d.health Summit 2016

1. Disruptive Model for
the Future of Medicine
Clay Johnston, MD, PhD
Dean, Dell Medical School

5. Broken

6. Cost of
healthcare
Per person spending
Wells Fargo Insurance Services

7. US life
expectancy

8. Return
Investment

9. U.S. is the number
one spender on
healthcare
in the world

10. But only
34th in
health outcomes
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27
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29
30
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11. 3 Glaring Examples

12. 3 No one
pays for
prevention

13. 2 No one
reminds you to
take your meds

14. Hospital
gowns expose
your rear1

15. Broken healthcare
delivery system

16. Invested in the status quo

17. Doing more, rather than
doing better

18. Treating the sickest rather than
promoting health

19. Resistant to technology and other
approaches to enhance efficiency

20. Broken community
health system

21. MDs + tools
Care Settings
Community

23. Cause of death in
San Francisco women
(2003–2004)
1. HIV/AIDS
2. Drug overdose,
unintentional
3. Self-inflicted injuries,
all mechanisms
4. Breast cancer
5. Pancreas cancer
Cause of death in
San Francisco men
(2003–2004)
1. Violence/assault,
all mechanisms
2. Drug overdose,
unintentional
3. HIV/AIDS
4. Self-inflicted injuries, all
mechanisms
5. Alcohol use disorders

24. Broken
research system

25. Research
Care

27. Apply for grant

28. Apply for grant Get grant

29. Apply for grant Get grant
Important results

30. Apply for grant Get grant
Important resultsChange health

32. Dell Medical School:
Opportunity to start
from scratch
Photo: Christopher Sherman

33. Can we
create a better
ecosystem
for health
innovation?

34. Faster Innovation Cycles:
Lean Start-Up Model

36. Requirements
for an improved
health ecosystem

37. The product is value
value = quality/cost

38. The product is value
value = quality/cost
Value is measurable

39. The product is value
value = quality/cost
Value is measurable
Value is embraced by culture

40. Barriers to aligning incentives are minimized

41. Barriers to aligning incentives are minimized
Participants can be innovators

42. Barriers to aligning incentives are minimized
Participants can be innovators
Scaling is possible

43. Barriers to aligning incentives are minimized
Participants can be innovators
Scaling is possible
Innovation is built into the funding model

44. Focus on making
Austin a model
healthy city

45. What needs to
happen

46. Create funding streams based on
health value
New partnerships with self-insured businesses,
insurers, hospitals, local health districts and CMS
Requires orchestration of multiple
disjointed entities

47. Better data
Not just for prioritization, but also to assess
impact on an ongoing basis

48. New approaches to education
Physicians who are not just willing partners but
leaders in creating better systems

49. Community Hospitals & Doctors
Government / EmployersPeople
Academic Hospitals & DoctorsEntrepreneurs

50. Community Hospitals & Doctors
Government / EmployersPeople
Community Public Health Entities &
Nonprofits

51. Community Hospitals & Doctors
Government / EmployersPeople
Community Public Health Entities &
Nonprofits

52. Community Hospitals & Doctors
Government / EmployersPeople
Community Public Health Entities &
Nonprofits

53. Liberate
entrepreneurs