we’re
at in the community so here’s a question
for you what would you do if I asked you
if I gave you seven hundred and fifty
billion dollars how would that change
healthcare how would that change health
so why do I ask that question well it
turns out that 750 billion dollars is
what we spend in this country every year
on expenditures and health that have no
impact on our health how much does the
United States spend on health care per
year it’s about 20 percent of our gross
domestic product that’s an unsustainable
number well it’s okay because we have
the best health in the world right we
don’t have any issues in this country
not true we actually rank here the worst
of industrialized countries in terms of
of maternal fetal maternal baby outcomes
we need to do better we have the
resources are they in the right place
over the course of the past three or
four decades we’ve had an immense amount
of research that’s happened in this
country on being able to actually
improve personalized medicine
biosciences have given us cures and it’s
a wonderful thing but it’s a very
expensive proposition and in order to
sustain that we need to figure out how
to improve our care that we provide to
our communities in a more cost-effective
so change is the only constant that the
world knows right and I think this quote
really sort of typifies it all for me
it’s better to build health healthy
strong children than it is to try and
repair broken adults and that’s the call
to arms for the students here in the
next generation you all and we’re
putting our faith in you and we know you
can do this you have the technology you
have the skillset you have the
capability to understand the changes
that we are starting now you will need
to complete them and if we do this right
we can really focus on improving our
health across our lifespan so the 20th
century was focused more on adding years
to somebody’s life this century must be
focused on adding life to those years if
we think about lifespan health
development across the life course you
can understand there
particular times in our lives when we’re
all that risk the first three years of
our life is incredibly important and
what we do in our environment and how
that impacts on us becomes a really key
component our environment how we react
to it our internal environment our
socioeconomic status all impacts on the
development of our brain in our body so
if we think about this in terms of how
it it pans out as we age so there’s
exposures we all accept the prenatal
smoking is not a good thing
child abuse certainly is unacceptable
and problems with socioeconomic status
in our childhood not having a place to
live not having nutritious food to eat
impacts upon our genetics and and how we
actually express what we become and it
impacts on our biochemistry and this
ultimately impacts on how we look and
how we actually express ourselves do we
get diabetes do we get many different
diseases as we age and it starts in
utero it starts in mom’s tummy so in
another way to express this is if we
don’t start to think about delivering
health and effective health early on in
life we can start to see how things pan
out as we age and anxiety disorders
school failure as we get older
obesity elevated blood pressure now the
physical ailments start to impact on us
we start to see coronary heart disease
become more prevalent issue in our
society diabetes which is a epidemic in
this country and old age so how do we
think about these in terms of being able
to take it to the next level so right
now we’re probably somewhere about here
you know I just finished my soda but we
really are a country that deals with
with chronic diseases right we can do
better right we can do better and the
students here will take us to a better
place because they get it because they
know where we need to be
they’re going to be the ones that act
upon these issues we have to do this and
if you think about in terms of how we’re
able to do these things all right under
normal circumstances even in the best
practices in pediatrics
we actually do okay we don’t do great we
do okay and if we were actually able to
do properly we would actually have a
health projectory that was infinite as
we started to age and you would be
healthy throughout your whole life and
pass away in your sleep at the ripe old
age of 100 the challenge that we have is
that many of us actually don’t do well
caring for our patients and we don’t
have the opportunity to really improve
their health and this is the at-risk
group and if you think about this in
terms of opportunity we have such an
opportunity to improve our socioeconomic
status and how we actually care for
people in this country that we have an
opportunity to really do better and it’s
it’s not hard to understand this so in
terms of opportunities right we want to
reduce our risk factors people say
smoking is not good right we know that
if we decrease smoking that our health
is better that we our overall health for
our nation’s better but there’s also
other opportunities that we can have we
can introduce here and that includes
protection protective strategies so
being able to actually intervene and
provide healthy dinners or healthy
lunches or early childcare for our for
our families and our our patients
becomes a really important part and as
we age the whole concept here is to take
our ages where we start to get these
diseases like coronary artery disease
and push them out to the 80s so you can
see early investment upfront reduces the
cost that we spend way down the line and
it’s a lot cheaper to help a family find
nutritious food to help a mom take care
of their infant than it is to pay for
coronary artery disease or chronic
there we go so you can see moving it out
changes our ability to provide good
health care so if you think about
business value is really quality over
cost and health cares of business we
don’t like to say that but it is a
business with emotions and if we really
want to think about this properly we
would put value value based health care
quality over cost and we’d include
health development divided by the
investment we put in early intervention
early investment pays off down the line
stock market does that if we get in
early on a great stock it pays dividends
down the line this is the same idea that
the difference is is that we must invest
in our communities and we must start
thinking differently about how we do
things and from our perspective it’s the
students it’s the it’s the next
generation that’s really going to take
us there
because they are thinking differently
their team they’re thinking globally
they’re connected they have the
technology to do this and one of the I
think amazing things that they’ve been
able to witness over the past five years
is the advancement of telemedicine the
Advancement of telehealth and how we’ve
been able to connect and improve access
to people who weren’t able to access
care before be that in a rural setting
be that in a disparate population area
be that in an area where people just
can’t simply get to clinics they can’t
get transportation we had a fantastic
insight with the recent project that we
did where we had a diabetes monitor that
actually allowed us to monitor women who
were pregnant who had diabetes we were
able to monitor their Sugar’s remotely
and they didn’t have to do anything they
would take their blood sugar it would be
uploaded to the cloud that information
was transmitted to our electronic
medical record and we were able to
intervene early on moms that needed help
and what that resulted in was a
reduction of babies admitted to the
neonatal intensive care unit by about
eight bed days and that’s at least
$10,000 in savings more importantly
though those babies didn’t get heart
issues because of their diabetes because
their moms diabetes they didn’t get
kidney issues and I can tell you in the
short-term it was much better for the
families in the long term the impact
will be almost unmeasurable because
we’ve been able to actually intervene
early and and alleviate them developing
that disease we did a similar project
and adults took a high-risk group of
patients that had diabetes and we were
able to reduce their visitation to the
emergency department by 70% we kept
those people in their houses in their
communities where they needed to be with
their families their friends and their
caregivers we kept them out of the
hospital 65% of the time as well that’s
all cost savings but all that aside it’s
so much better for the patient we have
the tech we know how to do these things
it’s up to the next generation to do
them and the glass is half-full and I
can tell you being at the precipice of
this it’s so exciting because when I
talk to young people the folks that are
so dynamic and what they’re able to do
it’s amazing
they understand teams and it really
takes a team we have to be part of our
community and we have to do this right
it’s always about the kids thank you so
much
[Applause]
this is West Wesley Wesley is one of my
transplant patients and I don’t let you
know his mom said it was okay to put
this picture up hard not to smile when
you see that thank you very much [Applause]
Please follow and like us: