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Creating a New Healthcare

Creating a New Healthcare

A podcast series for Primary Care Physician leaders who are looking for fresh perspectives, new solutions and inspiration in their journey to advance value-based care.

Latest From Series

Episode #101: ‘How COVID-19 is Reframing Healthcare in America’ with Zeev Neuwirth MD

Dear Friends & Colleagues,

On Friday March 27th 2020, I launched a limited podcast series addressing how the COVID-19 pandemic is reframing American healthcare. You can find the introductory episode here.  During this series, I interviewed forward-thinking, courageous healthcare leaders and entrepreneurs - asking two questions: 

(1) How is the COVID-19 pandemic immediately changing the way we’re delivering healthcare?  

(2) How will COVID-19 reframe American healthcare for years to come? 

In order to share the remarkable insights from these timely interviews, we have been releasing episodes as quickly as possible.  Over the past 8 weeks, we’ve posted 20 episodes!

Today’s episode is the final interview in this limited podcast series.  In this episode, I’ll be sharing some of my key learnings and lessons from the past few weeks, and the impact I hope it will have on our healthcare system. 

In this episode, I'm joined by Chitra Ragavan, a nationally recognized journalist and host of her own podcast, When It Mattered.  Chitra will take the mic in this episode and interview me about my perspectives on how COVID-19 is reframing American healthcare.  Chitra is an unusually skilled podcast host in that she brings deep experience in television, radio, and print - including at National Public Radio (NPR) and U.S. News & World Report magazine (U.S. News).  Chitra also is Founder and CEO of Goodstory, a strategic advisory firm helping companies with strategic growth and positioning, using brand architecture, narrative and storytelling.  

A preview of the topics we’ll touch on include:

  • The fundamental flaws in the American healthcare system that have been exposed and magnified by this pandemic.

  • The major reframes we MUST deploy post COVID-19 in order to create a new and better healthcare.

  • Why I’m hopeful, energized and enthusiastic about the future of healthcare, and health, in our country.

In addition to being the final episode in this limited series, it will also be the final episode of this ‘Creating A New Healthcare' season.  We’ll take a summer break and kick off the 4th Season in September.  Stay tuned - we have an exciting lineup for the Fall!

I’d like to thank the guests who graciously agreed to be interviewed for this limited series.  The stories and stats they shared ran the gamut from enlightening to startling to heart warming to incredibly helpful.  Under normal circumstances, it takes weeks to schedule these interviews; but these incredibly accomplished leaders arranged to participate in a matter of days - out of a shared sense of purpose.  Their insights and profound humanitarianism left me with a deep sense of hope and renewal after each interview.

Finally, I would like to take this moment to thank you for listening in and offering your feedback and encouragement via social media and emails.  Please continue to write in and share your thoughts.  And please share the podcast series with your colleagues.  The only way we’re going to create a new healthcare is together.

Until next time, Be Safe & Be Well

Zeev Neuwirth, MD

 

May 27, 2020

Episode #100: ‘How COVID-19 is Reframing Healthcare in America’ with Sami Inkinen, CEO & Founder of Virta

Dear Friends & Colleagues,

On Friday March 27th 2020, I launched a limited podcast series addressing how the COVID-19 pandemic is reframing American healthcare.  You can find the introductory episode here.  In this series, I’ve been interviewing visionary, courageous healthcare leaders and entrepreneurs -  asking two questions: 

(1) How is the COVID-19 pandemic immediately changing the way you are delivering healthcare?  

(2) How will COVID-19 reframe American healthcare for years to come? 

In this interview we’ll be speaking with Sami Inkinen, the founder and CEO of Virta Health.  Virta is a completely virtual diabetes clinic whose brand promise is to not only improve type 2 diabetes but, in many instances, to reverse it.  Virta has completely reframed type 2 diabetes care with the physiologic approach they take; the data-driven, digital, AI-enabled technologies they deploy; and the personalized, empathetic and highly responsive care they provide.  Sami is a remarkable person and entrepreneur.  He’s a physicist, turned business and tech guy, turned online real estate entrepreneur, turned healthcare reframer/entrepreneur.  I met Sami about 6 years ago and have had the great privilege of working with him and getting to know him.  And, in full transparency, I have served as an advisor to Virta.  

Some of the topics we’ll touch upon include:

  • Virta's approach to type 2 diabetes - which allowed it to be far better prepared to continue delivering exceptional clinical care and outstanding consumer experience during the COVID-19 pandemic.

  • One of the most remarkable statistics I’ve heard during this pandemic - having to do with risk of mortality from the SARS-COV-2 infection in individuals with uncontrolled diabetes.

  • Some of the crippling flaws in the American healthcare system that were exposed and exacerbated by the COVID-19 pandemic.

  • A fundamental misalignment in our healthcare system that represents the most serious impediment to delivering empathetic, value-based care, and superior outcomes.

  • Sami’s top recommendations for what we need to do to create a better healthcare system coming out of this COVID-19 pandemic.

Virta Health is an example of what reframed ‘great’ looks like in chronic disease management.  We could spend quite a bit of time breaking down the principles, approaches, processes, technologies, behavioral and relational aspects, payment model, culture, and so on that make Virta so successful.  But the bottom line is that the value proposition, experience and outcomes are far superior to the standard of care across the country.  Virta represents, similarly to others we’ve interviewed in this series, a path to what markedly better healthcare can and should look like.  Sami and his colleagues have paved a path to the future by reframing the care of people with diabetes. 

One major take-away I’d like to leave you with is one of the key lessons I’ve learned in this limited series.  Organizations - like Virta - that have reframed healthcare, have fared far better during this pandemic than organizations that have not.  This has been a common theme that has come up repeatedly during these in-depth interviews.  It speaks to the fact that our current legacy approaches to healthcare delivery are vulnerable, fragile and simply not oriented, designed or organized around our healthcare needs.  Reframed organizations appear to be much more adaptable, resilient, anti-fragile - and consumer-oriented.  This observation was not lost on me and should not be lost on you.

Until next time, be safe and be well.

Zeev Neuwirth, MD

 

May 21, 2020

Episode 99: ‘How COVID-19 is Reframing Healthcare in America’ with Dr. Shreya Kangovi

Dear Friends & Colleagues,

On Friday March 27th 2020, I launched a limited podcast series addressing how the COVID-19 pandemic is reframing American healthcare.  You can find the introductory episode here.  In this series, I am interviewing future-facing, courageous healthcare leaders and entrepreneurs,  asking two questions: 

(1) How is the COVID-19 pandemic immediately changing the way you are delivering healthcare?  

(2) How will COVID-19 reframe American healthcare for years to come? 

In this interview we’ll be speaking with Dr. Shreya Kangovi about Community Health Workers.  Community Health Workers are individuals who have been hired from their community, and given training and support to provide customized, culturally sensitive, non-clinical care.  Their focus is on the social determinants of health - at the individual level, and delivered in a highly personalized and relationally oriented way.  To my mind, this workforce and approach to care is one of the most untapped opportunities we have to reframe healthcare and create transformative change.  It addresses the overwhelming impact that the Social Determinants of Health (SDOH) have on healthcare outcomes, utilization, costs and the experience of care. The issues of SDOH, chronic disease and disparities of care have been some of the fundamental problems in our healthcare system - problems the COVID-19 pandemic has exposed and exacerbated.  One of the solutions to our present moment and to a better future is the focus of today’s discussion.

Dr. Kangovi and her colleagues have pioneered a rigorous, evidence-based approach to building, deploying and measuring the impact of a Community Health Worker (CHW) program.  Dr. Kangovi is the founder & executive director of the Penn Center for Community Health Workers - a national center of excellence dedicated to advancing health in low-income populations through CHW programs. She and her colleagues have spent nearly a decade creating and refining a world-class CHW model called IMPaCT™ (Individualized Management towards Patient-Centered Targets).  Now, they are offering this program to other institutions to encourage widespread deployment.

In this interview, we’ll dive into the following:

  • Six major problems in healthcare - caused and/or exacerbated by the COVID-19 pandemic - that are leading to American deaths.

  • What Dr. Kangovi refers to as the “structural racism” embedded in our healthcare delivery system - and what can be done to reverse it.

  • A detailed description of the Community Health Worker approach to COVID-19 contact tracing, and...  

  • The one critical question that drives the highly effective and personalized IMPaCT™ Community Health Worker approach.

The Community Health Worker model is proven to be cost effective, replicable, and complementary. However, in order to implement this model throughout the country, we need a system of care that pays for outcomes, not for procedures or transactions.  Fee-For-Service payment is the “big but” in American healthcare. This has been a common mantra that has emerged in most of the interviews I’ve conducted during this pandemic.  If we shifted to a capitated, value-based payment approach (at least with primary care), we would be able to rapidly and easily deploy effective, humanistic solutions such as Community Health Workers.  

From my perspective, one of the most important lessons the COVID-19 pandemic has taught us is that Fee-For-Service payment makes both providers and patients vulnerable. It is unsustainable, and frankly harmful to the health of the American public and the American economy.  It’s also not the type of compensation model that fosters meaningful, relationship-enhancing careers for primary care providers as well as specialists. We can talk about a lot of things, but until we fix this one major impediment, we will be propagating an out-dated and misaligned approach to healthcare delivery.  My hope is that this current crisis serves as a catalyst for changing that, and addressing many of the other fundamental flaws in our healthcare system, like disparities in care.  We need courageous leaders to speak up, step up, collaborate across the various stakeholders, and to take directed actions to create a new, and more humanistic, approach to healthcare.  

Until next time, be safe and be well.

Zeev Neuwirth, MD

 

May 18, 2020

Episode 98: ‘How COVID-19 is Reframing Healthcare in America’ with Dr. Wayne Sotile

Dear Friends & Colleagues,

On Friday March 27th 2020, I launched a limited podcast series addressing how the COVID-19 pandemic is reframing American healthcare.  You can find the introductory episode here.  In this series, I am interviewing future-facing, courageous healthcare leaders, entrepreneurs, and practitioners - asking two questions: 

(1) How is the COVID-19 pandemic immediately changing the way you are delivering healthcare?  

(2) How will COVID-19 reframe American healthcare for years to come? 

Our focus in this interview is on one of the most critical behind-the-scenes issues that has emerged during this COVID-19 pandemic - provider resilience.  This is not a new issue, but it's importance has been magnified by the current crisis.  It’s also an issue that will be a high priority for years to come.   

Our guest this week is Wayne Sotile.  Dr. Sotile is an international thought leader on resilience and work/life balance for health professionals. With 40 years of experience, he has published widely in peer-reviewed medical journals and authored nine books, including his latest two: The Thriving Physician: How to Avoid Burnout by Choosing Resilience Throughout Your Medical Career (2018), and Thriving in Healthcare: A Positive Approach to Reclaim Balance and Avoid Burnout in Your Busy Life (2019).  Dr. Sotile has delivered more than 9,000 talks and workshops, and has provided care and coaching to over 13,000 healthcare providers and their life-mates.  He is the founder of the Sotile Center for Resilience & the Center for Physician Resilience in Davidson, NC.    

In this interview, we’ll dive into the following:

  • How Dr. Sotile is reframing his own perspective and dispelling widely held misconceptions about provider ‘burnout’, ‘life balance’ and ‘post-traumatic stress’.

  • The attitudes and behaviors we can adopt to optimize our ability to be resilient, and to experience ‘post-traumatic growth’.

  • Dr. Sotile’s recommendations for how healthcare leaders need to reframe the healthcare workplace in order to create a meaningful, resilience-enhancing environment..

  • Some of the unintended positives of the COVID-19 crisis, and the opportunity we have to carry them forward into the future.

  • The 3 major factors that contribute to resilience; and the one challenge we must overcome to attain emotional health.

I’ve had the great pleasure of hearing Dr. Sotile speak a number of times. This was the most inspiring and authentic representation of his wisdom that I’ve heard to date. Throughout our discussion, Dr. Sotile stresses the importance of re-thinking and reframing one's perspective. And, he is clearly walking the talk here. He describes reframing as a requirement in attaining resilience and renewal. He also stresses the necessity for healthcare leaders to step up to the plate and reframe the work environment in concrete ways - such as redesigning and reorganizing the workplace, and redirecting resources (such as compensation) in order to create a supportive and healthful environment for providers and staff.  

This focus on provider resilience and well-being will be a critically important issue for our healthcare system in the post-COVID-19 era.  My favorite teaching from Dr. Sotile is his definition of ‘wonderment’ as “seeing the familiar in unfamiliar ways”, and how he encourages the healthful benefit of practicing wonderment.  I love the way that he normalizes so many behavioral concepts that have been pathologized. I have to say that I found myself experiencing wonderment during this interview, as I listened to him reframe our understanding of resilience and renewal. 

Until next time, be safe and be well.

Zeev Neuwirth, MD

 

May 14, 2020

Episode 97: ‘How COVID-19 is Reframing Healthcare in America’ with Robert Pearl MD – former CEO of The Kaiser Permanente Medical Group

Dear Friends & Colleagues,

On Friday March 27th 2020, I launched a limited podcast series addressing how the COVID-19 pandemic is reframing American healthcare.  You can find the introductory episode here.  In this series, I am interviewing future-facing, courageous healthcare leaders and entrepreneurs - asking two questions: 

(1) How is the COVID-19 pandemic immediately changing the way you are delivering healthcare?   (2) How will COVID-19 reframe American healthcare for years to come? 

In this interview we’ll hear highly strategic, science-based insights regarding the realities of the COVID-19 pandemic, and specific recommendations and illustrations for what we need to be doing in the face of those implications over the next couple of years.  We’ll also be discussing, in some depth, how to create a new and better healthcare, leveraging the learnings and catalyst of this pandemic, as an opportunity to rapidly reframe our approach to chronic disease management and overall healthcare delivery.

Our guest this week is Dr. Robert Pearl. Dr. Pearl was the CEO of the Permanente Medical Group & the Mid-Atlantic Permanente Medical Group of Kaiser Permanente, where he was responsible for over 5 million patients’ lives.  He and his colleagues at KP set the bar for what value-based healthcare could and should look like, and the outcomes that can be achieved.  Since leaving his position in 2017, Dr. Pearl has written a book entitled, ‘MisTreated: Why we think we’re getting good healthcare - and why we’re usually wrong’.  He currently teaches healthcare strategy and policy at Stanford Graduate School of Business and has been named one of Modern Healthcare’s 50 most influential physician leaders.  I’ve had the good fortune of speaking with and interviewing Dr. Pearl numerous times over the past couple of years.  You can listen to one of those discussions on Episode #46 of ‘Creating a New Healthcare’.  

In this interview, we’ll cover a number of topics including:

  • 3 Coronavirus facts Americans should know before returning to work or school.  (Read the article by Dr. Pearl here)

  • Dr. Pearl’s strategic recommendations for how to utilize testing and deploy a safer approach to reducing social distancing. This is a strategy that balances our socioeconomic need to reopen businesses and other social venues (like schools and places of worship) with the need to protect the most vulnerable individuals in our society - what I’m calling a “risk-stratified segmentation” approach to social distancing.

  • The flaws in our healthcare system that the COVID-19 pandemic has exposed, including the fragility and unsustainability of our Fee-For-Service payment model. 

  • Robbie’s thoughts about what lessons we should learn from this current crisis to inform how we reframe and reform the American healthcare system moving forward.

Dr. Pearl has the incisive thinking and measured approach of a surgeon, combined with the practical experience and insights of a healthcare CEO, combined with the knowledge and nuanced understanding of a healthcare policy expert.  It’s nothing less than awesome to listen to how he utilizes clinical science and evidence-based reasoning to dissect the current pandemic situation.  His prescription for how to go about dealing with the pandemic is hopeful and encouraging.  Robbie is neither an optimist or a pessimist, but instead a realist; and I appreciate his scientific and data driven objectivity. What I appreciate as well is the palpable sense of compassion and empathy that drives his passion for what he is doing - which is informing the lay public and medical field on why and how we must reframe healthcare.  It’s clear that he, like myself, views this current COVID-19 pandemic as a catalytic opportunity for reforming healthcare.

What also emerged during the conversation is that Robbie is authoring a 2nd book.  I am looking forward to reading it and learning more from one of the most knowledgable, experienced and discerning healthcare experts of our time. In the meantime, you can access some of Robbie's writings at www.robertpearlmd.com.

Until next time, be safe and be well.

Zeev Neuwirth, MD

 

May 10, 2020

Episode 96: ‘How COVID-19 is Reframing Healthcare in America’ with Kevan Mabbutt, Chief Consumer Officer at Intermountain Healthcare

Dear Friends & Colleagues,

On Friday March 27th 2020, I launched a limited podcast series addressing how the COVID-19 pandemic is reframing American healthcare.  You can find the introductory episode here.  In this series, I am interviewing future-facing, courageous healthcare leaders and entrepreneurs - asking two questions: 

(1) How is the COVID-19 pandemic immediately changing the way you are delivering healthcare?   (2) How will COVID-19 reframe American healthcare for years to come? 

Our focus this week will be on the rapid transition, or perhaps immersion, of healthcare into a consumer-centric era.  There are very few people I can think of who have a better understanding of this topic than our guest this week.  Kevan Mabbutt is the Senior Vice President and Chief Consumer Officer at Intermountain Healthcare. Kevan has over 2 decades of experience in consumerism. Prior to joining Intermountain in 2017, he was at The Walt Disney Company, where he served as the Global Head of Consumer Insight.  At Disney, Kevan was responsible for leading large international ventures such as the establishment of the first Disney theme park in mainland China.  He brings world-class, product and service-leading consumer experience to healthcare.  I’ve had the great fortune of speaking with and interviewing Kevan numerous times over the past couple of years. If you haven’t had a chance to hear those interviews, I would urge you to listen to Episodes #45 and #52 on the ‘Creating a New Healthcare’ podcast.   

In this interview, we’ll cover a number of topics including:

  • Why Kevan believes that consumers are now more in the driver’s seat than they were prior to COVID-19.

  • The increased possibility of healthcare systems being disintermediated in the post-COVID era - by lower cost, more convenient competitors and new entrants.

  • The two-fold strategy that Intermountain is taking to accelerate its consumer positioning and combat disintermediation - which includes leveraging its “holistic, end-to-end” integrated ecosystem of care.

  • Some of the key experience attributes Kevan believes that healthcare consumers are seeking - again, catalyzed by the new healthcare experiences we’ve all been exposed to in the COVID-19 pandemic.

  • The three complementary and elegant modules of the ‘Digital Front Door’ that Intermountain is currently deploying - a set of consumer-centric services that well-situate Intermountain now and into the future.

Kevan’s passion and expertise in the domain of consumer experience are inspiring and catalyzing.  I have to say that each time I speak with him I am humbled not only by the depth of his knowledge and experience, but also by the core sense of empathy and humanism that drives his work and directs the strategies and tactics that he and his colleagues at Intermountain are deploying. Kevan continuously reminds us of two fundamental consumers - the patients who will have, and deserve to have, increasing consumer choice and power; and the providers and teams whom we must support in their effort to provide the best care possible.  With both sets of customers, Kevan emphasizes the need to reduce friction and create an optimal human-centered experience.  Kevan also emphasizes the need to nurture the trusting relationship between healthcare consumers, providers and integrated systems of care.  

I hesitate to impose a brand on anyone, but when I think of Kevan Mabbutt, the qualities that come to mind include: generous, thoughtful, balanced, humble, empathetic, data-informed, outcomes-driven, tech-enabled, and consumer-obsessed.  The one quality that stands out the most for me is Kevan’s deep sense of empathy, and his clear intention and track record of operationalizing humanism into the daily experience for patients and providers.  These are qualities that the COVID-19 pandemic reminds us are important and essential to each and every one of us.  These are, in my opinion, the qualities and branding that should be adopted by our healthcare system at large as we, hopefully, enter a time of COVID-19 recovery.  

Until next time, be safe and be well.

Zeev Neuwirth, MD

 

May 3, 2020

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Creating a New Healthcare

A podcast series for Primary Care Physician leaders who are looking for fresh perspectives, new solutions and inspiration in their journey to advance value-based care.
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Zeev Neuwirth, MD

Zeev Neuwirth, MD

Dr. Zeev Neuwirth is the author of “Reframing Healthcare: A Roadmap For Creating Disruptive Change” and produces and hosts the popular podcast series, “Creating a New Healthcare.” He is currently serving as Atrium Health’s Senior Medical Director of Population Health. Through his book, podcast series, speaking engagements, and executive leadership, Dr. Neuwirth is reorienting the way individuals and organizations think about healthcare, to catalyze movement towards an affordable, accessible, effective and safe healthcare system. His ultimate goal is to humanize healthcare for those who serve within the system, and especially for those who are served by the system.

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