“EP165: Reversing Rising Maternal Mortality, with Juan Pablo Segura”
by Stacey Richter

Listen to the MP3 file directly by clicking here.

Pregnancy-related deaths are a relatively rare event in the United States; around 16-26 deaths per 100k live births depending on what study you look at because apparently data is siloed by state.

But here’s the worst part: The US is one of the few developed nations where maternal mortality is steadily rising — it has more than doubled since 1987. But only in America. In other countries, maternal death rates have fallen sharply since 1990. In fact, the US has the worst rate of maternal deaths in the developed world.

Today, I speak with Juan Pablo Segura about why this is and what we can do about it.

Juan Pablo founded Babyscripts in 2014 with the vision that internet – enabled medical devices would transform the delivery of pregnancy care. Since 2014, Juan Pablo has been named a Healthcare Transformer by the Startup Health Academy in New York and a Wireless Lifechanger by CTIA for his work in detecting problems in pregnancy faster. Juan Pablo is also the architect of the first “Prenatal Care Moonshot” focused on eliminating preterm birth by 2027 through mobile/digital technology and Babyscripts has been named Champions of Change in Precision Medicine by Barack Obama and the White House.

Juan Pablo has raised $8.6 million in venture/angel financing for furthering his vision of a data centric model in prenatal care which includes the recent closure of a Series A of $5.5 million. He has orchestrated large partnerships with General Electric and their Healthymagination initiative and the March of Dimes specifically targeting the elimination of premature birth. He has also led the Babyscripts sales team, closing large hospital deals with more than 13 health systems around the country and successfully signing a co-development deal to build an at-risk product with Aurora Health Care in Wisconsin.

Juan Pablo is a frequent speaker on the future of health care. He has spoken at the mHealth Summit on “How to Demonstrate Value in Digital/Mobile Health,” at the national HIMSS conference on “Establishing ROI and Forming Partnerships: Digital Health Dating,” and at the Bio+Tech conference on “Collaborating for Patient Engagement.” He has pitched and won Startup Competitions at SXSW at their Barracuda Bowl and the 1776 Healthcare Challenge Cup. He has also been invited to share his thoughts on podcasts and write op-ed articles on startup fundraising and the future of health care. He was recently interviewed by Medistrategy and wrote “3 Musts for Raising Your First Round” and “Why Disruption in Health IT is like a Tiramisu Cake.”

SPEAKING ENGAGEMENTS

  • At mHealth Summit on “How to Demonstrate Value in Digital/Mobile Health”
  • At the national HIMSS conference on “Establishing ROI and Forming Partnerships: Digital Health Dating”
  • At NVTC on “How do Incubators and Accelerators Work”
  • At the Maryland Tech Council Conference on “Collaborating for Patient Engagement”
  • At Dialogue for Action Conference, “Mobile Health: How can It Play a Role in Cancer Prevention and Early Screening of Disease”

AWARDS

  • Named Healthcare Transformer by the Startup Health Academy
  • Named Wireless Life Changer by CTIA
  • Company has been named a Champion of Change in Precision Medicine by Barack Obama and the White House
  • Pitched and Won the Startup Barracuda Bowl in SXSW
  • Pitched and Won the 1776 Healthcare DC Challenge Cup
  • Pitched and Won the Innovation X Challenge at Florida Hospital

PODCASTS

  • MediStrategy
  • Voices in Healthcare Finance
  • The Pitch

COMMUNITY WORK

Mr. Segura is actively involved in community service, serving on the Advisory Council for Catholic Charities and the Spanish Catholic Center and was a politically appointed board member of the Fairfax-Falls Church Community Services Board (CSB). The Spanish Catholic Center is an organization that helps serve more than 30,000 Hispanics in the DC area on health care, employment, and educational issues. The CSB is a $150 million local agency that provides services for people in Fairfax County and the cities of Fairfax and Falls Church who have mental illness, substance use disorders, and/or intellectual or developmental disabilities.


00:00 The steady rise of maternal mortality in the U.S.
01:20 The state of maternity health today.
02:15 The disparity of care with the structure of the health care community.
03:50 The structure of health care by the provider, as Juan sees it.
04:50 Why the cost of care has tripled in managing pregnancies.
05:20 Why the management of pregnancy should be directed by a more risk-specific model.
06:00 Looking at pregnancy as a condition, not a disease.
06:25 How technology can help improve healthy pregnancy management on the provider side.
08:30 “You have to look at what’s actually effective, and what’s a waste of resources.”
09:00 Evidence-based care.
09:30 The economics of the global fee.
13:50 The optimal amount of visits for pregnancy management before you begin to have diminishing returns.
14:45 “There has to be a shift with this current structure.”
15:30 “The global fee, like a bundle, encourages innovation.”
15:50 “The question is, can the industry have the willingness to innovate?”
17:00 “Resources need to be allocated to the right patients at the right time.”
22:35 What needs to happen when we do make this shift into a new model.
24:40 “Convenience has a value.”
25:10 “Do we have the willpower to see that change through?
25:40 What Babyscripts does.
26:30 About 25% of maternal deaths are related to hypertensive disorders in some manner.
27:20 Creating a completely different standard of care.
27:50 What Babyscripts is exactly, and how it works.
30:00 How Babyscripts started, making the patient’s journey more convenient.
31:40 You can learn more at getbabyscripts.com, or follow @babyscripts on twitter.

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