January 2019 Economic Club of Phoenix luncheon with Mayo Clinic's Interim CEO Dr. Lois Krahn
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Kicking off the first Economic Club of Phoenix luncheon the new year is Interim CEO of Mayo Clinic Arizona Lois E. Krahn, MD. Listen as she shares her thoughts on innovation in health care — from who pays for it and the players in it to the partnerships and challenges. news.wpcarey.asu.edu
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January 2019 Economic Club of Phoenix luncheon with Mayo Clinic's Interim CEO Dr. Lois Krahn
- 1. Subtitle text can go here Welcome to the January Economic Club of Phoenix Luncheon!
- 3. ©2018 MFMER | slide-3 HOW CAN WE PAY FOR INNOVATION IN HEALTH CARE? LOIS E. KRAHN, M.D. Interim CEO, Mayo Clinic in Arizona
- 4. ©2018 MFMER | slide-4 PURE RESEARCH SOPHISTICATED, CUTTING-EDGE TECHNOLOGY CONVENTIONAL CARE ROUTINE HEALTH & WELLNESS
- 5. ©2018 MFMER | slide-5 ASSUMPTION STAYING HEALTHY IS PREFERABLE
- 6. ©2018 MFMER | slide-6 Health and Health Care Economic Stability Education Social and Community Context Neighborhood and Built Environment
- 7. ©2018 MFMER | slide-7
- 8. ©2018 MFMER | slide-8 ASSUMPTION HEALTH CARE IS NECESSARY
- 9. ©2018 MFMER | slide-9 PURE RESEARCH SOPHISTICATED, CUTTING-EDGE TECHNOLOGY CONVENTIONAL CARE ROUTINE HEALTH & WELLNESS
- 10. ©2018 MFMER | slide-10 REGENERATIVE MEDICINE GENETIC TESTINGSOPHISTICATED IMAGING PROTON BEAM
- 11. ©2018 MFMER | slide-11 PROTON BEAM
- 12. ©2018 MFMER | slide-12 WHAT IS THE TRUE COST OF INNOVATION?
- 13. ©2018 MFMER | slide-13 PURE RESEARCH SOPHISTICATED, CUTTING-EDGE TECHNOLOGY CONVENTIONAL CARE ROUTINE HEALTH & WELLNESS
- 14. ©2018 MFMER | slide-14
- 15. ©2018 MFMER | slide-15 PURE RESEARCH SOPHISTICATED, CUTTING-EDGE TECHNOLOGY CONVENTIONAL CARE ROUTINE HEALTH & WELLNESS MOVING FROM “HEALTH CARE” TO HEALTH
- 16. ©2018 MFMER | slide-16 2 3 The amount of technologies with the most far-reaching impact over the last 50 years that stemmed from federally funded R&D at national laboratories and research universities
- 17. ©2018 MFMER | slide-17
- 18. ©2018 MFMER | slide-18
- 19. ©2018 MFMER | slide-19 UNACCEPTABLE TO HALT INNOVATION
- 20. ©2018 MFMER | slide-20 UNLIKELY SOLUTION MEDICAL TOURISM
- 21. ©2018 MFMER | slide-21 THE SOLUTION HEALTH CARE ORGANIZATIONS PHILANTHROPY GROUPSPHARMACEUTICAL UNIVERSITIES EMPLOYERS COMMERCIAL INSURERSRESEARCH INSTITUTIONS PRIVATE ENTERPRISEFEDERAL GOVT.
- 22. ©2018 MFMER | slide-22 PURE RESEARCH SOPHISTICATED, CUTTING –EDGE TECHNOLOGY CONVENTIONAL CARE ROUTINE HEALTH & WELLNESS INNOVATION: “HEALTH CARE” TO HEALTH
- 23. ©2018 MFMER | slide-23
Notas del editor
- This is an example of the infographic you were mentioning – from pure research to routine health/wellness.
- Assumption- staying healthy is preferable However even individuals and community that commit to a healthy lifestyle and address social determinants develop disease Some young, some during their prime productive years, most when aging
- Story- of a person who develops a serious and complex illness in spite of living a “healthy“ life Synopsis: As a Mayo Clinic physician, healthy routines were part of Cathy Madaffari's daily life. Yet in 2015, the former marathoner and mom of three found herself in a surprising role reversal when, instead of being a doctor talking a patient through a tough diagnosis, she was the one facing cancer. She was recovering from a cold when the cough started. But Catherine Madaffari, M.D., was the picture of health. As a physician in Community Internal Medicine at Mayo Clinic’s Florida campus, she ate well, never smoked and exercised regularly. "It was just a dull cough that was lingering," Cathy says. "Honestly I didn't really notice it, but my colleagues did.” At her co-workers' urging, Cathy had a chest X-ray. "There was a nodule on the X-ray. I knew what it was, and I was shocked," Cathy says. "Other than this cough, I was a healthy person with no family history. And not being a smoker or having any other risk factors, a diagnosis of adenocarcinoma of the lung was not something I ever thought I'd hear.“ It's a common misconception that you have to be a smoker to get lung cancer, Cathy says. "Really, anyone with lungs can get lung cancer," she adds. Read more of the story here: https://sharing.mayoclinic.org/2018/10/29/anyone-with-lungs-can-get-lung-cancer/
- Health care needs to evolve and advance
- This is an example of the infographic you were mentioning – from pure research to routine health/wellness.
- This allows you to briefly touch on the first three areas of innovation and then spend a little more time talking about Proton Beam
- But how do we pay for innovation? And what is the percentage of innovation that originates in the US vs other countries? What is the true cost?
- This is an example of the infographic you were mentioning – from pure research to routine health/wellness.
- If highly sophisticated services are not funded because of the initial expense, how do we advance the science of health care, foster innovation and reach scale? Many examples of pharmacologic examples of series of steps from basic science, understanding mechanisms of disease, developing new therapies and reaching scale? Example-Lipid lowering drugs (statins)- once the leading edge of health care and now considered part of preventive care
- Statins moved from pure research to routine health and wellness – moving from “health care” to health
- Government payers? Recent WSJ article about government funding of science federal support for basic scientific research has been the invisible infrastructure paving the way to innovation and economic growth. Every American can be proud of the U.S. system for producing new scientific knowledge. And every American has benefited from the resulting innovations: The development of ultraprecise atomic clocks opened the door to GPS. Work on nuclear magnetic resonance led to the MRI scanner. Number theory enabled encryption, which enables e-commerce—and so on. https://theconversation.com/when-the-federal-budget-funds-scientific-research-its-the-economy-that-benefits-80651
- Example of NASA related scientific advances leading to innovation in many areas (give a long list of examples-aviation, powdered orange drinks)
- Employer paid? Company sets up deals with specific providers with a reputation for excellence-Walmart paying for solid organ transplantation at Mayo Clinic (? Example of how this does not exclude highly advanced procedures i.e. multiple organ procedures or using minimal criteria organs for transplantation) Walmart plan participants, like Penny and Daryl Milner, are eligible to receive expert care through the Walmart Centers of Excellence cancer program. Check out Penny and Daryl's story: https://www.youtube.com/watch?v=AJZ7qHU_R_A "I haven't been in the hospital now since two years ago. I really do thank Walmart for this program. It's been a wonderful program. I don't know how to really thank them without just saying, 'Thanks.'" — Penny Milner. The Walmart Centers of Excellence Program includes enhanced benefits for children and adults for the following conditions: Breast cancer Colon cancer Lung cancer Prostate cancer Rectal cancer If you have received a diagnosis of breast, colon, lung, prostate or rectal cancer, you may be eligible for enhanced benefits including: Medical record review by Mayo Clinic cancer experts to determine if you would benefit from travel to Mayo Clinic On-site evaluation at Mayo Clinic, if recommended Travel, lodging and daily allowance benefits for you and a companion caregiver to make your stay as comfortable as possible
- It takes a village –all of these areas working together- Federal government, private enterprise, philanthropic organizations, commercial insurers, employers, universities, health care organizations, research institutions, pharmaceutical industry Perspectives Prevent disease to the degree possible Government funding is invaluable-NASA Private enterprises make investments in promising technologies Big data Pharma Start up companies Philanthropy Muscular dystrophy fundraising St Jude’s medical center Proton beam at Mayo Clinic Philanthropy leading to startup companies Define what is experimental via policy or some type claim-triggered of standardized review process Stratification of research/discretionary care/community care/ substandard care Commercial insurance? Employers? Individuals?
- Was thinking we could use an ending graphic – do you want to come back to this or something else?