How Is Healthcare Getting Better?

Read Transcript

I am seeing healthcare getting better. We're seeing the cost coming down, the improvement in outcomes mean health for the patients, and we are seeing them being so much more comfortable and confident in their ability to care for themselves. We see this happen. So we know it can be done and I think for the first time it is not just pockets where somebody has just done a Research projects to approve it, but really seen it roll out through health systems.

We know pretty clearly you can take out about 30% of the cost in the current healthcare system, and that's just unnecessary duplicate testing, things that are done because they don't have the right information, because people haven't preventive care, and they come in when they are much sicker, before you lost money, everytime you did something sensible.

Now, the rules of the game are being changed. If someone comes to me with a mild illness, it is in my interest as a doctor, as a part of a health system, to keep that person healthy and not wait till they get worse and come in to see me with the problem. You need to have reminder systems.

Now we have electronic health records, now it's obviously a huge change, especially if you're a doctor or in a hospital. It's a new world when you can get all that information right away and easily. You need to have a way to coordinate your care so the cardiologist and the neurologist and the primary care doctor know what each other are doing.

So, now we have records in the pharmacy that can track all the different medications as someone's being prescribed. For the patients themselves what they're going to experience most of all is the fact that a lot of the things they need to do will be so easy now. it will be easier for them to take care of themselves and to communicate with the doctor's office.

So, you wake up one morning and you feel nervous. You think your blood pressure might be up, you're not sure. You don't just, you can buy a blood pressure cuff today, you can measure it, but what do you do with that information? You're sitting there looking at it. You're not sure, maybe it's a problem.

Should you call your doctor? But your doctor can't answer, he's busy. Well, instead, the machine sends a signal, there's a feedback loop that comes back to you from the doctor's office that says, this is good, just a normal variation, don't worry about it, but please check tonight.

A very small number of people actually wind up having to go to the hospital. And if you take out all the people who go to the emergency room because their doctor isn't available, and the people who go to the hospital because their disease was preventable. If we get things straighthen the hospital of the future is going to be a big emergency room because we still got trauma and emergency problems.

Big imaging, that's basic the MRI and CAT scan because our power to see into the human body is going to continue to grow and those are big machines. And then the third thing is surgery because there'll be a smaller number of operations that need to be done in a hospital, but for those we'll need to have the capacity.

So, fewer people will ever go to a hospital as we know it.