what happened to us how did everything
get so fractured
when did we forget that everything
absolutely everything is connected our
communities our families our homes when
did we decide it was okay for our
parents to live in an institution a
place that checks all the boxes but
takes away all the choices where lives
lose purpose human beings lose hope then
what about healthcare we need healing
but there are so many hurdles instead of
helping doctors do their jobs
we hinder them with paperwork what we’re
really talking about here is the fabric
of a society that needs mending
that’s why together we’re building
something better right now right here in
Liberty the product of hope and
imagination grounded by the wisdom of
proven community planners and health
care providers United in the resolve to
do something truly fundamentally
different a revolutionary approach to
residential living that keeps us all
connected as we grow older so if you are
a young retiree you can stay on top of
your game and if you’re old and frail
you’re still in charge of your life at
its heart and soul
is a 65 thousand square foot healthy
living center where a mom can take a
Pilates class while her kids are in
daycare where a stroke victim who’s in
rehab can workout next to an athlete who
trained for a race next door are vibrant
shops and retail where boomers and
millenials can walk on the same sidewalk
go to the same coffee shop sweat at the
same yoga studio stop talk relate
and all with access to a radically
improved healthcare model that get this
revolves around you with a team of
experts to help you navigate the system
seamlessly connecting every single one
of the dots so you can focus not an age
or sickness but on health and wellness
if somewhere along the way we all forgot
what matters let’s build a new community
that helps us remember this is about you
it’s about me it’s about us it’s about
time and it is about time we can do so
much better than we do it we can build a
healthcare system that isn’t a sick care
system but a health care system in this
country how is it that a generation of
people who started out life not being
around many cars who had no
air-conditioning who certainly didn’t
know what a microwave was somehow got us
to the moon almost 50 years ago how is
it that all the information and even
some knowledge about every detail we can
think of in the world including how to
get to New York City driving your car or
how to make just the right pecan salad
or how to learn about the theory of
relativity by Einstein by holding a
small thing in our hand
how did it come about that now it’s in
our ability and in our grasp and within
the next 20 years we’re all going to be
riding around in cars that we don’t
drive ourselves I can hardly wait I can
get so much done it was will will when
you Wilson when you decide we’re going
to do this then we’ll drives you where
you get your vision clear where you get
the value proposition articulated will
is what makes you run into barriers and
problems and see them only as a pathway
to solve and get to where you’re going
so that when you live through the
process of willing something highly
unlikely into being and you’ve had
breakthrough after breakthrough after
struggle after struggle failure after
failure until all of a sudden you’ve
taken a giant step for mankind but on
the other side how is it that we have a
healthcare system that really is a sick
care system I learned when I got into
health services in midlife after my
parents got sick and I got mad and got
into it that the words that are used in
health care usually mean the opposite of
what they really are like if it’s a
nursing center it’s a place for dignity
and you can’t hardly find much of it
there or if it’s a health care system
it’s usually it’s really about being
sick how is it
that were number one in cost in this
country and 37th and outcome how is it
that if you get a diagnosis that
requires you to go to a specialist and
get complex treatment that you’re left
to navigate that on your own at a time
when you need coordination and
integration and someone to walk with you
along the way the most they’re not there
how is it that being in the hospital is
in the top 10 causes of death in this
country not because of why you went
there
but because you went there how is it
that after buying us our birthday
presents and helping us through school
and putting band-aids on our knees that
when we get old we get put out usually
they’re on the edge of town in a
well-meaning human file cabinet where
you lose the ability to get up when you
want lose the ability to eat what you
want lose the ability to decide whether
you’re going to get a shower or a bath
or what day that occurs how did it
happen and how is it that we haven’t
made advancements like the ones we just
talked about because we haven’t willed
it when you will it you get there when
you don’t will it there are all sorts of
intelligent sounding reasons that’s the
reasons for most of our conferences is
that we get together to talk about
challenges difficulties barriers and
that’s because we haven’t willed it
we’re at a juncture in healthcare it’s
politically sensitive you know
something’s not really healthy when
you’re not really supposed to say it out
loud you know that’s really when you
really need to say it out loud I don’t
think the answer is probably socialized
medicine and I can tell you for sure
it’s definitely not health savings
accounts but what will survive this
conversation is the part that nobody is
talking about and the reason why they’re
not talking about is because in the very
core of health care reform is one of the
most brilliant masterful pieces of
legislation in our history and that’s
the part that deals with what are we
supposed to be delivering to you how are
we supposed to be delivering that and
how are we held accountable for that and
how are we paid for that and how are we
penalized when we don’t and how do we
get ourselves so refined in what we do
that we begin to share the risk in
health health outcomes and when we all
become so incomplete understanding
together that we know that you two need
to have an accountability about
maintaining your health that’s the piece
that rather whether they go to the left
or to the right that is going to survive
it so what we’re left with really is
what we’re always left with you know a
speaker of the house from the old days
Tip O’Neill said all politics is local
and I don’t know that I believe that
anymore I used to but I will tell you
this all healthcare is local and it
needs to be local and while we’re
deciding and still discussing who
should have health care and who
shouldn’t and who should pay how much
and who shouldn’t we have a
responsibility as healthcare providers
and professionals in this country to on
the ground locally do what we’re
supposed to do so in Liberty we have
created a partnership between Liberty
Hospital which is a community-based
not-for-profit robust Hospital in a town
that is robust and fiercely independent
and we have created what is what is
called the Liberty healthy living
community which we have called Noor
chair it will open in September the core
of it is a 65 thousand square foot
healthy living Center that provides
medical fitness it provides corporate
fitness there will be three swimming
pools an indoor track Pilates a salon
bistro Yoga health coaches therapists of
every sort and most importantly in that
will be a integrated team of folks who
have traditionally been in the hospital
realm the discharge planners the
performance monitors some of the care
that management team will locate in that
healthy living center so that you are
navigating with each of your health
partners in health coaches as a patient
or as a person who wants to become more
fit who will walk with you through your
journey whether you’re a patient who has
chronic disease or a terminal diagnosis
and needs navigation through that system
or whether you’re someone who wants to
get buff and wants to run a marathon
that there will be a navigation team
that will help you in either case so
that in fact we will be a well based
system not a sick based system that will
overlook a city block of what we call
performance Park which will be an
outdoor area that has water features
fire
green places for performance and
encasing about that will be the housing
and services that will continue to grow
around that including a short-term state
a rapid recovery center health care
households that are skilled nursing that
replaced the institution with the
household model where it’s not public if
you want to enter there you ring the
doorbell and inside is a living room
dining room kitchen and food made there
24/7 whatever you want to eat whenever
you want to eat it you bathe when you
want in the way that you want with the
shampoo and the soap that you choose and
most importantly you stay at the driver
seat of your own life along with that
will be assisted living in memory loss
assisted living households and at the
end of that phase one there will be
independent living that has built on
overlooking performance Park and then
there will be market rate apartments and
independent housing for people of all
ages in that healthy living center there
will be around six to eight thousand
members of people of all ages from all
over the community the physicians who
are part of the hospital system will
refer into that where people can have
individual memberships for fitness they
will get prescriptions by the doctor and
also recommendations to the doctor so
that you can go to that healthy living
center and get nutrition counseling
weight management any number of things
so in effect the acute care system the
long-term care system the outpatient
system the specialists will all align
around this Center for well-being and
one of the things that this is going to
take is integrated technology there is
not an integrated structure of
technology for a seamless delivery of
health care
so that the technology can follow the
patient because frankly there hasn’t
been demand for it each of the providers
and their systems have been in silos for
so long that there has not been a demand
so we’re having to create that and
that’s costing seven figures
we’re also we’ll be collecting data from
wherever you start whether you’re port
of entry is I want to become more fit
and we do a biometric screening or
whether you’re port of entry is the
emergency room wherever your point of
entry is we will begin gathering data so
that you have individual data that you
can study and learn from and participate
in and be motivated by but will also be
able to gather data by diagnosis will be
able to gather data for health outcomes
will be able to gather data to interface
with insurance companies so that their
systems can begin to also ship to a well
based system we should be complete
between September 1st and October 1st of
this year and my belief is this if we
can in one place in one town marry it
all together in a person-centered you
focused system that helps you achieve
well-being and we can do that within the
existing reimbursement system and we can
we’ve invested sixty two million dollars
in making this reality come about it
will be a game changer it will if you
can kick the tires if you can look at it
if you could smell it and you can taste
it you have the evidence that you can at
a local level reshape how we live
together why are we telling you about
this now it’s under construction the
framing is up why aren’t you waiting
Steve to share this after you’ve got it
done and it’s up and successful what
happens if it doesn’t go as well as you
think
the reason why it will go as well as we
think is because the entire community
and all the provider community is
aligned around it will have barriers
will have problems but we have will and
when you have will you work through
those barriers and you achieve the
success but the main reason that we’re
taking the risk to share this now before
we’re done before we have lived it out
while the technology is being created
while the building is under construction
is because there’s going to have to be
awareness and alignment about this
concept early and it can’t wait for the
two to three years to stabilize but most
importantly is when you do something
risky and you do something important and
you do something that scares you and
this scares me a bit if you’ll publicly
say we’re doing this it makes you make
damn sure you do you know what I’m
saying
and it rekindles and keeps alive your
own hope about what we’re doing and it
engages you and invites you into that
hope so god bless you and thank you for
the opportunity to share
[Applause]
you
get so fractured
when did we forget that everything
absolutely everything is connected our
communities our families our homes when
did we decide it was okay for our
parents to live in an institution a
place that checks all the boxes but
takes away all the choices where lives
lose purpose human beings lose hope then
what about healthcare we need healing
but there are so many hurdles instead of
helping doctors do their jobs
we hinder them with paperwork what we’re
really talking about here is the fabric
of a society that needs mending
that’s why together we’re building
something better right now right here in
Liberty the product of hope and
imagination grounded by the wisdom of
proven community planners and health
care providers United in the resolve to
do something truly fundamentally
different a revolutionary approach to
residential living that keeps us all
connected as we grow older so if you are
a young retiree you can stay on top of
your game and if you’re old and frail
you’re still in charge of your life at
its heart and soul
is a 65 thousand square foot healthy
living center where a mom can take a
Pilates class while her kids are in
daycare where a stroke victim who’s in
rehab can workout next to an athlete who
trained for a race next door are vibrant
shops and retail where boomers and
millenials can walk on the same sidewalk
go to the same coffee shop sweat at the
same yoga studio stop talk relate
and all with access to a radically
improved healthcare model that get this
revolves around you with a team of
experts to help you navigate the system
seamlessly connecting every single one
of the dots so you can focus not an age
or sickness but on health and wellness
if somewhere along the way we all forgot
what matters let’s build a new community
that helps us remember this is about you
it’s about me it’s about us it’s about
time and it is about time we can do so
much better than we do it we can build a
healthcare system that isn’t a sick care
system but a health care system in this
country how is it that a generation of
people who started out life not being
around many cars who had no
air-conditioning who certainly didn’t
know what a microwave was somehow got us
to the moon almost 50 years ago how is
it that all the information and even
some knowledge about every detail we can
think of in the world including how to
get to New York City driving your car or
how to make just the right pecan salad
or how to learn about the theory of
relativity by Einstein by holding a
small thing in our hand
how did it come about that now it’s in
our ability and in our grasp and within
the next 20 years we’re all going to be
riding around in cars that we don’t
drive ourselves I can hardly wait I can
get so much done it was will will when
you Wilson when you decide we’re going
to do this then we’ll drives you where
you get your vision clear where you get
the value proposition articulated will
is what makes you run into barriers and
problems and see them only as a pathway
to solve and get to where you’re going
so that when you live through the
process of willing something highly
unlikely into being and you’ve had
breakthrough after breakthrough after
struggle after struggle failure after
failure until all of a sudden you’ve
taken a giant step for mankind but on
the other side how is it that we have a
healthcare system that really is a sick
care system I learned when I got into
health services in midlife after my
parents got sick and I got mad and got
into it that the words that are used in
health care usually mean the opposite of
what they really are like if it’s a
nursing center it’s a place for dignity
and you can’t hardly find much of it
there or if it’s a health care system
it’s usually it’s really about being
sick how is it
that were number one in cost in this
country and 37th and outcome how is it
that if you get a diagnosis that
requires you to go to a specialist and
get complex treatment that you’re left
to navigate that on your own at a time
when you need coordination and
integration and someone to walk with you
along the way the most they’re not there
how is it that being in the hospital is
in the top 10 causes of death in this
country not because of why you went
there
but because you went there how is it
that after buying us our birthday
presents and helping us through school
and putting band-aids on our knees that
when we get old we get put out usually
they’re on the edge of town in a
well-meaning human file cabinet where
you lose the ability to get up when you
want lose the ability to eat what you
want lose the ability to decide whether
you’re going to get a shower or a bath
or what day that occurs how did it
happen and how is it that we haven’t
made advancements like the ones we just
talked about because we haven’t willed
it when you will it you get there when
you don’t will it there are all sorts of
intelligent sounding reasons that’s the
reasons for most of our conferences is
that we get together to talk about
challenges difficulties barriers and
that’s because we haven’t willed it
we’re at a juncture in healthcare it’s
politically sensitive you know
something’s not really healthy when
you’re not really supposed to say it out
loud you know that’s really when you
really need to say it out loud I don’t
think the answer is probably socialized
medicine and I can tell you for sure
it’s definitely not health savings
accounts but what will survive this
conversation is the part that nobody is
talking about and the reason why they’re
not talking about is because in the very
core of health care reform is one of the
most brilliant masterful pieces of
legislation in our history and that’s
the part that deals with what are we
supposed to be delivering to you how are
we supposed to be delivering that and
how are we held accountable for that and
how are we paid for that and how are we
penalized when we don’t and how do we
get ourselves so refined in what we do
that we begin to share the risk in
health health outcomes and when we all
become so incomplete understanding
together that we know that you two need
to have an accountability about
maintaining your health that’s the piece
that rather whether they go to the left
or to the right that is going to survive
it so what we’re left with really is
what we’re always left with you know a
speaker of the house from the old days
Tip O’Neill said all politics is local
and I don’t know that I believe that
anymore I used to but I will tell you
this all healthcare is local and it
needs to be local and while we’re
deciding and still discussing who
should have health care and who
shouldn’t and who should pay how much
and who shouldn’t we have a
responsibility as healthcare providers
and professionals in this country to on
the ground locally do what we’re
supposed to do so in Liberty we have
created a partnership between Liberty
Hospital which is a community-based
not-for-profit robust Hospital in a town
that is robust and fiercely independent
and we have created what is what is
called the Liberty healthy living
community which we have called Noor
chair it will open in September the core
of it is a 65 thousand square foot
healthy living Center that provides
medical fitness it provides corporate
fitness there will be three swimming
pools an indoor track Pilates a salon
bistro Yoga health coaches therapists of
every sort and most importantly in that
will be a integrated team of folks who
have traditionally been in the hospital
realm the discharge planners the
performance monitors some of the care
that management team will locate in that
healthy living center so that you are
navigating with each of your health
partners in health coaches as a patient
or as a person who wants to become more
fit who will walk with you through your
journey whether you’re a patient who has
chronic disease or a terminal diagnosis
and needs navigation through that system
or whether you’re someone who wants to
get buff and wants to run a marathon
that there will be a navigation team
that will help you in either case so
that in fact we will be a well based
system not a sick based system that will
overlook a city block of what we call
performance Park which will be an
outdoor area that has water features
fire
green places for performance and
encasing about that will be the housing
and services that will continue to grow
around that including a short-term state
a rapid recovery center health care
households that are skilled nursing that
replaced the institution with the
household model where it’s not public if
you want to enter there you ring the
doorbell and inside is a living room
dining room kitchen and food made there
24/7 whatever you want to eat whenever
you want to eat it you bathe when you
want in the way that you want with the
shampoo and the soap that you choose and
most importantly you stay at the driver
seat of your own life along with that
will be assisted living in memory loss
assisted living households and at the
end of that phase one there will be
independent living that has built on
overlooking performance Park and then
there will be market rate apartments and
independent housing for people of all
ages in that healthy living center there
will be around six to eight thousand
members of people of all ages from all
over the community the physicians who
are part of the hospital system will
refer into that where people can have
individual memberships for fitness they
will get prescriptions by the doctor and
also recommendations to the doctor so
that you can go to that healthy living
center and get nutrition counseling
weight management any number of things
so in effect the acute care system the
long-term care system the outpatient
system the specialists will all align
around this Center for well-being and
one of the things that this is going to
take is integrated technology there is
not an integrated structure of
technology for a seamless delivery of
health care
so that the technology can follow the
patient because frankly there hasn’t
been demand for it each of the providers
and their systems have been in silos for
so long that there has not been a demand
so we’re having to create that and
that’s costing seven figures
we’re also we’ll be collecting data from
wherever you start whether you’re port
of entry is I want to become more fit
and we do a biometric screening or
whether you’re port of entry is the
emergency room wherever your point of
entry is we will begin gathering data so
that you have individual data that you
can study and learn from and participate
in and be motivated by but will also be
able to gather data by diagnosis will be
able to gather data for health outcomes
will be able to gather data to interface
with insurance companies so that their
systems can begin to also ship to a well
based system we should be complete
between September 1st and October 1st of
this year and my belief is this if we
can in one place in one town marry it
all together in a person-centered you
focused system that helps you achieve
well-being and we can do that within the
existing reimbursement system and we can
we’ve invested sixty two million dollars
in making this reality come about it
will be a game changer it will if you
can kick the tires if you can look at it
if you could smell it and you can taste
it you have the evidence that you can at
a local level reshape how we live
together why are we telling you about
this now it’s under construction the
framing is up why aren’t you waiting
Steve to share this after you’ve got it
done and it’s up and successful what
happens if it doesn’t go as well as you
think
the reason why it will go as well as we
think is because the entire community
and all the provider community is
aligned around it will have barriers
will have problems but we have will and
when you have will you work through
those barriers and you achieve the
success but the main reason that we’re
taking the risk to share this now before
we’re done before we have lived it out
while the technology is being created
while the building is under construction
is because there’s going to have to be
awareness and alignment about this
concept early and it can’t wait for the
two to three years to stabilize but most
importantly is when you do something
risky and you do something important and
you do something that scares you and
this scares me a bit if you’ll publicly
say we’re doing this it makes you make
damn sure you do you know what I’m
saying
and it rekindles and keeps alive your
own hope about what we’re doing and it
engages you and invites you into that
hope so god bless you and thank you for
the opportunity to share
[Applause]
you
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