Disruption: It's So Much More Than Access

Abstract

Healthcare TransformationVol. 2, No. 1 Open AccessDisruption: It's So Much More Than AccessStephen K. Klasko and Editor-in-ChiefStephen K. KlaskoSearch for more papers by this author and Editor-in-ChiefSearch for more papers by this authorPublished Online:1 Mar 2017https://doi.org/10.1089/heat.2017.29033.skkAboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail President Donald Trump has a unique opportunity to fundamentally disrupt a fragmented, expensive, inequitable, and illogical healthcare system by making a “deal” that puts patients first.It's our chance to ensure that healthcare will finally enter the consumer revolution.Every millennium, there is a confluence of events whereby fixing the existing reality is not enough, but rather a new model needs to be created. Steve Jobs did it by turning Apple from a computer company to a digital experience company.Changing the reality of healthcare won't be easy, but it can be done. We are already seeing 12 disrupters that enable transformation— disrupters that transcend politics.My book, We CAN Fix Healthcare: The Future Is NOW, assumes a science-fiction event forced us all to get over ourselves, and Democrats and Republicans alike agreed on 12 disruptors for the demise of the old healthcare. To many people, the election of 2016 represented that event.What are these disrupters?Some involve turning healthcare into a consumer-facing business, in which new generations, new consumers, and new entrepreneurs will outstrip our traditional business models.Some are opportunities that we can and must embrace to change the reality of healthcare disparities, physician practice, and the tortured path of reimbursement.Photo credit: Sabina Pierce.Addressing these disrupters will enable President Trump and the new administration to move forward with alacrity. The time for political rhetoric is past. It is time for meaningful action.This is why transformation is much more than the Affordable Care Act (ACA).The ACA did what it intended to: increase access. But we have in no way disrupted the system enough to break the iron triangle of access, quality, and cost that healthcare economist Bill Kissick, MD, spoke about 50 years ago.Here's my manifesto for change. I remain completely optimistic about transformation.And that's my message as a new administration settles in: embrace change.1. Embrace the consumer revolution to make patients first. Train new teams to make healthcare entities into consumer enablers.2. Pay for health, not volume of procedures.3. Find the right solution for the right patient at the right time. Yes, we have to personalize care.4. Select and educate physicians of the future—empathy, not memory. Leave memorization to the computers, and let physicians be the humans in the room.5. Ensure that every surgeon can prove competence. Never again, “see one, do one, teach one.”6. Do not build new inpatient beds. Shift the locus of health to the home, neighborhood, community, and family. Embrace retail medicine and telehealth.7. Always send a believable understandable bill.8. Practice integrative medicine.9. Defragment innovation and research—push universities, hospitals, and private industry to build creative partnerships for change.10. Build a truly integrated electronic health record. We overestimate technology in the short run, but we underestimate it in the long run. The computer will become the concierge of the future.11. Understand systems thinking—cost, access, and quality. You cannot fix one thing and hope it fixes the system.12. End healthcare disparities. If we embrace many of the disrupters above, we will have an unprecedented opportunity to shift how we encourage health and end the tyranny of the zip code.FiguresReferencesRelatedDetails Volume 2Issue 1Mar 2017 InformationCopyright 2017, Mary Ann Liebert, Inc.To cite this article:Stephen K. Klasko and Editor-in-Chief.Disruption: It's So Much More Than Access.Healthcare Transformation.Mar 2017.1-3.http://doi.org/10.1089/heat.2017.29033.skkcreative commons licensePublished in Volume: 2 Issue 1: March 1, 2017PDF download