[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:11.69,0:00:13.67,Default,,0000,0000,0000,,Well, I want to thank you all for coming,
Dialogue: 0,0:00:13.67,0:00:16.69,Default,,0000,0000,0000,,and especially the people\Nthat came from outside of Philadelphia
Dialogue: 0,0:00:16.69,0:00:18.41,Default,,0000,0000,0000,,that hovered over here;
Dialogue: 0,0:00:18.41,0:00:21.80,Default,,0000,0000,0000,,especially those of you that time-traveled\Nfrom other decades and times.
Dialogue: 0,0:00:21.80,0:00:23.38,Default,,0000,0000,0000,,I'm Steve Klasko.
Dialogue: 0,0:00:23.38,0:00:26.65,Default,,0000,0000,0000,,I'm the CEO of Stevie's Vinyl Emporium\Nand Implantable Health Chips
Dialogue: 0,0:00:26.65,0:00:28.18,Default,,0000,0000,0000,,in South Street in Philadelphia.
Dialogue: 0,0:00:28.18,0:00:29.25,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:00:29.25,0:00:30.90,Default,,0000,0000,0000,,That's what I am today.
Dialogue: 0,0:00:30.90,0:00:32.63,Default,,0000,0000,0000,,But for the past ten years,
Dialogue: 0,0:00:32.63,0:00:35.23,Default,,0000,0000,0000,,I've been the presidency\Nof Thomas Jefferson University
Dialogue: 0,0:00:35.23,0:00:37.68,Default,,0000,0000,0000,,in Jefferson University Hospital System
Dialogue: 0,0:00:37.68,0:00:40.86,Default,,0000,0000,0000,,that literally was one of the pioneers\Nalong with several others
Dialogue: 0,0:00:40.86,0:00:44.30,Default,,0000,0000,0000,,for what is now called\Nthe leaders of the optimistic future
Dialogue: 0,0:00:44.30,0:00:48.18,Default,,0000,0000,0000,,in Healthcare Revolution\Nfrom 2015 to 2024.
Dialogue: 0,0:00:48.18,0:00:50.74,Default,,0000,0000,0000,,So for those of you\Nwho are coming from another decade,
Dialogue: 0,0:00:50.74,0:00:52.90,Default,,0000,0000,0000,,or for those of you\Nwho are here in the 2020s,
Dialogue: 0,0:00:52.90,0:00:55.77,Default,,0000,0000,0000,,I'd like to talk a little bit\Nabout how that journey happened
Dialogue: 0,0:00:55.77,0:00:58.26,Default,,0000,0000,0000,,and maybe give you\Na little bit of the personal story
Dialogue: 0,0:00:58.26,0:00:59.71,Default,,0000,0000,0000,,about how it happened for me.
Dialogue: 0,0:00:59.71,0:01:02.85,Default,,0000,0000,0000,,So first one of the things that we did,\Nis we got tired of whining,
Dialogue: 0,0:01:02.85,0:01:05.09,Default,,0000,0000,0000,,and we decided\Nlet's just travel to the future,
Dialogue: 0,0:01:05.09,0:01:07.61,Default,,0000,0000,0000,,think about what we want\Nand then create it.
Dialogue: 0,0:01:07.61,0:01:10.47,Default,,0000,0000,0000,,For me, that started in 1977.
Dialogue: 0,0:01:11.08,0:01:14.44,Default,,0000,0000,0000,,Very important time for me,\NI was a senior medical student.
Dialogue: 0,0:01:14.44,0:01:17.71,Default,,0000,0000,0000,,It was important because I got asked\Nto give a talk for TED.
Dialogue: 0,0:01:17.71,0:01:21.40,Default,,0000,0000,0000,,Now not the TED you're thinking of\Nbecause TED didn't exist in 1977.
Dialogue: 0,0:01:21.40,0:01:23.82,Default,,0000,0000,0000,,It was called tomorrow's\Neducation of doctors.
Dialogue: 0,0:01:23.82,0:01:26.91,Default,,0000,0000,0000,,It was everything different\Nthan the technology that exists today.
Dialogue: 0,0:01:26.91,0:01:29.29,Default,,0000,0000,0000,,It was a little slideshow with a screen,
Dialogue: 0,0:01:29.29,0:01:32.76,Default,,0000,0000,0000,,but they asked me to talk about\Nwhat the future of medicine looks like
Dialogue: 0,0:01:32.76,0:01:34.78,Default,,0000,0000,0000,,from a medical student's point of view.
Dialogue: 0,0:01:34.78,0:01:37.87,Default,,0000,0000,0000,,I remember it for it was the first time\NI saw the Rolling Stones -
Dialogue: 0,0:01:37.87,0:01:40.61,Default,,0000,0000,0000,,this is what they looked like\Nback then; I was a huge fan.
Dialogue: 0,0:01:40.61,0:01:44.18,Default,,0000,0000,0000,,But what I talked about because I\Nwas a little nervous about the first talk,
Dialogue: 0,0:01:44.18,0:01:46.96,Default,,0000,0000,0000,,I talked about: Can you do anything\Nabout spiraling costs?
Dialogue: 0,0:01:46.96,0:01:49.00,Default,,0000,0000,0000,,Can you change the fee-for-service system,\N
Dialogue: 0,0:01:49.00,0:01:52.20,Default,,0000,0000,0000,,so we're really rewarding\Nvalue and not volume?
Dialogue: 0,0:01:52.20,0:01:54.14,Default,,0000,0000,0000,,And can you measure outcomes?
Dialogue: 0,0:01:54.14,0:01:58.97,Default,,0000,0000,0000,,And I said my generation of docs is going\Nto solve this over the next four years.
Dialogue: 0,0:01:58.97,0:02:03.26,Default,,0000,0000,0000,,We are not going to be dealing with this\Neven 20 years from now.
Dialogue: 0,0:02:03.92,0:02:06.49,Default,,0000,0000,0000,,Well, amazingly the docs said, "No."
Dialogue: 0,0:02:06.49,0:02:07.69,Default,,0000,0000,0000,,And that didn't happen.
Dialogue: 0,0:02:07.69,0:02:10.29,Default,,0000,0000,0000,,Now I was also a very different\Nperson back in 1977.
Dialogue: 0,0:02:10.29,0:02:11.61,Default,,0000,0000,0000,,This is what I look like.
Dialogue: 0,0:02:11.61,0:02:14.13,Default,,0000,0000,0000,,(Applause) (Cheering)
Dialogue: 0,0:02:14.13,0:02:15.53,Default,,0000,0000,0000,,Thank you.
Dialogue: 0,0:02:18.43,0:02:20.93,Default,,0000,0000,0000,,That's called a leisure suit.
Dialogue: 0,0:02:20.93,0:02:23.36,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:02:23.36,0:02:27.42,Default,,0000,0000,0000,,But for a brief interlude\Nwhere they tried to bring it back in 2019,
Dialogue: 0,0:02:27.42,0:02:31.25,Default,,0000,0000,0000,,I think it's safe to say\Nit's out of the fashion lexicon forever,
Dialogue: 0,0:02:31.25,0:02:36.22,Default,,0000,0000,0000,,but the car was in 1968 GTO\Nwhich was and is a very cool car.
Dialogue: 0,0:02:36.22,0:02:37.60,Default,,0000,0000,0000,,Thank you.
Dialogue: 0,0:02:37.60,0:02:40.50,Default,,0000,0000,0000,,So then we went through really\Nwhat some people called
Dialogue: 0,0:02:40.50,0:02:41.99,Default,,0000,0000,0000,,the middle or dark ages,
Dialogue: 0,0:02:41.99,0:02:45.60,Default,,0000,0000,0000,,the Managed Care Revolution,\Nwhich did not really manage anything.
Dialogue: 0,0:02:45.60,0:02:48.75,Default,,0000,0000,0000,,It didn't really provide care;\Nit just promoted underutilization -
Dialogue: 0,0:02:48.75,0:02:50.19,Default,,0000,0000,0000,,the balanced budget amendment,
Dialogue: 0,0:02:50.19,0:02:53.29,Default,,0000,0000,0000,,which didn't balance the budget,\Nand didn't really amend anything.
Dialogue: 0,0:02:53.29,0:02:56.29,Default,,0000,0000,0000,,And then the first iteration\Nof what has now been 17 iterations
Dialogue: 0,0:02:56.29,0:02:58.40,Default,,0000,0000,0000,,of what was then called Obamacare.
Dialogue: 0,0:02:58.40,0:03:02.39,Default,,0000,0000,0000,,So that brings us to 2014,\Nand why was 2014 important to me?
Dialogue: 0,0:03:02.39,0:03:05.89,Default,,0000,0000,0000,,Well, I was very proud and honored\Nto be inaugurated and selected
Dialogue: 0,0:03:05.89,0:03:07.91,Default,,0000,0000,0000,,as the first president and CEO
Dialogue: 0,0:03:07.91,0:03:11.08,Default,,0000,0000,0000,,of Thomas Jefferson University\Nand Health System combined.
Dialogue: 0,0:03:11.08,0:03:14.56,Default,,0000,0000,0000,,It was also a big moment for me\Nbecause it was the second time I saw them.
Dialogue: 0,0:03:14.56,0:03:17.29,Default,,0000,0000,0000,,This is what the Rolling Stones\Nlooked like back in 2014.
Dialogue: 0,0:03:17.29,0:03:18.74,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:03:18.74,0:03:21.04,Default,,0000,0000,0000,,And in my inauguration\NI was given a script,
Dialogue: 0,0:03:21.04,0:03:23.59,Default,,0000,0000,0000,,and what I talked about\Nmy inauguration in 2014 is:
Dialogue: 0,0:03:23.59,0:03:25.85,Default,,0000,0000,0000,,"Hey, can we do anything\Nabout spiraling costs?"
Dialogue: 0,0:03:25.85,0:03:27.76,Default,,0000,0000,0000,,Can we change the fee-for-service?
Dialogue: 0,0:03:27.76,0:03:29.59,Default,,0000,0000,0000,,Do you think we can measure outcomes?
Dialogue: 0,0:03:29.59,0:03:31.61,Default,,0000,0000,0000,,That was a bit of an a-ha moment for me,
Dialogue: 0,0:03:31.61,0:03:35.26,Default,,0000,0000,0000,,I said, "Well, 37 years, that's a lot\Nfor not to have much change."
Dialogue: 0,0:03:35.26,0:03:38.46,Default,,0000,0000,0000,,This time though, the insurers\Nand government said:
Dialogue: 0,0:03:38.46,0:03:40.75,Default,,0000,0000,0000,,"We're really going to do it."
Dialogue: 0,0:03:40.75,0:03:43.74,Default,,0000,0000,0000,,And really what people\Nwere actually predicting is -
Dialogue: 0,0:03:43.74,0:03:46.54,Default,,0000,0000,0000,,because believe it or not, even at 2014
Dialogue: 0,0:03:46.54,0:03:49.91,Default,,0000,0000,0000,,the docs said: "I really don't\Nwant to take any risks.
Dialogue: 0,0:03:49.91,0:03:51.94,Default,,0000,0000,0000,,I think things are fine\Nthe way they were."
Dialogue: 0,0:03:51.94,0:03:54.58,Default,,0000,0000,0000,,And you couldn't go a week\Nwithout people
Dialogue: 0,0:03:54.58,0:03:57.47,Default,,0000,0000,0000,,threatening the extinction\Nof academic health centers.
Dialogue: 0,0:03:57.47,0:04:01.24,Default,,0000,0000,0000,,So I'm proud to say here in Philadelphia\Nand at Jefferson we said yes,
Dialogue: 0,0:04:01.24,0:04:06.29,Default,,0000,0000,0000,,and I'd love to talk to you a little bit\Nabout what happened between 2014 and 2024.
Dialogue: 0,0:04:06.29,0:04:08.84,Default,,0000,0000,0000,,So here we are in 2024, and by the way,
Dialogue: 0,0:04:08.84,0:04:13.33,Default,,0000,0000,0000,,I don't know if any of you saw it\Non your Facebook implantable glasses,
Dialogue: 0,0:04:13.33,0:04:16.13,Default,,0000,0000,0000,,the Zombie Rock Tour, it was awesome.
Dialogue: 0,0:04:16.13,0:04:17.67,Default,,0000,0000,0000,,It was awesome.
Dialogue: 0,0:04:17.67,0:04:20.31,Default,,0000,0000,0000,,By the way, those Facebook\Nimplantable glasses
Dialogue: 0,0:04:20.31,0:04:23.48,Default,,0000,0000,0000,,can be bought at Stevie's Vinyl Records\Nand Implantable Devices.
Dialogue: 0,0:04:23.48,0:04:24.60,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:04:25.36,0:04:29.21,Default,,0000,0000,0000,,I thought the Rolling Stones,\Nthe Rolling Stones rocked,
Dialogue: 0,0:04:29.21,0:04:30.48,Default,,0000,0000,0000,,(Laughter) (Cheers)
Dialogue: 0,0:04:30.48,0:04:32.55,Default,,0000,0000,0000,,they rocked the undead tour, right?
Dialogue: 0,0:04:32.55,0:04:34.98,Default,,0000,0000,0000,,Who agrees with me?\NThey rocked the undead tour.
Dialogue: 0,0:04:34.98,0:04:37.20,Default,,0000,0000,0000,,Seven decades of great Rolling Stones.
Dialogue: 0,0:04:37.20,0:04:39.44,Default,,0000,0000,0000,,You talk about\Nnot getting any satisfaction,
Dialogue: 0,0:04:39.44,0:04:40.71,Default,,0000,0000,0000,,look at these guys.
Dialogue: 0,0:04:40.71,0:04:42.54,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:04:42.54,0:04:44.88,Default,,0000,0000,0000,,But more importantly, more importantly,
Dialogue: 0,0:04:44.88,0:04:48.31,Default,,0000,0000,0000,,what happened in Philadelphia,\Nwhat happened at Jefferson was,
Dialogue: 0,0:04:48.31,0:04:50.75,Default,,0000,0000,0000,,that we took that mode of saying -
Dialogue: 0,0:04:50.75,0:04:53.55,Default,,0000,0000,0000,,people said that it's impossible\Nto change healthcare.
Dialogue: 0,0:04:53.55,0:04:56.18,Default,,0000,0000,0000,,And really the personal piece,\Nfor me believe it or not,
Dialogue: 0,0:04:56.18,0:04:58.28,Default,,0000,0000,0000,,didn't come from Maimonides or Aristotle,
Dialogue: 0,0:04:58.28,0:05:01.40,Default,,0000,0000,0000,,or even somebody from the University\Nof Pennsylvania or Jefferson.
Dialogue: 0,0:05:01.40,0:05:03.28,Default,,0000,0000,0000,,It came from a sneaker commercial.
Dialogue: 0,0:05:03.28,0:05:07.78,Default,,0000,0000,0000,,It was an Adidas marketing campaign\Nback in 2014 called the Impossible.
Dialogue: 0,0:05:07.78,0:05:11.79,Default,,0000,0000,0000,,It said "impossible" is just a big word\Nthrown around by small men and women
Dialogue: 0,0:05:11.79,0:05:14.53,Default,,0000,0000,0000,,who find it easier to live the world\Nthey've been given
Dialogue: 0,0:05:14.53,0:05:17.03,Default,,0000,0000,0000,,rather than explore the power\Nthey have to change it.
Dialogue: 0,0:05:17.03,0:05:19.17,Default,,0000,0000,0000,,Impossible is not a fact; it's an opinion.
Dialogue: 0,0:05:19.17,0:05:21.47,Default,,0000,0000,0000,,Impossible is temporary;\Nimpossible is nothing.
Dialogue: 0,0:05:22.10,0:05:25.17,Default,,0000,0000,0000,,So we decided, "What the heck,\Nlet's do the impossible."
Dialogue: 0,0:05:25.17,0:05:27.24,Default,,0000,0000,0000,,Because everybody knew\Nthings were changing,
Dialogue: 0,0:05:27.24,0:05:30.02,Default,,0000,0000,0000,,we weren't going to wait for a miracle.
Dialogue: 0,0:05:30.02,0:05:32.11,Default,,0000,0000,0000,,And we said, "Let's do it."
Dialogue: 0,0:05:32.11,0:05:34.78,Default,,0000,0000,0000,,OK, so here it is, it's March 28th, 2024.
Dialogue: 0,0:05:34.78,0:05:37.59,Default,,0000,0000,0000,,Now I apologize for those of you\Nwho come from this decade,
Dialogue: 0,0:05:37.59,0:05:40.11,Default,,0000,0000,0000,,but I know some of you\Nprobably have time travel lag,
Dialogue: 0,0:05:40.11,0:05:42.41,Default,,0000,0000,0000,,and I just want you to know\Nwhere we're at today.
Dialogue: 0,0:05:42.41,0:05:43.77,Default,,0000,0000,0000,,So it's March 28th, 2024,
Dialogue: 0,0:05:43.77,0:05:47.68,Default,,0000,0000,0000,,President Jenna Bush will be debating\NDemocratic nominee Chelsea Clinton,
Dialogue: 0,0:05:47.68,0:05:50.50,Default,,0000,0000,0000,,in what a lot of people think\Nwill be a very tight race.
Dialogue: 0,0:05:50.50,0:05:53.40,Default,,0000,0000,0000,,Harrison Ford has signed up\Nfor one last Indiana Jones sequel,
Dialogue: 0,0:05:53.40,0:05:54.45,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:05:54.45,0:05:57.39,Default,,0000,0000,0000,,tentatively titled Indiana Jones:\Nthe Legend of Bingo Night,
Dialogue: 0,0:05:57.39,0:05:59.21,Default,,0000,0000,0000,,we're all excited about that one.
Dialogue: 0,0:05:59.21,0:06:02.21,Default,,0000,0000,0000,,And the Eagles are 2-0\Nand trying to win their first Super Bowl
Dialogue: 0,0:06:02.21,0:06:05.98,Default,,0000,0000,0000,,since the unprecedented fourth straight\Nthey won from 2015 to 2018,
Dialogue: 0,0:06:05.98,0:06:08.10,Default,,0000,0000,0000,,the so-called Chip Championship Years.
Dialogue: 0,0:06:08.10,0:06:10.83,Default,,0000,0000,0000,,(Applause) (Cheering)
Dialogue: 0,0:06:11.70,0:06:16.07,Default,,0000,0000,0000,,Of course, Governor Chip now has a very\Ndifferent job than he had back then.
Dialogue: 0,0:06:16.07,0:06:18.74,Default,,0000,0000,0000,,But more importantly or as importantly,
Dialogue: 0,0:06:18.74,0:06:21.56,Default,,0000,0000,0000,,Jefferson is celebrating\Nits 200th anniversary
Dialogue: 0,0:06:21.56,0:06:24.49,Default,,0000,0000,0000,,as an international hub of innovation,
Dialogue: 0,0:06:24.49,0:06:26.11,Default,,0000,0000,0000,,with headquarters in Philadelphia,
Dialogue: 0,0:06:26.11,0:06:28.78,Default,,0000,0000,0000,,instead of just the Philadelphia\Nacademic medical center.
Dialogue: 0,0:06:28.78,0:06:32.16,Default,,0000,0000,0000,,We've become a destination site\Nfor innovative entrepreneurial health
Dialogue: 0,0:06:32.16,0:06:34.42,Default,,0000,0000,0000,,with unprecedented economic development,
Dialogue: 0,0:06:34.42,0:06:35.80,Default,,0000,0000,0000,,and our creative partnerships
Dialogue: 0,0:06:35.80,0:06:38.73,Default,,0000,0000,0000,,have allowed us to become\Nwhat The Wall Street Journal called
Dialogue: 0,0:06:38.73,0:06:41.16,Default,,0000,0000,0000,,a thriving cluster on the verge\Nof a chain reaction,
Dialogue: 0,0:06:41.16,0:06:44.53,Default,,0000,0000,0000,,which has helped make Philadelphia\Nthe epicenter of the new healthcare.
Dialogue: 0,0:06:44.53,0:06:46.55,Default,,0000,0000,0000,,By the way, I'm getting out of my DeLorean
Dialogue: 0,0:06:46.55,0:06:50.04,Default,,0000,0000,0000,,to accept an award from the US News\Nand Interplanetary Report.
Dialogue: 0,0:06:50.04,0:06:53.48,Default,,0000,0000,0000,,As most of you know in 2019,\Nwe found two other planets
Dialogue: 0,0:06:53.48,0:06:55.58,Default,,0000,0000,0000,,with slightly dysfunctional\Nhealth systems,
Dialogue: 0,0:06:55.58,0:06:59.98,Default,,0000,0000,0000,,so they are now part of the ranking system\Nthat the former USNWR used.
Dialogue: 0,0:06:59.98,0:07:02.81,Default,,0000,0000,0000,,So how did we get there? I'd like to ...
Dialogue: 0,0:07:02.81,0:07:05.58,Default,,0000,0000,0000,,TEDx has asked me to talk\Nabout three things that we did
Dialogue: 0,0:07:05.58,0:07:07.53,Default,,0000,0000,0000,,that were very different.
Dialogue: 0,0:07:07.53,0:07:11.35,Default,,0000,0000,0000,,First of all, we decided that we're going\Nto start to create docs of the future,
Dialogue: 0,0:07:11.35,0:07:16.26,Default,,0000,0000,0000,,that it's ridiculous to have the same way\Nthat we selected and educated physicians
Dialogue: 0,0:07:16.26,0:07:19.23,Default,,0000,0000,0000,,that became autonomous,\Ncompetitive, and hierarchical,
Dialogue: 0,0:07:19.23,0:07:22.31,Default,,0000,0000,0000,,and that we actually were going\Nto change the DNA of healthcare
Dialogue: 0,0:07:22.31,0:07:23.99,Default,,0000,0000,0000,,literally one physician at a time.
Dialogue: 0,0:07:23.99,0:07:25.27,Default,,0000,0000,0000,,You may not believe this,
Dialogue: 0,0:07:25.27,0:07:30.32,Default,,0000,0000,0000,,but back in 2014, we still chose doctors\Nbased on science GPAs, MedCaTs,
Dialogue: 0,0:07:30.32,0:07:34.21,Default,,0000,0000,0000,,which were a multiple-choice test,\Nand organic chemistry performance.
Dialogue: 0,0:07:34.21,0:07:37.22,Default,,0000,0000,0000,,And somehow we were amazed\Nthat doctors weren't more empathetic,
Dialogue: 0,0:07:37.22,0:07:38.77,Default,,0000,0000,0000,,communicative, and creative.
Dialogue: 0,0:07:38.77,0:07:40.61,Default,,0000,0000,0000,,As my kids would say, "Duh."
Dialogue: 0,0:07:40.61,0:07:42.33,Default,,0000,0000,0000,,(Laughter) (Applause)
Dialogue: 0,0:07:42.33,0:07:43.53,Default,,0000,0000,0000,,So we changed all that.
Dialogue: 0,0:07:43.53,0:07:48.66,Default,,0000,0000,0000,,What we recognized is that it used to be\Nfor those of you who came from the '70s -
Dialogue: 0,0:07:48.98,0:07:51.17,Default,,0000,0000,0000,,and I think there are actually some,
Dialogue: 0,0:07:51.17,0:07:54.39,Default,,0000,0000,0000,,I see some people from 2014,\NI see some people from the '80s.
Dialogue: 0,0:07:54.39,0:07:56.28,Default,,0000,0000,0000,,Go Journey, yeah.
Dialogue: 0,0:07:56.28,0:07:57.41,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:07:57.41,0:08:01.20,Default,,0000,0000,0000,,I see some tie-dye out there,\Nsome '60s and '70s. Peace!
Dialogue: 0,0:08:01.56,0:08:05.04,Default,,0000,0000,0000,,But we decided to transform admissions.
Dialogue: 0,0:08:05.04,0:08:08.69,Default,,0000,0000,0000,,What we realized is\Nthat all the scientific data
Dialogue: 0,0:08:08.69,0:08:12.14,Default,,0000,0000,0000,,is on what in 2014 we called\NiPhones and Androids,
Dialogue: 0,0:08:12.14,0:08:15.74,Default,,0000,0000,0000,,but really what we needed\Nwere emotionally intelligent physicians.
Dialogue: 0,0:08:15.74,0:08:20.34,Default,,0000,0000,0000,,So we now really select physicians\Nbased on self-awareness, self-management,
Dialogue: 0,0:08:20.34,0:08:23.56,Default,,0000,0000,0000,,and the ability to adapt,\Nsocial awareness and empathy,
Dialogue: 0,0:08:23.56,0:08:25.70,Default,,0000,0000,0000,,relationship management, teamwork,
Dialogue: 0,0:08:25.70,0:08:29.11,Default,,0000,0000,0000,,and the ability to really embrace change\Ninstead of fighting it.
Dialogue: 0,0:08:29.11,0:08:30.42,Default,,0000,0000,0000,,But not only that,
Dialogue: 0,0:08:30.42,0:08:34.54,Default,,0000,0000,0000,,we totally changed the way that we teach\Nthe physicians that we do accept.
Dialogue: 0,0:08:34.54,0:08:36.38,Default,,0000,0000,0000,,Believe it or not back in 2014,
Dialogue: 0,0:08:36.38,0:08:40.92,Default,,0000,0000,0000,,we used to spend two years\Nreally teaching them scientific principles
Dialogue: 0,0:08:40.92,0:08:43.95,Default,,0000,0000,0000,,in large auditoriums,\Nclasses that a lot of them didn't come to,
Dialogue: 0,0:08:43.95,0:08:46.09,Default,,0000,0000,0000,,when we recognized\Nthat we could do all that,
Dialogue: 0,0:08:46.09,0:08:48.51,Default,,0000,0000,0000,,have them learn that\Nat two o'clock in the morning.
Dialogue: 0,0:08:48.51,0:08:51.80,Default,,0000,0000,0000,,Now we spend most of our time\Nin what we call the Art of Attending.
Dialogue: 0,0:08:51.80,0:08:55.43,Default,,0000,0000,0000,,Teaching them to really observe,\Nwe started back in 2014,
Dialogue: 0,0:08:55.43,0:08:59.00,Default,,0000,0000,0000,,workshops designed to sharpen\Nobservation skills of health students
Dialogue: 0,0:08:59.00,0:09:00.77,Default,,0000,0000,0000,,by looking at art.
Dialogue: 0,0:09:00.77,0:09:02.27,Default,,0000,0000,0000,,Very unusual partnership,
Dialogue: 0,0:09:02.27,0:09:06.08,Default,,0000,0000,0000,,it was Thomas Jefferson University,\NContemporary Art Museum,
Dialogue: 0,0:09:06.08,0:09:08.92,Default,,0000,0000,0000,,an institute for an optimistic\Nfuture in healthcare.
Dialogue: 0,0:09:08.92,0:09:12.57,Default,,0000,0000,0000,,We took students\Nand had them understand art.
Dialogue: 0,0:09:12.57,0:09:14.98,Default,,0000,0000,0000,,So if you take\Nthis piece of art over here,
Dialogue: 0,0:09:14.98,0:09:16.83,Default,,0000,0000,0000,,medical students originally said,
Dialogue: 0,0:09:16.83,0:09:19.68,Default,,0000,0000,0000,,"Well, that's a woman;\Nthat's a snake; that's a family."
Dialogue: 0,0:09:19.68,0:09:22.50,Default,,0000,0000,0000,,But when you started to look\Nand say, "What is the story?",
Dialogue: 0,0:09:22.50,0:09:26.27,Default,,0000,0000,0000,,it started to totally change the way\Nthat they cared for patients.
Dialogue: 0,0:09:26.27,0:09:30.53,Default,,0000,0000,0000,,And at the end of the day, we went\Nfrom silos of full-time individuals
Dialogue: 0,0:09:30.53,0:09:34.42,Default,,0000,0000,0000,,to folks who could deliver\Nteam-enabled and team-based care.
Dialogue: 0,0:09:34.42,0:09:37.68,Default,,0000,0000,0000,,Doctors went from being captains\Nof the ship to being part of a team,
Dialogue: 0,0:09:37.68,0:09:39.69,Default,,0000,0000,0000,,and they, believe it or not, work closely
Dialogue: 0,0:09:39.69,0:09:42.16,Default,,0000,0000,0000,,with multidisciplinary\Ncare-delivery teams,
Dialogue: 0,0:09:42.16,0:09:45.07,Default,,0000,0000,0000,,including doctors of nursing practice,\Nnurse practitioners,
Dialogue: 0,0:09:45.07,0:09:47.58,Default,,0000,0000,0000,,clinical pharmacists,\Nphysician's assistants.
Dialogue: 0,0:09:47.58,0:09:50.89,Default,,0000,0000,0000,,and at the Thomas Jefferson Institute\Nof Emerging Health Professions,
Dialogue: 0,0:09:50.89,0:09:53.93,Default,,0000,0000,0000,,professions that didn't\Neven exist in 2014,
Dialogue: 0,0:09:53.93,0:09:58.12,Default,,0000,0000,0000,,things like probability experts,\Nelectronic health care ambassadors,
Dialogue: 0,0:09:58.12,0:10:00.20,Default,,0000,0000,0000,,and telehealth professionals.
Dialogue: 0,0:10:00.20,0:10:04.07,Default,,0000,0000,0000,,So we recognized that we needed\Nto evolve doctoring.
Dialogue: 0,0:10:04.07,0:10:08.78,Default,,0000,0000,0000,,We also recognized that the patient\Nexperience was really pretty lousy.
Dialogue: 0,0:10:09.37,0:10:14.71,Default,,0000,0000,0000,,Back in 2014, you could actually\Ndo anything you needed to do in travel,
Dialogue: 0,0:10:14.71,0:10:17.57,Default,,0000,0000,0000,,anything you needed\Nto do in shopping on a device,
Dialogue: 0,0:10:17.57,0:10:20.48,Default,,0000,0000,0000,,but could you get an appointment\Nwith a physician? No.
Dialogue: 0,0:10:20.48,0:10:23.28,Default,,0000,0000,0000,,Could you interact\Nwith a doctor or nurse? No.
Dialogue: 0,0:10:23.28,0:10:27.98,Default,,0000,0000,0000,,So we decided that healthcare needed\Nin 2014 to get into the E&I mode.
Dialogue: 0,0:10:27.98,0:10:32.14,Default,,0000,0000,0000,,If you even look at how people\Nviewed us from TV shows -
Dialogue: 0,0:10:32.14,0:10:35.33,Default,,0000,0000,0000,,how many of you are here from the '70s?\NThere you go, okay.
Dialogue: 0,0:10:35.33,0:10:38.64,Default,,0000,0000,0000,,So the big tip television show\Nin the '70s was Marcus Welby.
Dialogue: 0,0:10:38.64,0:10:40.23,Default,,0000,0000,0000,,Now here's what Marcus Welby was.
Dialogue: 0,0:10:40.23,0:10:41.68,Default,,0000,0000,0000,,He was a family physician.
Dialogue: 0,0:10:41.68,0:10:43.35,Default,,0000,0000,0000,,He would get up in the morning,
Dialogue: 0,0:10:43.35,0:10:46.54,Default,,0000,0000,0000,,he would go to the homeless shelter,\Ntake care of people for free.
Dialogue: 0,0:10:46.54,0:10:50.01,Default,,0000,0000,0000,,On the way home to lunch, a cow would\Nbe having trouble delivering a calf,
Dialogue: 0,0:10:50.01,0:10:51.24,Default,,0000,0000,0000,,he'd deliver it.
Dialogue: 0,0:10:51.24,0:10:54.33,Default,,0000,0000,0000,,He'd then go to his family medicine\Noffice in the afternoon,
Dialogue: 0,0:10:54.33,0:10:57.00,Default,,0000,0000,0000,,and then at night he'd do\Nleft ventricular neurosurgery.
Dialogue: 0,0:10:57.00,0:11:00.30,Default,,0000,0000,0000,,We were Gods, we could do everything,\Nthat's how people viewed us.
Dialogue: 0,0:11:00.30,0:11:03.59,Default,,0000,0000,0000,,In the 2010s this is what we had.\NAnybody remember this guy?
Dialogue: 0,0:11:03.59,0:11:05.74,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:11:05.74,0:11:09.54,Default,,0000,0000,0000,,He was a drug-addicted,\Nsex-addicted, really smart guy
Dialogue: 0,0:11:09.54,0:11:12.22,Default,,0000,0000,0000,,that couldn't communicate or see patients.
Dialogue: 0,0:11:12.22,0:11:14.24,Default,,0000,0000,0000,,That's what people viewed us.
Dialogue: 0,0:11:14.24,0:11:17.59,Default,,0000,0000,0000,,The number one TV show of 2023?
Dialogue: 0,0:11:17.59,0:11:23.00,Default,,0000,0000,0000,,Was Doctor WHO, which\Nstands for Watson Hybrid Organo Doc,
Dialogue: 0,0:11:23.00,0:11:28.35,Default,,0000,0000,0000,,who basically fell in love\Nwith his robotic-bionic counterpart
Dialogue: 0,0:11:28.35,0:11:31.79,Default,,0000,0000,0000,,who does all the scientific stuff\Nwhile he does the emotional stuff.
Dialogue: 0,0:11:31.79,0:11:33.88,Default,,0000,0000,0000,,And as you can imagine, hilarity ensues.
Dialogue: 0,0:11:33.88,0:11:35.13,Default,,0000,0000,0000,,By the way ...
Dialogue: 0,0:11:35.13,0:11:36.76,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:11:36.76,0:11:41.61,Default,,0000,0000,0000,,By the way the first season of Doctor WHO
Dialogue: 0,0:11:41.61,0:11:45.20,Default,,0000,0000,0000,,is available on Google Glass\Nimplantable chips,
Dialogue: 0,0:11:45.20,0:11:50.27,Default,,0000,0000,0000,,available at Stevie's Vinyl Records\Nand Implantable Chips on South Street.
Dialogue: 0,0:11:50.27,0:11:51.43,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:11:51.43,0:11:54.31,Default,,0000,0000,0000,,So the other thing we embraced\Nwas entrepreneurship.
Dialogue: 0,0:11:54.31,0:11:57.30,Default,,0000,0000,0000,,We recognized that being academic\Nand entrepreneurial
Dialogue: 0,0:11:57.30,0:11:59.47,Default,,0000,0000,0000,,just were not mutually exclusive,
Dialogue: 0,0:11:59.47,0:12:03.87,Default,,0000,0000,0000,,and we also recognized that we had\Nto enhance the consumer experience.
Dialogue: 0,0:12:03.87,0:12:06.62,Default,,0000,0000,0000,,It really was lousy going to a physician.
Dialogue: 0,0:12:06.62,0:12:08.58,Default,,0000,0000,0000,,This is what it looked like back in 2014.
Dialogue: 0,0:12:08.91,0:12:11.60,Default,,0000,0000,0000,,Female: What's wrong?\NStevenson: I don't feel so good.
Dialogue: 0,0:12:11.60,0:12:13.54,Default,,0000,0000,0000,,F: Then you need to go to a doctor.
Dialogue: 0,0:12:20.79,0:12:24.02,Default,,0000,0000,0000,,Female nurse: Mr. Stephenson?\NS: Stevenson.
Dialogue: 0,0:12:24.02,0:12:25.55,Default,,0000,0000,0000,,FN: Do you have any allergies?
Dialogue: 0,0:12:25.55,0:12:29.00,Default,,0000,0000,0000,,How would you describe your symptoms?\NWhat is the general area of pain?
Dialogue: 0,0:12:29.00,0:12:32.42,Default,,0000,0000,0000,,Does your family have a history\Nof heart disease or diabetes?
Dialogue: 0,0:12:32.42,0:12:36.06,Default,,0000,0000,0000,,Doctor: And what seems\Nto be the problem today, Mr. Stevenson?
Dialogue: 0,0:12:36.06,0:12:39.34,Default,,0000,0000,0000,,S: I'm feeling a little stuffed up.\NI'm experiencing some ...
Dialogue: 0,0:12:39.34,0:12:42.93,Default,,0000,0000,0000,,FN: Doctor, your 3 o'clock is early,\Nyour 2:45 is late from 6 and 7.
Dialogue: 0,0:12:42.93,0:12:44.46,Default,,0000,0000,0000,,D: Follow these instructions;
Dialogue: 0,0:12:44.46,0:12:48.30,Default,,0000,0000,0000,,if it doesn't clear up in a week or two,\Ncome back; we'll do this all over again.
Dialogue: 0,0:12:48.30,0:12:49.69,Default,,0000,0000,0000,,(Moaning)
Dialogue: 0,0:12:50.16,0:12:52.57,Default,,0000,0000,0000,,S: I don't like going to a doctor.
Dialogue: 0,0:12:52.57,0:12:56.88,Default,,0000,0000,0000,,SK: So in July of 2014, we partnered\Nwith some great companies,
Dialogue: 0,0:12:56.88,0:13:00.08,Default,,0000,0000,0000,,created an innovation-driven\Necosystem for healthcare.
Dialogue: 0,0:13:00.08,0:13:02.48,Default,,0000,0000,0000,,Starting in 2015, patients in 48 states
Dialogue: 0,0:13:02.48,0:13:05.55,Default,,0000,0000,0000,,could access Jefferson doctors\Nvia telemedicine.
Dialogue: 0,0:13:05.55,0:13:08.75,Default,,0000,0000,0000,,S: Well, now you can see a doctor\Nwithout going to a doctor's office
Dialogue: 0,0:13:08.75,0:13:11.81,Default,,0000,0000,0000,,with the help of your smartphone,\Nor computer, and American Well.
Dialogue: 0,0:13:11.81,0:13:14.37,Default,,0000,0000,0000,,Signing up and setting up\Nyour health profile is easy;
Dialogue: 0,0:13:14.37,0:13:15.47,Default,,0000,0000,0000,,it only takes a minute,
Dialogue: 0,0:13:15.47,0:13:18.26,Default,,0000,0000,0000,,and once you've done it,\Nit's stored safely and securely.
Dialogue: 0,0:13:18.26,0:13:21.53,Default,,0000,0000,0000,,Then you can log in or use the App\Nto see doctors who're available,
Dialogue: 0,0:13:21.53,0:13:23.62,Default,,0000,0000,0000,,and connect by video phone or chat.
Dialogue: 0,0:13:25.06,0:13:26.09,Default,,0000,0000,0000,,D: Hi Allen.
Dialogue: 0,0:13:26.09,0:13:30.44,Default,,0000,0000,0000,,I see you've been experiencing\Nsome congestion and some nasal blockage.
Dialogue: 0,0:13:30.44,0:13:32.10,Default,,0000,0000,0000,,How long has this been going on?
Dialogue: 0,0:13:32.10,0:13:35.11,Default,,0000,0000,0000,,S: During the visit, the doctor\Ncan see your health information,
Dialogue: 0,0:13:35.11,0:13:38.35,Default,,0000,0000,0000,,afterward, you get a complete\Nwrite-up of everything the doctor says.
Dialogue: 0,0:13:38.35,0:13:41.51,Default,,0000,0000,0000,,D: It looks like acute sinusitis,\Na sinus infection.
Dialogue: 0,0:13:41.51,0:13:44.47,Default,,0000,0000,0000,,Now I wrote you a prescription\Nto help with congestion.
Dialogue: 0,0:13:44.47,0:13:46.91,Default,,0000,0000,0000,,If things don't clear up\Nin, say, a week or so,
Dialogue: 0,0:13:46.91,0:13:49.45,Default,,0000,0000,0000,,just send me a message,\NI'll be right here.
Dialogue: 0,0:13:49.45,0:13:53.04,Default,,0000,0000,0000,,S: A few mins later, I've got my diagnosis\Nand my instructions for treatment
Dialogue: 0,0:13:53.04,0:13:56.07,Default,,0000,0000,0000,,and my prescription is already\Nwaiting for me at the pharmacy.
Dialogue: 0,0:13:56.07,0:13:59.93,Default,,0000,0000,0000,,SK: Of course, all that now happens\Nin your Google Glasses
Dialogue: 0,0:13:59.93,0:14:01.62,Default,,0000,0000,0000,,which are available by the way\N
Dialogue: 0,0:14:01.62,0:14:05.08,Default,,0000,0000,0000,,at Stevie's Vinyl Records\Nand Implantable Health Chips.
Dialogue: 0,0:14:05.57,0:14:09.14,Default,,0000,0000,0000,,We also recognized\Nthat information was everything.
Dialogue: 0,0:14:09.14,0:14:13.19,Default,,0000,0000,0000,,As Yogi Berra would say,\Nit comes down to one word, big data.
Dialogue: 0,0:14:13.19,0:14:16.69,Default,,0000,0000,0000,,And believe it or not, believe it or not,
Dialogue: 0,0:14:16.69,0:14:19.71,Default,,0000,0000,0000,,we used to do everything\Nbased on experience and anecdote.
Dialogue: 0,0:14:19.71,0:14:24.82,Default,,0000,0000,0000,,Evidence-based medicine in 2014\Nwas actually a novel idea.
Dialogue: 0,0:14:24.82,0:14:28.74,Default,,0000,0000,0000,,And now we recognize that we can\Ntake things from other industries.
Dialogue: 0,0:14:28.74,0:14:31.37,Default,,0000,0000,0000,,So at Jefferson, for example,\Nin 2014, we started
Dialogue: 0,0:14:31.37,0:14:34.81,Default,,0000,0000,0000,,the Center for Healthcare,\NEntrepreneurship and Scientific Solutions.
Dialogue: 0,0:14:34.81,0:14:40.39,Default,,0000,0000,0000,,We said, "It really doesn't make any sense\Nthat Nick Foles has a better idea
Dialogue: 0,0:14:40.39,0:14:43.77,Default,,0000,0000,0000,,of whether or not a screen pass\Nwill work in the third quarter
Dialogue: 0,0:14:43.77,0:14:46.25,Default,,0000,0000,0000,,than I do of whether or not\Na cancer drug will work."
Dialogue: 0,0:14:46.25,0:14:49.41,Default,,0000,0000,0000,,So we took some of the best people\Ndoing mathematical modeling
Dialogue: 0,0:14:49.41,0:14:52.28,Default,,0000,0000,0000,,and created a predictive analytics\Nand mathematical modeling
Dialogue: 0,0:14:52.28,0:14:54.20,Default,,0000,0000,0000,,to reduce uncertainty in medicine.
Dialogue: 0,0:14:54.20,0:14:59.77,Default,,0000,0000,0000,,Believe it or not, in 2014, 28% of people\Nthat went to the hospital in this country
Dialogue: 0,0:14:59.77,0:15:01.72,Default,,0000,0000,0000,,got readmitted within 90 days.
Dialogue: 0,0:15:02.18,0:15:04.02,Default,,0000,0000,0000,,Now, through our mathematical modeling
Dialogue: 0,0:15:04.02,0:15:06.48,Default,,0000,0000,0000,,we're able to see exactly\Nwhat intervention
Dialogue: 0,0:15:06.48,0:15:08.10,Default,,0000,0000,0000,,will keep people from coming back.
Dialogue: 0,0:15:08.10,0:15:10.61,Default,,0000,0000,0000,,Not only that, we've changed\Nthe way we do things.
Dialogue: 0,0:15:10.61,0:15:15.41,Default,,0000,0000,0000,,In 2014, family medicine physicians\Nwould actually be out of the hospital.
Dialogue: 0,0:15:15.41,0:15:17.94,Default,,0000,0000,0000,,Hospitalists would never\Nleave the hospital,
Dialogue: 0,0:15:17.94,0:15:20.18,Default,,0000,0000,0000,,and then there was no real communication.
Dialogue: 0,0:15:20.18,0:15:22.34,Default,,0000,0000,0000,,Now we have what's called extensiveness,
Dialogue: 0,0:15:22.34,0:15:25.52,Default,,0000,0000,0000,,hospitalists that actually\Nfollow those patients for 90 days
Dialogue: 0,0:15:25.52,0:15:27.58,Default,,0000,0000,0000,,so they don't get readmitted.
Dialogue: 0,0:15:27.58,0:15:29.50,Default,,0000,0000,0000,,We actually pay for performance now
Dialogue: 0,0:15:29.50,0:15:31.99,Default,,0000,0000,0000,,because we can actually\Nmeasure performance.
Dialogue: 0,0:15:31.99,0:15:35.11,Default,,0000,0000,0000,,And we can actually\Ngive you predictable answers
Dialogue: 0,0:15:35.11,0:15:37.94,Default,,0000,0000,0000,,as to what you're paying for\Nand what you're getting back.
Dialogue: 0,0:15:37.94,0:15:41.71,Default,,0000,0000,0000,,Accountable care organizations\Nfor the first time really are accountable
Dialogue: 0,0:15:41.71,0:15:43.74,Default,,0000,0000,0000,,because we have math to back it up.
Dialogue: 0,0:15:44.29,0:15:46.86,Default,,0000,0000,0000,,One of the great things\Nthat happened in Philadelphia,
Dialogue: 0,0:15:46.86,0:15:49.55,Default,,0000,0000,0000,,believe it or not, again in 2014,
Dialogue: 0,0:15:49.55,0:15:51.72,Default,,0000,0000,0000,,with decreasing NIH funding,
Dialogue: 0,0:15:51.72,0:15:57.32,Default,,0000,0000,0000,,Penn, Jefferson, Temple, Drexel,\Nwould all fight for NIH funds.
Dialogue: 0,0:15:57.32,0:15:59.99,Default,,0000,0000,0000,,What we did, and one\Nof the greatest things we did,
Dialogue: 0,0:15:59.99,0:16:02.71,Default,,0000,0000,0000,,we created the Philadelphia\NClinical Research Super Site
Dialogue: 0,0:16:02.71,0:16:06.27,Default,,0000,0000,0000,,where we said really what's important\Nis to take all of our resources,
Dialogue: 0,0:16:06.27,0:16:09.46,Default,,0000,0000,0000,,both in education and research,\Nand make Philadelphia an epicenter.
Dialogue: 0,0:16:09.46,0:16:11.80,Default,,0000,0000,0000,,What did that do for us\Nover the last ten years?
Dialogue: 0,0:16:11.80,0:16:15.06,Default,,0000,0000,0000,,We were able to take the\NNanotechnology University of Pennsylvania
Dialogue: 0,0:16:15.06,0:16:17.66,Default,,0000,0000,0000,,and Molecular Genomics at Jefferson
Dialogue: 0,0:16:17.66,0:16:19.88,Default,,0000,0000,0000,,and create the DNA vending machine.
Dialogue: 0,0:16:19.88,0:16:23.79,Default,,0000,0000,0000,,For those of you from the 2010s,\Nit's sort of like a red box for your DNA.
Dialogue: 0,0:16:23.79,0:16:25.43,Default,,0000,0000,0000,,We can now pick a drug for you,
Dialogue: 0,0:16:25.43,0:16:28.77,Default,,0000,0000,0000,,and instead of saying it's\Nfor 200 people that look like you,
Dialogue: 0,0:16:28.77,0:16:31.56,Default,,0000,0000,0000,,we can take exactly\Nthe drug that fits your genome
Dialogue: 0,0:16:31.56,0:16:33.02,Default,,0000,0000,0000,,and have it available for you.
Dialogue: 0,0:16:33.02,0:16:35.21,Default,,0000,0000,0000,,We can also put your genome on a chip,
Dialogue: 0,0:16:35.21,0:16:36.40,Default,,0000,0000,0000,,so that God forbid,
Dialogue: 0,0:16:36.40,0:16:39.00,Default,,0000,0000,0000,,if you need a new organ,\Nwe can make that for you
Dialogue: 0,0:16:39.00,0:16:41.70,Default,,0000,0000,0000,,based on work that's been done\Nin Philadelphia.
Dialogue: 0,0:16:41.70,0:16:44.68,Default,,0000,0000,0000,,And we finally decided\Nto work with patients
Dialogue: 0,0:16:44.68,0:16:47.68,Default,,0000,0000,0000,,to really make them\Nshareholders in their health,
Dialogue: 0,0:16:47.68,0:16:48.95,Default,,0000,0000,0000,,and this is what it means.
Dialogue: 0,0:16:48.95,0:16:51.16,Default,,0000,0000,0000,,It means that in a community\Nlike Philadelphia,
Dialogue: 0,0:16:51.16,0:16:53.07,Default,,0000,0000,0000,,if we're able to make you healthier,
Dialogue: 0,0:16:53.77,0:16:56.15,Default,,0000,0000,0000,,we do better as physicians; you do better.
Dialogue: 0,0:16:56.15,0:16:58.49,Default,,0000,0000,0000,,And we actually partnered\Nwith great companies
Dialogue: 0,0:16:58.49,0:17:00.36,Default,,0000,0000,0000,,from again outside Philadelphia
Dialogue: 0,0:17:00.36,0:17:04.15,Default,,0000,0000,0000,,to look at a different way\Nof making sure that everyone matters,
Dialogue: 0,0:17:04.15,0:17:08.38,Default,,0000,0000,0000,,that we can look at not only drugs,\Nbut holistic remedies
Dialogue: 0,0:17:08.38,0:17:11.38,Default,,0000,0000,0000,,to look at personalized\Nperformance-gain plans
Dialogue: 0,0:17:11.38,0:17:14.88,Default,,0000,0000,0000,,integrating a proven system\Nto drive health outcomes.
Dialogue: 0,0:17:14.88,0:17:18.62,Default,,0000,0000,0000,,Whether it's mindset, or nutrition,\Nor movement, or recovery,
Dialogue: 0,0:17:18.62,0:17:22.86,Default,,0000,0000,0000,,we were able to do many more things\Nthat didn't require pharmaceuticals.
Dialogue: 0,0:17:22.86,0:17:25.73,Default,,0000,0000,0000,,So that brings us to 2024, and as I said,
Dialogue: 0,0:17:25.73,0:17:31.06,Default,,0000,0000,0000,,I'm here to accept our number one ranking\Nfrom the US News and Interplanetary Report
Dialogue: 0,0:17:31.06,0:17:32.80,Default,,0000,0000,0000,,and what's really cool is
Dialogue: 0,0:17:32.80,0:17:35.71,Default,,0000,0000,0000,,that some of the ranking parameters\Ndidn't even exist in 2014,
Dialogue: 0,0:17:35.71,0:17:38.82,Default,,0000,0000,0000,,and I'll give you an example\Nof a few of them on the academic side
Dialogue: 0,0:17:38.82,0:17:40.32,Default,,0000,0000,0000,,and also on the clinical side.
Dialogue: 0,0:17:40.32,0:17:43.65,Default,,0000,0000,0000,,On the academic side,\Nwe actually, imagine this,
Dialogue: 0,0:17:43.65,0:17:48.36,Default,,0000,0000,0000,,get ranked based on how our students do\Nat one year, three year, or five year.
Dialogue: 0,0:17:48.36,0:17:51.69,Default,,0000,0000,0000,,We measure individuals' professional\Nand personal happiness
Dialogue: 0,0:17:51.69,0:17:53.94,Default,,0000,0000,0000,,at varying intervals after graduation.
Dialogue: 0,0:17:53.94,0:17:56.66,Default,,0000,0000,0000,,Because after all, that's why\Nthey came to our university.
Dialogue: 0,0:17:56.66,0:17:58.25,Default,,0000,0000,0000,,And if we don't do really well,
Dialogue: 0,0:17:58.25,0:18:00.54,Default,,0000,0000,0000,,then they actually\Nget some of their money back.
Dialogue: 0,0:18:00.54,0:18:02.26,Default,,0000,0000,0000,,We have a collaborative quotient.
Dialogue: 0,0:18:02.26,0:18:05.87,Default,,0000,0000,0000,,Academic entities are incentivized\Nto actually get over themselves
Dialogue: 0,0:18:05.87,0:18:07.43,Default,,0000,0000,0000,,and work well with others,
Dialogue: 0,0:18:07.43,0:18:09.04,Default,,0000,0000,0000,,(Laughter) (Applause)
Dialogue: 0,0:18:09.04,0:18:11.41,Default,,0000,0000,0000,,which would have been unheard of in 2014
Dialogue: 0,0:18:11.41,0:18:13.99,Default,,0000,0000,0000,,when they were all\Ncannibalizing each other.
Dialogue: 0,0:18:13.99,0:18:17.46,Default,,0000,0000,0000,,And we have an entrepreneurial quotient\Nwhere institutions are rewarded
Dialogue: 0,0:18:17.46,0:18:20.36,Default,,0000,0000,0000,,that invent and envision\Nnew ways of doing things
Dialogue: 0,0:18:20.36,0:18:23.87,Default,,0000,0000,0000,,that generate alternate revenue\Nand develop new student opportunities.
Dialogue: 0,0:18:23.87,0:18:28.48,Default,,0000,0000,0000,,But probably nothing's changed\Nthe most than health quotients.
Dialogue: 0,0:18:28.48,0:18:31.36,Default,,0000,0000,0000,,I mean, it used to be back\Nin 2014 and before
Dialogue: 0,0:18:31.36,0:18:34.42,Default,,0000,0000,0000,,that parameters were based\Non the reputational score in the past.
Dialogue: 0,0:18:34.42,0:18:36.27,Default,,0000,0000,0000,,Now it's based on what patients think.
Dialogue: 0,0:18:36.27,0:18:39.20,Default,,0000,0000,0000,,The one I'm really proud of\Nthat we got a very high score on
Dialogue: 0,0:18:39.20,0:18:41.02,Default,,0000,0000,0000,,is called the BUB Quotient.
Dialogue: 0,0:18:41.02,0:18:43.86,Default,,0000,0000,0000,,It stands for the\NBelievable Understandable Bill,
Dialogue: 0,0:18:43.86,0:18:46.22,Default,,0000,0000,0000,,that we actually have enough\Nrespect for patients
Dialogue: 0,0:18:46.22,0:18:48.48,Default,,0000,0000,0000,,that we provide understandable bills,
Dialogue: 0,0:18:48.48,0:18:52.18,Default,,0000,0000,0000,,so they can understand\Nwhat they got and what they're paying for.
Dialogue: 0,0:18:52.18,0:18:55.49,Default,,0000,0000,0000,,We have the say-what-you-mean\Nand mean-what-you-say quality parameter.
Dialogue: 0,0:18:55.49,0:18:58.67,Default,,0000,0000,0000,,We actually take marketing professionals\Nto read all the billboards
Dialogue: 0,0:18:58.67,0:18:59.83,Default,,0000,0000,0000,,in the marketing we do,
Dialogue: 0,0:18:59.83,0:19:03.04,Default,,0000,0000,0000,,and see if they have any semblance\Nto reality of what really happens
Dialogue: 0,0:19:03.04,0:19:03.100,Default,,0000,0000,0000,,in the hospital,
Dialogue: 0,0:19:03.100,0:19:06.74,Default,,0000,0000,0000,,and you get points\Nif there is some semblance to reality.
Dialogue: 0,0:19:06.74,0:19:09.80,Default,,0000,0000,0000,,And then finally we have\Nthe through-the-patient-eyes factor.
Dialogue: 0,0:19:09.80,0:19:12.24,Default,,0000,0000,0000,,And this is really exciting\Nbecause what it is,
Dialogue: 0,0:19:12.24,0:19:14.92,Default,,0000,0000,0000,,is every patient now, in 2024,
Dialogue: 0,0:19:14.92,0:19:18.42,Default,,0000,0000,0000,,basically when they get in the hospital\Nis given a Google Glasses,
Dialogue: 0,0:19:18.42,0:19:22.81,Default,,0000,0000,0000,,and they basically can record\Nwhat's happening through their eyes,
Dialogue: 0,0:19:22.81,0:19:25.27,Default,,0000,0000,0000,,how the doctors and nurses\Nare treating them,
Dialogue: 0,0:19:25.27,0:19:28.92,Default,,0000,0000,0000,,and then we have CEOs of other hospitals\Nlook at that video for a day
Dialogue: 0,0:19:28.92,0:19:32.86,Default,,0000,0000,0000,,and grade on 1 to 10 whether they'd like\Nto spend a day in that hospital.
Dialogue: 0,0:19:32.86,0:19:35.20,Default,,0000,0000,0000,,And again that's a great parameter for us.
Dialogue: 0,0:19:35.20,0:19:37.72,Default,,0000,0000,0000,,So a lot has happened since 2024,
Dialogue: 0,0:19:37.72,0:19:40.02,Default,,0000,0000,0000,,and I'm really excited to be here.
Dialogue: 0,0:19:40.02,0:19:43.20,Default,,0000,0000,0000,,We're about to accept an award\Nin the new Convention Center & Casino
Dialogue: 0,0:19:43.20,0:19:44.61,Default,,0000,0000,0000,,on the Schuylkill River.
Dialogue: 0,0:19:44.61,0:19:46.30,Default,,0000,0000,0000,,(Laughter)
Dialogue: 0,0:19:46.30,0:19:49.89,Default,,0000,0000,0000,,And some things\Nfrom the past really are good.
Dialogue: 0,0:19:49.89,0:19:52.76,Default,,0000,0000,0000,,I'm going through my third midlife crisis
Dialogue: 0,0:19:52.76,0:19:56.62,Default,,0000,0000,0000,,because I'm 70 and what happens\Nis people live to 120,
Dialogue: 0,0:19:56.62,0:19:58.23,Default,,0000,0000,0000,,so midlife crises have changed.
Dialogue: 0,0:19:58.23,0:20:00.43,Default,,0000,0000,0000,,And I'm proud to say\Nthis is what I got myself,
Dialogue: 0,0:20:00.43,0:20:05.59,Default,,0000,0000,0000,,I was able to retrofit a GTO\Nto hit the standards for a hovercraft.
Dialogue: 0,0:20:05.94,0:20:09.76,Default,,0000,0000,0000,,Excuse me for a second, Google Glass out,\Ncould you get the GTO to get ready
Dialogue: 0,0:20:09.76,0:20:12.08,Default,,0000,0000,0000,,to go to the Convention Center?\NGreat. Thank you.
Dialogue: 0,0:20:12.08,0:20:14.43,Default,,0000,0000,0000,,Listen, I want to really\Nthank you for being here,
Dialogue: 0,0:20:14.43,0:20:16.95,Default,,0000,0000,0000,,I want to thank you\Nfor traveling in time and space,
Dialogue: 0,0:20:16.95,0:20:19.56,Default,,0000,0000,0000,,and most importantly,\Nstay healthy in Philadelphia.
Dialogue: 0,0:20:19.56,0:20:20.88,Default,,0000,0000,0000,,Thank you very much.
Dialogue: 0,0:20:20.88,0:20:22.89,Default,,0000,0000,0000,,(Applause) (Cheering)