[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:01.30,0:00:03.80,Default,,0000,0000,0000,,(synth music)
Dialogue: 0,0:00:08.80,0:00:11.84,Default,,0000,0000,0000,,(audience applause)
Dialogue: 0,0:00:11.84,0:00:13.29,Default,,0000,0000,0000,,- Well, I want to thank you all for coming
Dialogue: 0,0:00:13.29,0:00:14.96,Default,,0000,0000,0000,,and especially the people that came
Dialogue: 0,0:00:14.96,0:00:18.24,Default,,0000,0000,0000,,from outside of Philadelphia\Nthat hovered over here.
Dialogue: 0,0:00:18.24,0:00:20.55,Default,,0000,0000,0000,,Especially those of you that time-traveled
Dialogue: 0,0:00:20.55,0:00:22.04,Default,,0000,0000,0000,,from other decades and times.
Dialogue: 0,0:00:22.04,0:00:24.38,Default,,0000,0000,0000,,I'm Steve Klasko, I'm the CEO of
Dialogue: 0,0:00:24.38,0:00:26.96,Default,,0000,0000,0000,,Stevie's Vinyl Emporium and\NImplantable Health Chips
Dialogue: 0,0:00:26.96,0:00:29.26,Default,,0000,0000,0000,,in South Street in Philadelphia.
Dialogue: 0,0:00:29.26,0:00:30.82,Default,,0000,0000,0000,,That's what I am today,
Dialogue: 0,0:00:30.82,0:00:32.99,Default,,0000,0000,0000,,but for the past ten years,
Dialogue: 0,0:00:32.99,0:00:35.26,Default,,0000,0000,0000,,I've been the Presidency of\NThomas Jefferson University
Dialogue: 0,0:00:35.26,0:00:37.72,Default,,0000,0000,0000,,and Jefferson University Hospital System,
Dialogue: 0,0:00:37.72,0:00:40.47,Default,,0000,0000,0000,,that literally was one of the pioneers
Dialogue: 0,0:00:40.47,0:00:41.71,Default,,0000,0000,0000,,along with several others
Dialogue: 0,0:00:41.71,0:00:44.41,Default,,0000,0000,0000,,for what is now called the\NLeaders of the Optimistic Future
Dialogue: 0,0:00:44.41,0:00:46.22,Default,,0000,0000,0000,,in Healthcare Revolution,
Dialogue: 0,0:00:46.22,0:00:48.26,Default,,0000,0000,0000,,from 2015 to 2024.
Dialogue: 0,0:00:48.26,0:00:51.04,Default,,0000,0000,0000,,So from those of you who are\Ncoming from another decade,
Dialogue: 0,0:00:51.04,0:00:53.48,Default,,0000,0000,0000,,or for those of you who\Nare here in the 2020s,
Dialogue: 0,0:00:53.48,0:00:54.82,Default,,0000,0000,0000,,I'd like to talk a little bit
Dialogue: 0,0:00:54.82,0:00:56.30,Default,,0000,0000,0000,,about how that journey happened,
Dialogue: 0,0:00:56.30,0:00:58.16,Default,,0000,0000,0000,,and maybe give you a little\Nbit of a personal story
Dialogue: 0,0:00:58.16,0:00:59.93,Default,,0000,0000,0000,,about how it happened for me.
Dialogue: 0,0:00:59.93,0:01:01.79,Default,,0000,0000,0000,,So first, one of the things that we did,
Dialogue: 0,0:01:01.79,0:01:03.45,Default,,0000,0000,0000,,we got tired of whining,
Dialogue: 0,0:01:03.45,0:01:05.34,Default,,0000,0000,0000,,and we decided let's just\Ntravel into the future.
Dialogue: 0,0:01:05.34,0:01:06.91,Default,,0000,0000,0000,,Let's just think about what we want
Dialogue: 0,0:01:06.91,0:01:08.19,Default,,0000,0000,0000,,and then create it.
Dialogue: 0,0:01:08.19,0:01:11.30,Default,,0000,0000,0000,,For me, that started in 1977.
Dialogue: 0,0:01:11.30,0:01:12.67,Default,,0000,0000,0000,,Very important time for me,
Dialogue: 0,0:01:12.67,0:01:14.78,Default,,0000,0000,0000,,I was a senior medical student.
Dialogue: 0,0:01:14.78,0:01:17.86,Default,,0000,0000,0000,,It was important because I got\Nasked to give a talk for TED.
Dialogue: 0,0:01:17.86,0:01:19.50,Default,,0000,0000,0000,,Now not the TED you're thinking of
Dialogue: 0,0:01:19.50,0:01:21.73,Default,,0000,0000,0000,,because TED didn't exist in 1977.
Dialogue: 0,0:01:21.73,0:01:24.17,Default,,0000,0000,0000,,It was called Tomorrow's\NEducation of Doctors.
Dialogue: 0,0:01:24.17,0:01:25.60,Default,,0000,0000,0000,,It was everything different
Dialogue: 0,0:01:25.60,0:01:27.11,Default,,0000,0000,0000,,than the technology that exists today.
Dialogue: 0,0:01:27.11,0:01:29.08,Default,,0000,0000,0000,,It was a little slide show with a screen,
Dialogue: 0,0:01:29.08,0:01:30.72,Default,,0000,0000,0000,,but they asked me to talk about
Dialogue: 0,0:01:30.72,0:01:33.13,Default,,0000,0000,0000,,what the future of medicine looks like
Dialogue: 0,0:01:33.13,0:01:35.19,Default,,0000,0000,0000,,from a medical student's point of view.
Dialogue: 0,0:01:35.19,0:01:36.40,Default,,0000,0000,0000,,The other reason I remember it,
Dialogue: 0,0:01:36.40,0:01:38.28,Default,,0000,0000,0000,,it was the first time I\Nsaw the Rolling Stones.
Dialogue: 0,0:01:38.28,0:01:39.93,Default,,0000,0000,0000,,This is what they looked like back then.
Dialogue: 0,0:01:39.93,0:01:41.88,Default,,0000,0000,0000,,I was a huge fan, but what I talked about
Dialogue: 0,0:01:41.88,0:01:44.08,Default,,0000,0000,0000,,because I was a little\Nnervous about the first talk,
Dialogue: 0,0:01:44.08,0:01:46.67,Default,,0000,0000,0000,,I talked about, "Can you do\Nanything about spiraling costs?
Dialogue: 0,0:01:46.67,0:01:49.22,Default,,0000,0000,0000,,"Can you change the fevered service system
Dialogue: 0,0:01:49.22,0:01:50.77,Default,,0000,0000,0000,,"so we're really rewarding volume,
Dialogue: 0,0:01:50.77,0:01:52.28,Default,,0000,0000,0000,,"value and not volume,
Dialogue: 0,0:01:52.28,0:01:54.40,Default,,0000,0000,0000,,"and can you measure outcomes?"
Dialogue: 0,0:01:54.40,0:01:57.88,Default,,0000,0000,0000,,And I said, "My generation\Nof docs is gonna solve this
Dialogue: 0,0:01:57.88,0:01:59.53,Default,,0000,0000,0000,,"over the next four years.
Dialogue: 0,0:01:59.53,0:02:01.63,Default,,0000,0000,0000,,"We are not going to be dealing with this
Dialogue: 0,0:02:01.63,0:02:03.85,Default,,0000,0000,0000,,"even 20 years from now."
Dialogue: 0,0:02:03.85,0:02:06.64,Default,,0000,0000,0000,,Well amazingly the docs said, "No."
Dialogue: 0,0:02:06.64,0:02:07.93,Default,,0000,0000,0000,,And that didn't happen.
Dialogue: 0,0:02:07.93,0:02:10.65,Default,,0000,0000,0000,,Now I was also a very\Ndifferent person back in 1977,
Dialogue: 0,0:02:10.65,0:02:14.26,Default,,0000,0000,0000,,this is what I looked like.\N(applause and cheering)
Dialogue: 0,0:02:14.26,0:02:16.01,Default,,0000,0000,0000,,Thank you, thank you.
Dialogue: 0,0:02:18.51,0:02:22.68,Default,,0000,0000,0000,,That's called a leisure suit.\N(audience laughing)
Dialogue: 0,0:02:23.68,0:02:25.92,Default,,0000,0000,0000,,And but for a brief interlude
Dialogue: 0,0:02:25.92,0:02:27.79,Default,,0000,0000,0000,,where they tried to bring it back in 2019,
Dialogue: 0,0:02:27.79,0:02:29.02,Default,,0000,0000,0000,,I think it's safe to say
Dialogue: 0,0:02:29.02,0:02:31.65,Default,,0000,0000,0000,,it's out of the fashion lexicon forever,
Dialogue: 0,0:02:31.65,0:02:34.41,Default,,0000,0000,0000,,but the car was a 1968 GTO which was,
Dialogue: 0,0:02:34.41,0:02:36.66,Default,,0000,0000,0000,,and is, a very cool car.\N(audience light applause)
Dialogue: 0,0:02:36.66,0:02:38.21,Default,,0000,0000,0000,,Thank you.
Dialogue: 0,0:02:38.21,0:02:39.74,Default,,0000,0000,0000,,So there we went through really
Dialogue: 0,0:02:39.74,0:02:42.26,Default,,0000,0000,0000,,what was what some people\Ncall the middle or dark ages,
Dialogue: 0,0:02:42.26,0:02:43.77,Default,,0000,0000,0000,,the Managed Care Revolution,
Dialogue: 0,0:02:43.77,0:02:45.80,Default,,0000,0000,0000,,which did not really manage anything.
Dialogue: 0,0:02:45.80,0:02:47.31,Default,,0000,0000,0000,,It didn't really provide care,
Dialogue: 0,0:02:47.31,0:02:49.08,Default,,0000,0000,0000,,it just promoted under utilization.
Dialogue: 0,0:02:49.08,0:02:50.28,Default,,0000,0000,0000,,The Balanced Budget Amendment,
Dialogue: 0,0:02:50.28,0:02:52.15,Default,,0000,0000,0000,,which didn't really balance the budget,
Dialogue: 0,0:02:52.15,0:02:53.46,Default,,0000,0000,0000,,and didn't really amend anything.
Dialogue: 0,0:02:53.46,0:02:54.69,Default,,0000,0000,0000,,And then the first iteration
Dialogue: 0,0:02:54.69,0:02:56.64,Default,,0000,0000,0000,,of what has now been 17 iterations
Dialogue: 0,0:02:56.64,0:02:58.84,Default,,0000,0000,0000,,of what was then called Obamacare.
Dialogue: 0,0:02:58.84,0:03:00.56,Default,,0000,0000,0000,,So that bring us to 2014,
Dialogue: 0,0:03:00.56,0:03:02.76,Default,,0000,0000,0000,,and why was 2014 important to me?
Dialogue: 0,0:03:02.76,0:03:04.09,Default,,0000,0000,0000,,Well I was very proud and honored
Dialogue: 0,0:03:04.09,0:03:05.91,Default,,0000,0000,0000,,to be inaugurated and selected
Dialogue: 0,0:03:05.91,0:03:07.88,Default,,0000,0000,0000,,as the first president and CEO
Dialogue: 0,0:03:07.88,0:03:10.05,Default,,0000,0000,0000,,of Thomas Jefferson University
Dialogue: 0,0:03:10.05,0:03:11.80,Default,,0000,0000,0000,,and Health Systems combined.
Dialogue: 0,0:03:11.80,0:03:13.20,Default,,0000,0000,0000,,It was also a big moment for me
Dialogue: 0,0:03:13.20,0:03:15.25,Default,,0000,0000,0000,,because it was the second\Ntime I saw the Rolling Stones,
Dialogue: 0,0:03:15.25,0:03:18.92,Default,,0000,0000,0000,,and this is what they\Nlooked like back in 2014.
Dialogue: 0,0:03:18.92,0:03:21.53,Default,,0000,0000,0000,,And in my inauguration\NI was given a script,
Dialogue: 0,0:03:21.53,0:03:23.80,Default,,0000,0000,0000,,and what I talked about\Nin inauguration of 2014 is
Dialogue: 0,0:03:23.80,0:03:25.42,Default,,0000,0000,0000,,"Hey, can we do anything\Nabout spiraling costs?
Dialogue: 0,0:03:25.42,0:03:27.88,Default,,0000,0000,0000,,"Can we change the fevered service system?
Dialogue: 0,0:03:27.88,0:03:30.09,Default,,0000,0000,0000,,"Do you think we can measure outcomes?"
Dialogue: 0,0:03:30.09,0:03:31.66,Default,,0000,0000,0000,,So it was a bit of an aha moment for me,
Dialogue: 0,0:03:31.66,0:03:33.43,Default,,0000,0000,0000,,I said, "Well, 37 years, that's a lot
Dialogue: 0,0:03:33.43,0:03:35.47,Default,,0000,0000,0000,,for not to have much change."
Dialogue: 0,0:03:35.47,0:03:38.22,Default,,0000,0000,0000,,This time though, the\Ninsurers and government said,
Dialogue: 0,0:03:38.22,0:03:40.46,Default,,0000,0000,0000,,"We're really going to do it."
Dialogue: 0,0:03:40.46,0:03:43.90,Default,,0000,0000,0000,,And really what people were\Nactually predicting is,
Dialogue: 0,0:03:43.90,0:03:46.65,Default,,0000,0000,0000,,because believe it or not even at 2014
Dialogue: 0,0:03:46.65,0:03:50.05,Default,,0000,0000,0000,,the docs said, "I really\Ndon't want to take any risks.
Dialogue: 0,0:03:50.05,0:03:52.43,Default,,0000,0000,0000,,"I think things are\Nfine the way they are."
Dialogue: 0,0:03:52.43,0:03:53.81,Default,,0000,0000,0000,,And you couldn't go a week
Dialogue: 0,0:03:53.81,0:03:55.74,Default,,0000,0000,0000,,without people threatening the extinction
Dialogue: 0,0:03:55.74,0:03:57.74,Default,,0000,0000,0000,,of academic health centers.
Dialogue: 0,0:03:57.74,0:04:00.79,Default,,0000,0000,0000,,So I'm proud to say here in\NPhiladelphia and Jefferson,
Dialogue: 0,0:04:00.79,0:04:03.26,Default,,0000,0000,0000,,we said yes, and I'd love\Nto talk to you a little bit
Dialogue: 0,0:04:03.26,0:04:06.70,Default,,0000,0000,0000,,about what happened between 2014 and 2024.
Dialogue: 0,0:04:06.70,0:04:09.23,Default,,0000,0000,0000,,So here we are in 2024, and by the way,
Dialogue: 0,0:04:09.23,0:04:11.14,Default,,0000,0000,0000,,I don't know if any of you saw it
Dialogue: 0,0:04:11.14,0:04:13.78,Default,,0000,0000,0000,,in your Facebook implantable glasses,
Dialogue: 0,0:04:13.78,0:04:16.46,Default,,0000,0000,0000,,the Zombie Rock Tour, it was awesome.
Dialogue: 0,0:04:16.46,0:04:18.02,Default,,0000,0000,0000,,It was awesome.
Dialogue: 0,0:04:18.02,0:04:20.52,Default,,0000,0000,0000,,By the way, those Facebook\Nimplantable glasses,
Dialogue: 0,0:04:20.52,0:04:22.60,Default,,0000,0000,0000,,can be bought at Stevie's Vinyl Records
Dialogue: 0,0:04:22.60,0:04:24.20,Default,,0000,0000,0000,,and Implantable Devices.
Dialogue: 0,0:04:24.20,0:04:27.50,Default,,0000,0000,0000,,This is, I thought the Rolling Stones,
Dialogue: 0,0:04:27.50,0:04:30.53,Default,,0000,0000,0000,,the Rolling Stones rocked,\N(audience laughter)
Dialogue: 0,0:04:30.53,0:04:32.48,Default,,0000,0000,0000,,they rocked the undead tour, right?
Dialogue: 0,0:04:32.48,0:04:35.33,Default,,0000,0000,0000,,Who agrees with me? They\Nrocked the undead tour.
Dialogue: 0,0:04:35.33,0:04:37.85,Default,,0000,0000,0000,,Seven decades of great Rolling Stones,
Dialogue: 0,0:04:37.85,0:04:40.15,Default,,0000,0000,0000,,You talk about not\Ngetting any satisfaction,
Dialogue: 0,0:04:40.15,0:04:41.73,Default,,0000,0000,0000,,look at these guys.
Dialogue: 0,0:04:43.12,0:04:45.55,Default,,0000,0000,0000,,But more importantly, more importantly,
Dialogue: 0,0:04:45.55,0:04:46.90,Default,,0000,0000,0000,,what happened in Philadelphia,
Dialogue: 0,0:04:46.90,0:04:48.70,Default,,0000,0000,0000,,what happened at Jefferson was,
Dialogue: 0,0:04:48.70,0:04:50.86,Default,,0000,0000,0000,,that we took, we took that mode of,
Dialogue: 0,0:04:50.86,0:04:53.90,Default,,0000,0000,0000,,people saying that it's\Nimpossible to change healthcare.
Dialogue: 0,0:04:53.90,0:04:56.22,Default,,0000,0000,0000,,And really the personal piece\Nfor me believe it or not
Dialogue: 0,0:04:56.22,0:04:59.48,Default,,0000,0000,0000,,did not come from Admonities\Nor Aristotle, or even somebody
Dialogue: 0,0:04:59.48,0:05:01.43,Default,,0000,0000,0000,,from the University of\NPennsylvania or Jefferson.
Dialogue: 0,0:05:01.43,0:05:03.39,Default,,0000,0000,0000,,It came from a sneaker commercial.
Dialogue: 0,0:05:03.39,0:05:06.62,Default,,0000,0000,0000,,It was an Adidas marketing\Ncampaign back in 2014
Dialogue: 0,0:05:06.62,0:05:08.05,Default,,0000,0000,0000,,called the Impossible,
Dialogue: 0,0:05:08.05,0:05:09.91,Default,,0000,0000,0000,,it said "Impossible is just a big word
Dialogue: 0,0:05:09.91,0:05:11.68,Default,,0000,0000,0000,,"thrown around by small men and women
Dialogue: 0,0:05:11.68,0:05:14.15,Default,,0000,0000,0000,,"who find it easier to live\Nthe world they've been given
Dialogue: 0,0:05:14.15,0:05:16.76,Default,,0000,0000,0000,,"rather than explore the\Npower they have to change it.
Dialogue: 0,0:05:16.76,0:05:18.80,Default,,0000,0000,0000,,"Impossible is not a fact it's an opinion.
Dialogue: 0,0:05:18.80,0:05:22.16,Default,,0000,0000,0000,,"Impossible is temporary,\Nimpossible is nothing."
Dialogue: 0,0:05:22.16,0:05:25.58,Default,,0000,0000,0000,,So we decided, what the heck,\Nlet's do the impossible.
Dialogue: 0,0:05:25.58,0:05:27.65,Default,,0000,0000,0000,,Because everybody know\Nthings were changing,
Dialogue: 0,0:05:27.65,0:05:29.96,Default,,0000,0000,0000,,we weren't going to wait for a miracle.
Dialogue: 0,0:05:29.96,0:05:32.39,Default,,0000,0000,0000,,And we said, "Let's do it."
Dialogue: 0,0:05:32.39,0:05:34.87,Default,,0000,0000,0000,,Okay so, here it is, it's March 28, 2024,
Dialogue: 0,0:05:34.87,0:05:37.53,Default,,0000,0000,0000,,now I apologize for those of\Nyou who come from this decade,
Dialogue: 0,0:05:37.53,0:05:40.17,Default,,0000,0000,0000,,but I know some of you\Nprobably have time travel lag,
Dialogue: 0,0:05:40.17,0:05:42.48,Default,,0000,0000,0000,,and I just want you to\Nknow where we're at today.
Dialogue: 0,0:05:42.48,0:05:45.19,Default,,0000,0000,0000,,So it's March 28, 2024,\NPresident Jenna Bush
Dialogue: 0,0:05:45.19,0:05:47.78,Default,,0000,0000,0000,,will be debating democratic\Nnominee Chelsea Clinton,
Dialogue: 0,0:05:47.78,0:05:50.51,Default,,0000,0000,0000,,in what a lot of people think\Nwill be a very tight race.
Dialogue: 0,0:05:50.51,0:05:52.05,Default,,0000,0000,0000,,Harrison Ford has signed on
Dialogue: 0,0:05:52.05,0:05:54.45,Default,,0000,0000,0000,,for one last Indiana Jones sequel.
Dialogue: 0,0:05:54.45,0:05:57.39,Default,,0000,0000,0000,,Tentatively titled Indiana\NJones: the Legend of Bingo Night,
Dialogue: 0,0:05:57.39,0:05:59.41,Default,,0000,0000,0000,,we're all excited about that one.
Dialogue: 0,0:05:59.41,0:06:00.71,Default,,0000,0000,0000,,And the Eagles are 2-0
Dialogue: 0,0:06:00.71,0:06:02.63,Default,,0000,0000,0000,,and trying to win their first Superbowl
Dialogue: 0,0:06:02.63,0:06:05.09,Default,,0000,0000,0000,,since the unprecedented\Nfour straight they won
Dialogue: 0,0:06:05.09,0:06:08.41,Default,,0000,0000,0000,,from 2015 to 2018, the so-called\NChip Championship Years.
Dialogue: 0,0:06:08.41,0:06:12.23,Default,,0000,0000,0000,,(audience applause and cheering)
Dialogue: 0,0:06:12.23,0:06:14.51,Default,,0000,0000,0000,,Of course, Governor Chip\Nnow has a very different job
Dialogue: 0,0:06:14.51,0:06:16.62,Default,,0000,0000,0000,,than he had back then.
Dialogue: 0,0:06:16.62,0:06:19.27,Default,,0000,0000,0000,,But more importantly, more\Nimportantly or as importantly,
Dialogue: 0,0:06:19.27,0:06:22.01,Default,,0000,0000,0000,,Jefferson is celebrating\Nit's 200th anniversary
Dialogue: 0,0:06:22.01,0:06:23.48,Default,,0000,0000,0000,,as a state wide national,
Dialogue: 0,0:06:23.48,0:06:25.13,Default,,0000,0000,0000,,and international hub of innovation,
Dialogue: 0,0:06:25.13,0:06:26.53,Default,,0000,0000,0000,,with headquarters in Philadelphia
Dialogue: 0,0:06:26.53,0:06:28.64,Default,,0000,0000,0000,,instead of just a Philadelphia\Nacademic medical center.
Dialogue: 0,0:06:28.64,0:06:30.26,Default,,0000,0000,0000,,We've become a destination site
Dialogue: 0,0:06:30.26,0:06:32.45,Default,,0000,0000,0000,,for innovation entrepreneurial health
Dialogue: 0,0:06:32.45,0:06:34.70,Default,,0000,0000,0000,,with unprecedented economic development.
Dialogue: 0,0:06:34.70,0:06:36.62,Default,,0000,0000,0000,,And our creative\Npartnerships have allowed us
Dialogue: 0,0:06:36.62,0:06:39.13,Default,,0000,0000,0000,,to become what the Wall\NStreet Journal called
Dialogue: 0,0:06:39.13,0:06:41.64,Default,,0000,0000,0000,,a thriving cluster on the\Nverge of a chain reaction.
Dialogue: 0,0:06:41.64,0:06:43.74,Default,,0000,0000,0000,,Which has helped make\NPhiladelphia the epicenter
Dialogue: 0,0:06:43.74,0:06:44.70,Default,,0000,0000,0000,,of the new healthcare.
Dialogue: 0,0:06:44.70,0:06:46.96,Default,,0000,0000,0000,,Oh and by the way, I'm\Ngetting out of my DeLorean
Dialogue: 0,0:06:46.96,0:06:48.58,Default,,0000,0000,0000,,to accept an award from the US News
Dialogue: 0,0:06:48.58,0:06:51.66,Default,,0000,0000,0000,,and the Interplanetary\NReport, as most of you know,
Dialogue: 0,0:06:51.66,0:06:53.80,Default,,0000,0000,0000,,in 2019 we found two other planets
Dialogue: 0,0:06:53.80,0:06:55.74,Default,,0000,0000,0000,,with slightly disfunctional heath systems.
Dialogue: 0,0:06:55.74,0:06:58.07,Default,,0000,0000,0000,,So they are now part of the ranking system
Dialogue: 0,0:06:58.07,0:07:00.46,Default,,0000,0000,0000,,that the forward USNWR uses.
Dialogue: 0,0:07:00.46,0:07:02.13,Default,,0000,0000,0000,,So how did we get there?
Dialogue: 0,0:07:02.13,0:07:04.51,Default,,0000,0000,0000,,I'd like to, TEDx has\Nasked me to talk about
Dialogue: 0,0:07:04.51,0:07:07.90,Default,,0000,0000,0000,,three things that we did\Nthat were very different.
Dialogue: 0,0:07:07.90,0:07:10.00,Default,,0000,0000,0000,,First of all we decided that we're going
Dialogue: 0,0:07:10.00,0:07:11.58,Default,,0000,0000,0000,,to start to create docs of the future.
Dialogue: 0,0:07:11.58,0:07:14.30,Default,,0000,0000,0000,,That it's ridiculous to have the same way
Dialogue: 0,0:07:14.30,0:07:16.86,Default,,0000,0000,0000,,that we selected and educated physicians
Dialogue: 0,0:07:16.86,0:07:19.70,Default,,0000,0000,0000,,that became autonomous,\Ncompetitive, and hierarchical,
Dialogue: 0,0:07:19.70,0:07:21.65,Default,,0000,0000,0000,,and that we actually were\Ngoing to change the DNA
Dialogue: 0,0:07:21.65,0:07:24.44,Default,,0000,0000,0000,,of healthcare literally\None physician at a time.
Dialogue: 0,0:07:24.44,0:07:25.70,Default,,0000,0000,0000,,You might now believe this,
Dialogue: 0,0:07:25.70,0:07:28.63,Default,,0000,0000,0000,,but back in 2014 we still\Nchose doctors based on
Dialogue: 0,0:07:28.63,0:07:32.84,Default,,0000,0000,0000,,science GPAs, MedCaTs which\Nwere a multiple choice test,
Dialogue: 0,0:07:32.84,0:07:34.84,Default,,0000,0000,0000,,and organic chemistry performance.
Dialogue: 0,0:07:34.84,0:07:37.03,Default,,0000,0000,0000,,And somehow we were amazed\Nthat doctors weren't
Dialogue: 0,0:07:37.03,0:07:38.93,Default,,0000,0000,0000,,more empathetic,\Ncommutative, and creative.
Dialogue: 0,0:07:38.93,0:07:42.22,Default,,0000,0000,0000,,(audience laughter)\NAs my kids would say, "Duh."
Dialogue: 0,0:07:42.22,0:07:43.62,Default,,0000,0000,0000,,So we changed all that.
Dialogue: 0,0:07:43.62,0:07:45.51,Default,,0000,0000,0000,,What we recognized is
Dialogue: 0,0:07:45.51,0:07:49.23,Default,,0000,0000,0000,,that it used to be for those\Nof you who came from the 70s,
Dialogue: 0,0:07:49.23,0:07:51.66,Default,,0000,0000,0000,,and I think there are actually some,
Dialogue: 0,0:07:51.66,0:07:53.40,Default,,0000,0000,0000,,I see some people from 2014,
Dialogue: 0,0:07:53.40,0:07:55.01,Default,,0000,0000,0000,,I see some people from the 80s.
Dialogue: 0,0:07:55.01,0:07:56.43,Default,,0000,0000,0000,,Go Journey, yeah.
Dialogue: 0,0:07:57.46,0:08:01.63,Default,,0000,0000,0000,,I see some tie dye out there,\Nsome 60s and 70s, peace.
Dialogue: 0,0:08:02.60,0:08:05.35,Default,,0000,0000,0000,,But we decided to transform admissions.
Dialogue: 0,0:08:05.35,0:08:09.13,Default,,0000,0000,0000,,What we realized is that\Nall the scientific data
Dialogue: 0,0:08:09.13,0:08:12.56,Default,,0000,0000,0000,,is all on, what we called in\N2014, iPhones and Androids,
Dialogue: 0,0:08:12.56,0:08:13.94,Default,,0000,0000,0000,,but really what we needed
Dialogue: 0,0:08:13.94,0:08:15.88,Default,,0000,0000,0000,,were really emotionally\Nintelligent physicians.
Dialogue: 0,0:08:15.88,0:08:18.78,Default,,0000,0000,0000,,So we now really select\Nphysicians based on
Dialogue: 0,0:08:18.78,0:08:20.73,Default,,0000,0000,0000,,self-awareness, self-management,
Dialogue: 0,0:08:20.73,0:08:22.18,Default,,0000,0000,0000,,and the ability to adapt,
Dialogue: 0,0:08:22.18,0:08:23.99,Default,,0000,0000,0000,,social awareness and empathy,
Dialogue: 0,0:08:23.99,0:08:26.03,Default,,0000,0000,0000,,relationship management, teamwork,
Dialogue: 0,0:08:26.03,0:08:28.41,Default,,0000,0000,0000,,and the ability to really embrace change
Dialogue: 0,0:08:28.41,0:08:29.66,Default,,0000,0000,0000,,instead of fighting it.
Dialogue: 0,0:08:29.66,0:08:32.21,Default,,0000,0000,0000,,But not only that we\Ntotally changed the way
Dialogue: 0,0:08:32.21,0:08:34.78,Default,,0000,0000,0000,,that we teach the physicians\Nthat we do accept.
Dialogue: 0,0:08:34.78,0:08:36.88,Default,,0000,0000,0000,,Believe it or not back in 2014,
Dialogue: 0,0:08:36.88,0:08:39.97,Default,,0000,0000,0000,,we used to spend two\Nyears really teaching them
Dialogue: 0,0:08:39.97,0:08:42.82,Default,,0000,0000,0000,,scientific principles\Nin large auditoriums,
Dialogue: 0,0:08:42.82,0:08:44.82,Default,,0000,0000,0000,,classes that a lot of them didn't come to,
Dialogue: 0,0:08:44.82,0:08:46.60,Default,,0000,0000,0000,,when we recognized that\Nwe could do all that,
Dialogue: 0,0:08:46.60,0:08:48.52,Default,,0000,0000,0000,,have them learn that at\Ntwo o'clock in the morning.
Dialogue: 0,0:08:48.52,0:08:50.11,Default,,0000,0000,0000,,Now we spend most of our time
Dialogue: 0,0:08:50.11,0:08:52.30,Default,,0000,0000,0000,,in what we call the Art of Attending.
Dialogue: 0,0:08:52.30,0:08:53.94,Default,,0000,0000,0000,,Teaching them to really observe,
Dialogue: 0,0:08:53.94,0:08:56.95,Default,,0000,0000,0000,,we started back in\N2014, workshops designed
Dialogue: 0,0:08:56.95,0:08:59.69,Default,,0000,0000,0000,,to sharpen observation\Nskills of health students
Dialogue: 0,0:08:59.69,0:09:01.25,Default,,0000,0000,0000,,by looking at art.
Dialogue: 0,0:09:01.25,0:09:02.75,Default,,0000,0000,0000,,Very unusual partnership,
Dialogue: 0,0:09:02.75,0:09:04.41,Default,,0000,0000,0000,,it was Thomas Jefferson University,
Dialogue: 0,0:09:04.41,0:09:06.06,Default,,0000,0000,0000,,a contemporary art museum,
Dialogue: 0,0:09:06.06,0:09:09.41,Default,,0000,0000,0000,,and an institute for an\Noptimistic future in healthcare.
Dialogue: 0,0:09:09.41,0:09:12.62,Default,,0000,0000,0000,,We took students and\Nhad them understand art.
Dialogue: 0,0:09:12.62,0:09:15.80,Default,,0000,0000,0000,,So if you take this\Npiece of art over here.
Dialogue: 0,0:09:15.80,0:09:17.15,Default,,0000,0000,0000,,Medical students originally said,
Dialogue: 0,0:09:17.15,0:09:20.04,Default,,0000,0000,0000,,"That's a woman, that's a\Nsnake, that's a family."
Dialogue: 0,0:09:20.04,0:09:22.87,Default,,0000,0000,0000,,But when you start to look\Nand say what is the story?
Dialogue: 0,0:09:22.87,0:09:24.68,Default,,0000,0000,0000,,It starts to totally change the way
Dialogue: 0,0:09:24.68,0:09:26.80,Default,,0000,0000,0000,,that they cared for patients.
Dialogue: 0,0:09:26.80,0:09:29.80,Default,,0000,0000,0000,,And at the end of the\Nday we went from silos
Dialogue: 0,0:09:29.80,0:09:31.10,Default,,0000,0000,0000,,of full-time individuals
Dialogue: 0,0:09:31.10,0:09:34.72,Default,,0000,0000,0000,,to folks who could deliver\Nteam-enabled and team-based care.
Dialogue: 0,0:09:34.72,0:09:36.98,Default,,0000,0000,0000,,Doctors went from being\Ncaptains of the ship
Dialogue: 0,0:09:36.98,0:09:38.62,Default,,0000,0000,0000,,to being part of a team,
Dialogue: 0,0:09:38.62,0:09:40.21,Default,,0000,0000,0000,,and they believe it or not worked closely
Dialogue: 0,0:09:40.21,0:09:42.42,Default,,0000,0000,0000,,with multidisciplinary\Ncare and delivery teams.
Dialogue: 0,0:09:42.42,0:09:44.53,Default,,0000,0000,0000,,Including doctors of nursing practice,
Dialogue: 0,0:09:44.53,0:09:46.61,Default,,0000,0000,0000,,nurse practitioners, clinical pharmacists,
Dialogue: 0,0:09:46.61,0:09:48.06,Default,,0000,0000,0000,,physician's assistants,
Dialogue: 0,0:09:48.06,0:09:49.80,Default,,0000,0000,0000,,and at the Thomas Jefferson Institute
Dialogue: 0,0:09:49.80,0:09:51.10,Default,,0000,0000,0000,,of Emerging Health Professions,
Dialogue: 0,0:09:51.10,0:09:54.28,Default,,0000,0000,0000,,professions that didn't\Neven exist in 2014.
Dialogue: 0,0:09:54.28,0:09:56.75,Default,,0000,0000,0000,,Things like probability experts,
Dialogue: 0,0:09:56.75,0:09:58.72,Default,,0000,0000,0000,,electronic health care ambassadors,
Dialogue: 0,0:09:58.72,0:10:00.86,Default,,0000,0000,0000,,and telehealth professionals.
Dialogue: 0,0:10:00.86,0:10:04.55,Default,,0000,0000,0000,,So we recognized that we\Nneed to evolve doctoring.
Dialogue: 0,0:10:04.55,0:10:07.84,Default,,0000,0000,0000,,We also recognized that\Nthe patient experience
Dialogue: 0,0:10:07.84,0:10:09.71,Default,,0000,0000,0000,,was really pretty lousy.
Dialogue: 0,0:10:09.71,0:10:13.07,Default,,0000,0000,0000,,Back in 2014 you could actually do
Dialogue: 0,0:10:13.07,0:10:15.29,Default,,0000,0000,0000,,anything you needed to do in travel,
Dialogue: 0,0:10:15.29,0:10:18.14,Default,,0000,0000,0000,,anything you needed to do\Nin shopping, on a device,
Dialogue: 0,0:10:18.14,0:10:20.76,Default,,0000,0000,0000,,but could you get an appointment\Nwith a physician? No.
Dialogue: 0,0:10:20.76,0:10:23.64,Default,,0000,0000,0000,,Could you interact with\Na doctor or nurse? No.
Dialogue: 0,0:10:23.64,0:10:26.76,Default,,0000,0000,0000,,So we decided that\Nhealthcare needed in 2014,
Dialogue: 0,0:10:26.76,0:10:28.43,Default,,0000,0000,0000,,to get into the E and I mode.
Dialogue: 0,0:10:28.43,0:10:32.42,Default,,0000,0000,0000,,If you even look at how people\Nviewed us from TV shows,
Dialogue: 0,0:10:32.42,0:10:34.88,Default,,0000,0000,0000,,how many of you are here from the 70s?
Dialogue: 0,0:10:34.88,0:10:36.02,Default,,0000,0000,0000,,There you go, okay.
Dialogue: 0,0:10:36.02,0:10:39.09,Default,,0000,0000,0000,,So the big tip in the\N70s was Marcus Welby.
Dialogue: 0,0:10:39.09,0:10:40.65,Default,,0000,0000,0000,,Now here's what Marcus Welby was,
Dialogue: 0,0:10:40.65,0:10:43.62,Default,,0000,0000,0000,,he was a family physician, he\Nwould get up in the morning,
Dialogue: 0,0:10:43.62,0:10:45.14,Default,,0000,0000,0000,,he would go to the homeless shelter,
Dialogue: 0,0:10:45.14,0:10:46.66,Default,,0000,0000,0000,,take care of people for free.
Dialogue: 0,0:10:46.66,0:10:48.35,Default,,0000,0000,0000,,On the way home to lunch
Dialogue: 0,0:10:48.35,0:10:50.30,Default,,0000,0000,0000,,a cow would be having\Ntrouble delivering a calf,
Dialogue: 0,0:10:50.30,0:10:51.56,Default,,0000,0000,0000,,he'd deliver it.
Dialogue: 0,0:10:51.56,0:10:54.71,Default,,0000,0000,0000,,He'd then go to his family\Nmedicine office in the afternoon,
Dialogue: 0,0:10:54.71,0:10:57.23,Default,,0000,0000,0000,,and then at night he'd do\Nlecithin ventricular neurosurgery.
Dialogue: 0,0:10:57.23,0:10:58.96,Default,,0000,0000,0000,,We were gods, we could do everything,
Dialogue: 0,0:10:58.96,0:11:00.68,Default,,0000,0000,0000,,that's how people viewed us.
Dialogue: 0,0:11:00.68,0:11:02.78,Default,,0000,0000,0000,,In the 2010s this is what we had.
Dialogue: 0,0:11:02.78,0:11:06.22,Default,,0000,0000,0000,,Anybody remember this guy?\N(audience laughter)
Dialogue: 0,0:11:06.22,0:11:09.36,Default,,0000,0000,0000,,He was a drug addicted,\Nsex addicted, really smart,
Dialogue: 0,0:11:09.36,0:11:12.28,Default,,0000,0000,0000,,guy that couldn't\Ncommunicate or see patients.
Dialogue: 0,0:11:12.28,0:11:14.50,Default,,0000,0000,0000,,That's what people viewed us.
Dialogue: 0,0:11:14.50,0:11:17.20,Default,,0000,0000,0000,,The number one TV show of 2023?
Dialogue: 0,0:11:17.20,0:11:21.37,Default,,0000,0000,0000,,Was Doctor WHHO, stands for\NWatson Hybrid Hydro-Organo,
Dialogue: 0,0:11:22.74,0:11:25.56,Default,,0000,0000,0000,,Doc, who basically fell in love
Dialogue: 0,0:11:25.56,0:11:28.71,Default,,0000,0000,0000,,with his robotic-bionic counterpart
Dialogue: 0,0:11:28.71,0:11:30.36,Default,,0000,0000,0000,,who does all the scientific stuff,
Dialogue: 0,0:11:30.36,0:11:32.22,Default,,0000,0000,0000,,while he does the emotional stuff.
Dialogue: 0,0:11:32.22,0:11:34.24,Default,,0000,0000,0000,,And as you can imagine, hilarity ensues.
Dialogue: 0,0:11:34.24,0:11:37.06,Default,,0000,0000,0000,,By the way--\N(audience laughs)
Dialogue: 0,0:11:37.06,0:11:40.54,Default,,0000,0000,0000,,By the way the first\Nseason, the first season,
Dialogue: 0,0:11:40.54,0:11:42.85,Default,,0000,0000,0000,,of Doctor WHHO is available
Dialogue: 0,0:11:42.85,0:11:45.62,Default,,0000,0000,0000,,on Google Glass implantable chips,
Dialogue: 0,0:11:45.62,0:11:49.22,Default,,0000,0000,0000,,available in Stevie's Vinyl\NRecords and Implantable Chips
Dialogue: 0,0:11:49.22,0:11:51.31,Default,,0000,0000,0000,,on South Street.
Dialogue: 0,0:11:51.31,0:11:54.05,Default,,0000,0000,0000,,So we embrace, the other thing we embraced
Dialogue: 0,0:11:54.05,0:11:55.08,Default,,0000,0000,0000,,was entrepreneurship.
Dialogue: 0,0:11:55.08,0:11:57.69,Default,,0000,0000,0000,,We recognized that being\Nacademic and entrepreneurial
Dialogue: 0,0:11:57.69,0:11:59.78,Default,,0000,0000,0000,,just were not mutually exclusive,
Dialogue: 0,0:11:59.78,0:12:01.18,Default,,0000,0000,0000,,and we also recognized
Dialogue: 0,0:12:01.18,0:12:04.28,Default,,0000,0000,0000,,that we had to enhance\Nthe consumer experience.
Dialogue: 0,0:12:04.28,0:12:06.96,Default,,0000,0000,0000,,It really was lousy going to a physician.
Dialogue: 0,0:12:06.96,0:12:08.41,Default,,0000,0000,0000,,This is what it looked like back in 2014.
Dialogue: 0,0:12:08.41,0:12:10.25,Default,,0000,0000,0000,,(moaning)\N- What's wrong?
Dialogue: 0,0:12:10.25,0:12:11.66,Default,,0000,0000,0000,,- I don't feel so good.
Dialogue: 0,0:12:11.66,0:12:14.39,Default,,0000,0000,0000,,- Then you need to go to a doctor.
Dialogue: 0,0:12:14.39,0:12:16.64,Default,,0000,0000,0000,,(sneezing)
Dialogue: 0,0:12:20.96,0:12:22.23,Default,,0000,0000,0000,,- Mr. Stephenson?
Dialogue: 0,0:12:22.23,0:12:23.23,Default,,0000,0000,0000,,- Stevenson.
Dialogue: 0,0:12:24.39,0:12:26.01,Default,,0000,0000,0000,,- Do you have any allergies?
Dialogue: 0,0:12:26.01,0:12:27.68,Default,,0000,0000,0000,,How would you describe your symptoms?
Dialogue: 0,0:12:27.68,0:12:29.06,Default,,0000,0000,0000,,What is the general area of pain?
Dialogue: 0,0:12:29.06,0:12:30.59,Default,,0000,0000,0000,,Does your family have a\Nhistory of heart disease?
Dialogue: 0,0:12:30.59,0:12:32.48,Default,,0000,0000,0000,,Does your family have\Na history of diabetes?
Dialogue: 0,0:12:32.48,0:12:35.83,Default,,0000,0000,0000,,- And what seems to be the\Nproblem today, Mr. Stevenson?
Dialogue: 0,0:12:35.83,0:12:38.40,Default,,0000,0000,0000,,- I'm feeling a little stuffed up.
Dialogue: 0,0:12:38.40,0:12:39.69,Default,,0000,0000,0000,,I'm experiencing some--
Dialogue: 0,0:12:39.69,0:12:42.27,Default,,0000,0000,0000,,- Doctor your three o'clock\Nis early, your 2:45 is late,
Dialogue: 0,0:12:42.27,0:12:43.41,Default,,0000,0000,0000,,from six and seven.
Dialogue: 0,0:12:43.41,0:12:44.79,Default,,0000,0000,0000,,- Follow these instructions
Dialogue: 0,0:12:44.79,0:12:46.20,Default,,0000,0000,0000,,and if it doesn't clear\Nup in a week or two
Dialogue: 0,0:12:46.20,0:12:48.04,Default,,0000,0000,0000,,come back and we'll do\Nthis all over again.
Dialogue: 0,0:12:48.04,0:12:50.20,Default,,0000,0000,0000,,(moaning)
Dialogue: 0,0:12:50.20,0:12:52.78,Default,,0000,0000,0000,,- I don't like going to the doctor.
Dialogue: 0,0:12:52.78,0:12:54.93,Default,,0000,0000,0000,,- So in July of 2014,
Dialogue: 0,0:12:54.93,0:12:57.00,Default,,0000,0000,0000,,we partnered with some great companies,
Dialogue: 0,0:12:57.00,0:13:00.32,Default,,0000,0000,0000,,created an innovation driven\Necosystem for healthcare.
Dialogue: 0,0:13:00.32,0:13:02.83,Default,,0000,0000,0000,,And starting in 2015 patients in 48 states
Dialogue: 0,0:13:02.83,0:13:05.93,Default,,0000,0000,0000,,could access doctors via Telemedicine.
Dialogue: 0,0:13:05.93,0:13:07.43,Default,,0000,0000,0000,,- Well now you can see a doctor
Dialogue: 0,0:13:07.43,0:13:08.85,Default,,0000,0000,0000,,without going to a doctor's office.
Dialogue: 0,0:13:08.85,0:13:10.30,Default,,0000,0000,0000,,With the help of your\Nsmart phone or computer,
Dialogue: 0,0:13:10.30,0:13:11.85,Default,,0000,0000,0000,,and American Well.
Dialogue: 0,0:13:11.85,0:13:14.23,Default,,0000,0000,0000,,Signing up and setting up\Nyour health profile is easy,
Dialogue: 0,0:13:14.23,0:13:15.96,Default,,0000,0000,0000,,it only takes a minute,
Dialogue: 0,0:13:15.96,0:13:18.48,Default,,0000,0000,0000,,and once you're done it, it's\Nstored safely and securely.
Dialogue: 0,0:13:18.48,0:13:20.12,Default,,0000,0000,0000,,Then you can log in or use the app
Dialogue: 0,0:13:20.12,0:13:21.69,Default,,0000,0000,0000,,to see doctors who're available,
Dialogue: 0,0:13:21.69,0:13:24.88,Default,,0000,0000,0000,,and connect by video phone or chat.
Dialogue: 0,0:13:24.88,0:13:28.95,Default,,0000,0000,0000,,- Hi Allen, I see you've been\Nexperiencing some congestion
Dialogue: 0,0:13:28.95,0:13:30.78,Default,,0000,0000,0000,,and some nasal blockage.
Dialogue: 0,0:13:30.78,0:13:32.54,Default,,0000,0000,0000,,How long as this been going on?
Dialogue: 0,0:13:32.54,0:13:33.72,Default,,0000,0000,0000,,- During the visit,
Dialogue: 0,0:13:33.72,0:13:35.20,Default,,0000,0000,0000,,the doctor can see your\Nhealth information,
Dialogue: 0,0:13:35.20,0:13:37.03,Default,,0000,0000,0000,,afterward you get a complete write-up
Dialogue: 0,0:13:37.03,0:13:38.19,Default,,0000,0000,0000,,of everything the doctor says.
Dialogue: 0,0:13:38.19,0:13:40.19,Default,,0000,0000,0000,,- Well it looks like acute sinusitis,
Dialogue: 0,0:13:40.19,0:13:41.89,Default,,0000,0000,0000,,a sinus infection.
Dialogue: 0,0:13:41.89,0:13:44.68,Default,,0000,0000,0000,,Now I wrote you a prescription\Nto help with the congestion.
Dialogue: 0,0:13:44.68,0:13:47.17,Default,,0000,0000,0000,,If things don't clear\Nup in say, a week or so,
Dialogue: 0,0:13:47.17,0:13:48.56,Default,,0000,0000,0000,,just send me a message.
Dialogue: 0,0:13:48.56,0:13:49.78,Default,,0000,0000,0000,,I'll be right here.
Dialogue: 0,0:13:49.78,0:13:51.72,Default,,0000,0000,0000,,- A few minutes later\NI've got my diagnosis,
Dialogue: 0,0:13:51.72,0:13:53.04,Default,,0000,0000,0000,,and my instructions for treatment,
Dialogue: 0,0:13:53.04,0:13:54.66,Default,,0000,0000,0000,,and my prescription is\Nalready waiting for me
Dialogue: 0,0:13:54.66,0:13:55.72,Default,,0000,0000,0000,,at the pharmacy.
Dialogue: 0,0:13:55.72,0:13:59.40,Default,,0000,0000,0000,,- Of course all that now is\Nhappens in your Google Glasses
Dialogue: 0,0:13:59.40,0:14:01.66,Default,,0000,0000,0000,,which are available by the way
Dialogue: 0,0:14:01.66,0:14:05.62,Default,,0000,0000,0000,,at Stevie's Vinyl Records\Nand Implantable Health Chips.
Dialogue: 0,0:14:05.62,0:14:09.28,Default,,0000,0000,0000,,We also recognize that\Ninformation was everything.
Dialogue: 0,0:14:09.28,0:14:10.65,Default,,0000,0000,0000,,As Yogi Berra would say,
Dialogue: 0,0:14:10.65,0:14:13.11,Default,,0000,0000,0000,,"It comes down to one word, big data."
Dialogue: 0,0:14:13.11,0:14:16.52,Default,,0000,0000,0000,,And believe it or not, believe it or not,
Dialogue: 0,0:14:16.52,0:14:19.91,Default,,0000,0000,0000,,we used to do everything based\Non experience and anecdote.
Dialogue: 0,0:14:19.91,0:14:24.08,Default,,0000,0000,0000,,Evidence based medicine in\N2024 was actually a novel idea.
Dialogue: 0,0:14:25.27,0:14:28.04,Default,,0000,0000,0000,,And now we recognize\Nthat we can take things
Dialogue: 0,0:14:28.04,0:14:29.16,Default,,0000,0000,0000,,from other industries.
Dialogue: 0,0:14:29.16,0:14:31.68,Default,,0000,0000,0000,,So at Jefferson for example, in 2014,
Dialogue: 0,0:14:31.68,0:14:33.77,Default,,0000,0000,0000,,we started the Center for\NHealthcare and Entrepreneurship
Dialogue: 0,0:14:33.77,0:14:35.30,Default,,0000,0000,0000,,and Scientific Solutions.
Dialogue: 0,0:14:35.30,0:14:40.02,Default,,0000,0000,0000,,We said it really doesn't\Nmake any sense that Nick Foles
Dialogue: 0,0:14:40.02,0:14:43.04,Default,,0000,0000,0000,,has a better idea whether or\Nnot a screen pass will work,
Dialogue: 0,0:14:43.04,0:14:44.17,Default,,0000,0000,0000,,in the third quarter,
Dialogue: 0,0:14:44.17,0:14:46.48,Default,,0000,0000,0000,,than I do of whether or not\Na cancer drug will work.
Dialogue: 0,0:14:46.48,0:14:47.64,Default,,0000,0000,0000,,So we took some of the best people
Dialogue: 0,0:14:47.64,0:14:49.41,Default,,0000,0000,0000,,doing mathematical modelling
Dialogue: 0,0:14:49.41,0:14:52.45,Default,,0000,0000,0000,,and created a predictive analytics\Nof mathematical modelling
Dialogue: 0,0:14:52.45,0:14:54.46,Default,,0000,0000,0000,,to reduce uncertainty of medicine.
Dialogue: 0,0:14:54.46,0:14:56.39,Default,,0000,0000,0000,,Believe it or not in 2014,
Dialogue: 0,0:14:56.39,0:14:59.78,Default,,0000,0000,0000,,28% of people that went to\Nthe hospital in this country
Dialogue: 0,0:14:59.78,0:15:02.49,Default,,0000,0000,0000,,got readmitted within 90 days.
Dialogue: 0,0:15:02.49,0:15:04.59,Default,,0000,0000,0000,,Now through our mathematical modelling
Dialogue: 0,0:15:04.59,0:15:06.51,Default,,0000,0000,0000,,we're able to see\Nexactly what intervention
Dialogue: 0,0:15:06.51,0:15:08.81,Default,,0000,0000,0000,,will keep people from coming back.
Dialogue: 0,0:15:08.81,0:15:10.82,Default,,0000,0000,0000,,Not only that we've changed\Nthe way we do things.
Dialogue: 0,0:15:10.82,0:15:13.94,Default,,0000,0000,0000,,In 2014, family medicine physicians
Dialogue: 0,0:15:13.94,0:15:15.96,Default,,0000,0000,0000,,would actually be out of the hospital.
Dialogue: 0,0:15:15.96,0:15:18.30,Default,,0000,0000,0000,,Hospitalists would never\Nleave the hospital,
Dialogue: 0,0:15:18.30,0:15:20.26,Default,,0000,0000,0000,,and then there was no real communication.
Dialogue: 0,0:15:20.26,0:15:22.43,Default,,0000,0000,0000,,Now we have what's called extensivists.
Dialogue: 0,0:15:22.43,0:15:25.54,Default,,0000,0000,0000,,Hospitalists that actually\Nfollow those patients for 90 days
Dialogue: 0,0:15:25.54,0:15:27.88,Default,,0000,0000,0000,,so they don't get readmitted.
Dialogue: 0,0:15:27.88,0:15:29.94,Default,,0000,0000,0000,,We actually pay for performance now
Dialogue: 0,0:15:29.94,0:15:32.04,Default,,0000,0000,0000,,because we can actually\Nmeasure performance.
Dialogue: 0,0:15:32.04,0:15:35.07,Default,,0000,0000,0000,,And we can actually give\Nyou predictable answers
Dialogue: 0,0:15:35.07,0:15:38.46,Default,,0000,0000,0000,,as to what you're paying for\Nand what you're getting back.
Dialogue: 0,0:15:38.46,0:15:40.17,Default,,0000,0000,0000,,And accountable care organizations
Dialogue: 0,0:15:40.17,0:15:42.11,Default,,0000,0000,0000,,for the first time really are accountable
Dialogue: 0,0:15:42.11,0:15:44.35,Default,,0000,0000,0000,,because we have math to back it up.
Dialogue: 0,0:15:44.35,0:15:47.24,Default,,0000,0000,0000,,One of the great things that\Nhappened in Philadelphia,
Dialogue: 0,0:15:47.24,0:15:49.07,Default,,0000,0000,0000,,believe it or not again in 2014,
Dialogue: 0,0:15:49.07,0:15:51.38,Default,,0000,0000,0000,,with decreasing NIH funding,
Dialogue: 0,0:15:51.38,0:15:54.58,Default,,0000,0000,0000,,Penn, Jefferson, Temple, Drexel,
Dialogue: 0,0:15:54.58,0:15:57.05,Default,,0000,0000,0000,,would all fight for NIH funds.
Dialogue: 0,0:15:57.05,0:16:00.34,Default,,0000,0000,0000,,What we did, and one of\Nthe greatest things we did,
Dialogue: 0,0:16:00.34,0:16:02.80,Default,,0000,0000,0000,,we created the Philadelphia\NClinical Research Super Site.
Dialogue: 0,0:16:02.80,0:16:04.61,Default,,0000,0000,0000,,Where we said really what's important
Dialogue: 0,0:16:04.61,0:16:06.50,Default,,0000,0000,0000,,is to take all of our resources,
Dialogue: 0,0:16:06.50,0:16:08.11,Default,,0000,0000,0000,,both in education and research,
Dialogue: 0,0:16:08.11,0:16:10.00,Default,,0000,0000,0000,,and make Philadelphia an epicenter.
Dialogue: 0,0:16:10.00,0:16:12.17,Default,,0000,0000,0000,,What did that do for us\Nover the last 10 years?
Dialogue: 0,0:16:12.17,0:16:14.65,Default,,0000,0000,0000,,Well were able to take the\NNanotechnology University
Dialogue: 0,0:16:14.65,0:16:17.76,Default,,0000,0000,0000,,of Pennsylvania and Molecular\NGenomics at Jefferson
Dialogue: 0,0:16:17.76,0:16:20.30,Default,,0000,0000,0000,,and create the DNA vending machine.
Dialogue: 0,0:16:20.30,0:16:21.73,Default,,0000,0000,0000,,For those of your from the 2010s,
Dialogue: 0,0:16:21.73,0:16:24.05,Default,,0000,0000,0000,,it's sort of like a red box for your DNA.
Dialogue: 0,0:16:24.05,0:16:25.67,Default,,0000,0000,0000,,We can now pick a drug for you,
Dialogue: 0,0:16:25.67,0:16:28.89,Default,,0000,0000,0000,,instead of saying it's for\N200 people that look like you,
Dialogue: 0,0:16:28.89,0:16:31.59,Default,,0000,0000,0000,,we can take exactly the\Ndrug that fits your genome
Dialogue: 0,0:16:31.59,0:16:33.25,Default,,0000,0000,0000,,and have it available for you.
Dialogue: 0,0:16:33.25,0:16:35.17,Default,,0000,0000,0000,,We can also put your genome on a chip,
Dialogue: 0,0:16:35.17,0:16:37.80,Default,,0000,0000,0000,,so that God forbid, if\Nyou need a new organ,
Dialogue: 0,0:16:37.80,0:16:39.03,Default,,0000,0000,0000,,we can make that for you
Dialogue: 0,0:16:39.03,0:16:42.04,Default,,0000,0000,0000,,based on work that's been\Ndone in Philadelphia.
Dialogue: 0,0:16:42.04,0:16:44.68,Default,,0000,0000,0000,,And we finally decided\Nto work with patients
Dialogue: 0,0:16:44.68,0:16:47.74,Default,,0000,0000,0000,,to really make them\Nshareholders in their health,
Dialogue: 0,0:16:47.74,0:16:49.26,Default,,0000,0000,0000,,and this is what it means.
Dialogue: 0,0:16:49.26,0:16:51.97,Default,,0000,0000,0000,,It means that in a\Ncommunity like Philadelphia,
Dialogue: 0,0:16:51.97,0:16:53.62,Default,,0000,0000,0000,,if we're able to make you healthier
Dialogue: 0,0:16:53.62,0:16:56.41,Default,,0000,0000,0000,,we do better as physicians,\Nand you do better.
Dialogue: 0,0:16:56.41,0:16:58.65,Default,,0000,0000,0000,,And we actually partnered\Nwith great companies
Dialogue: 0,0:16:58.65,0:17:00.56,Default,,0000,0000,0000,,from again outside Philadelphia
Dialogue: 0,0:17:00.56,0:17:02.36,Default,,0000,0000,0000,,to look at a different way
Dialogue: 0,0:17:02.36,0:17:04.72,Default,,0000,0000,0000,,of making sure that everyone matters.
Dialogue: 0,0:17:04.72,0:17:08.43,Default,,0000,0000,0000,,That we can look at not only\Ndrugs, but holistic remedies
Dialogue: 0,0:17:08.43,0:17:11.73,Default,,0000,0000,0000,,to look at personalized\Nperformance game plans
Dialogue: 0,0:17:11.73,0:17:15.30,Default,,0000,0000,0000,,integrating a proven system\Nto drive health outcomes.
Dialogue: 0,0:17:15.30,0:17:17.45,Default,,0000,0000,0000,,Whether it's mindset, or nutrition,
Dialogue: 0,0:17:17.45,0:17:18.99,Default,,0000,0000,0000,,or movement, or recovery,
Dialogue: 0,0:17:18.99,0:17:20.82,Default,,0000,0000,0000,,we were able to do many more things
Dialogue: 0,0:17:20.82,0:17:23.12,Default,,0000,0000,0000,,that didn't require pharmaceuticals.
Dialogue: 0,0:17:23.12,0:17:26.47,Default,,0000,0000,0000,,So that brings us to 2024, and as I said,
Dialogue: 0,0:17:26.47,0:17:28.96,Default,,0000,0000,0000,,I'm here to accept our number one ranking
Dialogue: 0,0:17:28.96,0:17:31.16,Default,,0000,0000,0000,,from the US News and Interplanetary Report
Dialogue: 0,0:17:31.16,0:17:32.96,Default,,0000,0000,0000,,and what's really cool is
Dialogue: 0,0:17:32.96,0:17:34.85,Default,,0000,0000,0000,,that some of the ranking parameters
Dialogue: 0,0:17:34.85,0:17:36.47,Default,,0000,0000,0000,,didn't even exist in 2014,
Dialogue: 0,0:17:36.47,0:17:37.67,Default,,0000,0000,0000,,and I'll give you an example
Dialogue: 0,0:17:37.67,0:17:39.23,Default,,0000,0000,0000,,of a few of them on the academic side,
Dialogue: 0,0:17:39.23,0:17:40.81,Default,,0000,0000,0000,,and a few of them on the clinical side.
Dialogue: 0,0:17:40.81,0:17:44.07,Default,,0000,0000,0000,,On the academic side we\Nactually, imagine this,
Dialogue: 0,0:17:44.07,0:17:46.54,Default,,0000,0000,0000,,get ranked based on how our students do
Dialogue: 0,0:17:46.54,0:17:48.88,Default,,0000,0000,0000,,at one year, three year, and five year.
Dialogue: 0,0:17:48.88,0:17:51.47,Default,,0000,0000,0000,,We measure individual professional\Nand personal happiness
Dialogue: 0,0:17:51.47,0:17:54.31,Default,,0000,0000,0000,,at varying interval after graduation.
Dialogue: 0,0:17:54.31,0:17:56.73,Default,,0000,0000,0000,,Because after all, that's why\Nthey came to our university.
Dialogue: 0,0:17:56.73,0:17:58.66,Default,,0000,0000,0000,,And if we don't do really well,
Dialogue: 0,0:17:58.66,0:18:00.79,Default,,0000,0000,0000,,then they actually get\Nsome of their money back.
Dialogue: 0,0:18:00.79,0:18:02.74,Default,,0000,0000,0000,,We have a collaborative quotient,
Dialogue: 0,0:18:02.74,0:18:04.85,Default,,0000,0000,0000,,academic entities are incentivized
Dialogue: 0,0:18:04.85,0:18:06.78,Default,,0000,0000,0000,,to actually get over themselves\Nand work well with others,
Dialogue: 0,0:18:06.78,0:18:08.68,Default,,0000,0000,0000,,(audience laughter)
Dialogue: 0,0:18:08.68,0:18:11.68,Default,,0000,0000,0000,,which would have been unheard of in 2014
Dialogue: 0,0:18:11.68,0:18:14.26,Default,,0000,0000,0000,,when they were all\Ncannibalizing each other.
Dialogue: 0,0:18:14.26,0:18:16.33,Default,,0000,0000,0000,,And we have an entrepreneurial quotient,
Dialogue: 0,0:18:16.33,0:18:17.88,Default,,0000,0000,0000,,institutions were awarded,
Dialogue: 0,0:18:17.88,0:18:20.66,Default,,0000,0000,0000,,that invent and envision\Nnew ways of doing things
Dialogue: 0,0:18:20.66,0:18:22.11,Default,,0000,0000,0000,,that generate alternate revenue
Dialogue: 0,0:18:22.11,0:18:24.15,Default,,0000,0000,0000,,and develop new student opportunities.
Dialogue: 0,0:18:24.15,0:18:27.25,Default,,0000,0000,0000,,But probably nothing's changed the most,
Dialogue: 0,0:18:27.25,0:18:28.81,Default,,0000,0000,0000,,than health quotients.
Dialogue: 0,0:18:28.81,0:18:31.68,Default,,0000,0000,0000,,I mean, it used to be\Nback in 2014 and before,
Dialogue: 0,0:18:31.68,0:18:32.96,Default,,0000,0000,0000,,that parameters were based
Dialogue: 0,0:18:32.96,0:18:35.09,Default,,0000,0000,0000,,on reputational scores in the past.
Dialogue: 0,0:18:35.09,0:18:36.92,Default,,0000,0000,0000,,Now it's based on what patients think.
Dialogue: 0,0:18:36.92,0:18:39.43,Default,,0000,0000,0000,,For one, I'm really proud\Nof that we a very high score
Dialogue: 0,0:18:39.43,0:18:41.50,Default,,0000,0000,0000,,on is called the BUB Quotient.
Dialogue: 0,0:18:41.50,0:18:44.10,Default,,0000,0000,0000,,It stands for the Believable\NUnderstandable Bill,
Dialogue: 0,0:18:44.10,0:18:46.51,Default,,0000,0000,0000,,that we actually have\Nenough respect for patients,
Dialogue: 0,0:18:46.51,0:18:48.50,Default,,0000,0000,0000,,that we provide understandable bills
Dialogue: 0,0:18:48.50,0:18:50.44,Default,,0000,0000,0000,,so they can understand what they got
Dialogue: 0,0:18:50.44,0:18:52.44,Default,,0000,0000,0000,,and what they're paying for.
Dialogue: 0,0:18:52.44,0:18:53.95,Default,,0000,0000,0000,,We have the Say What You Mean
Dialogue: 0,0:18:53.95,0:18:56.10,Default,,0000,0000,0000,,and Mean What You Say quality parameter.
Dialogue: 0,0:18:56.10,0:18:57.78,Default,,0000,0000,0000,,We actually take marketing professionals
Dialogue: 0,0:18:57.78,0:19:00.03,Default,,0000,0000,0000,,to read all the billboards\Nand the marketing we do,
Dialogue: 0,0:19:00.03,0:19:02.29,Default,,0000,0000,0000,,and see if they have\Nany semblance to reality
Dialogue: 0,0:19:02.29,0:19:04.20,Default,,0000,0000,0000,,of what really happens in the hospital,
Dialogue: 0,0:19:04.20,0:19:06.98,Default,,0000,0000,0000,,and you get points if there\Nis some semblance to reality.
Dialogue: 0,0:19:06.98,0:19:08.55,Default,,0000,0000,0000,,And then finally we have
Dialogue: 0,0:19:08.55,0:19:10.30,Default,,0000,0000,0000,,the Through the Patient's Eyes factor.
Dialogue: 0,0:19:10.30,0:19:12.28,Default,,0000,0000,0000,,And this is really exciting\Nbecause what it is,
Dialogue: 0,0:19:12.28,0:19:14.48,Default,,0000,0000,0000,,is every patient now in 2024,
Dialogue: 0,0:19:14.48,0:19:16.87,Default,,0000,0000,0000,,is basically when they get in the hospital
Dialogue: 0,0:19:16.87,0:19:18.16,Default,,0000,0000,0000,,given a Google Glasses,
Dialogue: 0,0:19:18.16,0:19:20.31,Default,,0000,0000,0000,,and they basically can record
Dialogue: 0,0:19:20.31,0:19:23.36,Default,,0000,0000,0000,,what's happening through their eyes.
Dialogue: 0,0:19:23.36,0:19:25.47,Default,,0000,0000,0000,,How the doctors and\Nnurses are treating them
Dialogue: 0,0:19:25.47,0:19:27.66,Default,,0000,0000,0000,,and then we have CEOs of other hospitals
Dialogue: 0,0:19:27.66,0:19:29.41,Default,,0000,0000,0000,,look at that video for a day
Dialogue: 0,0:19:29.41,0:19:32.16,Default,,0000,0000,0000,,and grade on 1 to 10 how\Nthey'd like to spend a day
Dialogue: 0,0:19:32.16,0:19:33.30,Default,,0000,0000,0000,,in that hospital.
Dialogue: 0,0:19:33.30,0:19:35.51,Default,,0000,0000,0000,,And again that's a great parameter for us.
Dialogue: 0,0:19:35.51,0:19:38.54,Default,,0000,0000,0000,,So a lot has happened since 2024,
Dialogue: 0,0:19:38.54,0:19:40.52,Default,,0000,0000,0000,,and I'm really excited to be here,
Dialogue: 0,0:19:40.52,0:19:41.75,Default,,0000,0000,0000,,we're about to accept an award
Dialogue: 0,0:19:41.75,0:19:43.41,Default,,0000,0000,0000,,in the new convention center an casino
Dialogue: 0,0:19:43.41,0:19:44.60,Default,,0000,0000,0000,,on the Schuylkill River.
Dialogue: 0,0:19:44.60,0:19:47.04,Default,,0000,0000,0000,,(audience laughter)
Dialogue: 0,0:19:47.04,0:19:50.42,Default,,0000,0000,0000,,And some things from the\Npast really are good,
Dialogue: 0,0:19:50.42,0:19:53.19,Default,,0000,0000,0000,,I'm going through my third mid-life crisis
Dialogue: 0,0:19:53.19,0:19:55.14,Default,,0000,0000,0000,,because I'm 70 and I'm,
Dialogue: 0,0:19:55.14,0:19:57.10,Default,,0000,0000,0000,,what happens is people live to 120,
Dialogue: 0,0:19:57.10,0:19:58.85,Default,,0000,0000,0000,,so mid-life crises have changed.
Dialogue: 0,0:19:58.85,0:20:00.64,Default,,0000,0000,0000,,And I'm proud to say\Nthis is what got myself,
Dialogue: 0,0:20:00.64,0:20:01.59,Default,,0000,0000,0000,,I was able to retrofit\N(audience applause)
Dialogue: 0,0:20:01.59,0:20:05.15,Default,,0000,0000,0000,,a GTO to hit the standards for hovercraft.
Dialogue: 0,0:20:05.15,0:20:07.22,Default,,0000,0000,0000,,Excuse me for a second.
Dialogue: 0,0:20:07.22,0:20:09.58,Default,,0000,0000,0000,,Google Glass out, could you get the GTO
Dialogue: 0,0:20:09.58,0:20:11.54,Default,,0000,0000,0000,,to get ready to go to the\Nconvention center, great.
Dialogue: 0,0:20:11.54,0:20:14.24,Default,,0000,0000,0000,,Thank you, listen I want to\Nreally thank you for being here,
Dialogue: 0,0:20:14.24,0:20:16.66,Default,,0000,0000,0000,,I want to thank you for\Ntravelling in time and space,
Dialogue: 0,0:20:16.66,0:20:19.75,Default,,0000,0000,0000,,and most importantly, stay\Nhealthy in Philadelphia.
Dialogue: 0,0:20:19.75,0:20:23.92,Default,,0000,0000,0000,,Thank you very much.\N(audience applause)