Relentless Health Value

Cyrus Maaghul is a serial entrepreneur currently applying distributed systems, blockchain, and cryptocurrency technology to the health care industry as founder and CEO of HealthCombix and Co-founder/Board Member at PointNurse. Cyrus' health care blockchain thought-leadership has appeared in articles on CoinDesk, Nasdaq, Distributed, and other media outlets. His experience as a payments technology entrepreneur and working inside world-class organizations like Fidelity Investments' Blockchain Incubator and Deloitte Consulting give him a unique perspective to advise, develop strategy, and build decentralized networks. HealthCombix is currently developing new foundational infrastructure and custom applications for decentralized health care, including identity, consent, privacy, smart health trusts, governance, and asset management capabilities. PointNurse is a digital decentralized autonomous-based peer-to-peer virtual health platform seeking to drive down the cost of primary care, streamline clinical trials, and nursing by displacing various intermediaries. Cyrus’ interest in blockchain technology began in 2013 after investing in Bitcoin. This led to his investigating how to use blockchain to solve problems related to privacy, peer-to-peer data sharing, security, administration costs, and virtual community governance. You can learn more at healthcombix.com.

Roy is Chief Innovation Officer at Penn Medicine, working to rapidly design, test and implement high impact health care delivery practices. His team crafts interventions to achieve dramatically improved patient outcomes, experience, and high value care. In the past 4 years, they have driven measurable progress in readmission rates, frequent use of the ER, medication adherence, screening rates, antibiotic stewardship, and making a population normotensive, among other advances. Previously, Roy served as the first VP of Innovation for Intuit, a leading software company best known for Quicken and TurboTax. In this role, he led changes in how Intuit managed new business creation, allowing teams to experiment quickly at low cost.  Intuit now consistently appears on Forbes' list of the most innovative companies in the world. Prior to leading innovation, Roy’s Quicken team achieved record profitability and product leadership while growing to 14 million consumers. Roy's 18 years with Intuit spanned the early years in software to their emergence as a leading SaaS provider. Outside of his Penn role, Roy advises startups and Fortune 100 companies building new technology businesses focused on making a meaningful difference in people’s lives. Roy received his MBA from Stanford and graduated with honors from Harvard College. 00:00 Article by Paul Graham “Do Things That Don’t Scale.” 01:30 Video from Alberto Savoia at Stanford about pretotyping. 02:15 Chris Trimble How Stella Saved the Farm. 03:15 Stories off of University of Penn’s Web site, www.pennmedicine.org

Dr. Robert Pearl 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 9,000 physicians, 35,000 staff, and was responsible for the nationally recognized medical care of 4 million Kaiser Permanente members on the west and east coasts. Recently named one of Modern Healthcare’s 50 most influential physician leaders, Robert 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, Robert covers the business of health care and the culture of medicine. He has been featured on CBS This Morning, CNBC, 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, Robert 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, Robert 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. Stacey Richter is Co-President of Aventria Health Group, a marketing agency specializing in helping pharmaceutical, device, and pharmacy clients gain access to patients by creating and leveraging partnerships with other health care organizations. For 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.   00:00 Dr. Robert Pearl, author of Mistreated: Why We think We’re Getting Good Health Care—And Why We’re Usually Wrong. 01:30 How bad is the problem in American health care? 04:35 How our health system lags in overall health, according to third-party, objective data analysis. 05:20 Rampant overtreatment, and how this adds to the problem. 08:30 How can context improve health care? 09:00 The 4 pillars of improving health care outcomes. 12:40 Integration as a crucial step to maximizing quality. 13:00 Pay-for-value as the second pillar of improving health outcomes. 17:20 Technology as the third pillar. 17:45 How current health care tech being utilized is 50+ years old. 19:30 Why video isn’t utilized more in health care, despite being relatively inexpensive. 21:20 Do doctors hate technology? 22:30 “All of medicine is probability.” 24:50 “We fail to do the things that we know we should do.” 27:00 Physician and clinician-led as the fourth pillar. 28:45 “We don’t have a system; we don’t have a structure.” 29:35 “To do that is going to require leadership.” 30:00 Dr. Pearl’s advice for actionable change. 31:00 “This is the time to change; don’t wait for disruption to occur.”

Prior to Aventria, David held several commercial leadership roles, including Head of Oncology Marketing at Genentech and VP Strategic Marketing at Schering AG, specializing in commercializing oncology and specialty products. He was also instrumental in the commercialization of Taxotere, Fludara, Herceptin, and Rituxan. Paul has extensive experience leading successful market access commercialization strategies of specialty pharmaceuticals throughout their life cycles, including several landmark oncology products and other specialty therapeutics. Paul is a former Vice President of Payer Marketing with Bayer and former Vice President and Head of Oncology Managed Markets and Market Access at Novartis Pharmaceuticals. He is an RPh and a graduate of Rutgers University's Ernest Mario College of Pharmacy.

Julie is an executive pharmaceutical leader with over 20 years of experience across all phases of development both on the commercial and research sides of the organization. She leverages her Masters in Business Administration and Doctorate of Pharmacy to develop and deliver strategic patient-centric value propositions to optimize patient access and improve outcomes in patients with difficult to treat diseases leading to longer, healthier, and more productive lives. Her years of experience in global and US payer markets provides Julie with intimate knowledge of the current and evolving payer and market access landscape in the United States and around the globe. She has led the development and execution of several outcomes-based contracts with 3 of the largest national payer organizations in the US. Julie is well published, having authored more than 30 publications in peer-reviewed journals and more than 60 peer-reviewed abstracts presented as posters at major scientific congresses.

Wayne Crandall is the president and CEO of NoteSwift. Crandall's career in technology spans sales, marketing, product management, strategic development, and operations. Prior to joining the NoteSwift team, Crandall was president and CEO of CYA Technologies, and then took over as president of enChoice, which specialized in ECM systems and services, when they purchased CYA. Crandall was a co-founder, executive officer, and senior vice president of sales, marketing, and business development at Nuance Communications and was responsible for growing the company to over $120M following the acquisition of Dragon and SpeechWorks. Before Nuance, he was the European managing director of Xerox Imaging Systems, a wholly owned subsidiary of Xerox Corporation, where he established them as the market leader in document recognition software throughout EMEA and the Pacific Rim. Crandall’s other career successes included Kurzweil Computer Products, Philips Information Systems, NV, Lexitron (a division of Raytheon Data Systems), and Savin Business Machines. Crandall is much funnier than this executive summary. He brings humor and wisdom to the team, and the ability to find the right person for every job. He enjoys a healthy lifestyle with his family, puppies, and, of course, the occasional round of golf. You can learn more at www.noteswift.com or send Samantha an email at samantha@noteswift.com.

Moore, is CEO of the health care IT analyst firm, Chilmark Research, which he founded in 2007. Chilmark Research was founded on the simple premise of conducting the best research possible that will ultimately lead to improvements in the quality of care a patient receives. Having spent many years in other industry sectors, Moore has seen the dramatic improvements possible through effective adoption and use of IT and is convinced that the same can occur in health care. A core thesis for Chilmark Research is to help guide the industry in specific subsectors of the health IT landscape by focusing on those technology domains that will be truly transformational to the delivery of care. Current areas of research include: analytics, care management and coordination, interoperability, population health management, engagement, and most recently provider-payer convergence. Prior to founding Chilmark Research, Moore led a diverse worldwide team at Dassault Systèmes, based in Paris. As head of corporate, worldwide industry and market intelligence, he worked with the executive leadership to define key global market opportunities, forecast growth, and develop critical paths to market for its numerous software products. Moore has held a number of other senior positions during his career including: SVP at analyst firm ARC Advisory Group; Research Associate at MIT; VP of Marketing for an analytical instrument company; and policy analyst for the Commonwealth of Massachusetts. An accomplished speaker, Moore has made numerous presentations on current and future IT trends and their impact to markets. Widely quoted in numerous publications, he has also been interviewed by: AMA News, CIO, CNBC, Computerworld, eWeek, Health Data Management, HealthIT News, InformationWeek, Investors Business Daily, US News & World Report, The Washington Post, and The Wall Street Journal. Learn more by going to chilmarkresearch.com and find a free copy of the 2017 Healthcare Analytics Market Trends Report during March!

John Lynn is the founder of the HealthcareScene.com network which currently consists of 10 blogs containing over 11,000 articles with John having written over half of the articles himself. These EMR and health care IT-related articles have been viewed over 18 million times. John also manages HealthcareITCentral.com and HealthcareITToday.com, the leading career Health IT job board and blog. He also organized the first of its kind conference and community focused on marketing to healthcare: HealthITMarketingConference.com. Plus, he just launched Health IT Expo, a conference focused on practical health care IT innovation. John is an advisor to multiple health care IT companies and a highly sought-after keynote speaker. John is deeply involved in social media and, in addition to his blogs, can be found on Twitter: @techguy and @ehrandhit.

Eric Haberichter is the co-founder, chairman & CEO of Access Healthnet. He has more than 25 years of health care, management and entrepreneurial experience as a highly motivated, mission-driven innovator and problem solver focused on improving the delivery and sustainability of health businesses. Early in his career, he worked as a radiation therapist and multi-modality radiographer. For 15 years, he worked within a major Wisconsin-based health care system, and in 2004, left system-based health care to work with independent physicians to develop and manage outpatient imaging and ambulatory surgical centers. In 2006, he co-founded Smart Choice MRI, the first flat-rate, quality-assured MRI provider in America. He has worked closely with employers, brokers, payers, TPAs, and medical practices to lower costs, increase quality and improve patient satisfaction. In 2013, he founded NewAmerica Health Strategies, LLC, a medical business consulting firm dedicated to creating value in health care. He was joined by Jim Kolb and Leslie Kolowith, and their experiences in serving the needs of technology start-ups and national networks aided in more fully developing the concept of Access HealthNet and its proprietary technology solution, The Super Option. Providers, employers, networks, and stakeholders can learn more about Access HealthNet at accesshealthnet.com.

Darren is Chief Executive Officer at Aduro, Inc., a human performance company that delivers habit change programs that empower people and organizations to reach their full potential. He brings a unique outlook to the health care sector, combining his experience with the intricacies of the industry with potential he sees in groundbreaking technologies, human analytics and personalized well-being. With more than 15 years of expertise in demonstrated return on population health, Darren helps companies unlock the power of a happier, healthier, and higher-performing workforce. Prior to founding Aduro, Darren has served as Associate Doctor, Clinic Director and Chief Executive Officer of Clear Chiropractic, a collection of practices in the Puget Sound Area specializing in the Blair Chiropractic Technique. Darren received his Doctor of Chiropractic from Georgia’s Life University and currently serves as Chairman of the Board at Clear Chiropractic. Darren spends an increasing amount of time developing new opportunities to bring his purpose-driven approach to the larger community with support for behavior health and nutritional lifestyles. When he’s not igniting Aduro’s culture at a Friday Fire all-company huddle, he can be found curating crowd-pleasing playlists or traversing down the slopes at his favorite mountain hideaway.