Relentless Health Value

Dr. Nick is a leader in Digital Healthcare and Innovation, and former Chief Medical Officer for Dell. He provides strategic insights and guidance to support healthcare organizations, medical professionals and patients through information-enabled healthcare. He brings an incremental approach to developing successful strategies and applying technology to achieve a technology environment that is interconnected, efficient and patient-focused. He is a highly sought out speaker on the practical and futuristic use of healthcare technology and how it can improve patient engagement and wellness. Dr. Terheyden brings a distinctive blend of medical practitioner and business strategist, both national and international, to the realm of digital healthcare technology. A graduate of the Royal Free Hospital School of Medicine, University of London, Dr. van Terheyden is a pioneering creator in the evolution of healthcare technology. After several years as a medical practitioner in London and Australia, he joined an international who's who in healthcare, academia and business, in the development of the first electronic health record in the early 1990's and later, as a business leader in one of the first speech recognition companies. His rare combination of patience, creativity, skill and intrinsic business ethics has led him to a diverse career in healthcare with some of the most prestigious hospitals, consulting firms, and technology companies. His focus is on small improvements we can learn from other industries and can be applied in healthcare to bring immediate value, but that also add up to the big leap we need and are all looking for - focusing on evolution not revolution. His most recent position was Chief Medical Officer for Dell where he was responsible for providing strategic insight establishing the organization as an innovator in healthcare technology and Digital Health. In addition to writing and lecturing on futuristic trends in healthcare technology, his advice and counsel is sought by hospitals, physicians and other allied healthcare professionals all of whom are trying to figure out how to integrate and use technology to make the healthcare system work from the perspectives of quality and financial success. Dr. van Terheyden pays attention not just to processes and systems, but to people. His ability to speak in terms people can actually understand makes him a sought-out speaker. Specialties: Digital Health, Internet of Medical Things (IoT), Medical Home, Healthcare Informatics, Speech Recognition, Natural Language Processing, Mobile Health, Social Media.

Brian Yarnell is President and Founder of Bluestream Health, a New York-based healthtech startup delivering an on-demand platform for remote medical expertise. Prior to launching Bluestream Health, he founded, grew and sold StarlingHealth, a startup that replaced nurse call systems with multilingual touchscreen interfaces and a clinical workflow platform. Brian is an entrepreneur with more than 15 years of experience creating and commercializing enterprise software platforms across multiple verticals. He is an Advisor to ElabNYC, a member of the Connected Health Institute Advisory Board of VNA Health Group, and mentor to students at CCNY's Zahn Innovation Center. Brian earned a BS in Marketing and International Business from The Pennsylvania State University. You can learn more at bluestreamhealth.com or email Brian at byarnell@bluestreamhealth.com.

Stacey is co-president of Aventria Health Group, a marcomm agency helping employers, payers, pharma and pharmacies develop and leverage partnerships with other health care organizations. For twenty years, Stacey has used her expertise to innovate inspiring collaborative health solutions benefiting all stakeholders, and most of all the patient. 00:00 Elisabeth Rosenthal, "An American Sickness: How Healthcare Became Big Business." 02:25 Look at the bills your insurance company is paying. 02:45 "All of your out-of-pockets are a function of how much your insurance is paying on your behalf." 03:20 "If no one is questioning what those costs are, then providers will fill in whatever they think they can get." 04:05 Is your practice owned by a hospital, or licensed as a surgery center? 04:35 Ask your physician to only refer you to other physicians in your network. 05:00 Request that labs be in-network. 06:15 Ask in advance how much a procedure will cost. 07:30 "It's up to us to inform our Physicians about costs." 07:50 "How will this test or exam change my treatment?" 08:20 Ask which blood test or exam they're taking and why. 09:00 "Where will this test or surgery be performed, and how does that place affect the price?" 10:00 "Who else will be involved in my treatment, and will I be getting a separate bill?" 11:25 "Watchful Waiting," - the Value in waiting to seek treatment. 13:30 Price Transparency. 14:45 Fight back on Gag Clauses.

Lorrie Carr joined ZappRx in April 2016 as Chief Commercial Officer. She has over 20 years' experience in the health care industry – primarily focused in the pharma/biotech and specialty pharmacy industries. Just prior to joining ZappRx, Ms. Carr was the Divisional VP of Enterprise Specialty Sales and Product Management for Walgreens Specialty Pharmacy. Ms. Carr transformed the strategy, operations and deployment of the over 300-person Specialty and Infusion sales teams resulting in consistent double-digit year over year growth for the multi-billion-dollar business. In addition, she created, built and successfully led the product management team which developed and executed on growth strategies for high priority specialty disease areas. Prior to Walgreens, Ms. Carr was the Head of U.S. / Global Market Access for Millennium Pharmaceuticals (now Takeda Oncology) where she built the first Reimbursement & Market Access team for the company, advised global R&D on access related trial design decisions, led the European patient access strategy, and played a material role in developing pricing, contracting, distribution and patient assistance program strategies for pipeline and marketed products. She started her pharmaceutical career at Schering-Plough (now Merck) where she held various roles in account management, and ultimately, became a senior leader of the US Market Access marketing group. Ms. Carr received her Bachelor's degree from Columbia College and holds her MBA from UMASS Isenberg School of Management. 00:00 Specialty Pharmaceutical Products. 02:30 Inefficiencies in the system. 04:00 The paper-fill process for Patient Prescription/Enrollment with Specialty Pharmacies. 06:30 Enrollment Forms for prescription drugs filled at Specialty Pharmacies. 10:20 The overwhelming cost and administrative overhead for Providers having to keep track of all of these forms. 13:00 How the process changes for Providers with ZappRx 19:00 Getting the drug out to the patient without conflict. 20:00 Double check for patients and Specialty Pharmacy. 22:00 Why ZappRx is collaborative, not competitive. 23:30 ZappRx's work on the Provider side. 24:25 Gathering Data at the front-end of the prescribing process. 25:15 ZappRx's long-term business model. 25:30 Missing Data in the healthcare and pharmacy markets. 27:45 Aggregating data and identifying trends. 28:30 ZappRx's five key focus Disease Areas. 30:00 You can learn more about ZappRx at www.zapprx.com.

Sajid Ahmed is the Chief Information and Innovation Officer of Martin Luther King, Jr. Community Hospital in South Los Angeles. He is leading the new hospital's $70 million health information technology initiative and launching an innovation hub on the 42-acre MLK Medical Center Campus. Mr. Ahmed is a true innovator and pioneer in healthcare information systems. He has unparalleled experience in all aspects of using computer technology and web-based applications to deliver the best quality of medical care to patients, facilitate collaboration among multiple and diverse medical care providers and systems, and increase the efficiency of healthcare environments. He is also a highly respected consultant on innovation, and frequently lectures about entrepreneurism and information technology for healthcare environments. Mr. Ahmed was formerly the director of health information technology and innovation for L.A. Care Health Plan, the nation's largest public plan serving more than one million Los Angeles County residents through free or low-cost health insurance programs. He was responsible for coordinating, managing and integrating healthcare information technology and eHealth initiatives among multiple users and partners. This includes all medical care providers, community organizations, government agencies, vendors and other health information technologies. He served as vice chair of the organization's Technical Advisory Committee. One of his most significant contributions to L.A. Care is the creation of HITEC-LA (Health Information Technology Regional Extension Center for Los Angeles County) for electronic health record adoption and implementation for providers throughout L.A. County. Before leaving L.A. Care, Mr. Ahmed created and launched eConsult in partnership with the Los Angeles County Department of Health Services. eConsult is an innovative telehealth system that allows for virtual consultations and collaboration with specialists. As eConsult expands throughout California and accumulates thousands of end users, it is becoming a national model for the standard for care coordination and access to specialty care in the U.S. Prior to eConsult, Mr. Ahmed was the visionary behind SelfMD™; developed the ELICIT™ concept (emulating logical inferences of cognition and intuition theory), and was instrumental in getting the U.S. Military Medical Command to adopt advanced diagnostic technologies and electronic health records systems. He also served as co-chair on health IT committees for California's Health and Human Services Agency, helping to draft the state's $38.8 million Health Information Technology strategic plan. Mr. Ahmed has lectured at the University of California, Los Angeles (UCLA) Fielding School of Public Health, and as a guest lecturer at the California Institute of Technology (CalTech), University of Southern California (USC) and CalState LA. He was honored for his teaching at the USC Lloyd Greif Center for Entrepreneurial Studies, and also was a finalist for the Advanced Business League (ABL) Innovative Leadership Award on Healthcare. Currently he is an advisory board member of the California Health eQuality Initiative based at the University of California, Davis. Earlier this year he was lauded as CIO of the Year by the Los Angeles Business Journal. Chief Information & Innovations Officer, Martin Luther King Jr. Hospital, Healthcare Corporation Former Senior Director, Health Information Technology & Innovation for L.A. Care Health Plan Former Executive Director & Founder of HITEC-LA, LA County's Regional Extension Center for EHR Adoption Director, Safety Net eConsult Program for Los Angeles Former Interim Chief Information Officer, Healthcare First South LA - ACO

Roy Rosin is Chief Innovation Officer at Penn Medicine, working to rapidly design, test and implement high impact health care delivery practices. His team crafts interventions to achieve dramatically improved patient outcomes, experience and high value care. In the past four years they have driven measurable progress in readmission rates, frequent use of the ER, medication adherence, screening rates, antibiotic stewardship and making a population normotensive, among other advances. Previously, Roy served as the first VP of Innovation for Intuit, a leading software company best known for Quicken and TurboTax. In this role, he led changes in how Intuit managed new business creation, allowing teams to experiment quickly at low cost. Intuit now consistently appears on Forbes' list of the most innovative companies in the world. Prior to leading innovation, Roy's Quicken team achieved record profitability and product leadership while growing to 14 million consumers. Roy's 18 years with Intuit spanned the early years in software to their emergence as a leading SaaS provider. Outside of his Penn role, Roy advises startups and Fortune 100 companies building new technology businesses focused on making a meaningful difference in people's lives. Roy received his MBA from Stanford and graduated with honors from Harvard College. Find out more information at http://healthcareinnovation.upenn.edu/.

Dr LaFountain is a healthcare strategist, neuroscientist and author of "How Patients Think: A science-based strategy for patient engagement and population health." She is the CEO of Mind Field Solutions Corporation, a firm specializing in the application of cognitive neuroscience to health behavior and patient engagement. The Cleveland Clinic has described her neuroscience approach to patient engagement as "a stunning innovation in healthcare," and "a pathway for transformation." Harvard Medical School describes her work as "providing a scientific approach to patient care that is long overdue." Her business was described as "one to watch" by Mid-Atlantic Diamond Ventures. Prior to establishing Mind Field Solutions, she worked for AstraZeneca Pharmaceuticals where she led consumer research and analytics for the oncology portfolio. She received numerous awards for her work in understanding consumer behavior including the "Consumer Marketing Excellence" award and "Best Commercial Innovation." She has chaired international conferences on patient engagement for many years and is recognized as an industry expert in patient behavior. She earned a PhD for her research in Pre-Frontal Cortex Executive Functioning which received the accolade of having "measured the immeasurable," by Imperial College, London. Before moving to the United States, she was a lecturer at The University of Liverpool, specializing in Cognitive Neuroscience, Health Behavior, Research and Statistics. She is a frequent lecturer on Wharton's Healthcare MBA program. She is the Past President of the Mid-Atlantic Healthcare Business Woman's Association. She is a fellow of the American Psychological Association as well as the British Psychological Society, and a scientific reviewer for the International Society for Pharmaco-economic Outcomes Research. She lives in Philadelphia with her husband Andy and five children. You can find out more information at howpatientsthink.org, or by reading the book How Patients Think.

Stacey is co-president of Aventria Health Group, a marketing agency specializing in helping pharmaceutical, device and pharmacy clients gain access to patients by creating and leveraging partnerships with other health care organizations. For twenty years, Stacey has innovated better-coordinated health solutions benefiting all stakeholders, and most of all, the patient. This episode compares how six authors approach the topics of Healthcare, Business, Medicine, Aging Populations, and Digital Health. In the initial list of books announced in the podcast, The Digital Doctor is left out. The complete list of books discussed, all of which have redeeming qualities, are: 1. Catastrophic Care: How American Healthcare Killed My Father and How We Can Fix It by David Goldhill 2. An American Sickness: How Healthcare Became Big Business and How to Take It Back by Elisabeth Rosenthal 3. America's Bitter Pill: Money, Politics, Backroom Deals, and the Fight to Fix Our Broken Healthcare System by Steven Brill 4. The Patient Will See You Now: The Future of Medicine is In Your Hands by Eric Topol 5. Curing Medicare: A Doctor's View On How Our Healthcare System is Failing Older Americans and How We Can Fix It by Andy Lazris MD 6. The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age by Robert Wachter 00:00 Catastrophic Care: Consumerism and Conservatism. 02:00 Diverging from normal Economic Systems. 02:30 The island of Healthcare. 02:45 More Suppliers, More Demand? 06:00 Listen to Inbetweenisode 10 for more information. 08:45 Health Insurance vs. Healthcare. 10:00 What the Market will bear is the price that's being charged. 10:50 Single Payer Systems; Public Hospitals? 12:00 The 80/20 Healthcare Problem. 13:00 How a Social Safety Net impacts Health Outcomes in Single-Payer Systems. 15:15 An American Sickness: Exploiting Charges for Healthcare Services. 17:20 Laws of Healthcare Business. 18:00 Curing Medicare: The Physician's standpoint. 19:15 The Moral Hazard of Ignoring the Aggressive approach to Healthcare. 22:40 America's Bitter Pill: The Politics behind the American Healthcare System. 25:00 The Patient Will See You Now: Optimism in Innovation and Invention in Healthcare. 26:25 "Are you a Disruptor, or are you part of the problem?" 28:15 The Digital Doctor: What Health Tech can bring, and the Cost of that Technology.

Dr. Josh Luke, FACHE Adjunct Faculty, University of Southern California, Sol Price School of Public Policy Founder, National Readmission Prevention Collaborative & National Bundled Payment Collaborative Author: Ex-Acute: A former hospital CEO tells all about what's wrong with American healthcare Author: Readmission Prevention: Solutions Across the Provider Continuum Chief Strategy Officer, Compliagent/Nelson Hardiman Healthcare Law Dr. Josh Luke, The Voice of American Healthcare, is a best-selling author, hospital CEO, healthcare futurist, thought-leader and international motivational speaker. He is an experienced hospital CEO, health system Vice President and nursing home administrator. He is regarded as a "futurist" on value based care and how it will shape the continuum of care and has been described as an as an innovator, forward-thinking and a strategist on teaching ACO's, Bundles, acute hospitals and post-acute leaders how to position themselves for revenue growth in a post-ACA model. In October 2016 Luke founded the National Association of Residential Care Facilities (NARCF). He currently serves as Chief Strategy Officer for Nelson Hardiman Healthcare Law and its subsidiary consulting firm, Compliagent. Having uniquely held executive positions in both acute and post-acute settings, Dr. Luke was selected to author the book Readmission Prevention: Solutions Across the Provider Continuum published by the American College of Healthcare Executives, the best-selling book from Health Administration Press in 2015. In 2016, Xlibris publishing released Luke's first book written for the mainstream public, Ex-Acute: A former hospital CEO tells all on what's wrong with American healthcare, What every American needs to know. In 2016 Luke is conducting an international book promotion tour. In 2013, Luke was named Vice President of Post Acute Services for Torrance Memorial Health System. In that role he designed a population management strategy (Total Wellness Torrance), working with the ACO, Bundled Payment & IPA teams. TWT and its Post Acute Network received the 2013 Excellence in Programming award from CAHF. His broad range of prior experience with some of the leading companies in healthcare, positioned him well to be an expert on readmission prevention and care coordination. He served as the CEO of multiple acute hospitals in California, as CEO of HealthSouth Las Vegas (acute rehab hospital), Administrator in the Skilled Nursing Division of Kindred, and had direct oversight of home health and hospice services in his health system Vice president role. Dr. Luke founded the National Readmission Prevention Collaborative in October 2013 (nationalreadmissionprevention.com) to showcase Best Practice integration models and the National Bundled Payment Collaborative in 2015. Dr. Luke serves as adjunct faculty at the University of Southern California, Sol Price School of Public Policy and formerly at California State University, Long Beach in the Healthcare Administration Department. He previously instructed at California State University, Fullerton. Dr. Luke has a Ph.D. in Educational Leadership, is a Lean Six Sigma Black Belt, served as a Lean Mentor and Project Chair, is a Fellow with ACHE and is past Chair for the Cal Optima Provider Advisory Committee. Recent and past board appointments include The California Hospital Association Center for Post Acute Board of Directors, Alzheimer's Orange County, the Hospital Association of Southern California, Healthcare Executives of Southern California, CSULB Healthcare Administration Advisory Board and Hospice Care of California. He is also a licensed SNF & RCFE Administrator and preceptor. You can find out more information at nationalreadmissionprevention.com, joshluke.org, and by connecting with Josh on LinkedIn.

David W. Bates, M.D., M.Sc. Chief, Division of General Internal Medicine, Brigham and Women's Hospital Medical Director of Clinical and Quality Analysis, Partners HealthCare Dr. Bates is an internationally renowned expert in patient safety, using information technology to improve care, quality-of-care, cost-effectiveness, and outcomes assessment in medical practice. He is a Professor of Medicine at Harvard Medical School, and a Professor of Health Policy and Management at the Harvard School of Public Health, where he co-directs the Program in Clinical Effectiveness. He directs the Center for Patient Safety Research and Practice at Brigham and Women's Hospital. He served as external program lead for research in the World Health Organization's Global Alliance for Patient Safety and is the immediate past president of the International Society for Quality in Healthcare (ISQua) and the editor of the Journal of Patient Safety. He has been elected to the Institute of Medicine, the American Society for Clinical Investigation, the Association of American Physicians and the American College of Medical Informatics, and was chairman of the Board of the American Medical Informatics Association. He has published over 700 peer-reviewed papers and has an h-index of 115, which ranks him among the 400 most cited biomedical researchers of any type. Websites: www.patientsafetyresearch.org You can learn more by emailing David directly at dbates@partners.org.