Happy Thanksgiving!!

Most importantly, happy Thanksgiving to you and yours. Here at the Relentless Health Value podcast, we are grateful to you for listening.

5 Takeaways from the NYeC Digital Health Conference 2014

1. ACA’s payment reform means the business model for HC needs to adapt.Ezekiel Emanuel: "If we really want the digital medicine of the future, we're going to have push hard on payment reform for it."
   Eric Topol: Need to move to capitation, bundled payments, two-side risk
   Jacob Reider: "Sharing risk provides incentive to share health information ~ new business models will promote interoperability"
   
   
2. Technology enables personalized medicine at scale — and personalized medicine is a must-have for successful population health.
   1. Personalized medicine for treatment decisions.Every hospital should be able #genesequence suspected #infections instead of wait 3 days for culture results. @EricTopol 
   2. Personalized medicine of the pillClose to 55% of drugs prescribed are ineffective for the patients they are prescribed for, per @gnshealthcare 
   3. Personalized patient engagement"There's got to be a better way" than just "take a pill that will solve all your problems” - Sky Christopherson an olympic cyclist & coach who demonstrated by using data, not drugs to break world records and win olympicsBecause most health decisions happen between visits. whether a drug works or not depends on whether the patient takes it, and that is a decision solely in the patients hands.
      
      
3. Technology demands an Uber-Doctor - a new kind of doctor.The job of the physician is changing due to manifold external pressures:

   Docs be less involved in diagnosis. there are plenty of scans, labs, imaging so patients will be able to self-monitor and technology might read their results at a grand scale.

4. Sharing and collaborating requires trust and shared priorities.Trust someone won’t abuse private info.

   How do you remove the business interests that are barriers to sharing data - David Liss

   How do you create trust? Listen to last week's podcast with Charlie Green from Trusted Advisors: https://relentlesshealthvalue.com/episode/21/

5. The decentralization of healthcare providers and re-centralization around the patient.We need an internet of You. The patient is the only common entity between healthcare sites. "Internet of You" will require a customizable, interoperable platform that connects Internet-enabled devices.

   Care no longer in the focus of the hospital. no longer centralized. care all over the place. in the home. via telemedicine.