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How Choice Can Fix Healthcare | Mert Hilmi Iseri | TEDxFargo


it was a Thursday afternoon when my best

it was a Thursday afternoon when my best friend told me that he was gonna put me

friend told me that he was gonna put me

friend told me that he was gonna put me on his will next to his parents the day

on his will next to his parents the day

on his will next to his parents the day before he wanted to surgery Wolfe felt

before he wanted to surgery Wolfe felt

before he wanted to surgery Wolfe felt this feeling that the knot in your

this feeling that the knot in your

this feeling that the knot in your throat the hope that things will turn

throat the hope that things will turn

throat the hope that things will turn okay the feel of uncertainty I was

okay the feel of uncertainty I was

okay the feel of uncertainty I was feeling what millions feel every day for

feeling what millions feel every day for

feeling what millions feel every day for the first time in my life when faced

the first time in my life when faced

the first time in my life when faced with that daunting challenge in

with that daunting challenge in

with that daunting challenge in healthcare you see my best friend Yuri

healthcare you see my best friend Yuri

healthcare you see my best friend Yuri brother from another mother relatively

brother from another mother relatively

brother from another mother relatively healthy young man loved sailing loved

healthy young man loved sailing loved

healthy young man loved sailing loved surfing and just a few years earlier we

surfing and just a few years earlier we

surfing and just a few years earlier we had started our own technology company

had started our own technology company

had started our own technology company in health care but turns out Yuri was

in health care but turns out Yuri was

in health care but turns out Yuri was born with a rare but very serious

born with a rare but very serious

born with a rare but very serious genetic defect he was born with a hole

genetic defect he was born with a hole

genetic defect he was born with a hole in his heart I just want to take a

in his heart I just want to take a

in his heart I just want to take a moment first and foremost how an

moment first and foremost how an

moment first and foremost how an incredible thing this is that this was

incredible thing this is that this was

incredible thing this is that this was diagnosed in the first place this

diagnosed in the first place this

diagnosed in the first place this genetic defect that if it’s not treated

genetic defect that if it’s not treated

genetic defect that if it’s not treated if it’s not found out leads to death by

if it’s not found out leads to death by

if it’s not found out leads to death by a heart attack in your mid-40s I mean

a heart attack in your mid-40s I mean

a heart attack in your mid-40s I mean the guy was a dead man walking he was at

the guy was a dead man walking he was at

the guy was a dead man walking he was at his primary care doctor and she heard a

his primary care doctor and she heard a

his primary care doctor and she heard a very faint murmur in his heart they say

very faint murmur in his heart they say

very faint murmur in his heart they say you know what I feel a lot better if you

you know what I feel a lot better if you

you know what I feel a lot better if you just got a cat scan all that code will

just got a cat scan all that code will

just got a cat scan all that code will follow up it’s probably nothing they

follow up it’s probably nothing they

follow up it’s probably nothing they diagnose the hole immediately scheduled

diagnose the hole immediately scheduled

diagnose the hole immediately scheduled for surgery and the only reason why he

for surgery and the only reason why he

for surgery and the only reason why he is around today is because of that

is around today is because of that

is around today is because of that miracle is because the incredible thing

miracle is because the incredible thing

miracle is because the incredible thing that happens in healthcare today by the

that happens in healthcare today by the

that happens in healthcare today by the way the surgery itself is even crazier

way the surgery itself is even crazier

way the surgery itself is even crazier the medical device that’s actually used

the medical device that’s actually used

the medical device that’s actually used to fix this hole is this incredible hand

to fix this hole is this incredible hand

to fix this hole is this incredible hand woman thing inspired by the weaving

woman thing inspired by the weaving

woman thing inspired by the weaving techniques by the Aboriginal Bolivian

techniques by the Aboriginal Bolivian

techniques by the Aboriginal Bolivian women it’s this beautiful combination of

women it’s this beautiful combination of

women it’s this beautiful combination of art and science that looks like this

art and science that looks like this

art and science that looks like this it’s amazing and healthcare does things

it’s amazing and healthcare does things

it’s amazing and healthcare does things like this every single day you see we

like this every single day you see we

like this every single day you see we came a long way just about 100 years ago

came a long way just about 100 years ago

came a long way just about 100 years ago we thought injecting pig’s blood to pee

we thought injecting pig’s blood to pee

we thought injecting pig’s blood to pee was a relatively good idea it’s not and

was a relatively good idea it’s not and

was a relatively good idea it’s not and fast-forward that to today we’re now

fast-forward that to today we’re now

fast-forward that to today we’re now genetically engineering pigs to produce

genetically engineering pigs to produce

genetically engineering pigs to produce human blood to combat blood shortages

human blood to combat blood shortages

human blood to combat blood shortages that’s a freakin miracle but as health

that’s a freakin miracle but as health

that’s a freakin miracle but as health care became more competent it became

care became more competent it became

care became more competent it became more complex and unfortunately

more complex and unfortunately

more complex and unfortunately complexity leads to errors every year

complexity leads to errors every year

complexity leads to errors every year over 250,000 people die in the United

over 250,000 people die in the United

over 250,000 people die in the United States because of a preventable medical

States because of a preventable medical

States because of a preventable medical error and I want to underline

error and I want to underline

error and I want to underline preventable these are things we know not

preventable these are things we know not

preventable these are things we know not to do these are things like we gave you

to do these are things like we gave you

to do these are things like we gave you the wrong drug these are things like we

the wrong drug these are things like we

the wrong drug these are things like we forgot to wash our hands and you’ve got

forgot to wash our hands and you’ve got

forgot to wash our hands and you’ve got an infection these are things like you

an infection these are things like you

an infection these are things like you fell from your bed and yes believe it or

fell from your bed and yes believe it or

fell from your bed and yes believe it or not falling from your bed is considered

not falling from your bed is considered

not falling from your bed is considered a medical error that hospitals can take

a medical error that hospitals can take

a medical error that hospitals can take real precautions against you see in

real precautions against you see in

real precautions against you see in today’s healthcare if it takes a village

today’s healthcare if it takes a village

today’s healthcare if it takes a village to raise a child it takes a whole

to raise a child it takes a whole

to raise a child it takes a whole Hospital to make you feel better you see

Hospital to make you feel better you see

Hospital to make you feel better you see my co-founder and I we’ve been frequent

my co-founder and I we’ve been frequent

my co-founder and I we’ve been frequent flyers of healthcare over the past

flyers of healthcare over the past

flyers of healthcare over the past decade I mean we’ve had a front row seat

decade I mean we’ve had a front row seat

decade I mean we’ve had a front row seat so the seismic changes that are

so the seismic changes that are

so the seismic changes that are happening to our hospitals we know what

happening to our hospitals we know what

happening to our hospitals we know what it looks like from the inside that’s why

it looks like from the inside that’s why

it looks like from the inside that’s why when we found out that he needed the

when we found out that he needed the

when we found out that he needed the surgery we spent more time selecting

surgery we spent more time selecting

surgery we spent more time selecting this hospital than with it selecting a

this hospital than with it selecting a

this hospital than with it selecting a surgeon now most people are surprised

surgeon now most people are surprised

surgeon now most people are surprised when I tell them about this because I

when I tell them about this because I

when I tell them about this because I mean of course it matters who does your

mean of course it matters who does your

mean of course it matters who does your surgery and by the way for some folks if

surgery and by the way for some folks if

surgery and by the way for some folks if you live in a rural community there

you live in a rural community there

you live in a rural community there might just be one hospital that you go

might just be one hospital that you go

might just be one hospital that you go to in a 500 mile radius of course I

to in a 500 mile radius of course I

to in a 500 mile radius of course I recognize all of that but for most

recognize all of that but for most

recognize all of that but for most Americans we’ve had unprecedented access

Americans we’ve had unprecedented access

Americans we’ve had unprecedented access to health care never before seen in

to health care never before seen in

to health care never before seen in history and to this date I’m always

history and to this date I’m always

history and to this date I’m always blown away by how little choosing

blown away by how little choosing

blown away by how little choosing happens in health care health grades did

happens in health care health grades did

happens in health care health grades did this study in 2014 and they want to find

this study in 2014 and they want to find

this study in 2014 and they want to find out what were the biggest factors that

out what were the biggest factors that

out what were the biggest factors that people looked into in terms of selecting

people looked into in terms of selecting

people looked into in terms of selecting where they receive care the number one

where they receive care the number one

where they receive care the number one determining factor is convenience of

determining factor is convenience of

determining factor is convenience of location number two is the friendliness

location number two is the friendliness

location number two is the friendliness of the office staff and when we care

of the office staff and when we care

of the office staff and when we care about things like the marble floors and

about things like the marble floors and

about things like the marble floors and the soothing fountain and the bedside

the soothing fountain and the bedside

the soothing fountain and the bedside manners then whether you can die from

manners then whether you can die from

manners then whether you can die from cardiac arrest during the recovery and

cardiac arrest during the recovery and

cardiac arrest during the recovery and you think I’m kidding you the same study

you think I’m kidding you the same study

you think I’m kidding you the same study looked at 33 hospitals in Atlanta and

looked at 33 hospitals in Atlanta and

looked at 33 hospitals in Atlanta and found that one of those hospitals you

found that one of those hospitals you

found that one of those hospitals you were 17 times more likely to die because

were 17 times more likely to die because

were 17 times more likely to die because of a heart attack during your recovery

of a heart attack during your recovery

of a heart attack during your recovery this is crazy now compare that to the

this is crazy now compare that to the

this is crazy now compare that to the hospital that we chose which was

hospital that we chose which was

hospital that we chose which was University of Chicago Medical Center

University of Chicago Medical Center

University of Chicago Medical Center they have a complex algorithm running in

they have a complex algorithm running in

they have a complex algorithm running in their electronic medical records to

their electronic medical records to

their electronic medical records to predict days in advance which one of

predict days in advance which one of

predict days in advance which one of their patients are going to get a heart

their patients are going to get a heart

their patients are going to get a heart attack and they take precautions you see

attack and they take precautions you see

attack and they take precautions you see new Chicago Medical Center takes patient

new Chicago Medical Center takes patient

new Chicago Medical Center takes patient safety very very seriously and as a

safety very very seriously and as a

safety very very seriously and as a matter of fact cardiac correct was just

matter of fact cardiac correct was just

matter of fact cardiac correct was just one of the many factors we looked into

one of the many factors we looked into

one of the many factors we looked into before we slide to this hospital but you

before we slide to this hospital but you

before we slide to this hospital but you see what we did is not all that

see what we did is not all that

see what we did is not all that different than what we all do every day

different than what we all do every day

different than what we all do every day which brings me to baby banana

which brings me to baby banana

which brings me to baby banana toothbrushes that’s a good weird turn

toothbrushes that’s a good weird turn

toothbrushes that’s a good weird turn but I think there’s nothing more special

but I think there’s nothing more special

but I think there’s nothing more special than this baby better than a toothbrush

than this baby better than a toothbrush

than this baby better than a toothbrush to tell us that we really needs to

to tell us that we really needs to

to tell us that we really needs to happen more in healthcare you see what’s

happen more in healthcare you see what’s

happen more in healthcare you see what’s amazing about this baby banana

amazing about this baby banana

amazing about this baby banana toothbrush is that our Amazon it’s been

toothbrush is that our Amazon it’s been

toothbrush is that our Amazon it’s been reviewed five thousand nine hundred and

reviewed five thousand nine hundred and

reviewed five thousand nine hundred and thirty-eight times people took the time

thirty-eight times people took the time

thirty-eight times people took the time to write how amazing these are

to write how amazing these are

to write how amazing these are paragraphs by the way you gotta go and

paragraphs by the way you gotta go and

paragraphs by the way you gotta go and and read this up people craziness well

and read this up people craziness well

and read this up people craziness well you see what’s incredible about this

you see what’s incredible about this

you see what’s incredible about this toothbrush is that it’s virtually

toothbrush is that it’s virtually

toothbrush is that it’s virtually impossible to choke on it you see in the

impossible to choke on it you see in the

impossible to choke on it you see in the world of baby banana toothbrushes safety

world of baby banana toothbrushes safety

world of baby banana toothbrushes safety cells and we have only one thing to

cells and we have only one thing to

cells and we have only one thing to thank for enabling this baby toothbrush

thank for enabling this baby toothbrush

thank for enabling this baby toothbrush and it’s you you made this company what

and it’s you you made this company what

and it’s you you made this company what it is today

it is today

it is today you chose this toothbrush over others

you chose this toothbrush over others

you chose this toothbrush over others you see choice is a superpower I’m a

you see choice is a superpower I’m a

you see choice is a superpower I’m a believer in free markets I believe that

believer in free markets I believe that

believer in free markets I believe that if we select the things that we want to

if we select the things that we want to

if we select the things that we want to win the world will be better but you see

win the world will be better but you see

win the world will be better but you see with great power comes great

with great power comes great

with great power comes great responsibility

responsibility

responsibility if Southwest Airlines crashed 17

if Southwest Airlines crashed 17

if Southwest Airlines crashed 17 more than United you would care a little

more than United you would care a little

more than United you would care a little less about the two free Czech languages

less about the two free Czech languages

less about the two free Czech languages you get on the side I believe we have to

you get on the side I believe we have to

you get on the side I believe we have to use this superpower it is my biggest pet

use this superpower it is my biggest pet

use this superpower it is my biggest pet peeve today that hospitals don’t compete

peeve today that hospitals don’t compete

peeve today that hospitals don’t compete on these metrics and by the way all of

on these metrics and by the way all of

on these metrics and by the way all of this data is sitting right in front of

this data is sitting right in front of

this data is sitting right in front of you

you

you well not quite all this data is public

well not quite all this data is public

well not quite all this data is public but you kinda have to know where to look

but you kinda have to know where to look

but you kinda have to know where to look this is like burying the depths of the

this is like burying the depths of the

this is like burying the depths of the Center for Medicaid Services or the

Center for Medicaid Services or the

Center for Medicaid Services or the agency of Healthcare Research and

agency of Healthcare Research and

agency of Healthcare Research and quality this is hard to get to but you

quality this is hard to get to but you

quality this is hard to get to but you know because we looked URI had one of

know because we looked URI had one of

know because we looked URI had one of the most boring surgeries of all time it

the most boring surgeries of all time it

the most boring surgeries of all time it took exactly as long as the surgeon said

took exactly as long as the surgeon said

took exactly as long as the surgeon said it would he recovered in exactly three

it would he recovered in exactly three

it would he recovered in exactly three days and it was back in the office the

days and it was back in the office the

days and it was back in the office the next Monday morning it was kind of

next Monday morning it was kind of

next Monday morning it was kind of uneventful but you know what that’s what

uneventful but you know what that’s what

uneventful but you know what that’s what we want out of health care this story

we want out of health care this story

we want out of health care this story isn’t about what could have happened to

isn’t about what could have happened to

isn’t about what could have happened to URI the story is about what we can all

URI the story is about what we can all

URI the story is about what we can all do to fix health care so here’s what we

do to fix health care so here’s what we

do to fix health care so here’s what we did we took all of that hard-to-find

did we took all of that hard-to-find

did we took all of that hard-to-find data and put it into a super simple

data and put it into a super simple

data and put it into a super simple website called USA Hospital Compare com

website called USA Hospital Compare com

website called USA Hospital Compare com it is not perfect but you know what it

it is not perfect but you know what it

it is not perfect but you know what it is a way for you to tell hospitals that

is a way for you to tell hospitals that

is a way for you to tell hospitals that you care about this stuff and if you

you care about this stuff and if you

you care about this stuff and if you tell them if you let them know that you

tell them if you let them know that you

tell them if you let them know that you care if you choose hospitals based on

care if you choose hospitals based on

care if you choose hospitals based on these safety metrics we will fix health

these safety metrics we will fix health

these safety metrics we will fix health care so don’t wait for some complicated

care so don’t wait for some complicated

care so don’t wait for some complicated reform don’t wait for some promise

reform don’t wait for some promise

reform don’t wait for some promise legislation that’s gonna take decades to

legislation that’s gonna take decades to

legislation that’s gonna take decades to count choose choose and together we can

count choose choose and together we can

count choose choose and together we can all fix healthcare one toothbrush at a

all fix healthcare one toothbrush at a

all fix healthcare one toothbrush at a time

”

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