DOCSF – Digital Orthopaedics Conference San Francisco

DOCSF – Digital Orthopaedics Conference San Francisco

Bridging the worlds of digital health and clinical orthopaedics to catalyze the adoption of technology in musculoskeletal care

Latest From Series

S6E08 – Pandemics, Floods, and Earthquakes: It’s Good To Be Agile!

We've had the COVID-19 pandemic for only three to four months now, but it has drastically changed much of life as we know it. The coronavirus cleared calendars, emptied restaurants, and wreaked havoc on local and national economies. It's like a bad movie that keeps going, and the ending is not yet in sight. Yet despite all of its negative consequences, we are learning some powerful lessons — Lessons that can be applied to whatever challenge we face, whether pandemics, floods, and earthquakes.  Nice segue way to the title of the last session, right? For this episode, we have Dr. Tom Barber again as our guest. He was in one of the previous sessions before, as well.  Together with Shawna and Dr. Barber, we discuss things we have learned from this COVID-19 era that we can apply to the future. We tackled the idea of having responsive committees, leadership, communication, flexibility, preparation, telemedicine, and many other possible solutions. Dr. Barber, is a great communicator, and he expressed his ideas clearly.   Tune in to learn lessons we've learned and how we can apply them in the future! Today's Guests Thomas Barber Dr. Thomas Barber is the Associate Deputy Physician in Chief, Perioperative Services at Memorial Sloan Kettering Cancer Center. Before Memorial Sloan, he was a professor of Orthopedic Surgery at the University of California, San Francisco. He is a recognized health care leader. Thomas received his bachelor's degree at Harvard University and his MD at the University of Rochester.  Key Takeaways: It is important to create active and communicative multidisciplinary committees that will make decisions and establish trigger points.  Resilience is going to keep responders safe so we can do the work in caring.  Take care of people who keep things running.  Flexibility is essential for critical care space. 
May 29, 2020

S6E07 – The Digital Health Policy Response: How To Protect The Progress Made So Far

Do you think that the ease of spread and the wide infection rate of COVID-19 is influenced by technology? Was the pandemic a wake-up call to the healthcare system? These are some of the questions we will answer in today's session. Our special guest is Kevin Schulmer, one of the authors of the recently published article 'COVID-19 and Health Care's Digital Revolution' in The New England Journal of Medicine. He wrote that 'the spread of COVID-19 is a product of the digital and technological revolution that has transformed our world over the past century'.  In this interview, he discusses the healthcare response in the time of Covid. He talks about the impact of analog medicine, using digital technologies for care, patient's perspective in the new kind of care, policies and regulations, the possibility of tailored recommendations, and more.  You'll definitely want to tune in to this episode where Kevin helps us see a vision of the new horizon of orthopedic care and what we need to do to adjust.  Today's Guest Dr. Schulman is a Professor of Medicine, and a Director of Industry Partnerships and Education for the Clinical Excellence Research Center (CERC) at the Stanford University School of Medicine, and, by courtesy, Professor of Economics at Stanford’s Graduate School of Business in June, 2018. His interests include organizational innovation in health care, health care policy and health economics.  Prior to coming to Stanford, Dr. Schulman served as a Professor of Medicine at Duke University, directed the Health Sector Management Program at Duke’s Fuqua School of Business for a dozen years, created and directed the Duke University Master’s of Management in Clinical Informatics Program, and served as a Visiting Professor and Visiting Scholar at Harvard Business School. He is a co-founder of Bivarus (exit January, 2018), co-founder and Managing Member of Faculty Connection, LLC., and is a Board Member of Grid Therapeutics. (Bio from Key Takeaways: Healthcare saw a fast transition from bricks and mortar to virtual visits.  There are many advantages to transitioning to digital telemedicine.  We're still at the verge of exploring the different digital technologies we can use to take care of patients.  If we have enough data on a patient, healthcare workers can offer more tailored recommendations to patients.  Reference:
May 29, 2020

S6E06 – The Health Care Economy (and what’s left of it): What to expect when unemployment is at 20%

While our brave healthcare workers continue to fight against the spread of the  COVID pandemic, the healthcare industry as a business is suffering. The widespread economic shutdown enforced to reduce the risk of transmission affected hospitals and healthcare providers.  Today's session focuses on the current healthcare economy (and what's left of it). We feature Dr. Kevin Bozik, Professor and Chair of Surgery and Operative Care at the Dell Medical School at the University of Texas, and James Robinson, UCB Professor of Health Care Economics. They discuss the shapes of economic recovery, the impact of the economy on healthcare and insurance systems, the downside of U.S. government spending trillions of dollars on a short-term cure, and more. Jamie also shared his insights on the economic response and recovery of Europe and China compared to the U.S. Economy and healthcare are fascinating topics, and our guests' knowledge and insights were clearly communicated in this session. If you're wondering what's going to happen to your practice in the next weeks and months while the coronavirus spread is still going on, you really need to tune in to this conversation! Today’s Guests Kevin Bozic Kevin Bozic is a professor and chair of surgery and perioperative care at the Dell Medical School at UT Austin. He is a recognized leader in orthopedic care. Before joining the Dell Medical School, he was a professor and vice care of orthopaedic surgery at the UCSF School of Medicine and core faculty at the Philip R. Lee Institute for Health Policy Studies. He completed his Bachelor of Science degree in Biomedical Engineering from Duke University where we graduated magna cum laude. He received his M.D. with a thesis degree from UCSF, finished his orthopaedic surgery residency training in the Harvard Combined Orthopaedic Residency Program, and additional fellowship training in adult reconstructive surgery from Rush University Medical Center in Chicago. Bozic also holds a Masters of Business Administration from Harvard Business School (HBS).  James Robinson James Robinson is a Professor of Health Economics in the School of Public Health at the UC Berkeley, where he has the title of the Leonard D. Schaeffer Endowed Chair in Health Economics and Policy. Robinson is also the Chair of the Berkeley Center for Health Technology which supports research and professional education projects related to coverage, management, and payment methods for innovative technologies including biopharmaceuticals, medical devices, and diagnostics. Professor Robinson has published three books and over 120 papers in scientific and policy journals.   Key TakeAways: The U.S. economy's basics are good, but if the pandemic will continue, there will be a problem.  The unemployment effect is severe, but it's also highly localized. There will be a decrease in demand because of the out-of pocket responsibility of the insurer.
May 29, 2020

S6E05 – The State of Telehealth (Zooming, Face-Timing, Texting — Are We Loving I.T.?)

We shop, do bank transactions, study, play, and do many other things online. So why not do doctor consultations online?   U.S. healthcare has been slowly inching towards telehealth over the past couple of years, but the arrival of the COVID pandemic pushed telemedicine to the forefront. To limit the spread of the virus, telemedicine became an excellent choice for those seeking a consultation but cannot visit the doctor's office. In this special episode with Ann Mond Johnson, CEO at ATA, and Joe Kvedar, discuss the state of telehealth with a particular focus on orthopedics. They share their insights on telemedicine's impact on both orthopedics and patients, improving the efficiency of care delivery, integrating wearables and remote monitoring in zoom and other online platforms, and more.  Shawna, Ann, and Joe had plenty to talk about, so you'll definitely find this episode very interesting! Today's Guests Ann Mond Johnson Ann Mond Johnson is the CEO of the American Telemedicine Association. Before joining the ATA, she served as CEO of Zest Health, a technology-enabled service, for two years. She was also asked to be a Board Chair and Advisor to ConnectedHealth, a leading provider of private insurance exchanges; and as co-founder and CEO of Subimo, a pioneer in healthcare cost and quality decision support tools for consumers. Ann began her healthcare data and information career as Senior Vice President at Sachs Group (now part of IBM Watson/Truven Health). She also worked at a multi-hospital system in Minneapolis, which is now part of Allina. Joe Kvedar Dr. Joe Kvedar is a board-certified dermatologist and Professor of Dermatology at Harvard Medical School. In addition to his clinical role, Dr. Kvedar is also Vice President, Connected Health, Partners HealthCare, where he is creating a new model of healthcare delivery that moves care from the hospital or doctor's office into the day-to-day lives of patients. Partners Connected Health programs are helping providers and patients better manage chronic conditions, maintain health and wellness, and improve adherence, engagement and clinical outcomes. He is the author of two books on the subject: The New Mobile Age: How Technology Will Extend the Healthspan and Optimize the Lifespan (2017) and The Internet of Healthy Things (2015). Dr. Kvedar graduated from University of Vermont, College of Medicine, and completed his residency in dermatology at Harvard Medical School, Massachusetts General Hospital. Dr. Kvedar is a past President and board member of the American Telemedicine Association (ATA) and Past Chair of the American Academy of Dermatology (AAD) Task Force on Telemedicine.
May 29, 2020

S6E04 – Returning to Work Responsibly: AAOS Guidelines

There is no doubt that COVID-19 is the ultimate disruptor and accelerator of 2020. It has disrupted almost all aspects of our lives, especially healthcare, and though we'll find a cure, we will never be the same as before. In this episode, we'll learn the changes to individual orthopedics practices and the changes the academy is implementing to cope with the aftereffect of the pandemic.  We are honored to feature Dr. Joe Bosco, the president of the American Academy of Orthopaedic Surgeons. Joe discusses how we are going to survive in the post COVID-19 era, of the accelerated trends in healthcare consolidation, distance learning, shift to outpatient care, and more telemedicine.  Get ready for the new normal with the help of ideas you'll get from this podcast! Tune in and listen to the fantastic Dr. Joe Bosco today.  Today's Guest Joseph A. Bosco III, MD, is the current president of the American Academy of Orthopaedic Surgeons (AAOS). Prior to this assignment, he served as the first vice-president of the academy. Dr. Joe is also a professor and vice-chair for the Department of Orthopedic Surgery at NYU Langone Health. He specializes in sports medicine, total knee replacement, shoulder and elbow surgery. Dr. Bosco earned a bachelor's degree in chemistry from Union College in Schenectady, New York, and attended the Larner College of Medicine at the University of Vermont in Burlington. He completed an internship in general surgery and a residency in orthopaedics at the University of North Carolina Medical Center in Chapel Hill, North Carolina, and his fellowship in adult reconstructive surgery at the University of Arizona in Tucson. Key Takeaways: We will emerge strong in the post-COVID era and adopt to "the new normal". COVID is the quintessential disruptor, and it is also accelerating progress. The pandemic is weeding out the weaker businesses.  Resources:
May 29, 2020

S6E03 – Ramping Up (If Only It Were Like Flipping a Switch): Practical Steps To Getting Re-started

Do you remember the story of 'The Blind Men and the Elephant'? The fable tells of a group of blind men who attempted to learn what an elephant is by touching it. Each man touched a different part and created his version of reality from that limited experience and perspective.  To be successful healthcare leaders, it's essential to recognize and understand others' perspectives. That's what we are doing in today's episode of Digital Orthopaedics Podcast. This episode features three healthcare leaders who discuss how their practices are handling and managing things now that we're easing back into the business after COVID-19. Dr. Bruce Cohen, Andy Miller, and Dr. Tom Barber joined today's discussion. Let’s listen as they share their viewpoints on testing, prioritization, scheduling patients, safety protocols, patient volume, cost, and other topics that impact orthopaedics practice. Together with Dr. Stefano Bini, you’ll find this conversation insightful and fun!  Don’t miss this exciting episode of the COVID-19 series: The Digital Orthopaedic Podcast.  Today's Guests Bruce Cohen Bruce Cohen, MD, is an Orthopedic Surgery Specialist and is currently the CEO of OrthoCarolina, a large and very well known independent academic orthopedic specialty group with over 400 providers serving North and South Carolina. Dr. Cohen is also president-elect of the American Foot and Ankle Society.  He graduated from Medical College Of Georgia School Of Medicine medical school in 1991.   Andrew Miller Andrew Miller is CEO of OrthoNorCal. He has more than twenty years of experience in developing and managing healthcare organizations. Before joining OrthoNorCal, Miller successfully led Monterey Spine & Joint to increased revenues and patient encounters as its Practice Administrator. Andrew completed his bachelor's degree at the University of California, San Diego.  Thomas Barber Dr. Thomas Barber is the Associate Deputy Physician in Chief, Perioperative Services at Memorial Sloan Kettering Cancer Center. Before Memorial Sloan, he was a professor of Orthopedic Surgery at the University of California, San Francisco. He is a recognized health care leader. Thomas received his bachelor's degree at Harvard University and his MD at the University of Rochester.  Key Takeaways: Ensure healthcare workers and patients safety by enforcing strict hospital guidelines  The current economic climate impacts orthopaedic practices, regardless of its size.  There is a need to be innovative and adopt policies to help patients through various payment plans.  References
May 29, 2020

The Digital Orthopedics Conference San Francisco was created to bridge the worlds of digital health and clinical orthopaedics and thereby catalyze the adoption of technology in musculoskeletal care. It is led by Dr. Stefano Bini from the University of California San Francisco (UCSF) Department of Orthopaedic Surgery
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Prof. Stefano Bini

Prof. Stefano Bini

Dr. Bini is a Professor of Orthopedic Surgery specializing in hip and knee replacement and the Founder and Chair of the Digital Orthopaedics Conference, San Francisco (DOCSF). He consults for start ups and multinational organizations and has authored a book on change management. Dr. Bini's appointment is with the department of Orthopedic Surgery at the University of California San Francisco (UCSF), ranked in the top 6 departments in the US. Current research interests include quantifying the impact of digital health on orthopedic care delivery, change management strategies in health care, and improving the results of total joint surgery by helping to challenge long held assumptions in surgical techniques. Stefano also serves on committees for national orthopedic organizations (AAHKS, AAOS), is an Associate Editor for Arthroplasty Today, and has delivered over 100 lectures nationally and internationally on both clinical and digital orthopedics.

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Caring for Patients with Cultural Humility: Monica Gandhi, MD, MPH, San Francisco Co-Chair, AIDS Conference 2020 Physicians treating patients from marginalized communities must practice cultural humility.