[MUSIC] So in the most simplistic sense, if we were to boil it down there's tremendous potential for different solutions and technologies. And ultimately, there are companies and digital health innovations that are already trying to redesign care and in very specific ways and broadways. But if you really were to boil down the ocean, I would bucket them into these three key areas that ultimately the goals and the areas in which we are all trying to innovate is ultimately in the concepts of how do we access care. So this speaks to some of the concepts we discussed earlier around, how do we access health services? Is it in a physical capacity where we are driving to a hospital site or driving to an urgent care in an outpatient setting? Are there virtual ways to access health services through telemedicine, and remote monitoring, and our smartphone, home, and health care. So how does the individual, what are the various touch points and ways that individuals have to access care? How do we actually pay for health care in a way that makes it more accessible across all payer types? Whether that's government, or commercial payers, what are the things that are going to be reimbursed that make the healthcare system kind of conducive to this new environment? And ultimately we have to bring it back to the consumer. So for so long, health care was a kind of a one direction operation. Where really the patient came for a set of services the provider provided it, and there was very little accountability for the quality of how satisfied or the experience of that encounter. And we think about the increasing consumerization of health care, it will be no different than how individuals today rate and evaluate the experience of eating out at a restaurant on an applique open table. Ultimately the trend is moving towards how do we redefine and revolutionize the experience of healthcare so that it is more consumer friendly. And it is, in some ways again to other experiences like taking an Uber, ordering something on amazon in a way that really is in line with the rest of our aspects of our lives where we are shopping, or eating, or socializing, our health care should be no different. So to really put this into perspective, you might be thinking well, so that all sounds great. It's pretty clear where the gaps are and there's so much opportunity to improve and innovate. You're right, but why haven't we done it, right? What is the barrier? We're going to talk more about barriers. But the one thing that is really important to just keep line of sight of is that, that we're just getting started, that this is a new emerging trend. And I love this quote from one of the partners and injuries and Horowitz that you all got to become familiar with in our introduction week, but really digital health is the next generation, right? For so long, we were operating with a different tool kit and now the tools of data and technology are a completely different and will continue to evolve in the years ahead. And those are going to be the things that enable the next wave of innovation and solutions. So let's just take one example. Let's take telehealth if you really think about it, the idea of experiencing an interaction with your physician through a virtual visit. So using video to chat with your provider, it's great idea that has been around for a while. But we're only really hearing about it today in terms of rampant uptake and it's becoming part of the new normal of healthcare delivery. But the infrastructure to actually make televisits possible in terms of having smartphones, or computer, access to reliable WI-FI, having HIPAA compliance. So that their security no breach from the provider side and the patient side, the actual connection in the app and the interface to provide that service. The whole host of the actual infrastructure itself from a technology capability is pretty new. It's only a couple years in and there are a lot of pieces of it that I have finally just been established and put to use. The second piece is how are those capabilities perceived by the actual stakeholders that are either responsible for buying the product or the solution, and ultimately using it? And so for so long in telehealth, even though physicians were aware of it, many of them were skeptical of how will this actually work. How am I going to be able to conduct the physical exam? It won't be the same experience of seeing a patient in the office, is it really worth the investment? From a health care administrative point of view, many CEOs of health systems were trying to figure out, what is the right level investment needed? What's the proper concept? Is this going to make a difference? Are there certain clinical conditions that are more conducive for using teleservices? So, for example, many health system started with sepsis care because they felt like that was a very high risk, highly predictable condition. That they were able to put limited resources of critical care specialist in a remote monitoring environment that they were able to scale that sense, at that level of talent, in a resource limited environment to test out before investing in it, for primary care or pediatrics. And then ultimately, in the same example of telehealth. One of the barriers to widespread adoption and uptake was this question of who's going to pay for it? So reimbursement by both government and commercial payers was pretty minimal. And there were a lot of regulations and constraints around out of state scope of license, certain states were allowing it and permitting it. So if I'm sitting in Washington D.C, it would be difficult for me to talk to a physician that was working in California. And a lot of these things ultimately put barriers of constraint on the ability for these innovations to really take hold. And so this is happening with telehealth and if you if you read a lot of statistics from the Institute of Medicine, for example, they talk a lot about how innovations really take from end to end, usually on average 17 years to see full widespread kind of adoption and integration. Now 17 years is too long, and there's a lot of literature that talks about cutting that cycle down. But just what it's important to remember is that as you're out brainstorming and thinking about the opportunities for new solutions and ways in which technology and data can improve our health care system. Just remember that we're still in early innings and we have a long road ahead, but there are a lot of things that we can do to address each of these three factors to make the cycle more rapid and accelerate our rate of innovation and adoption
