First conversation today… Shared experiences on when a care model is a new product vs a product extension. Some criteria: - different patients - different clinical model - different financial model - different customer segment If 3+ factors different, get ahead of it

A great discussion on audio v video visits at #PC23event. Here is some analysis on the issue from our host ⁦Ishani Ganguli MD, MPH⁩ jamanetwork.com/journals/jaman…

New a16z Bio + Health Bio Eats World Journal Club episode is out! I had a wonderful time discussing the Majzner_Lab's new work engineering CAR T cells with true boolean logic gates for improved safety and efficacy. Thanks to Robbie for joining. Listen in! 🎧 bio-eats-world.simplecast.com/episodes/journ…

Thanks to AAFP Primary Care for America #PrimaryCare23 for great lessons from Ishani Ganguli MD, MPH Shawn Martin Darilyn Moyer Shari Erickson (she/her/hers) Sean Cavanaugh and more. The energy to elevate the work of #primarycare & address systemic barriers was palpable. And more advances from #CMMI to come..

2nd conversation Many challenges in getting product, clinical, ops together to unlock technology enablement in care Mostly doesn’t happen effectively; locked-in by tech debt, silos, invisibility of team’s work Lack of operational metrics focused on team output & shared tasks

If you’re pitching a tech-enabled service to a senior care organization. Please hit us over the head with how much you understand & work with seniors. Key senior care partners Volume of experience Unique needs incorporated Technology uptake KPIs Don’t make us ask.

Hear from special guest Allison Sesso, the President and CEO of RIP Medical Debt, on the reality of why medical debt results in the avoidance of receiving care - and what RIP Medical Debt is doing to stop this: bit.ly/3IYuQp0

Reactivating the intrinsic motivation of clinicians is the challenge of our time. Many clinicians & healthcare professionals feel taken for granted & interchangeable. We owe it to our professionals to rebuild trust and make more changes; for them. Thanks to Relentless Health Value

Bureaucratic death-loop - Start focused with local, dedicated function - Uncover variation across sites = unhappy - Centralize for promised performance & consistency - Centralized process disconnected from intent and goals = unhappy - Debate local vs central, pivot again

The most impactful clinician #AI tools will be - direct to clinician, free or low cost - mobile app - zero friction to sign up & use - solve real problems —workflow automation —clinical dx & mgmt curbsides —explain pathophys, papers —find low-cost meds, specialists, procedures

The U.S. spends only 5-7% of healthcare dollars on primary care. That is even lower for seniors, our most vulnerable population. This underinvestment in senior-focused primary care has physicians leaving the industry while baby boomers are aging into the senior population.

Some advice I wish someone had told me: - balance diversity & depth over yrs not mo’s - carry your work through to a place you will be satisfied w yrs later - figure out how to become someone others want to work with - find your points of conviction & do stuff (!) about them

Yes or no? Navigating the emotional health of an organization is not talked about enough in the executive team. Leadership is inherently conflicted with driving performance vs “slow down” concerns. Strategic HR, comms, & change support are undervalued and anemic.

Recently, my father, an immigrant from India and retired community physician, dropped some wisdom on me. He said “As parents, your children’s karma comes from yours, until they grow up and create their own. Trust who they are going to become’. I am thinking about that a lot.

18 hours into a senior loved one’s ER visit & hospital admit: Blur of diff opinions by 2 ER docs, 2 hospitalists, 3 psychiatrists, 1 nephrologist, 5+ nurses. Crucial moment: hallway huddle w nephrologist, psych, family —> new trajectory of care. Coordination & context matter.

Weak leaders build weak cultures.

Uncertainty & complexity often collide during rapid periods of change. Some advice: - ground yourself, then others - expand your notion of team - assess the worst case scenarios - reopen perspectives that become fixed (ST vs LT) - manage mindsets - keep it simple, silly (KISS)

Love this advice. Because let’s face it, the world is incredibly uncertain and complex right now. Whether personally or professionally, you must find a blueprint to navigate these times. A few ways I think of a practical overlay to these foundational principles: 🔹Ground

🎙️New Vital Signs with Humana CMO Vivek Garg and Nikhil Krishnan on: - Lessons from primary care innovators - Future of value-based care - How Humana thinks about partnerships Spotify: spoti.fi/3z5JjgP Apple: apple.co/3VIP0Kx