Healthcare Change and the Importance of Trust

By Dr. Nick van Terheyden aka Dr. Nick
Twitter: @drnic1
Host of Dr. Nick: The Incrementalist – #TheIncrementalist

On this episode I am talking with Jacob Reider, MD (@JacobR), CEO of Alliance For Better Health (@Alliance_PPS), a New York Delivery System Reform Incentive Payment (DSRIP) care transformation initiative. Dr. Reider is a family physician who wants the world to be more healthy – a man after my own heart! He previously served as the Deputy National Coordinator for Health Information Technology at the US Department of Health and Human Services.

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The Alliance focuses on collaborative care in the community to create health equity replacing our fragmented system that continues to work as designed which as Jacob puts it needs to fill the physical facilities that we build to satisfy the economics. They are moving the needle away from Fee for Service (FFS) to Value-Based Care (VBC) and working to turn the hospital to be more like a fire station, who’s services are only accessed when all the other earlier and cheaper interventions have failed. They have invested heavily in Social Determinants Factors as the core contribution for 80% of health challenges.

His incremental learning points include:

  • Early learning of what does not work (your first idea should be a sacrificial lamb)
  • Creating a curated list of participants in any program
  • Building trust

Quoting Farzad Mostashari (@Farzad_MD):

Change moves as the Speed of Trust

Listen in to hear how they track and close the loop on referral activity throughout the network and far beyond the medical system and where he sees this expanding and how into our healthcare system.

About the Show
For years Dr. Nick van Terheyden aka Dr. Nick, has served as a voice on the impact of new technologies on healthcare, earning a reputation as a leading authority on where the future of medicine is going. Combining powers of observation and real world experience, Dr. Nick has seen many predictions come true and makes the case that innovations in healthcare can be accomplished incrementally, not just by moonshot events. Tune in to hear Dr. Nick: The Incrementalist and his guests discuss what the future of healthcare looks like, how we will get there, and what it will take to improve healthcare for all.

This article was originally published on the Dr. Nick – The Incrementalist blog and is republished here with permission.