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(synth music)

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(audience applause)

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- Well, I want to thank you all for coming

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and especially the people that came

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from outside of Philadelphia
that hovered over here.

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Especially those of you that time-traveled

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from other decades and times.

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I'm Steve Klasko, I'm the CEO of

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Stevie's Vinyl Emporium and
Implantable Health Chips

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in South Street in Philadelphia.

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That's what I am today,

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but for the past ten years,

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I've been the Presidency of
Thomas Jefferson University

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and Jefferson University Hospital System,

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that literally was one of the pioneers

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along with several others

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for what is now called the
Leaders of the Optimistic Future

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in Healthcare Revolution,

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from 2015 to 2024.

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So from those of you who are
coming from another decade,

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or for those of you who
are here in the 2020s,

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I'd like to talk a little bit

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about how that journey happened,

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and maybe give you a little
bit of a personal story

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about how it happened for me.

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So first, one of the things that we did,

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we got tired of whining,

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and we decided let's just
travel into the future.

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Let's just think about what we want

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and then create it.

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For me, that started in 1977.

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Very important time for me,

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I was a senior medical student.

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It was important because I got
asked to give a talk for TED.

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Now not the TED you're thinking of

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because TED didn't exist in 1977.

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It was called Tomorrow's
Education of Doctors.

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It was everything different

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than the technology that exists today.

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It was a little slide show with a screen,

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but they asked me to talk about

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what the future of medicine looks like

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from a medical student's point of view.

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The other reason I remember it,

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it was the first time I
saw the Rolling Stones.

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This is what they looked like back then.

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I was a huge fan, but what I talked about

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because I was a little
nervous about the first talk,

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I talked about, "Can you do
anything about spiraling costs?

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"Can you change the fevered service system

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"so we're really rewarding volume,

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"value and not volume,

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"and can you measure outcomes?"

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And I said, "My generation
of docs is gonna solve this

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"over the next four years.

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"We are not going to be dealing with this

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"even 20 years from now."

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Well amazingly the docs said, "No."

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And that didn't happen.

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Now I was also a very
different person back in 1977,

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this is what I looked like.
(applause and cheering)

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Thank you, thank you.

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That's called a leisure suit.
(audience laughing)

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And but for a brief interlude

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where they tried to bring it back in 2019,

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I think it's safe to say

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it's out of the fashion lexicon forever,

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but the car was a 1968 GTO which was,

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and is, a very cool car.
(audience light applause)

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Thank you.

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So there we went through really

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what was what some people
call the middle or dark ages,

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the Managed Care Revolution,

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which did not really manage anything.

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It didn't really provide care,

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it just promoted under utilization.

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The Balanced Budget Amendment,

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which didn't really balance the budget,

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and didn't really amend anything.

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And then the first iteration

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of what has now been 17 iterations

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of what was then called Obamacare.

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So that bring us to 2014,

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and why was 2014 important to me?

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Well I was very proud and honored

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to be inaugurated and selected

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as the first president and CEO

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of Thomas Jefferson University

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and Health Systems combined.

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It was also a big moment for me

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because it was the second
time I saw the Rolling Stones,

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and this is what they
looked like back in 2014.

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And in my inauguration
I was given a script,

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and what I talked about
in inauguration of 2014 is

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"Hey, can we do anything
about spiraling costs?

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"Can we change the fevered service system?

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"Do you think we can measure outcomes?"

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So it was a bit of an aha moment for me,

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I said, "Well, 37 years, that's a lot

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for not to have much change."

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This time though, the
insurers and government said,

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"We're really going to do it."

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And really what people were
actually predicting is,

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because believe it or not even at 2014

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the docs said, "I really
don't want to take any risks.

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"I think things are
fine the way they are."

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And you couldn't go a week

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without people threatening the extinction

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of academic health centers.

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So I'm proud to say here in
Philadelphia and Jefferson,

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we said yes, and I'd love
to talk to you a little bit

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about what happened between 2014 and 2024.

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So here we are in 2024, and by the way,

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I don't know if any of you saw it

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in your Facebook implantable glasses,

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the Zombie Rock Tour, it was awesome.

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It was awesome.

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By the way, those Facebook
implantable glasses,

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can be bought at Stevie's Vinyl Records

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and Implantable Devices.

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This is, I thought the Rolling Stones,

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the Rolling Stones rocked,
(audience laughter)

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they rocked the undead tour, right?

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Who agrees with me? They
rocked the undead tour.

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Seven decades of great Rolling Stones,

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You talk about not
getting any satisfaction,

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look at these guys.

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But more importantly, more importantly,

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what happened in Philadelphia,

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what happened at Jefferson was,

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that we took, we took that mode of,

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people saying that it's
impossible to change healthcare.

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And really the personal piece
for me believe it or not

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did not come from Admonities
or Aristotle, or even somebody

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from the University of
Pennsylvania or Jefferson.

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It came from a sneaker commercial.

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It was an Adidas marketing
campaign back in 2014

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called the Impossible,

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it said "Impossible is just a big word

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"thrown around by small men and women

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"who find it easier to live
the world they've been given

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"rather than explore the
power they have to change it.

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"Impossible is not a fact it's an opinion.

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"Impossible is temporary,
impossible is nothing."

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So we decided, what the heck,
let's do the impossible.

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Because everybody know
things were changing,

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we weren't going to wait for a miracle.

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And we said, "Let's do it."

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Okay so, here it is, it's March 28, 2024,

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now I apologize for those of
you who come from this decade,

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but I know some of you
probably have time travel lag,

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and I just want you to
know where we're at today.

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So it's March 28, 2024,
President Jenna Bush

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will be debating democratic
nominee Chelsea Clinton,

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in what a lot of people think
will be a very tight race.

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Harrison Ford has signed on

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for one last Indiana Jones sequel.

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Tentatively titled Indiana
Jones: the Legend of Bingo Night,

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we're all excited about that one.

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And the Eagles are 2-0

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and trying to win their first Superbowl

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since the unprecedented
four straight they won

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from 2015 to 2018, the so-called
Chip Championship Years.

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(audience applause and cheering)

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Of course, Governor Chip
now has a very different job

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than he had back then.

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But more importantly, more
importantly or as importantly,

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Jefferson is celebrating
it's 200th anniversary

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as a state wide national,

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and international hub of innovation,

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with headquarters in Philadelphia

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instead of just a Philadelphia
academic medical center.

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We've become a destination site

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for innovation entrepreneurial health

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with unprecedented economic development.

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And our creative
partnerships have allowed us

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to become what the Wall
Street Journal called

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a thriving cluster on the
verge of a chain reaction.

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Which has helped make
Philadelphia the epicenter

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of the new healthcare.

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Oh and by the way, I'm
getting out of my DeLorean

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to accept an award from the US News

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and the Interplanetary
Report, as most of you know,

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in 2019 we found two other planets

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with slightly disfunctional heath systems.

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So they are now part of the ranking system

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that the forward USNWR uses.

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So how did we get there?

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I'd like to, TEDx has
asked me to talk about

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three things that we did
that were very different.

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First of all we decided that we're going

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to start to create docs of the future.

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That it's ridiculous to have the same way

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that we selected and educated physicians

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that became autonomous,
competitive, and hierarchical,

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and that we actually were
going to change the DNA

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of healthcare literally
one physician at a time.

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You might now believe this,

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but back in 2014 we still
chose doctors based on

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science GPAs, MedCaTs which
were a multiple choice test,

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and organic chemistry performance.

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And somehow we were amazed
that doctors weren't

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more empathetic,
commutative, and creative.

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(audience laughter)
As my kids would say, "Duh."

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So we changed all that.

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What we recognized is

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that it used to be for those
of you who came from the 70s,

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and I think there are actually some,

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I see some people from 2014,

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I see some people from the 80s.

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Go Journey, yeah.

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I see some tie dye out there,
some 60s and 70s, peace.

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But we decided to transform admissions.

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What we realized is that
all the scientific data

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is all on, what we called in
2014, iPhones and Androids,

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but really what we needed

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were really emotionally
intelligent physicians.

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So we now really select
physicians based on

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self-awareness, self-management,

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and the ability to adapt,

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social awareness and empathy,

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relationship management, teamwork,

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and the ability to really embrace change

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instead of fighting it.

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But not only that we
totally changed the way

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that we teach the physicians
that we do accept.

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Believe it or not back in 2014,

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we used to spend two
years really teaching them

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scientific principles
in large auditoriums,

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classes that a lot of them didn't come to,

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when we recognized that
we could do all that,

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have them learn that at
two o'clock in the morning.

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Now we spend most of our time

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in what we call the Art of Attending.

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Teaching them to really observe,

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we started back in
2014, workshops designed

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to sharpen observation
skills of health students

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by looking at art.

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Very unusual partnership,

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it was Thomas Jefferson University,

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a contemporary art museum,

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and an institute for an
optimistic future in healthcare.

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We took students and
had them understand art.

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So if you take this
piece of art over here.

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Medical students originally said,

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"That's a woman, that's a
snake, that's a family."

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But when you start to look
and say what is the story?

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It starts to totally change the way

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that they cared for patients.

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And at the end of the
day we went from silos

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of full-time individuals

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to folks who could deliver
team-enabled and team-based care.

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Doctors went from being
captains of the ship

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to being part of a team,

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and they believe it or not worked closely

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with multidisciplinary
care and delivery teams.

257
00:09:42,419 --> 00:09:44,528
Including doctors of nursing practice,

258
00:09:44,528 --> 00:09:46,612
nurse practitioners, clinical pharmacists,

259
00:09:46,612 --> 00:09:48,055
physician's assistants,

260
00:09:48,055 --> 00:09:49,803
and at the Thomas Jefferson Institute

261
00:09:49,803 --> 00:09:51,099
of Emerging Health Professions,

262
00:09:51,099 --> 00:09:54,279
professions that didn't
even exist in 2014.

263
00:09:54,279 --> 00:09:56,751
Things like probability experts,

264
00:09:56,751 --> 00:09:58,718
electronic health care ambassadors,

265
00:09:58,718 --> 00:10:00,855
and telehealth professionals.

266
00:10:00,855 --> 00:10:04,549
So we recognized that we
need to evolve doctoring.

267
00:10:04,549 --> 00:10:07,843
We also recognized that
the patient experience

268
00:10:07,843 --> 00:10:09,714
was really pretty lousy.

269
00:10:09,714 --> 00:10:13,074
Back in 2014 you could actually do

270
00:10:13,074 --> 00:10:15,292
anything you needed to do in travel,

271
00:10:15,292 --> 00:10:18,140
anything you needed to do
in shopping, on a device,

272
00:10:18,140 --> 00:10:20,761
but could you get an appointment
with a physician? No.

273
00:10:20,761 --> 00:10:23,641
Could you interact with
a doctor or nurse? No.

274
00:10:23,641 --> 00:10:26,756
So we decided that
healthcare needed in 2014,

275
00:10:26,756 --> 00:10:28,426
to get into the E and I mode.

276
00:10:28,426 --> 00:10:32,425
If you even look at how people
viewed us from TV shows,

277
00:10:32,425 --> 00:10:34,883
how many of you are here from the 70s?

278
00:10:34,883 --> 00:10:36,018
There you go, okay.

279
00:10:36,018 --> 00:10:39,089
So the big tip in the
70s was Marcus Welby.

280
00:10:39,089 --> 00:10:40,648
Now here's what Marcus Welby was,

281
00:10:40,648 --> 00:10:43,623
he was a family physician, he
would get up in the morning,

282
00:10:43,623 --> 00:10:45,140
he would go to the homeless shelter,

283
00:10:45,140 --> 00:10:46,655
take care of people for free.

284
00:10:46,655 --> 00:10:48,347
On the way home to lunch

285
00:10:48,347 --> 00:10:50,304
a cow would be having
trouble delivering a calf,

286
00:10:50,304 --> 00:10:51,561
he'd deliver it.

287
00:10:51,561 --> 00:10:54,710
He'd then go to his family
medicine office in the afternoon,

288
00:10:54,710 --> 00:10:57,226
and then at night he'd do
lecithin ventricular neurosurgery.

289
00:10:57,226 --> 00:10:58,958
We were gods, we could do everything,

290
00:10:58,958 --> 00:11:00,678
that's how people viewed us.

291
00:11:00,678 --> 00:11:02,783
In the 2010s this is what we had.

292
00:11:02,783 --> 00:11:06,216
Anybody remember this guy?
(audience laughter)

293
00:11:06,216 --> 00:11:09,364
He was a drug addicted,
sex addicted, really smart,

294
00:11:09,364 --> 00:11:12,281
guy that couldn't
communicate or see patients.

295
00:11:12,281 --> 00:11:14,501
That's what people viewed us.

296
00:11:14,501 --> 00:11:17,201
The number one TV show of 2023?

297
00:11:17,201 --> 00:11:21,368
Was Doctor WHHO, stands for
Watson Hybrid Hydro-Organo,

298
00:11:22,739 --> 00:11:25,561
Doc, who basically fell in love

299
00:11:25,561 --> 00:11:28,710
with his robotic-bionic counterpart

300
00:11:28,710 --> 00:11:30,365
who does all the scientific stuff,

301
00:11:30,365 --> 00:11:32,225
while he does the emotional stuff.

302
00:11:32,225 --> 00:11:34,240
And as you can imagine, hilarity ensues.

303
00:11:34,240 --> 00:11:37,057
By the way--
(audience laughs)

304
00:11:37,057 --> 00:11:40,544
By the way the first
season, the first season,

305
00:11:40,544 --> 00:11:42,846
of Doctor WHHO is available

306
00:11:42,846 --> 00:11:45,617
on Google Glass implantable chips,

307
00:11:45,617 --> 00:11:49,220
available in Stevie's Vinyl
Records and Implantable Chips

308
00:11:49,220 --> 00:11:51,309
on South Street.

309
00:11:51,309 --> 00:11:54,048
So we embrace, the other thing we embraced

310
00:11:54,048 --> 00:11:55,083
was entrepreneurship.

311
00:11:55,083 --> 00:11:57,694
We recognized that being
academic and entrepreneurial

312
00:11:57,694 --> 00:11:59,778
just were not mutually exclusive,

313
00:11:59,778 --> 00:12:01,179
and we also recognized

314
00:12:01,179 --> 00:12:04,285
that we had to enhance
the consumer experience.

315
00:12:04,285 --> 00:12:06,956
It really was lousy going to a physician.

316
00:12:06,956 --> 00:12:08,409
This is what it looked like back in 2014.

317
00:12:08,409 --> 00:12:10,250
(moaning)
- What's wrong?

318
00:12:10,250 --> 00:12:11,655
- I don't feel so good.

319
00:12:11,655 --> 00:12:14,387
- Then you need to go to a doctor.

320
00:12:14,387 --> 00:12:16,637
(sneezing)

321
00:12:20,959 --> 00:12:22,228
- Mr. Stephenson?

322
00:12:22,228 --> 00:12:23,228
- Stevenson.

323
00:12:24,392 --> 00:12:26,013
- Do you have any allergies?

324
00:12:26,013 --> 00:12:27,679
How would you describe your symptoms?

325
00:12:27,679 --> 00:12:29,065
What is the general area of pain?

326
00:12:29,065 --> 00:12:30,593
Does your family have a
history of heart disease?

327
00:12:30,593 --> 00:12:32,481
Does your family have
a history of diabetes?

328
00:12:32,481 --> 00:12:35,826
- And what seems to be the
problem today, Mr. Stevenson?

329
00:12:35,826 --> 00:12:38,397
- I'm feeling a little stuffed up.

330
00:12:38,397 --> 00:12:39,688
I'm experiencing some--

331
00:12:39,688 --> 00:12:42,267
- Doctor your three o'clock
is early, your 2:45 is late,

332
00:12:42,267 --> 00:12:43,414
from six and seven.

333
00:12:43,414 --> 00:12:44,786
- Follow these instructions

334
00:12:44,786 --> 00:12:46,204
and if it doesn't clear
up in a week or two

335
00:12:46,204 --> 00:12:48,040
come back and we'll do
this all over again.

336
00:12:48,040 --> 00:12:50,196
(moaning)

337
00:12:50,196 --> 00:12:52,779
- I don't like going to the doctor.

338
00:12:52,779 --> 00:12:54,933
- So in July of 2014,

339
00:12:54,933 --> 00:12:57,000
we partnered with some great companies,

340
00:12:57,000 --> 00:13:00,324
created an innovation driven
ecosystem for healthcare.

341
00:13:00,324 --> 00:13:02,830
And starting in 2015 patients in 48 states

342
00:13:02,830 --> 00:13:05,933
could access doctors via Telemedicine.

343
00:13:05,933 --> 00:13:07,430
- Well now you can see a doctor

344
00:13:07,430 --> 00:13:08,846
without going to a doctor's office.

345
00:13:08,846 --> 00:13:10,296
With the help of your
smart phone or computer,

346
00:13:10,296 --> 00:13:11,854
and American Well.

347
00:13:11,854 --> 00:13:14,234
Signing up and setting up
your health profile is easy,

348
00:13:14,234 --> 00:13:15,965
it only takes a minute,

349
00:13:15,965 --> 00:13:18,484
and once you're done it, it's
stored safely and securely.

350
00:13:18,484 --> 00:13:20,120
Then you can log in or use the app

351
00:13:20,120 --> 00:13:21,690
to see doctors who're available,

352
00:13:21,690 --> 00:13:24,881
and connect by video phone or chat.

353
00:13:24,881 --> 00:13:28,949
- Hi Allen, I see you've been
experiencing some congestion

354
00:13:28,949 --> 00:13:30,782
and some nasal blockage.

355
00:13:30,782 --> 00:13:32,541
How long as this been going on?

356
00:13:32,541 --> 00:13:33,722
- During the visit,

357
00:13:33,722 --> 00:13:35,200
the doctor can see your
health information,

358
00:13:35,200 --> 00:13:37,028
afterward you get a complete write-up

359
00:13:37,028 --> 00:13:38,194
of everything the doctor says.

360
00:13:38,194 --> 00:13:40,192
- Well it looks like acute sinusitis,

361
00:13:40,192 --> 00:13:41,890
a sinus infection.

362
00:13:41,890 --> 00:13:44,679
Now I wrote you a prescription
to help with the congestion.

363
00:13:44,679 --> 00:13:47,168
If things don't clear
up in say, a week or so,

364
00:13:47,168 --> 00:13:48,556
just send me a message.

365
00:13:48,556 --> 00:13:49,782
I'll be right here.

366
00:13:49,782 --> 00:13:51,725
- A few minutes later
I've got my diagnosis,

367
00:13:51,725 --> 00:13:53,040
and my instructions for treatment,

368
00:13:53,040 --> 00:13:54,662
and my prescription is
already waiting for me

369
00:13:54,662 --> 00:13:55,724
at the pharmacy.

370
00:13:55,724 --> 00:13:59,395
- Of course all that now is
happens in your Google Glasses

371
00:13:59,395 --> 00:14:01,661
which are available by the way

372
00:14:01,661 --> 00:14:05,624
at Stevie's Vinyl Records
and Implantable Health Chips.

373
00:14:05,624 --> 00:14:09,281
We also recognize that
information was everything.

374
00:14:09,281 --> 00:14:10,651
As Yogi Berra would say,

375
00:14:10,651 --> 00:14:13,111
"It comes down to one word, big data."

376
00:14:13,111 --> 00:14:16,519
And believe it or not, believe it or not,

377
00:14:16,519 --> 00:14:19,913
we used to do everything based
on experience and anecdote.

378
00:14:19,913 --> 00:14:24,080
Evidence based medicine in
2024 was actually a novel idea.

379
00:14:25,267 --> 00:14:28,039
And now we recognize
that we can take things

380
00:14:28,039 --> 00:14:29,160
from other industries.

381
00:14:29,160 --> 00:14:31,677
So at Jefferson for example, in 2014,

382
00:14:31,677 --> 00:14:33,768
we started the Center for
Healthcare and Entrepreneurship

383
00:14:33,768 --> 00:14:35,297
and Scientific Solutions.

384
00:14:35,297 --> 00:14:40,019
We said it really doesn't
make any sense that Nick Foles

385
00:14:40,019 --> 00:14:43,043
has a better idea whether or
not a screen pass will work,

386
00:14:43,043 --> 00:14:44,172
in the third quarter,

387
00:14:44,172 --> 00:14:46,476
than I do of whether or not
a cancer drug will work.

388
00:14:46,476 --> 00:14:47,641
So we took some of the best people

389
00:14:47,641 --> 00:14:49,408
doing mathematical modelling

390
00:14:49,408 --> 00:14:52,446
and created a predictive analytics
of mathematical modelling

391
00:14:52,446 --> 00:14:54,463
to reduce uncertainty of medicine.

392
00:14:54,463 --> 00:14:56,386
Believe it or not in 2014,

393
00:14:56,386 --> 00:14:59,782
28% of people that went to
the hospital in this country

394
00:14:59,782 --> 00:15:02,494
got readmitted within 90 days.

395
00:15:02,494 --> 00:15:04,587
Now through our mathematical modelling

396
00:15:04,587 --> 00:15:06,511
we're able to see
exactly what intervention

397
00:15:06,511 --> 00:15:08,807
will keep people from coming back.

398
00:15:08,807 --> 00:15:10,825
Not only that we've changed
the way we do things.

399
00:15:10,825 --> 00:15:13,940
In 2014, family medicine physicians

400
00:15:13,940 --> 00:15:15,955
would actually be out of the hospital.

401
00:15:15,955 --> 00:15:18,303
Hospitalists would never
leave the hospital,

402
00:15:18,303 --> 00:15:20,257
and then there was no real communication.

403
00:15:20,257 --> 00:15:22,429
Now we have what's called extensivists.

404
00:15:22,429 --> 00:15:25,545
Hospitalists that actually
follow those patients for 90 days

405
00:15:25,545 --> 00:15:27,878
so they don't get readmitted.

406
00:15:27,878 --> 00:15:29,937
We actually pay for performance now

407
00:15:29,937 --> 00:15:32,036
because we can actually
measure performance.

408
00:15:32,036 --> 00:15:35,074
And we can actually give
you predictable answers

409
00:15:35,074 --> 00:15:38,460
as to what you're paying for
and what you're getting back.

410
00:15:38,460 --> 00:15:40,173
And accountable care organizations

411
00:15:40,173 --> 00:15:42,113
for the first time really are accountable

412
00:15:42,113 --> 00:15:44,348
because we have math to back it up.

413
00:15:44,348 --> 00:15:47,242
One of the great things that
happened in Philadelphia,

414
00:15:47,242 --> 00:15:49,073
believe it or not again in 2014,

415
00:15:49,073 --> 00:15:51,375
with decreasing NIH funding,

416
00:15:51,375 --> 00:15:54,578
Penn, Jefferson, Temple, Drexel,

417
00:15:54,578 --> 00:15:57,050
would all fight for NIH funds.

418
00:15:57,050 --> 00:16:00,341
What we did, and one of
the greatest things we did,

419
00:16:00,341 --> 00:16:02,796
we created the Philadelphia
Clinical Research Super Site.

420
00:16:02,796 --> 00:16:04,606
Where we said really what's important

421
00:16:04,606 --> 00:16:06,505
is to take all of our resources,

422
00:16:06,505 --> 00:16:08,114
both in education and research,

423
00:16:08,114 --> 00:16:10,004
and make Philadelphia an epicenter.

424
00:16:10,004 --> 00:16:12,174
What did that do for us
over the last 10 years?

425
00:16:12,174 --> 00:16:14,652
Well were able to take the
Nanotechnology University

426
00:16:14,652 --> 00:16:17,757
of Pennsylvania and Molecular
Genomics at Jefferson

427
00:16:17,757 --> 00:16:20,303
and create the DNA vending machine.

428
00:16:20,303 --> 00:16:21,728
For those of your from the 2010s,

429
00:16:21,728 --> 00:16:24,048
it's sort of like a red box for your DNA.

430
00:16:24,048 --> 00:16:25,670
We can now pick a drug for you,

431
00:16:25,670 --> 00:16:28,889
instead of saying it's for
200 people that look like you,

432
00:16:28,889 --> 00:16:31,592
we can take exactly the
drug that fits your genome

433
00:16:31,592 --> 00:16:33,246
and have it available for you.

434
00:16:33,246 --> 00:16:35,171
We can also put your genome on a chip,

435
00:16:35,171 --> 00:16:37,795
so that God forbid, if
you need a new organ,

436
00:16:37,795 --> 00:16:39,028
we can make that for you

437
00:16:39,028 --> 00:16:42,039
based on work that's been
done in Philadelphia.

438
00:16:42,039 --> 00:16:44,677
And we finally decided
to work with patients

439
00:16:44,677 --> 00:16:47,740
to really make them
shareholders in their health,

440
00:16:47,740 --> 00:16:49,264
and this is what it means.

441
00:16:49,264 --> 00:16:51,969
It means that in a
community like Philadelphia,

442
00:16:51,969 --> 00:16:53,621
if we're able to make you healthier

443
00:16:53,621 --> 00:16:56,413
we do better as physicians,
and you do better.

444
00:16:56,413 --> 00:16:58,649
And we actually partnered
with great companies

445
00:16:58,649 --> 00:17:00,562
from again outside Philadelphia

446
00:17:00,562 --> 00:17:02,365
to look at a different way

447
00:17:02,365 --> 00:17:04,724
of making sure that everyone matters.

448
00:17:04,724 --> 00:17:08,429
That we can look at not only
drugs, but holistic remedies

449
00:17:08,429 --> 00:17:11,734
to look at personalized
performance game plans

450
00:17:11,734 --> 00:17:15,297
integrating a proven system
to drive health outcomes.

451
00:17:15,297 --> 00:17:17,453
Whether it's mindset, or nutrition,

452
00:17:17,453 --> 00:17:18,992
or movement, or recovery,

453
00:17:18,992 --> 00:17:20,821
we were able to do many more things

454
00:17:20,821 --> 00:17:23,119
that didn't require pharmaceuticals.

455
00:17:23,119 --> 00:17:26,473
So that brings us to 2024, and as I said,

456
00:17:26,473 --> 00:17:28,965
I'm here to accept our number one ranking

457
00:17:28,965 --> 00:17:31,158
from the US News and Interplanetary Report

458
00:17:31,158 --> 00:17:32,956
and what's really cool is

459
00:17:32,956 --> 00:17:34,851
that some of the ranking parameters

460
00:17:34,851 --> 00:17:36,469
didn't even exist in 2014,

461
00:17:36,469 --> 00:17:37,666
and I'll give you an example

462
00:17:37,666 --> 00:17:39,232
of a few of them on the academic side,

463
00:17:39,232 --> 00:17:40,813
and a few of them on the clinical side.

464
00:17:40,813 --> 00:17:44,074
On the academic side we
actually, imagine this,

465
00:17:44,074 --> 00:17:46,540
get ranked based on how our students do

466
00:17:46,540 --> 00:17:48,885
at one year, three year, and five year.

467
00:17:48,885 --> 00:17:51,466
We measure individual professional
and personal happiness

468
00:17:51,466 --> 00:17:54,310
at varying interval after graduation.

469
00:17:54,310 --> 00:17:56,727
Because after all, that's why
they came to our university.

470
00:17:56,727 --> 00:17:58,656
And if we don't do really well,

471
00:17:58,656 --> 00:18:00,788
then they actually get
some of their money back.

472
00:18:00,788 --> 00:18:02,737
We have a collaborative quotient,

473
00:18:02,737 --> 00:18:04,851
academic entities are incentivized

474
00:18:04,851 --> 00:18:06,784
to actually get over themselves
and work well with others,

475
00:18:06,784 --> 00:18:08,675
(audience laughter)

476
00:18:08,675 --> 00:18:11,684
which would have been unheard of in 2014

477
00:18:11,684 --> 00:18:14,262
when they were all
cannibalizing each other.

478
00:18:14,262 --> 00:18:16,330
And we have an entrepreneurial quotient,

479
00:18:16,330 --> 00:18:17,877
institutions were awarded,

480
00:18:17,877 --> 00:18:20,659
that invent and envision
new ways of doing things

481
00:18:20,659 --> 00:18:22,108
that generate alternate revenue

482
00:18:22,108 --> 00:18:24,152
and develop new student opportunities.

483
00:18:24,152 --> 00:18:27,249
But probably nothing's changed the most,

484
00:18:27,249 --> 00:18:28,813
than health quotients.

485
00:18:28,813 --> 00:18:31,676
I mean, it used to be
back in 2014 and before,

486
00:18:31,676 --> 00:18:32,958
that parameters were based

487
00:18:32,958 --> 00:18:35,086
on reputational scores in the past.

488
00:18:35,086 --> 00:18:36,921
Now it's based on what patients think.

489
00:18:36,921 --> 00:18:39,434
For one, I'm really proud
of that we a very high score

490
00:18:39,434 --> 00:18:41,498
on is called the BUB Quotient.

491
00:18:41,498 --> 00:18:44,095
It stands for the Believable
Understandable Bill,

492
00:18:44,095 --> 00:18:46,508
that we actually have
enough respect for patients,

493
00:18:46,508 --> 00:18:48,505
that we provide understandable bills

494
00:18:48,505 --> 00:18:50,443
so they can understand what they got

495
00:18:50,443 --> 00:18:52,436
and what they're paying for.

496
00:18:52,436 --> 00:18:53,950
We have the Say What You Mean

497
00:18:53,950 --> 00:18:56,097
and Mean What You Say quality parameter.

498
00:18:56,097 --> 00:18:57,776
We actually take marketing professionals

499
00:18:57,776 --> 00:19:00,028
to read all the billboards
and the marketing we do,

500
00:19:00,028 --> 00:19:02,292
and see if they have
any semblance to reality

501
00:19:02,292 --> 00:19:04,202
of what really happens in the hospital,

502
00:19:04,202 --> 00:19:06,983
and you get points if there
is some semblance to reality.

503
00:19:06,983 --> 00:19:08,553
And then finally we have

504
00:19:08,553 --> 00:19:10,301
the Through the Patient's Eyes factor.

505
00:19:10,301 --> 00:19:12,284
And this is really exciting
because what it is,

506
00:19:12,284 --> 00:19:14,475
is every patient now in 2024,

507
00:19:14,475 --> 00:19:16,867
is basically when they get in the hospital

508
00:19:16,867 --> 00:19:18,160
given a Google Glasses,

509
00:19:18,160 --> 00:19:20,313
and they basically can record

510
00:19:20,313 --> 00:19:23,358
what's happening through their eyes.

511
00:19:23,358 --> 00:19:25,466
How the doctors and
nurses are treating them

512
00:19:25,466 --> 00:19:27,655
and then we have CEOs of other hospitals

513
00:19:27,655 --> 00:19:29,406
look at that video for a day

514
00:19:29,406 --> 00:19:32,164
and grade on 1 to 10 how
they'd like to spend a day

515
00:19:32,164 --> 00:19:33,298
in that hospital.

516
00:19:33,298 --> 00:19:35,514
And again that's a great parameter for us.

517
00:19:35,514 --> 00:19:38,545
So a lot has happened since 2024,

518
00:19:38,545 --> 00:19:40,518
and I'm really excited to be here,

519
00:19:40,518 --> 00:19:41,748
we're about to accept an award

520
00:19:41,748 --> 00:19:43,413
in the new convention center an casino

521
00:19:43,413 --> 00:19:44,596
on the Schuylkill River.

522
00:19:44,596 --> 00:19:47,037
(audience laughter)

523
00:19:47,037 --> 00:19:50,416
And some things from the
past really are good,

524
00:19:50,416 --> 00:19:53,193
I'm going through my third mid-life crisis

525
00:19:53,193 --> 00:19:55,140
because I'm 70 and I'm,

526
00:19:55,140 --> 00:19:57,105
what happens is people live to 120,

527
00:19:57,105 --> 00:19:58,846
so mid-life crises have changed.

528
00:19:58,846 --> 00:20:00,635
And I'm proud to say
this is what got myself,

529
00:20:00,635 --> 00:20:01,586
I was able to retrofit
(audience applause)

530
00:20:01,586 --> 00:20:05,147
a GTO to hit the standards for hovercraft.

531
00:20:05,147 --> 00:20:07,220
Excuse me for a second.

532
00:20:07,220 --> 00:20:09,579
Google Glass out, could you get the GTO

533
00:20:09,579 --> 00:20:11,540
to get ready to go to the
convention center, great.

534
00:20:11,540 --> 00:20:14,239
Thank you, listen I want to
really thank you for being here,

535
00:20:14,239 --> 00:20:16,661
I want to thank you for
travelling in time and space,

536
00:20:16,661 --> 00:20:19,749
and most importantly, stay
healthy in Philadelphia.

537
00:20:19,749 --> 00:20:23,916
Thank you very much.
(audience applause)