What healthcare will look like in 2024 | Stephen Klasko | TEDxPhiladelphia
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0:01 - 0:04(synth music)
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0:09 - 0:12(audience applause)
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0:12 - 0:13- Well, I want to thank you all for coming
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0:13 - 0:15and especially the people that came
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0:15 - 0:18from outside of Philadelphia
that hovered over here. -
0:18 - 0:21Especially those of you that time-traveled
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0:21 - 0:22from other decades and times.
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0:22 - 0:24I'm Steve Klasko, I'm the CEO of
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0:24 - 0:27Stevie's Vinyl Emporium and
Implantable Health Chips -
0:27 - 0:29in South Street in Philadelphia.
-
0:29 - 0:31That's what I am today,
-
0:31 - 0:33but for the past ten years,
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0:33 - 0:35I've been the Presidency of
Thomas Jefferson University -
0:35 - 0:38and Jefferson University Hospital System,
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0:38 - 0:40that literally was one of the pioneers
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0:40 - 0:42along with several others
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0:42 - 0:44for what is now called the
Leaders of the Optimistic Future -
0:44 - 0:46in Healthcare Revolution,
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0:46 - 0:48from 2015 to 2024.
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0:48 - 0:51So from those of you who are
coming from another decade, -
0:51 - 0:53or for those of you who
are here in the 2020s, -
0:53 - 0:55I'd like to talk a little bit
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0:55 - 0:56about how that journey happened,
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0:56 - 0:58and maybe give you a little
bit of a personal story -
0:58 - 1:00about how it happened for me.
-
1:00 - 1:02So first, one of the things that we did,
-
1:02 - 1:03we got tired of whining,
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1:03 - 1:05and we decided let's just
travel into the future. -
1:05 - 1:07Let's just think about what we want
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1:07 - 1:08and then create it.
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1:08 - 1:11For me, that started in 1977.
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1:11 - 1:13Very important time for me,
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1:13 - 1:15I was a senior medical student.
-
1:15 - 1:18It was important because I got
asked to give a talk for TED. -
1:18 - 1:19Now not the TED you're thinking of
-
1:19 - 1:22because TED didn't exist in 1977.
-
1:22 - 1:24It was called Tomorrow's
Education of Doctors. -
1:24 - 1:26It was everything different
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1:26 - 1:27than the technology that exists today.
-
1:27 - 1:29It was a little slide show with a screen,
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1:29 - 1:31but they asked me to talk about
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1:31 - 1:33what the future of medicine looks like
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1:33 - 1:35from a medical student's point of view.
-
1:35 - 1:36The other reason I remember it,
-
1:36 - 1:38it was the first time I
saw the Rolling Stones. -
1:38 - 1:40This is what they looked like back then.
-
1:40 - 1:42I was a huge fan, but what I talked about
-
1:42 - 1:44because I was a little
nervous about the first talk, -
1:44 - 1:47I talked about, "Can you do
anything about spiraling costs? -
1:47 - 1:49"Can you change the fevered service system
-
1:49 - 1:51"so we're really rewarding volume,
-
1:51 - 1:52"value and not volume,
-
1:52 - 1:54"and can you measure outcomes?"
-
1:54 - 1:58And I said, "My generation
of docs is gonna solve this -
1:58 - 2:00"over the next four years.
-
2:00 - 2:02"We are not going to be dealing with this
-
2:02 - 2:04"even 20 years from now."
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2:04 - 2:07Well amazingly the docs said, "No."
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2:07 - 2:08And that didn't happen.
-
2:08 - 2:11Now I was also a very
different person back in 1977, -
2:11 - 2:14this is what I looked like.
(applause and cheering) -
2:14 - 2:16Thank you, thank you.
-
2:19 - 2:23That's called a leisure suit.
(audience laughing) -
2:24 - 2:26And but for a brief interlude
-
2:26 - 2:28where they tried to bring it back in 2019,
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2:28 - 2:29I think it's safe to say
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2:29 - 2:32it's out of the fashion lexicon forever,
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2:32 - 2:34but the car was a 1968 GTO which was,
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2:34 - 2:37and is, a very cool car.
(audience light applause) -
2:37 - 2:38Thank you.
-
2:38 - 2:40So there we went through really
-
2:40 - 2:42what was what some people
call the middle or dark ages, -
2:42 - 2:44the Managed Care Revolution,
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2:44 - 2:46which did not really manage anything.
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2:46 - 2:47It didn't really provide care,
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2:47 - 2:49it just promoted under utilization.
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2:49 - 2:50The Balanced Budget Amendment,
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2:50 - 2:52which didn't really balance the budget,
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2:52 - 2:53and didn't really amend anything.
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2:53 - 2:55And then the first iteration
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2:55 - 2:57of what has now been 17 iterations
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2:57 - 2:59of what was then called Obamacare.
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2:59 - 3:01So that bring us to 2014,
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3:01 - 3:03and why was 2014 important to me?
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3:03 - 3:04Well I was very proud and honored
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3:04 - 3:06to be inaugurated and selected
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3:06 - 3:08as the first president and CEO
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3:08 - 3:10of Thomas Jefferson University
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3:10 - 3:12and Health Systems combined.
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3:12 - 3:13It was also a big moment for me
-
3:13 - 3:15because it was the second
time I saw the Rolling Stones, -
3:15 - 3:19and this is what they
looked like back in 2014. -
3:19 - 3:22And in my inauguration
I was given a script, -
3:22 - 3:24and what I talked about
in inauguration of 2014 is -
3:24 - 3:25"Hey, can we do anything
about spiraling costs? -
3:25 - 3:28"Can we change the fevered service system?
-
3:28 - 3:30"Do you think we can measure outcomes?"
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3:30 - 3:32So it was a bit of an aha moment for me,
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3:32 - 3:33I said, "Well, 37 years, that's a lot
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3:33 - 3:35for not to have much change."
-
3:35 - 3:38This time though, the
insurers and government said, -
3:38 - 3:40"We're really going to do it."
-
3:40 - 3:44And really what people were
actually predicting is, -
3:44 - 3:47because believe it or not even at 2014
-
3:47 - 3:50the docs said, "I really
don't want to take any risks. -
3:50 - 3:52"I think things are
fine the way they are." -
3:52 - 3:54And you couldn't go a week
-
3:54 - 3:56without people threatening the extinction
-
3:56 - 3:58of academic health centers.
-
3:58 - 4:01So I'm proud to say here in
Philadelphia and Jefferson, -
4:01 - 4:03we said yes, and I'd love
to talk to you a little bit -
4:03 - 4:07about what happened between 2014 and 2024.
-
4:07 - 4:09So here we are in 2024, and by the way,
-
4:09 - 4:11I don't know if any of you saw it
-
4:11 - 4:14in your Facebook implantable glasses,
-
4:14 - 4:16the Zombie Rock Tour, it was awesome.
-
4:16 - 4:18It was awesome.
-
4:18 - 4:21By the way, those Facebook
implantable glasses, -
4:21 - 4:23can be bought at Stevie's Vinyl Records
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4:23 - 4:24and Implantable Devices.
-
4:24 - 4:27This is, I thought the Rolling Stones,
-
4:27 - 4:31the Rolling Stones rocked,
(audience laughter) -
4:31 - 4:32they rocked the undead tour, right?
-
4:32 - 4:35Who agrees with me? They
rocked the undead tour. -
4:35 - 4:38Seven decades of great Rolling Stones,
-
4:38 - 4:40You talk about not
getting any satisfaction, -
4:40 - 4:42look at these guys.
-
4:43 - 4:46But more importantly, more importantly,
-
4:46 - 4:47what happened in Philadelphia,
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4:47 - 4:49what happened at Jefferson was,
-
4:49 - 4:51that we took, we took that mode of,
-
4:51 - 4:54people saying that it's
impossible to change healthcare. -
4:54 - 4:56And really the personal piece
for me believe it or not -
4:56 - 4:59did not come from Admonities
or Aristotle, or even somebody -
4:59 - 5:01from the University of
Pennsylvania or Jefferson. -
5:01 - 5:03It came from a sneaker commercial.
-
5:03 - 5:07It was an Adidas marketing
campaign back in 2014 -
5:07 - 5:08called the Impossible,
-
5:08 - 5:10it said "Impossible is just a big word
-
5:10 - 5:12"thrown around by small men and women
-
5:12 - 5:14"who find it easier to live
the world they've been given -
5:14 - 5:17"rather than explore the
power they have to change it. -
5:17 - 5:19"Impossible is not a fact it's an opinion.
-
5:19 - 5:22"Impossible is temporary,
impossible is nothing." -
5:22 - 5:26So we decided, what the heck,
let's do the impossible. -
5:26 - 5:28Because everybody know
things were changing, -
5:28 - 5:30we weren't going to wait for a miracle.
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5:30 - 5:32And we said, "Let's do it."
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5:32 - 5:35Okay so, here it is, it's March 28, 2024,
-
5:35 - 5:38now I apologize for those of
you who come from this decade, -
5:38 - 5:40but I know some of you
probably have time travel lag, -
5:40 - 5:42and I just want you to
know where we're at today. -
5:42 - 5:45So it's March 28, 2024,
President Jenna Bush -
5:45 - 5:48will be debating democratic
nominee Chelsea Clinton, -
5:48 - 5:51in what a lot of people think
will be a very tight race. -
5:51 - 5:52Harrison Ford has signed on
-
5:52 - 5:54for one last Indiana Jones sequel.
-
5:54 - 5:57Tentatively titled Indiana
Jones: the Legend of Bingo Night, -
5:57 - 5:59we're all excited about that one.
-
5:59 - 6:01And the Eagles are 2-0
-
6:01 - 6:03and trying to win their first Superbowl
-
6:03 - 6:05since the unprecedented
four straight they won -
6:05 - 6:08from 2015 to 2018, the so-called
Chip Championship Years. -
6:08 - 6:12(audience applause and cheering)
-
6:12 - 6:15Of course, Governor Chip
now has a very different job -
6:15 - 6:17than he had back then.
-
6:17 - 6:19But more importantly, more
importantly or as importantly, -
6:19 - 6:22Jefferson is celebrating
it's 200th anniversary -
6:22 - 6:23as a state wide national,
-
6:23 - 6:25and international hub of innovation,
-
6:25 - 6:27with headquarters in Philadelphia
-
6:27 - 6:29instead of just a Philadelphia
academic medical center. -
6:29 - 6:30We've become a destination site
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6:30 - 6:32for innovation entrepreneurial health
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6:32 - 6:35with unprecedented economic development.
-
6:35 - 6:37And our creative
partnerships have allowed us -
6:37 - 6:39to become what the Wall
Street Journal called -
6:39 - 6:42a thriving cluster on the
verge of a chain reaction. -
6:42 - 6:44Which has helped make
Philadelphia the epicenter -
6:44 - 6:45of the new healthcare.
-
6:45 - 6:47Oh and by the way, I'm
getting out of my DeLorean -
6:47 - 6:49to accept an award from the US News
-
6:49 - 6:52and the Interplanetary
Report, as most of you know, -
6:52 - 6:54in 2019 we found two other planets
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6:54 - 6:56with slightly disfunctional heath systems.
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6:56 - 6:58So they are now part of the ranking system
-
6:58 - 7:00that the forward USNWR uses.
-
7:00 - 7:02So how did we get there?
-
7:02 - 7:05I'd like to, TEDx has
asked me to talk about -
7:05 - 7:08three things that we did
that were very different. -
7:08 - 7:10First of all we decided that we're going
-
7:10 - 7:12to start to create docs of the future.
-
7:12 - 7:14That it's ridiculous to have the same way
-
7:14 - 7:17that we selected and educated physicians
-
7:17 - 7:20that became autonomous,
competitive, and hierarchical, -
7:20 - 7:22and that we actually were
going to change the DNA -
7:22 - 7:24of healthcare literally
one physician at a time. -
7:24 - 7:26You might now believe this,
-
7:26 - 7:29but back in 2014 we still
chose doctors based on -
7:29 - 7:33science GPAs, MedCaTs which
were a multiple choice test, -
7:33 - 7:35and organic chemistry performance.
-
7:35 - 7:37And somehow we were amazed
that doctors weren't -
7:37 - 7:39more empathetic,
commutative, and creative. -
7:39 - 7:42(audience laughter)
As my kids would say, "Duh." -
7:42 - 7:44So we changed all that.
-
7:44 - 7:46What we recognized is
-
7:46 - 7:49that it used to be for those
of you who came from the 70s, -
7:49 - 7:52and I think there are actually some,
-
7:52 - 7:53I see some people from 2014,
-
7:53 - 7:55I see some people from the 80s.
-
7:55 - 7:56Go Journey, yeah.
-
7:57 - 8:02I see some tie dye out there,
some 60s and 70s, peace. -
8:03 - 8:05But we decided to transform admissions.
-
8:05 - 8:09What we realized is that
all the scientific data -
8:09 - 8:13is all on, what we called in
2014, iPhones and Androids, -
8:13 - 8:14but really what we needed
-
8:14 - 8:16were really emotionally
intelligent physicians. -
8:16 - 8:19So we now really select
physicians based on -
8:19 - 8:21self-awareness, self-management,
-
8:21 - 8:22and the ability to adapt,
-
8:22 - 8:24social awareness and empathy,
-
8:24 - 8:26relationship management, teamwork,
-
8:26 - 8:28and the ability to really embrace change
-
8:28 - 8:30instead of fighting it.
-
8:30 - 8:32But not only that we
totally changed the way -
8:32 - 8:35that we teach the physicians
that we do accept. -
8:35 - 8:37Believe it or not back in 2014,
-
8:37 - 8:40we used to spend two
years really teaching them -
8:40 - 8:43scientific principles
in large auditoriums, -
8:43 - 8:45classes that a lot of them didn't come to,
-
8:45 - 8:47when we recognized that
we could do all that, -
8:47 - 8:49have them learn that at
two o'clock in the morning. -
8:49 - 8:50Now we spend most of our time
-
8:50 - 8:52in what we call the Art of Attending.
-
8:52 - 8:54Teaching them to really observe,
-
8:54 - 8:57we started back in
2014, workshops designed -
8:57 - 9:00to sharpen observation
skills of health students -
9:00 - 9:01by looking at art.
-
9:01 - 9:03Very unusual partnership,
-
9:03 - 9:04it was Thomas Jefferson University,
-
9:04 - 9:06a contemporary art museum,
-
9:06 - 9:09and an institute for an
optimistic future in healthcare. -
9:09 - 9:13We took students and
had them understand art. -
9:13 - 9:16So if you take this
piece of art over here. -
9:16 - 9:17Medical students originally said,
-
9:17 - 9:20"That's a woman, that's a
snake, that's a family." -
9:20 - 9:23But when you start to look
and say what is the story? -
9:23 - 9:25It starts to totally change the way
-
9:25 - 9:27that they cared for patients.
-
9:27 - 9:30And at the end of the
day we went from silos -
9:30 - 9:31of full-time individuals
-
9:31 - 9:35to folks who could deliver
team-enabled and team-based care. -
9:35 - 9:37Doctors went from being
captains of the ship -
9:37 - 9:39to being part of a team,
-
9:39 - 9:40and they believe it or not worked closely
-
9:40 - 9:42with multidisciplinary
care and delivery teams. -
9:42 - 9:45Including doctors of nursing practice,
-
9:45 - 9:47nurse practitioners, clinical pharmacists,
-
9:47 - 9:48physician's assistants,
-
9:48 - 9:50and at the Thomas Jefferson Institute
-
9:50 - 9:51of Emerging Health Professions,
-
9:51 - 9:54professions that didn't
even exist in 2014. -
9:54 - 9:57Things like probability experts,
-
9:57 - 9:59electronic health care ambassadors,
-
9:59 - 10:01and telehealth professionals.
-
10:01 - 10:05So we recognized that we
need to evolve doctoring. -
10:05 - 10:08We also recognized that
the patient experience -
10:08 - 10:10was really pretty lousy.
-
10:10 - 10:13Back in 2014 you could actually do
-
10:13 - 10:15anything you needed to do in travel,
-
10:15 - 10:18anything you needed to do
in shopping, on a device, -
10:18 - 10:21but could you get an appointment
with a physician? No. -
10:21 - 10:24Could you interact with
a doctor or nurse? No. -
10:24 - 10:27So we decided that
healthcare needed in 2014, -
10:27 - 10:28to get into the E and I mode.
-
10:28 - 10:32If you even look at how people
viewed us from TV shows, -
10:32 - 10:35how many of you are here from the 70s?
-
10:35 - 10:36There you go, okay.
-
10:36 - 10:39So the big tip in the
70s was Marcus Welby. -
10:39 - 10:41Now here's what Marcus Welby was,
-
10:41 - 10:44he was a family physician, he
would get up in the morning, -
10:44 - 10:45he would go to the homeless shelter,
-
10:45 - 10:47take care of people for free.
-
10:47 - 10:48On the way home to lunch
-
10:48 - 10:50a cow would be having
trouble delivering a calf, -
10:50 - 10:52he'd deliver it.
-
10:52 - 10:55He'd then go to his family
medicine office in the afternoon, -
10:55 - 10:57and then at night he'd do
lecithin ventricular neurosurgery. -
10:57 - 10:59We were gods, we could do everything,
-
10:59 - 11:01that's how people viewed us.
-
11:01 - 11:03In the 2010s this is what we had.
-
11:03 - 11:06Anybody remember this guy?
(audience laughter) -
11:06 - 11:09He was a drug addicted,
sex addicted, really smart, -
11:09 - 11:12guy that couldn't
communicate or see patients. -
11:12 - 11:15That's what people viewed us.
-
11:15 - 11:17The number one TV show of 2023?
-
11:17 - 11:21Was Doctor WHHO, stands for
Watson Hybrid Hydro-Organo, -
11:23 - 11:26Doc, who basically fell in love
-
11:26 - 11:29with his robotic-bionic counterpart
-
11:29 - 11:30who does all the scientific stuff,
-
11:30 - 11:32while he does the emotional stuff.
-
11:32 - 11:34And as you can imagine, hilarity ensues.
-
11:34 - 11:37By the way--
(audience laughs) -
11:37 - 11:41By the way the first
season, the first season, -
11:41 - 11:43of Doctor WHHO is available
-
11:43 - 11:46on Google Glass implantable chips,
-
11:46 - 11:49available in Stevie's Vinyl
Records and Implantable Chips -
11:49 - 11:51on South Street.
-
11:51 - 11:54So we embrace, the other thing we embraced
-
11:54 - 11:55was entrepreneurship.
-
11:55 - 11:58We recognized that being
academic and entrepreneurial -
11:58 - 12:00just were not mutually exclusive,
-
12:00 - 12:01and we also recognized
-
12:01 - 12:04that we had to enhance
the consumer experience. -
12:04 - 12:07It really was lousy going to a physician.
-
12:07 - 12:08This is what it looked like back in 2014.
-
12:08 - 12:10(moaning)
- What's wrong? -
12:10 - 12:12- I don't feel so good.
-
12:12 - 12:14- Then you need to go to a doctor.
-
12:14 - 12:17(sneezing)
-
12:21 - 12:22- Mr. Stephenson?
-
12:22 - 12:23- Stevenson.
-
12:24 - 12:26- Do you have any allergies?
-
12:26 - 12:28How would you describe your symptoms?
-
12:28 - 12:29What is the general area of pain?
-
12:29 - 12:31Does your family have a
history of heart disease? -
12:31 - 12:32Does your family have
a history of diabetes? -
12:32 - 12:36- And what seems to be the
problem today, Mr. Stevenson? -
12:36 - 12:38- I'm feeling a little stuffed up.
-
12:38 - 12:40I'm experiencing some--
-
12:40 - 12:42- Doctor your three o'clock
is early, your 2:45 is late, -
12:42 - 12:43from six and seven.
-
12:43 - 12:45- Follow these instructions
-
12:45 - 12:46and if it doesn't clear
up in a week or two -
12:46 - 12:48come back and we'll do
this all over again. -
12:48 - 12:50(moaning)
-
12:50 - 12:53- I don't like going to the doctor.
-
12:53 - 12:55- So in July of 2014,
-
12:55 - 12:57we partnered with some great companies,
-
12:57 - 13:00created an innovation driven
ecosystem for healthcare. -
13:00 - 13:03And starting in 2015 patients in 48 states
-
13:03 - 13:06could access doctors via Telemedicine.
-
13:06 - 13:07- Well now you can see a doctor
-
13:07 - 13:09without going to a doctor's office.
-
13:09 - 13:10With the help of your
smart phone or computer, -
13:10 - 13:12and American Well.
-
13:12 - 13:14Signing up and setting up
your health profile is easy, -
13:14 - 13:16it only takes a minute,
-
13:16 - 13:18and once you're done it, it's
stored safely and securely. -
13:18 - 13:20Then you can log in or use the app
-
13:20 - 13:22to see doctors who're available,
-
13:22 - 13:25and connect by video phone or chat.
-
13:25 - 13:29- Hi Allen, I see you've been
experiencing some congestion -
13:29 - 13:31and some nasal blockage.
-
13:31 - 13:33How long as this been going on?
-
13:33 - 13:34- During the visit,
-
13:34 - 13:35the doctor can see your
health information, -
13:35 - 13:37afterward you get a complete write-up
-
13:37 - 13:38of everything the doctor says.
-
13:38 - 13:40- Well it looks like acute sinusitis,
-
13:40 - 13:42a sinus infection.
-
13:42 - 13:45Now I wrote you a prescription
to help with the congestion. -
13:45 - 13:47If things don't clear
up in say, a week or so, -
13:47 - 13:49just send me a message.
-
13:49 - 13:50I'll be right here.
-
13:50 - 13:52- A few minutes later
I've got my diagnosis, -
13:52 - 13:53and my instructions for treatment,
-
13:53 - 13:55and my prescription is
already waiting for me -
13:55 - 13:56at the pharmacy.
-
13:56 - 13:59- Of course all that now is
happens in your Google Glasses -
13:59 - 14:02which are available by the way
-
14:02 - 14:06at Stevie's Vinyl Records
and Implantable Health Chips. -
14:06 - 14:09We also recognize that
information was everything. -
14:09 - 14:11As Yogi Berra would say,
-
14:11 - 14:13"It comes down to one word, big data."
-
14:13 - 14:17And believe it or not, believe it or not,
-
14:17 - 14:20we used to do everything based
on experience and anecdote. -
14:20 - 14:24Evidence based medicine in
2024 was actually a novel idea. -
14:25 - 14:28And now we recognize
that we can take things -
14:28 - 14:29from other industries.
-
14:29 - 14:32So at Jefferson for example, in 2014,
-
14:32 - 14:34we started the Center for
Healthcare and Entrepreneurship -
14:34 - 14:35and Scientific Solutions.
-
14:35 - 14:40We said it really doesn't
make any sense that Nick Foles -
14:40 - 14:43has a better idea whether or
not a screen pass will work, -
14:43 - 14:44in the third quarter,
-
14:44 - 14:46than I do of whether or not
a cancer drug will work. -
14:46 - 14:48So we took some of the best people
-
14:48 - 14:49doing mathematical modelling
-
14:49 - 14:52and created a predictive analytics
of mathematical modelling -
14:52 - 14:54to reduce uncertainty of medicine.
-
14:54 - 14:56Believe it or not in 2014,
-
14:56 - 15:0028% of people that went to
the hospital in this country -
15:00 - 15:02got readmitted within 90 days.
-
15:02 - 15:05Now through our mathematical modelling
-
15:05 - 15:07we're able to see
exactly what intervention -
15:07 - 15:09will keep people from coming back.
-
15:09 - 15:11Not only that we've changed
the way we do things. -
15:11 - 15:14In 2014, family medicine physicians
-
15:14 - 15:16would actually be out of the hospital.
-
15:16 - 15:18Hospitalists would never
leave the hospital, -
15:18 - 15:20and then there was no real communication.
-
15:20 - 15:22Now we have what's called extensivists.
-
15:22 - 15:26Hospitalists that actually
follow those patients for 90 days -
15:26 - 15:28so they don't get readmitted.
-
15:28 - 15:30We actually pay for performance now
-
15:30 - 15:32because we can actually
measure performance. -
15:32 - 15:35And we can actually give
you predictable answers -
15:35 - 15:38as to what you're paying for
and what you're getting back. -
15:38 - 15:40And accountable care organizations
-
15:40 - 15:42for the first time really are accountable
-
15:42 - 15:44because we have math to back it up.
-
15:44 - 15:47One of the great things that
happened in Philadelphia, -
15:47 - 15:49believe it or not again in 2014,
-
15:49 - 15:51with decreasing NIH funding,
-
15:51 - 15:55Penn, Jefferson, Temple, Drexel,
-
15:55 - 15:57would all fight for NIH funds.
-
15:57 - 16:00What we did, and one of
the greatest things we did, -
16:00 - 16:03we created the Philadelphia
Clinical Research Super Site. -
16:03 - 16:05Where we said really what's important
-
16:05 - 16:07is to take all of our resources,
-
16:07 - 16:08both in education and research,
-
16:08 - 16:10and make Philadelphia an epicenter.
-
16:10 - 16:12What did that do for us
over the last 10 years? -
16:12 - 16:15Well were able to take the
Nanotechnology University -
16:15 - 16:18of Pennsylvania and Molecular
Genomics at Jefferson -
16:18 - 16:20and create the DNA vending machine.
-
16:20 - 16:22For those of your from the 2010s,
-
16:22 - 16:24it's sort of like a red box for your DNA.
-
16:24 - 16:26We can now pick a drug for you,
-
16:26 - 16:29instead of saying it's for
200 people that look like you, -
16:29 - 16:32we can take exactly the
drug that fits your genome -
16:32 - 16:33and have it available for you.
-
16:33 - 16:35We can also put your genome on a chip,
-
16:35 - 16:38so that God forbid, if
you need a new organ, -
16:38 - 16:39we can make that for you
-
16:39 - 16:42based on work that's been
done in Philadelphia. -
16:42 - 16:45And we finally decided
to work with patients -
16:45 - 16:48to really make them
shareholders in their health, -
16:48 - 16:49and this is what it means.
-
16:49 - 16:52It means that in a
community like Philadelphia, -
16:52 - 16:54if we're able to make you healthier
-
16:54 - 16:56we do better as physicians,
and you do better. -
16:56 - 16:59And we actually partnered
with great companies -
16:59 - 17:01from again outside Philadelphia
-
17:01 - 17:02to look at a different way
-
17:02 - 17:05of making sure that everyone matters.
-
17:05 - 17:08That we can look at not only
drugs, but holistic remedies -
17:08 - 17:12to look at personalized
performance game plans -
17:12 - 17:15integrating a proven system
to drive health outcomes. -
17:15 - 17:17Whether it's mindset, or nutrition,
-
17:17 - 17:19or movement, or recovery,
-
17:19 - 17:21we were able to do many more things
-
17:21 - 17:23that didn't require pharmaceuticals.
-
17:23 - 17:26So that brings us to 2024, and as I said,
-
17:26 - 17:29I'm here to accept our number one ranking
-
17:29 - 17:31from the US News and Interplanetary Report
-
17:31 - 17:33and what's really cool is
-
17:33 - 17:35that some of the ranking parameters
-
17:35 - 17:36didn't even exist in 2014,
-
17:36 - 17:38and I'll give you an example
-
17:38 - 17:39of a few of them on the academic side,
-
17:39 - 17:41and a few of them on the clinical side.
-
17:41 - 17:44On the academic side we
actually, imagine this, -
17:44 - 17:47get ranked based on how our students do
-
17:47 - 17:49at one year, three year, and five year.
-
17:49 - 17:51We measure individual professional
and personal happiness -
17:51 - 17:54at varying interval after graduation.
-
17:54 - 17:57Because after all, that's why
they came to our university. -
17:57 - 17:59And if we don't do really well,
-
17:59 - 18:01then they actually get
some of their money back. -
18:01 - 18:03We have a collaborative quotient,
-
18:03 - 18:05academic entities are incentivized
-
18:05 - 18:07to actually get over themselves
and work well with others, -
18:07 - 18:09(audience laughter)
-
18:09 - 18:12which would have been unheard of in 2014
-
18:12 - 18:14when they were all
cannibalizing each other. -
18:14 - 18:16And we have an entrepreneurial quotient,
-
18:16 - 18:18institutions were awarded,
-
18:18 - 18:21that invent and envision
new ways of doing things -
18:21 - 18:22that generate alternate revenue
-
18:22 - 18:24and develop new student opportunities.
-
18:24 - 18:27But probably nothing's changed the most,
-
18:27 - 18:29than health quotients.
-
18:29 - 18:32I mean, it used to be
back in 2014 and before, -
18:32 - 18:33that parameters were based
-
18:33 - 18:35on reputational scores in the past.
-
18:35 - 18:37Now it's based on what patients think.
-
18:37 - 18:39For one, I'm really proud
of that we a very high score -
18:39 - 18:41on is called the BUB Quotient.
-
18:41 - 18:44It stands for the Believable
Understandable Bill, -
18:44 - 18:47that we actually have
enough respect for patients, -
18:47 - 18:49that we provide understandable bills
-
18:49 - 18:50so they can understand what they got
-
18:50 - 18:52and what they're paying for.
-
18:52 - 18:54We have the Say What You Mean
-
18:54 - 18:56and Mean What You Say quality parameter.
-
18:56 - 18:58We actually take marketing professionals
-
18:58 - 19:00to read all the billboards
and the marketing we do, -
19:00 - 19:02and see if they have
any semblance to reality -
19:02 - 19:04of what really happens in the hospital,
-
19:04 - 19:07and you get points if there
is some semblance to reality. -
19:07 - 19:09And then finally we have
-
19:09 - 19:10the Through the Patient's Eyes factor.
-
19:10 - 19:12And this is really exciting
because what it is, -
19:12 - 19:14is every patient now in 2024,
-
19:14 - 19:17is basically when they get in the hospital
-
19:17 - 19:18given a Google Glasses,
-
19:18 - 19:20and they basically can record
-
19:20 - 19:23what's happening through their eyes.
-
19:23 - 19:25How the doctors and
nurses are treating them -
19:25 - 19:28and then we have CEOs of other hospitals
-
19:28 - 19:29look at that video for a day
-
19:29 - 19:32and grade on 1 to 10 how
they'd like to spend a day -
19:32 - 19:33in that hospital.
-
19:33 - 19:36And again that's a great parameter for us.
-
19:36 - 19:39So a lot has happened since 2024,
-
19:39 - 19:41and I'm really excited to be here,
-
19:41 - 19:42we're about to accept an award
-
19:42 - 19:43in the new convention center an casino
-
19:43 - 19:45on the Schuylkill River.
-
19:45 - 19:47(audience laughter)
-
19:47 - 19:50And some things from the
past really are good, -
19:50 - 19:53I'm going through my third mid-life crisis
-
19:53 - 19:55because I'm 70 and I'm,
-
19:55 - 19:57what happens is people live to 120,
-
19:57 - 19:59so mid-life crises have changed.
-
19:59 - 20:01And I'm proud to say
this is what got myself, -
20:01 - 20:02I was able to retrofit
(audience applause) -
20:02 - 20:05a GTO to hit the standards for hovercraft.
-
20:05 - 20:07Excuse me for a second.
-
20:07 - 20:10Google Glass out, could you get the GTO
-
20:10 - 20:12to get ready to go to the
convention center, great. -
20:12 - 20:14Thank you, listen I want to
really thank you for being here, -
20:14 - 20:17I want to thank you for
travelling in time and space, -
20:17 - 20:20and most importantly, stay
healthy in Philadelphia. -
20:20 - 20:24Thank you very much.
(audience applause)
- Title:
- What healthcare will look like in 2024 | Stephen Klasko | TEDxPhiladelphia
- Description:
-
This talk was given at a local TEDx event, produced independently of the TED Conferences. How will healthcare change in the future? Dr. Stephen Klasko shares his insights on healthcare reform in this informative talk cleverly staged in the year 2020. As the President and CEO of Thomas Jefferson University and its affiliated Hospital, Dr. Klasko manages enormous change – both in health care and in the business of running a major college and hospital. His work focuses on merging the two, finding ways to expand medicine into the community in innovative ways.
Dr. Stephen Klasko is the President and CEO of Thomas Jefferson University and Jefferson Health System. Jefferson is the largest freestanding academic medical center in Philadelphia, with over 12,000 employees and 3,700 students.
About TEDx, x = independently organized event In the spirit of ideas worth spreading, TEDx is a program of local, self-organized events that bring people together to share a TED-like experience. At a TEDx event, TEDTalks video and live speakers combine to spark deep discussion and connection in a small group. These local, self-organized events are branded TEDx, where x = independently organized TED event. The TED Conference provides general guidance for the TEDx program, but individual TEDx events are self-organized.* (*Subject to certain rules and regulations)
- Video Language:
- English
- Team:
- closed TED
- Project:
- TEDxTalks
- Duration:
- 20:29
Leonardo Silva edited English subtitles for What healthcare will look like in 2024 | Stephen Klasko | TEDxPhiladelphia | ||
Leonardo Silva approved English subtitles for What healthcare will look like in 2024 | Stephen Klasko | TEDxPhiladelphia | ||
Leonardo Silva edited English subtitles for What healthcare will look like in 2024 | Stephen Klasko | TEDxPhiladelphia | ||
Leonardo Silva edited English subtitles for What healthcare will look like in 2024 | Stephen Klasko | TEDxPhiladelphia | ||
Leonardo Silva edited English subtitles for What healthcare will look like in 2024 | Stephen Klasko | TEDxPhiladelphia | ||
Leonardo Silva edited English subtitles for What healthcare will look like in 2024 | Stephen Klasko | TEDxPhiladelphia | ||
Retired user accepted English subtitles for What healthcare will look like in 2024 | Stephen Klasko | TEDxPhiladelphia | ||
Retired user edited English subtitles for What healthcare will look like in 2024 | Stephen Klasko | TEDxPhiladelphia |