Technology and Healthcare

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If we're on a man's population health and that's certainly one of the things that's part of healthcare reform is, changing the way we actually practice medicine, the way we are reimbursed for practicing medicine, it's around quality and access and borrowing cost. In order to do that you have, you can't improve what you can't measure, I use that old saying and it's been very difficult to measure things in healthcare when it's scattered on pieces of paper all over the place.

How could you not be interested in health? I mean whether you're a clinician or a patient, health is something we all experience. Health is also an industry that is greatly in need of modernization, not from the standpoint of the bio sciences so much or other aspects of medicine but when you think about the digitization of medicine, it's probably one of the last industries to be fully digitized.

People who are going to be storing personal health information on patients have to make privacy and security job one, no question about it. We're hitting a bit of a wall I think, a lot the specialists are finding that the electronic records that are currently in the market don't meet their needs.

I hear a lot of complaints from pediatricians and ophthalmologists and oncologists that the sort of, I call it the broad spectrum one-size-fits-all family practice or internal medicine EMR, isn't meeting their needs because they're much more of a niche, they have specialized needs, and the sad truth is you can do the right thing from a patient perspective by keeping you well and keeping you out of the system, and you can go broke doing that.

I've worked with countless health organisations that have initiated programmes to do what is right for the patient or right for the payer, the insurance company for example, and literally lose millions of dollars for doing the right thing. If I look at who are the E-health leaders in America today, not the rest of the world but in America, certain groups stand out and almost without exception their business model is manage care.

So the Kaisers, the Group Ls[sp?] the guy whose under the UPMCs who service both here and provider of cure, I would like to see the day when you can sit in your living room in front of that big screen, and if you are having a medical question or problem you simply will speak to your television and say services please, doctor please, nurse please, whatever name your specialty and out pops somebody on-screen who'll address your need at that particular time.

Retail health movement, I think great from access and price standpoint, I think winning the quality can be and is quite good so long as they kind of stick to the recipe that they're very good at and are tightly integrated in referring people who need extra measures or are on-going here to make sure they are connected to a prime market doctor.

I don't think I want the retail health clinic to be the only place you engage with them. I will tell you even as a physician that many times when my family engages with the healthcare system even I am blown away, at least that it may be not be what the reinvestment levels are getting but the costs that are, the prices that are being quoted.

It's broken in what we optimally wanted to do it's broken and it's become, weirdly, it's become way too expensive in America we can offer people really, really good sick care. So if I got sick with a serious disease I would probably rather be seen in American healthcare system than just about anywhere in the world, where things kind of breakdown though is in sort of the whole picture.