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CSPAN3 Politics Public Policy Today October 7, 2014

Operating system that currently talks to any software, whether it be epic, and it now is running 3 million cancer lives for the past three years, across the pathways, across the Delivery System and we know in real time. We have built a Software System that actually takes 10,000 cancer protocols and provides for the doctor in real time the knowledge of which cancer protocol to give to the patient in real time. Its now in 8,000 oncology practices. With regard to technology, it is the job, actually for us is to actually make this Health Care System, where he makes money where patients dont come into the hospital, where we actually have patients at home, i call this icu at home, which means, eye see you at home. You need icus at home. And then this whole world of machine to Machine Technology is upon us. Its right here. So i partner with verizon and at t and i built an Electronics Company that could have boxes that could talk to each other. Blood pressure machine, pulse monitors, scale, we

CSPAN3 Key Capitol Hill Hearings October 7, 2014

Done within the existing legal frame work or we need to at least change the Payment System rules . And the way im approaching it is im working then exactly as sue has talked about with the fortune 500 companies and with the unions and thats what were announcing today the bps council the ceo council, we will be taking the selfinsured and in that context, build a collaborative of providers across this nation, install this system, but on one condition, this collaborative will also work with the underinsured and the underserved. And now we will bring evidencebased 21st century care to cancer patience in Beverly Hills or South Central california and doctors can do what they do best, i. E. , provide the best care. [ applause ]. Let me just say and in theory, we should be able to bring it to any country in the world, right . Correct. If we have one of the things that our foundations involved in is this remarkable effort to the rwandaen government asked us to undertake. They want to be free of

CSPAN3 Key Capitol Hill Hearings October 7, 2014

And although the op rablt and sharing of data doesnt yet exist freely, there are other great things that are happening. So, you know, were just in our company weve avoided hundreds of thousands several hundreds of thousands of unnecessary tests, unnecessary because they were duplicates. Weve all been in hospital environments when a physician walks in and is looking for a result of a test that he or she ordered and the result isnt there, what do they do . They order another test. And were able to avoid that. Were able to avoid medication errors. Maybe the wrong dose or even the wrong medication or at the wrong time being given to patients. So these are really important innovations and improvements in safety and quality in hospitals that are being driven by this technology. Everything patrick described is possible and i think it will occur. But i think we need to give it a little time. Let me ask you this i know you can say whatever youre going to say but i want to follow up on this. You

CSPAN3 Politics Public Policy Today October 7, 2014

Super quick. We were also really surprised and astounded by the amount of reaction that we got to the story. But upon reflecting upon it a little bit, it does make sense, because while it may be only 5 or so on the top end dont vaccinate children prior to kindergarten, theres some evidence that shows a lot of people are delaying vaccines, spacing them out because of fears. I think like we have run into people or many people have run into people who have at least heard from somebody who is concerned about the safety of vaccines. So i think its a topic that many people are very interested in. Just following up on something brian said. This isnt going to be terribly popular, but this is my point of view. What does it really mean to be informed . We say we want to inform parents about vaccines. Lets take the chicken pox vaccine. If someone comes into your office and says, havei have don research and chosen not to get the chicken pox vaccine then they havent done their research. Because if

CSPAN2 Key Capitol Hill Hearings February 15, 2014

Been successful in reducing the rate of growth in costs. We have a lot of demographic factors putting it higher, but im very proud of the business were in, and the job that hospital its doing as part of the Healthcare System in america today. [applause] well, all these people are really smart. I dont need to ask them probing question. I prefer to let them talk. But i want too ask you i want to take the next step here. And if youre basically the only layman here, and okay, were sort of stumbling in the right direction. Lets posit that. And science is out there, as patrick said, but we have to figure out a way to make it accessible and usable to all of us. Given where we are, either in Public Health or in the Healthcare System itself, the Delivery System, concisely as you can, what do you think the greatest challenges we still face are, and what are the greatest opportunities, one or two of each. I will just give you an example. You mentioned we needed to do more with primary care. There

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