I really love this painting it was painted by an artist named Phil this in
painted by an artist named Phil this in
painted by an artist named Phil this in the late 1800s and it’s called the
the late 1800s and it’s called the
the late 1800s and it’s called the doctor and what I like most about it is
doctor and what I like most about it is
doctor and what I like most about it is the purity with which it portrays a
the purity with which it portrays a
the purity with which it portrays a doctor-patient relationship but there’s
doctor-patient relationship but there’s
doctor-patient relationship but there’s something else about the painting that I
something else about the painting that I
something else about the painting that I want to point out and that’s the child
want to point out and that’s the child
want to point out and that’s the child that child will probably die that’s what
that child will probably die that’s what
that child will probably die that’s what this painting is all about and these
this painting is all about and these
this painting is all about and these days if that child will probably die of
days if that child will probably die of
days if that child will probably die of whooping cough or rheumatic fever these
whooping cough or rheumatic fever these
whooping cough or rheumatic fever these days we really don’t worry much about
days we really don’t worry much about
days we really don’t worry much about those conditions anymore because of
those conditions anymore because of
those conditions anymore because of advances in the 20th century in fact in
advances in the 20th century in fact in
advances in the 20th century in fact in the 20th century we added more than 25
the 20th century we added more than 25
the 20th century we added more than 25 years to our lifespan and I think we can
years to our lifespan and I think we can
years to our lifespan and I think we can safely call the 20th century the century
safely call the 20th century the century
safely call the 20th century the century of the lifespan but what we really
of the lifespan but what we really
of the lifespan but what we really haven’t done is think about how we’re
haven’t done is think about how we’re
haven’t done is think about how we’re going to harness the power of those
going to harness the power of those
going to harness the power of those extra 25 years to live vibrant and
extra 25 years to live vibrant and
extra 25 years to live vibrant and healthy lives and add back to society
healthy lives and add back to society
healthy lives and add back to society and I call that problem the healthspan
and I call that problem the healthspan
and I call that problem the healthspan and we need to catch the hell span up
and we need to catch the hell span up
and we need to catch the hell span up with a lifespan one of the things that’s
with a lifespan one of the things that’s
with a lifespan one of the things that’s going to be required to do that is to
going to be required to do that is to
going to be required to do that is to rethink a bit the doctor-patient
rethink a bit the doctor-patient
rethink a bit the doctor-patient relationship so yes I’d like to say that
relationship so yes I’d like to say that
relationship so yes I’d like to say that we should make the 21st century the
we should make the 21st century the
we should make the 21st century the century of the health span and we
century of the health span and we
century of the health span and we actually are running out of time to make
actually are running out of time to make
actually are running out of time to make that happen it’s a complicated thing
that happen it’s a complicated thing
that happen it’s a complicated thing today I want to focus on health care
today I want to focus on health care
today I want to focus on health care delivery as one of the challenges in
delivery as one of the challenges in
delivery as one of the challenges in making that happen you see by 2020 there
making that happen you see by 2020 there
making that happen you see by 2020 there will be more people over 65 than under 5
will be more people over 65 than under 5
will be more people over 65 than under 5 for the first time in history and by
for the first time in history and by
for the first time in history and by 2050 16% of the world’s population will
2050 16% of the world’s population will
2050 16% of the world’s population will be over 65 double
be over 65 double
be over 65 double the number under five and if you think
the number under five and if you think
the number under five and if you think about it we’re kind of running out of
about it we’re kind of running out of
about it we’re kind of running out of young people now why does that matter
young people now why does that matter
young people now why does that matter and care delivery well when you as a
and care delivery well when you as a
and care delivery well when you as a family caregiver or me as a health care
family caregiver or me as a health care
family caregiver or me as a health care professional deliver care we pretty much
professional deliver care we pretty much
professional deliver care we pretty much always do it one-to-one so the math is
always do it one-to-one so the math is
always do it one-to-one so the math is not lining up well and we have to move
not lining up well and we have to move
not lining up well and we have to move to one too many
to one too many
to one too many now other service industries have done
now other service industries have done
now other service industries have done this in health care we have not and
this in health care we have not and
this in health care we have not and that’s what I want to explore with you
that’s what I want to explore with you
that’s what I want to explore with you the technology or the care delivery
the technology or the care delivery
the technology or the care delivery model to get us there is called
model to get us there is called
model to get us there is called connected health and it’s things like
connected health and it’s things like
connected health and it’s things like virtual visits with your doctor or using
virtual visits with your doctor or using
virtual visits with your doctor or using wearables data for feedback loops or or
wearables data for feedback loops or or
wearables data for feedback loops or or mobile apps for engagement tools like
mobile apps for engagement tools like
mobile apps for engagement tools like that you’ve you’ve all heard about some
that you’ve you’ve all heard about some
that you’ve you’ve all heard about some of this stuff and I’ve been studying
of this stuff and I’ve been studying
of this stuff and I’ve been studying this care model for almost 25 years now
this care model for almost 25 years now
this care model for almost 25 years now and I’m puzzled by why there hasn’t been
and I’m puzzled by why there hasn’t been
and I’m puzzled by why there hasn’t been more adoption and I think one reason is
more adoption and I think one reason is
more adoption and I think one reason is because frankly we’ve under imagined how
because frankly we’ve under imagined how
because frankly we’ve under imagined how we’ve presented it to our patients and
we’ve presented it to our patients and
we’ve presented it to our patients and consumers in fact we’re really at a
consumers in fact we’re really at a
consumers in fact we’re really at a place where technology is now competing
place where technology is now competing
place where technology is now competing with what humans do in service delivery
with what humans do in service delivery
with what humans do in service delivery at least in healthcare and that’s
at least in healthcare and that’s
at least in healthcare and that’s bringing us in a very bad way now we’ve
bringing us in a very bad way now we’ve
bringing us in a very bad way now we’ve all had this experience where you pick
all had this experience where you pick
all had this experience where you pick up the phone you have a very nuanced
up the phone you have a very nuanced
up the phone you have a very nuanced question one simple question you just
question one simple question you just
question one simple question you just want to get a human being on the other
want to get a human being on the other
want to get a human being on the other end all you get is this endless array of
end all you get is this endless array of
end all you get is this endless array of menu options
menu options
menu options you finally get frustrated and put the
you finally get frustrated and put the
you finally get frustrated and put the phone down you never get your question
phone down you never get your question
phone down you never get your question answered and I think that kind of
answered and I think that kind of
answered and I think that kind of automation is what a lot of consumers in
automation is what a lot of consumers in
automation is what a lot of consumers in patients fear that will be how we bring
patients fear that will be how we bring
patients fear that will be how we bring automation into healthcare delivery so
automation into healthcare delivery so
automation into healthcare delivery so we can’t do it that way but other
we can’t do it that way but other
we can’t do it that way but other industries have managed to do a pretty
industries have managed to do a pretty
industries have managed to do a pretty good job of it think about uber and lyft
good job of it think about uber and lyft
good job of it think about uber and lyft and how they’ve taken all of the things
and how they’ve taken all of the things
and how they’ve taken all of the things that are a hassle out of getting a ride
that are a hassle out of getting a ride
that are a hassle out of getting a ride and put it into their mobile app and
and put it into their mobile app and
and put it into their mobile app and made it almost enjoyable to get a ride
made it almost enjoyable to get a ride
made it almost enjoyable to get a ride now the service is still delivered by a
now the service is still delivered by a
now the service is still delivered by a person but everything around
person but everything around
person but everything around makes that person more efficient and
makes that person more efficient and
makes that person more efficient and enhances your experience the best we can
enhances your experience the best we can
enhances your experience the best we can do as healthcare is something what I
do as healthcare is something what I
do as healthcare is something what I call a parallel experience you actually
call a parallel experience you actually
call a parallel experience you actually can get a virtual visit with a doctor
can get a virtual visit with a doctor
can get a virtual visit with a doctor these days probably won’t be your own
these days probably won’t be your own
these days probably won’t be your own doctor most certainly and unfortunately
doctor most certainly and unfortunately
doctor most certainly and unfortunately the record of that visit won’t be shared
the record of that visit won’t be shared
the record of that visit won’t be shared with your doctor so it it’s a completely
with your doctor so it it’s a completely
with your doctor so it it’s a completely parallel track not really very
parallel track not really very
parallel track not really very imaginative at all
imaginative at all
imaginative at all so we’ve we’ve done a little bit in
so we’ve we’ve done a little bit in
so we’ve we’ve done a little bit in moving connected else forward but we
moving connected else forward but we
moving connected else forward but we have a long long way to go because the
have a long long way to go because the
have a long long way to go because the problem of bringing the healthspan in to
problem of bringing the healthspan in to
problem of bringing the healthspan in to focus with a lifespan is bigger than
focus with a lifespan is bigger than
focus with a lifespan is bigger than technology or human beings can do alone
technology or human beings can do alone
technology or human beings can do alone and yet we persist as humans and
and yet we persist as humans and
and yet we persist as humans and fighting with technology trying to make
fighting with technology trying to make
fighting with technology trying to make sure that we can do things better that
sure that we can do things better that
sure that we can do things better that tech can do better for us and forgetting
tech can do better for us and forgetting
tech can do better for us and forgetting what it’s like to be human I’ve read a
what it’s like to be human I’ve read a
what it’s like to be human I’ve read a really pivotal article in the Harvard
really pivotal article in the Harvard
really pivotal article in the Harvard Business Review a few months ago by
Business Review a few months ago by
Business Review a few months ago by Barry Libert and Megan Beck and the
Barry Libert and Megan Beck and the
Barry Libert and Megan Beck and the title paraphrased was as we bring in
title paraphrased was as we bring in
title paraphrased was as we bring in more artificial intelligence we need to
more artificial intelligence we need to
more artificial intelligence we need to focus more on emotional intelligence and
focus more on emotional intelligence and
focus more on emotional intelligence and they point out that knowledge workers do
they point out that knowledge workers do
they point out that knowledge workers do these three things really well gather
these three things really well gather
these three things really well gather data arrive at a conclusion and
data arrive at a conclusion and
data arrive at a conclusion and synthesize a plan and I thought about I
synthesize a plan and I thought about I
synthesize a plan and I thought about I said as a doctor I do that all day long
said as a doctor I do that all day long
said as a doctor I do that all day long history and physical diagnosis care plan
history and physical diagnosis care plan
history and physical diagnosis care plan and with no more artificial intelligence
and with no more artificial intelligence
and with no more artificial intelligence that what we have on the market today
that what we have on the market today
that what we have on the market today machines can hurt you do a better job of
machines can hurt you do a better job of
machines can hurt you do a better job of that than people can but we persist in
that than people can but we persist in
that than people can but we persist in trying to do it better than machines can
trying to do it better than machines can
trying to do it better than machines can now there are uniquely human traits
now there are uniquely human traits
now there are uniquely human traits that’s the thing and we’ve kind of lost
that’s the thing and we’ve kind of lost
that’s the thing and we’ve kind of lost our way on those they they’re things
our way on those they they’re things
our way on those they they’re things like caring emotional intelligence
like caring emotional intelligence
like caring emotional intelligence judgment and attention to quality these
judgment and attention to quality these
judgment and attention to quality these are things that we can do better than
are things that we can do better than
are things that we can do better than machines but we’re so busy fighting with
machines but we’re so busy fighting with
machines but we’re so busy fighting with technology we haven’t been able to do
technology we haven’t been able to do
technology we haven’t been able to do that so together machines and people can
that so together machines and people can
that so together machines and people can close the gap that’s where we need to
close the gap that’s where we need to
close the gap that’s where we need to get now let me just tell you about how
get now let me just tell you about how
get now let me just tell you about how if we can do that and deepen that
if we can do that and deepen that
if we can do that and deepen that relationship the connection will be even
relationship the connection will be even
relationship the connection will be even better
better
better than what we see in the painting here’s
than what we see in the painting here’s
than what we see in the painting here’s an example and there aren’t many trust
an example and there aren’t many trust
an example and there aren’t many trust me now remember the goal here with one
me now remember the goal here with one
me now remember the goal here with one too many is that I as a care provider
too many is that I as a care provider
too many is that I as a care provider you need to feel cared for but you’re
you need to feel cared for but you’re
you need to feel cared for but you’re gonna touch me less because again we’re
gonna touch me less because again we’re
gonna touch me less because again we’re running out of people we’ve got to do
running out of people we’ve got to do
running out of people we’ve got to do more one-to-many so this is an app we
more one-to-many so this is an app we
more one-to-many so this is an app we created in our own group called a
created in our own group called a
created in our own group called a palettes for patients who have cancer
palettes for patients who have cancer
palettes for patients who have cancer and are using pain meds it’s a chronic
and are using pain meds it’s a chronic
and are using pain meds it’s a chronic pain management application on their
pain management application on their
pain management application on their phone and it does a lot of things it’s
phone and it does a lot of things it’s
phone and it does a lot of things it’s very interactive it’s very educational
very interactive it’s very educational
very interactive it’s very educational it’s meant to fill in the gaps that they
it’s meant to fill in the gaps that they
it’s meant to fill in the gaps that they can’t when they can’t get to a doctor
can’t when they can’t get to a doctor
can’t when they can’t get to a doctor they can’t say have a doctor within 24
they can’t say have a doctor within 24
they can’t say have a doctor within 24 hours a day it’s meant to fill in those
hours a day it’s meant to fill in those
hours a day it’s meant to fill in those gaps and of course because we don’t want
gaps and of course because we don’t want
gaps and of course because we don’t want to erode their experience there are
to erode their experience there are
to erode their experience there are several places in the use of the app or
several places in the use of the app or
several places in the use of the app or you can push a button and be connected
you can push a button and be connected
you can push a button and be connected directly to one of the doctors at the
directly to one of the doctors at the
directly to one of the doctors at the Massachusetts General Hospital and when
Massachusetts General Hospital and when
Massachusetts General Hospital and when we study this app we noted two things
we study this app we noted two things
we study this app we noted two things one was that the people who used it had
one was that the people who used it had
one was that the people who used it had lower pain scores so they achieved
lower pain scores so they achieved
lower pain scores so they achieved better pain control but they called the
better pain control but they called the
better pain control but they called the doctor less they felt more cared for
doctor less they felt more cared for
doctor less they felt more cared for using the technology than a control
using the technology than a control
using the technology than a control group and they had less touches with the
group and they had less touches with the
group and they had less touches with the healthcare provider that’s what I mean
healthcare provider that’s what I mean
healthcare provider that’s what I mean by one-to-many so how do we get there
by one-to-many so how do we get there
by one-to-many so how do we get there well if you’re a care provider start
well if you’re a care provider start
well if you’re a care provider start looking for opportunities to outsource
looking for opportunities to outsource
looking for opportunities to outsource routine tasks to technologies things
routine tasks to technologies things
routine tasks to technologies things like gathering data synthesizing data
like gathering data synthesizing data
like gathering data synthesizing data creating plans we should be embracing
creating plans we should be embracing
creating plans we should be embracing technology to do those things better and
technology to do those things better and
technology to do those things better and while we’re doing that retrain ourselves
while we’re doing that retrain ourselves
while we’re doing that retrain ourselves to be more human to be more caring to be
to be more human to be more caring to be
to be more human to be more caring to be more like the doctor and the field is
more like the doctor and the field is
more like the doctor and the field is painting now if your supplier to our
painting now if your supplier to our
painting now if your supplier to our industry well help us get there by
industry well help us get there by
industry well help us get there by designing tools and solutions for our
designing tools and solutions for our
designing tools and solutions for our consumers and patients that get out of
consumers and patients that get out of
consumers and patients that get out of that under imagine thing I talked about
that under imagine thing I talked about
that under imagine thing I talked about earlier it’s not a parallel track it’s
earlier it’s not a parallel track it’s
earlier it’s not a parallel track it’s completely integrated let us give us
completely integrated let us give us
completely integrated let us give us tools that we can be more like uber and
tools that we can be more like uber and
tools that we can be more like uber and lyft as we conduct patient care and more
lyft as we conduct patient care and more
lyft as we conduct patient care and more efficient with our human interactions
efficient with our human interactions
efficient with our human interactions that are more powerful
that are more powerful
that are more powerful more one-to-many and if you’re a patient
more one-to-many and if you’re a patient
more one-to-many and if you’re a patient start to be vocal we have this thing
start to be vocal we have this thing
start to be vocal we have this thing where doctors say to me my patients
where doctors say to me my patients
where doctors say to me my patients don’t talk to me about this stuff I
don’t talk to me about this stuff I
don’t talk to me about this stuff I don’t think they really care and yet
don’t think they really care and yet
don’t think they really care and yet patients of course I thinking why
patients of course I thinking why
patients of course I thinking why doesn’t my doctor move into the 21st
doesn’t my doctor move into the 21st
doesn’t my doctor move into the 21st century be more vocal have more
century be more vocal have more
century be more vocal have more conversations get involved help us
conversations get involved help us
conversations get involved help us design the future and the best possible
design the future and the best possible
design the future and the best possible way I’m confident that my colleagues in
way I’m confident that my colleagues in
way I’m confident that my colleagues in healthcare provider my health care
healthcare provider my health care
healthcare provider my health care provider colleagues are really in it
provider colleagues are really in it
provider colleagues are really in it because of the way this relationship is
because of the way this relationship is
because of the way this relationship is depicted in the painting we all want to
depicted in the painting we all want to
depicted in the painting we all want to be caring individuals the paradox is we
be caring individuals the paradox is we
be caring individuals the paradox is we have to adopt more technology to get
have to adopt more technology to get
have to adopt more technology to get there now the tools to create
there now the tools to create
there now the tools to create one-to-many care models are here they’re
one-to-many care models are here they’re
one-to-many care models are here they’re in front of us we need to outsource more
in front of us we need to outsource more
in front of us we need to outsource more routine tasks to technology things like
routine tasks to technology things like
routine tasks to technology things like gathering data formulating a plan and we
gathering data formulating a plan and we
gathering data formulating a plan and we need to train ourselves to be more human
need to train ourselves to be more human
need to train ourselves to be more human to bring in caring to bring in emotional
to bring in caring to bring in emotional
to bring in caring to bring in emotional intelligence judgment and quality if we
intelligence judgment and quality if we
intelligence judgment and quality if we can do that we can make the 21st century
can do that we can make the 21st century
can do that we can make the 21st century the century of the healthspan
the century of the healthspan
the century of the healthspan thank you
thank you
thank you [Applause]
”
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