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