Vital Signs with Jacob Effron and Nikhil Krishnan

Ep 43: Former Secretary of Veterans Affairs Dr. David Shulkin on Transforming the VA & Getting Public-Private Partnerships Right

Apr 23, 2024

Former Secretary of Veterans Affairs Dr. David Shulkin discusses innovating within the VA, access to healthcare for veterans, setting priorities as a leader, EHR rollout, successful startups in the VA, changes in medical education, applications of AI in healthcare, and more with hosts Jacob and Nikhil.

51:25

Creator website

Episode guests

David Shulkin

Jacob

Nikhil

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Episode notes

Podcast summary created with Snipd AI

Quick takeaways

Dr. Shulkin emphasized fixing VA issues over privatization due to superior comprehensive care.

VA faced challenges in meeting healthcare demand, using telehealth and expanded practice authority strategies.

Deep dives

Overview of the VA and its Divisions

The VA consists of three main administrations: cemeteries, benefits administration, and healthcare. The cemeteries ensure veterans receive proper respect even after death. The benefits administration provides support programs like home loans and the GI Bill. The Health Administration delivers healthcare through a vast network of facilities, providing a range of services from preventative care to acute and long-term care.

Introduction

2min

Challenges and Priorities in Veteran Healthcare

22min

Transitioning to a Modern Electronic Health Records System in the VA

12min

Controversial Decision to Grant Advanced Practice Authority to Nurses and Pharmacists

2min

Navigating Opportunities and Challenges with the VA for Healthcare Startups

3min

Innovation and Disruption in Medical Education

6min

Engaging Patients in Care Models and Leading a Healthcare Company

3min

Jacob and Nikhil sit down with Dr. David Shulkin, the former Secretary of Veterans Affairs who has also held roles as CMO of the University of Pennsylvania Health System, CEO of Beth Israel Medical Center, and Vice Dean of the Drexel University College of Medicine. They discuss David’s experiences innovating within the VA, meeting the health needs of a population, and more.

(0:00) intro

(0:34) footprint of the VA today

(2:38) privatization debate

(5:36) solving access to healthcare for veterans

(12:29) setting priorities as a leader

(19:34) monolithic single-payer funding

(23:41) what does the rollout of a massive EHR look like?

(32:44) things that the VA does well

(38:35) startups having success in the VA

(41:26) how will the medical education system change going forward?

(44:51) applications of AI in healthcare

(48:23) over-hyped/under-hyped

(49:20) what company would David want to lead?

Out-Of-Pocket: https://www.outofpocket.health/

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