Nov 21, 2019
In this podcast originally published early last year, Alex Akers and I had a chance to speak with Dr. Robert Pearl about his book Mistreated: Why We Think We’re Getting Good Health Care—And Why We’re Usually Wrong. Besides being an author, Dr. Pearl is former CEO of the Permanente Medical Group; he’s a frequent keynote speaker; and he is also the host of a podcast called Fixing Healthcare.
Here’s what Dr. Pearl said at the recent HLTH conference in Vegas, and I’m editorializing a little bit here. Dr. Pearl said day after day, patients and their families experience the unnecessary frustrations and heartaches that are so rife in American health care. Mistreatment is certainly a continuum, but in all of its manifestations, it’s pretty much nothing less than rampant. I mean, how else do Americans manage to pay more than twice as much per patient for a health system that ranks 37th in the world? There are definitely bright spots, and there are definitely great men and women working within health care. So, I do not—and I’m certain Dr. Pearl does not—mean to be all doom and gloom. But we’ve got some realities to deal with here.
There’s a simple answer to the question, “What happens if we fail to change?” Disruption will happen. While the pace of health care disruption in many sectors hasn’t exactly set world speed records, it’s inevitable. And, according to Dr. Pearl, status quo health care providers will lament their decision not to have embraced change sooner.
To wrap our heads around this, Dr. Pearl suggests that there are four must-haves, four pillars to get the American health care industry back on track. Spoiler alert: Those four pillars are (1) integration, (2) pay-for-value, (3) modernize our approach to technology, and (4) clinician- and physician-led organizations.
You can learn more by connecting with Dr. Pearl on Twitter at @RobertPearlMD.
Register here for the 2019 NODE.Health Digital Medicine Conference and get 20% off with our promo code: RELENTLESS20
Robert Pearl, MD, is the
former CEO of the Permanente Medical Group (1999-2017), the
nation’s largest medical group, and former president of the
Mid-Atlantic Permanente Medical Group (2009-2017). In these roles,
he led 10,000 physicians and 38,000 staff and was responsible for
the nationally recognized medical care of 5 million Kaiser
Permanente members on the west and east coasts.
Named one of Modern Healthcare’s 50 most influential physician leaders, Dr. Pearl is an advocate for the power of integrated, prepaid, technologically advanced, and physician-led health care delivery.
He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership and lectures on information technology and health care policy.
In 2017, he authored Mistreated: Why We Think We’re Getting Good Health Care—And Why We’re Usually Wrong, a Washington Post bestseller that offers a road map for transforming American health care. All proceeds from the book benefit Doctors Without Borders.
As a regular contributor to Forbes, Dr. Pearl covers the business of health care and the culture of medicine. He has been featured on CBS This Morning, CNBC, and NPR, and in Time, USA Today, and Bloomberg News. He has published more than 100 articles in various medical journals and contributed to numerous books. He is a frequent keynote speaker at health care and medical technology conferences. Dr. Pearl has addressed the Commonwealth Club, the World Health Care Congress, and the Institute for Health Care Improvement’s National Quality Forum.
Board certified in plastic and reconstructive surgery, Dr. Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University. From 2012 to 2017, he served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation’s largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, DC.
When not hosting the show,
Stacey Richter is co-president of Aventria Health
Group, a marketing agency and consultancy. Aventria specializes in
helping pharmaceutical, employer, pharmacy, and health system
clients improve patient outcomes by creating and leveraging
collaborations with other health care organizations. For more than
20 years, Stacey has innovated better-coordinated health solutions
benefiting all stakeholders, and, most of all, the patient.
Alex Akers is vice president for business development with Health Catalyst, a Utah-based, next-generation data, analytics, and decision-support company. He has been with Health Catalyst since 2015. Alex began his career in health care consulting, working for KPMG and Accenture in their health care strategy practices, and then shifting to revenue cycle reengineering with Stockamp & Associates. His passion for technology in health care really took off after he joined Microsoft and was responsible for health care strategy in their payer segment. After a stint with Grand Rounds in San Francisco, Alex landed at Health Catalyst.
02:26 Dr. Robert Pearl, author of Mistreated: Why We Think
We’re Getting Good Health Care—And Why We’re Usually
Wrong.
02:44 How bad is the problem in American health
care?
05:25 How our health system lags in overall health, according to
third-party, objective data analysis.
06:02 Rampant overtreatment, and how this adds to the problem.
09:11 How can context improve health care?
09:19 The four pillars of improving health care outcomes.
13:06 Integration as a crucial step to maximizing quality.
13:24 Pay-for-value as the second pillar of improving health
outcomes.
17:39 Technology as the third pillar.
17:55 How current health care tech being utilized is 50+ years
old.
19:38 Why video isn’t utilized more in health care, despite being
relatively inexpensive.
21:32 Do doctors hate technology?
22:52 “All of medicine is probability.”
23:18 EP157 with Dr. Ethan
Basch.
25:12 “We fail to do the things that we
know we should do.”
27:10 Physician- and clinician-led organizations as the fourth
pillar.
29:00 “We don’t have a system; we don’t have a structure.”
29:35 “To do that will require leadership.”
29:56 Dr. Pearl’s advice for actionable change.
31:10 “This is the time to change; don’t wait for disruption to
occur.”
You can learn more by connecting with Dr. Pearl on Twitter at @RobertPearlMD.
Register here for the 2019 NODE.Health Digital Medicine Conference and get 20% off with our promo code: RELENTLESS20
Check out our encore #healthcarepodcast with @RobertPearlMD of @FixingHCPodcast and co-host @alexhakers of @HealthCatalyst. #healthcare #podcast #digitalhealth #healthvalue
How bad is the problem in #Americanhealthcare? @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
Why and how does our #healthsystem lag in overall health? @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
How #overtreatment actually adds to the problem. @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
What are the four pillars to improving #healthoutcomes? @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
Why #integration is important to maximizing #healthquality. @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
How #payforvalue improves #healthoutcomes. @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
How #healthtech factors into #healthoutcomes. @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
Why isn’t video utilized more in improving #healthcareoutcomes? @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
“All of medicine is probability.” @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
“We fail to do the things that we know we should do.” @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
“We don’t have a system; we don’t have a structure.” @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
Creating #actionable change. @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue
“This is the time to change; don’t wait for #disruption to occur.” @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue