A8. For frail -- figure out how to use neighbors / volunteers as resource. #IHIAlliance

Wassons Telephone trial: more frequent phone calls, fewer visits --> lower admissions and ER visits #IHIAlliance

Here's the abstract of the telephone visit randomized trial. #IHIAlliance

A9 1st-Recognize that health care is an instrumental good, We're here to help people achieve their goals #IHIAlliance

A9 Link is here: paperity.org/p/37059600/bey… #IHIAlliance

A9. How is a visit to an MD like a kilowatt hour of electricity? #IHIAlliance

A9. Answer: Nobody want either. We want hot showers cold beer. Health ,not health are #IHIAlliance

A10 The first step: shift to a posture of curiosity. Who else might have something to contribute to solving this problem? #IHIAlliance

A10 Who’s got the most to contribute? It's patients. They have 5000 waking hrs each yr, only a few of which are w/providers #IHIAlliance

A11 I don’t see any path to the triple aim that doesn’t go through some form of global payment. #IHIAlliance

A12 The possible approaches are easily identified. The hard work is in generating the will to use them. #IHIAlliance

A12. We also need to be wise about strategy. See ReThinkHealth Systems Dynamics. #IHIAlliance

A11 The possible approaches are easily identified. The hard work is in generating the will to use them. #IHIAlliance

A12. Will. Leadership. Asking tough questions like: "Who's money do you think it is?" #IHIAlliance

Question worth asking colleagues: what do you stand for? Then pause and let them think. #IHIAlliance

@jimNHansen. Amen. #IHIAlliance

And community organizing. #IHIAlliance

Thank you all for the great ideas. #IHIAlliance

We will try to harvest them!! And share later after reflecting. #IHIAlliance

See you all soon! #IHIAlliance