I really love this painting it was
painted by an artist named Phil this in
the late 1800s and it’s called the
doctor and what I like most about it is
the purity with which it portrays a
doctor-patient relationship but there’s
something else about the painting that I
want to point out and that’s the child
that child will probably die that’s what
this painting is all about and these
days if that child will probably die of
whooping cough or rheumatic fever these
days we really don’t worry much about
those conditions anymore because of
advances in the 20th century in fact in
the 20th century we added more than 25
years to our lifespan and I think we can
safely call the 20th century the century
of the lifespan but what we really
haven’t done is think about how we’re
going to harness the power of those
extra 25 years to live vibrant and
healthy lives and add back to society
and I call that problem the healthspan
and we need to catch the hell span up
with a lifespan one of the things that’s
going to be required to do that is to
rethink a bit the doctor-patient
relationship so yes I’d like to say that
we should make the 21st century the
century of the health span and we
actually are running out of time to make
that happen it’s a complicated thing
today I want to focus on health care
delivery as one of the challenges in
making that happen you see by 2020 there
will be more people over 65 than under 5
for the first time in history and by
2050 16% of the world’s population will
be over 65 double
the number under five and if you think
about it we’re kind of running out of
young people now why does that matter
and care delivery well when you as a
family caregiver or me as a health care
professional deliver care we pretty much
always do it one-to-one so the math is
not lining up well and we have to move
to one too many
now other service industries have done
this in health care we have not and
that’s what I want to explore with you
the technology or the care delivery
model to get us there is called
connected health and it’s things like
virtual visits with your doctor or using
wearables data for feedback loops or or
mobile apps for engagement tools like
that you’ve you’ve all heard about some
of this stuff and I’ve been studying
this care model for almost 25 years now
and I’m puzzled by why there hasn’t been
more adoption and I think one reason is
because frankly we’ve under imagined how
we’ve presented it to our patients and
consumers in fact we’re really at a
place where technology is now competing
with what humans do in service delivery
at least in healthcare and that’s
bringing us in a very bad way now we’ve
all had this experience where you pick
up the phone you have a very nuanced
question one simple question you just
want to get a human being on the other
end all you get is this endless array of
menu options
you finally get frustrated and put the
phone down you never get your question
answered and I think that kind of
automation is what a lot of consumers in
patients fear that will be how we bring
automation into healthcare delivery so
we can’t do it that way but other
industries have managed to do a pretty
good job of it think about uber and lyft
and how they’ve taken all of the things
that are a hassle out of getting a ride
and put it into their mobile app and
made it almost enjoyable to get a ride
now the service is still delivered by a
person but everything around
makes that person more efficient and
enhances your experience the best we can
do as healthcare is something what I
call a parallel experience you actually
can get a virtual visit with a doctor
these days probably won’t be your own
doctor most certainly and unfortunately
the record of that visit won’t be shared
with your doctor so it it’s a completely
parallel track not really very
imaginative at all
so we’ve we’ve done a little bit in
moving connected else forward but we
have a long long way to go because the
problem of bringing the healthspan in to
focus with a lifespan is bigger than
technology or human beings can do alone
and yet we persist as humans and
fighting with technology trying to make
sure that we can do things better that
tech can do better for us and forgetting
what it’s like to be human I’ve read a
really pivotal article in the Harvard
Business Review a few months ago by
Barry Libert and Megan Beck and the
title paraphrased was as we bring in
more artificial intelligence we need to
focus more on emotional intelligence and
they point out that knowledge workers do
these three things really well gather
data arrive at a conclusion and
synthesize a plan and I thought about I
said as a doctor I do that all day long
history and physical diagnosis care plan
and with no more artificial intelligence
that what we have on the market today
machines can hurt you do a better job of
that than people can but we persist in
trying to do it better than machines can
now there are uniquely human traits
that’s the thing and we’ve kind of lost
our way on those they they’re things
like caring emotional intelligence
judgment and attention to quality these
are things that we can do better than
machines but we’re so busy fighting with
technology we haven’t been able to do
that so together machines and people can
close the gap that’s where we need to
get now let me just tell you about how
if we can do that and deepen that
relationship the connection will be even
better
than what we see in the painting here’s
an example and there aren’t many trust
me now remember the goal here with one
too many is that I as a care provider
you need to feel cared for but you’re
gonna touch me less because again we’re
running out of people we’ve got to do
more one-to-many so this is an app we
created in our own group called a
palettes for patients who have cancer
and are using pain meds it’s a chronic
pain management application on their
phone and it does a lot of things it’s
very interactive it’s very educational
it’s meant to fill in the gaps that they
can’t when they can’t get to a doctor
they can’t say have a doctor within 24
hours a day it’s meant to fill in those
gaps and of course because we don’t want
to erode their experience there are
several places in the use of the app or
you can push a button and be connected
directly to one of the doctors at the
Massachusetts General Hospital and when
we study this app we noted two things
one was that the people who used it had
lower pain scores so they achieved
better pain control but they called the
doctor less they felt more cared for
using the technology than a control
group and they had less touches with the
healthcare provider that’s what I mean
by one-to-many so how do we get there
well if you’re a care provider start
looking for opportunities to outsource
routine tasks to technologies things
like gathering data synthesizing data
creating plans we should be embracing
technology to do those things better and
while we’re doing that retrain ourselves
to be more human to be more caring to be
more like the doctor and the field is
painting now if your supplier to our
industry well help us get there by
designing tools and solutions for our
consumers and patients that get out of
that under imagine thing I talked about
earlier it’s not a parallel track it’s
completely integrated let us give us
tools that we can be more like uber and
lyft as we conduct patient care and more
efficient with our human interactions
that are more powerful
more one-to-many and if you’re a patient
start to be vocal we have this thing
where doctors say to me my patients
don’t talk to me about this stuff I
don’t think they really care and yet
patients of course I thinking why
doesn’t my doctor move into the 21st
century be more vocal have more
conversations get involved help us
design the future and the best possible
way I’m confident that my colleagues in
healthcare provider my health care
provider colleagues are really in it
because of the way this relationship is
depicted in the painting we all want to
be caring individuals the paradox is we
have to adopt more technology to get
there now the tools to create
one-to-many care models are here they’re
in front of us we need to outsource more
routine tasks to technology things like
gathering data formulating a plan and we
need to train ourselves to be more human
to bring in caring to bring in emotional
intelligence judgment and quality if we
can do that we can make the 21st century
the century of the healthspan
thank you
[Applause]
painted by an artist named Phil this in
the late 1800s and it’s called the
doctor and what I like most about it is
the purity with which it portrays a
doctor-patient relationship but there’s
something else about the painting that I
want to point out and that’s the child
that child will probably die that’s what
this painting is all about and these
days if that child will probably die of
whooping cough or rheumatic fever these
days we really don’t worry much about
those conditions anymore because of
advances in the 20th century in fact in
the 20th century we added more than 25
years to our lifespan and I think we can
safely call the 20th century the century
of the lifespan but what we really
haven’t done is think about how we’re
going to harness the power of those
extra 25 years to live vibrant and
healthy lives and add back to society
and I call that problem the healthspan
and we need to catch the hell span up
with a lifespan one of the things that’s
going to be required to do that is to
rethink a bit the doctor-patient
relationship so yes I’d like to say that
we should make the 21st century the
century of the health span and we
actually are running out of time to make
that happen it’s a complicated thing
today I want to focus on health care
delivery as one of the challenges in
making that happen you see by 2020 there
will be more people over 65 than under 5
for the first time in history and by
2050 16% of the world’s population will
be over 65 double
the number under five and if you think
about it we’re kind of running out of
young people now why does that matter
and care delivery well when you as a
family caregiver or me as a health care
professional deliver care we pretty much
always do it one-to-one so the math is
not lining up well and we have to move
to one too many
now other service industries have done
this in health care we have not and
that’s what I want to explore with you
the technology or the care delivery
model to get us there is called
connected health and it’s things like
virtual visits with your doctor or using
wearables data for feedback loops or or
mobile apps for engagement tools like
that you’ve you’ve all heard about some
of this stuff and I’ve been studying
this care model for almost 25 years now
and I’m puzzled by why there hasn’t been
more adoption and I think one reason is
because frankly we’ve under imagined how
we’ve presented it to our patients and
consumers in fact we’re really at a
place where technology is now competing
with what humans do in service delivery
at least in healthcare and that’s
bringing us in a very bad way now we’ve
all had this experience where you pick
up the phone you have a very nuanced
question one simple question you just
want to get a human being on the other
end all you get is this endless array of
menu options
you finally get frustrated and put the
phone down you never get your question
answered and I think that kind of
automation is what a lot of consumers in
patients fear that will be how we bring
automation into healthcare delivery so
we can’t do it that way but other
industries have managed to do a pretty
good job of it think about uber and lyft
and how they’ve taken all of the things
that are a hassle out of getting a ride
and put it into their mobile app and
made it almost enjoyable to get a ride
now the service is still delivered by a
person but everything around
makes that person more efficient and
enhances your experience the best we can
do as healthcare is something what I
call a parallel experience you actually
can get a virtual visit with a doctor
these days probably won’t be your own
doctor most certainly and unfortunately
the record of that visit won’t be shared
with your doctor so it it’s a completely
parallel track not really very
imaginative at all
so we’ve we’ve done a little bit in
moving connected else forward but we
have a long long way to go because the
problem of bringing the healthspan in to
focus with a lifespan is bigger than
technology or human beings can do alone
and yet we persist as humans and
fighting with technology trying to make
sure that we can do things better that
tech can do better for us and forgetting
what it’s like to be human I’ve read a
really pivotal article in the Harvard
Business Review a few months ago by
Barry Libert and Megan Beck and the
title paraphrased was as we bring in
more artificial intelligence we need to
focus more on emotional intelligence and
they point out that knowledge workers do
these three things really well gather
data arrive at a conclusion and
synthesize a plan and I thought about I
said as a doctor I do that all day long
history and physical diagnosis care plan
and with no more artificial intelligence
that what we have on the market today
machines can hurt you do a better job of
that than people can but we persist in
trying to do it better than machines can
now there are uniquely human traits
that’s the thing and we’ve kind of lost
our way on those they they’re things
like caring emotional intelligence
judgment and attention to quality these
are things that we can do better than
machines but we’re so busy fighting with
technology we haven’t been able to do
that so together machines and people can
close the gap that’s where we need to
get now let me just tell you about how
if we can do that and deepen that
relationship the connection will be even
better
than what we see in the painting here’s
an example and there aren’t many trust
me now remember the goal here with one
too many is that I as a care provider
you need to feel cared for but you’re
gonna touch me less because again we’re
running out of people we’ve got to do
more one-to-many so this is an app we
created in our own group called a
palettes for patients who have cancer
and are using pain meds it’s a chronic
pain management application on their
phone and it does a lot of things it’s
very interactive it’s very educational
it’s meant to fill in the gaps that they
can’t when they can’t get to a doctor
they can’t say have a doctor within 24
hours a day it’s meant to fill in those
gaps and of course because we don’t want
to erode their experience there are
several places in the use of the app or
you can push a button and be connected
directly to one of the doctors at the
Massachusetts General Hospital and when
we study this app we noted two things
one was that the people who used it had
lower pain scores so they achieved
better pain control but they called the
doctor less they felt more cared for
using the technology than a control
group and they had less touches with the
healthcare provider that’s what I mean
by one-to-many so how do we get there
well if you’re a care provider start
looking for opportunities to outsource
routine tasks to technologies things
like gathering data synthesizing data
creating plans we should be embracing
technology to do those things better and
while we’re doing that retrain ourselves
to be more human to be more caring to be
more like the doctor and the field is
painting now if your supplier to our
industry well help us get there by
designing tools and solutions for our
consumers and patients that get out of
that under imagine thing I talked about
earlier it’s not a parallel track it’s
completely integrated let us give us
tools that we can be more like uber and
lyft as we conduct patient care and more
efficient with our human interactions
that are more powerful
more one-to-many and if you’re a patient
start to be vocal we have this thing
where doctors say to me my patients
don’t talk to me about this stuff I
don’t think they really care and yet
patients of course I thinking why
doesn’t my doctor move into the 21st
century be more vocal have more
conversations get involved help us
design the future and the best possible
way I’m confident that my colleagues in
healthcare provider my health care
provider colleagues are really in it
because of the way this relationship is
depicted in the painting we all want to
be caring individuals the paradox is we
have to adopt more technology to get
there now the tools to create
one-to-many care models are here they’re
in front of us we need to outsource more
routine tasks to technology things like
gathering data formulating a plan and we
need to train ourselves to be more human
to bring in caring to bring in emotional
intelligence judgment and quality if we
can do that we can make the 21st century
the century of the healthspan
thank you
[Applause]
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