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Stewart Gandolf
Hello, everybody. Welcome to our podcast once more in the present day. Immediately, I’m really interviewing a very long time good friend that we have interviewed years and years in the past and have interviewed over time.

And as I used to be fascinated by friends for this yr, I believed I ought to return to a few of my favorites from the previous.

So Dennis, thanks for becoming a member of us in the present day. Dennis is the System Vice President of Technique and Planning for UW Well being.

Welcome, Dennis.

Dennis Jolley – UW Well being (he/him)

Hello, Stuart. Thanks for having me again.

Stewart Gandolf

Sure, after all. So in the present day, I might like to begin off simply by should you may, as a result of our listeners might not keep in mind from the final time you and I’ve interviewed, plus your careers change fairly a bit.

I imply, the world has modified quite a bit since then. So inform us about your present position at UW Well being and catch us up on what you are doing as of late.

Dennis Jolley – UW Well being (he/him)

So I got here to College of Wisconsin Well being right here in Madison two and a half years in the past, System Vice President for Technique and Planning.

Our technique workplace has duty for, clearly, the strategic plan, in addition to enterprise planning, the system portfolio, and portfolio administration, after which enterprise improvement capabilities.

My space is de facto centered on the technique planning portfolio facet of the technique workplace, so figuring out the priorities for the group, guiding the group by way of the technique course of, prioritization of initiatives, and attending to work into the system portfolio and the planning essential decide what sources can be required and the best way to deploy these sources.

Stewart Gandolf

So that may be a, I feel, very thrilling and attention-grabbing job as of late, proper, healthcare is altering a lot, so quick.

Dennis Jolley – UW Well being (he/him)

It is a difficult job as of late. It’s thrilling, but it surely’s additionally difficult. Quite a lot of educational methods, UW, shouldn’t be distinctive on this, are overwhelmed proper now, you already know, with sufferers due to the affect of different elements within the setting, the broader setting.

So, yeah, it is an attention-grabbing place as of late.

Stewart Gandolf

So I need to dive proper into that in only a second, however inform us in regards to the assist catches up on the dimensions of UW Well being and among the, you already know, do you might have owned clinics, do you might have, there’s all educational, like a little bit bit extra about the usual platform of suppliers, simply so I’ve nowhere to begin.

Dennis Jolley – UW Well being (he/him)

Yeah, so we’re primarily based right here in Madison, Wisconsin, affiliated with the College Wisconsin, clearly, and the educational well being system right here.

We’re about, round a $6 billion enterprise. We’ve got three hospitals in Madison that we personal and function. College Hospital, American Household Youngsters’s Hospital, and East Madison Hospital.

We additionally function one other hospital by way of a JOA with UnityPoint Well being, the Mariner Hospital, after which we personal a community-based, small community-based hospital system in Northern Illinois, nearly an hour south of us, Northwestern Illinois, in Rockford, UW to be helped Northern Illinois is our division down there.

So we actually have two core markets, after which we have now a broad array of clinics all through the area, principally in Wisconsin, however not completely additionally in Northern Illinois.

Stewart Gandolf

Obtained it. Okay, that is about what I believed. So let’s discuss a few of these challenges. I feel the central challenge we’ll discuss in the present day is entry, and you already know, I feel use the phrase overwhelmed second in the past.

Give us a way of among the challenges you guys are going through in the present day.

Dennis Jolley – UW Well being (he/him)

Yeah, you already know, I feel it is a important variety of elements which have created the scenario that we’re in and the opposite, another methods are in.

The approaching out of the pandemic, you already know, we have been heading into the pandemic with a oncoming scarcity of healthcare suppliers anyway, because of the expertise cliff that we have been heading with retiring child boomers and are the truth that we had a broad system we weren’t producing sufficient to switch all of them.

The pandemic definitely accelerated that to a sure extent by pushing some individuals to essentially retire or to go away healthcare as a result of it was a tough time to be a healthcare supplier.

And among the challenges that have been, you already know, leg bear within the pandemic did not go away. However because the pandemic type of eased by way of.

And you then add on high of that the challenges the agricultural well being methods have confronted financially and with lack of suppliers, which has contributed their monetary challenges, has actually put a pressure on plenty of bigger methods.

Finance, the agricultural methods, plenty of closing. um or having to shut companies and people sufferers must go someplace.

Um, not all rural hospitals are a horny, you already know, acquisition for bigger methods due to the associated fee concerned. So, you already know, we have had methods which can be our hospitals which have closed in our area that, you already know, blast this.

Properly, why do not you guys simply take them over? And in some circumstances, it is a scenario of declining inhabitants, deferred upkeep, debt, regardless of the mixture is, you already know, not all rural, rural hospitals are doing properly and never all rural hospitals are essentially a horny acquisition for a bigger system.

However these sufferers nonetheless want and deserve care. And so the query is how do you help these environments and people sufferers with out all of them having to come back to, you already know, into the bigger methods?

So, for us, it has resulted in a extremely important improve in demand, and we’re struggling, actually, to satisfy all of that, and so plenty of our methods have been centered on how can we create alternatives to ship care, how can we enhance entry, and ship the care to everybody who wants it?

Stewart Gandolf

That most likely is sensible. I imply, the problem in rural well being care is, you already know, huge and looming and it is attention-grabbing, Dennis, we labored a short while with, I am unsure should you guys cooperate with them or not, however Homeward.

Their concept was, as a brand new enterprise capital-based firm, was to ship kind of home calls by way of, you already know, most of nurse practitioners and PAs, whether or not it is them or some other mannequin.

Do you see that as a viable possibility transferring ahead with you already know, firms which can be simply inside your personal system to attempt to convey, you already know, home calls out earlier than individuals get sicker?

I do not know if that is it or if its too quickly.

Dennis Jolley – UW Well being (he/him)

Our method proper now’s all the things is on the desk for consideration when it comes to each potential supply methodology. In order that’s going to incorporate digital in-home and, you already know, in-person.

And it is acquired to additionally embrace each kind of service we have to supply. We ask ourselves, is that this one thing we construct ourselves?

Is that this one thing we purchase from somebody or is that this one thing we do in partnership with somebody? And so we have now to we have now to think about all choices as a result of, you already know, I feel it is unrealistic for any system, even the massive ones, to have the ability to simply say we are able to do that all ourselves.

Stewart Gandolf

Yeah, there’s a lot on the market. I imply, it is once more, you are not alone with this downside and also you guys are a revered establishment.

It’s attention-grabbing what you simply stated in regards to the, I can definitely see that, not each localized hospital is an efficient one, proper? To have the ability to simply kind of choose up. And that brings even should you did. the executive and the administration and all these issues are actual, proper?

Dennis Jolley – UW Well being (he/him)

Yeah

Stewart Gandolf

It is actual. Properly, so the concept, let’s, you already know, another fashions that, you already know, that I, after I’m speaking to good individuals such as you that come up, clearly telehealth has some promise in some methods.

And definitely, you already know, after I suppose again about, you already know, I do not know should you discover about me, Dennis, however you already know, for years, I spent was on the street educating, you already know, advertising and marketing to practitioners, together with individuals in rural areas.

Dennis Jolley – UW Well being (he/him)

yeah, I do not forget that.

Stewart Gandolf

Yeah, so that you are available for a surgical procedure, after which you must come again for comply with up and drive for a extra mile, for extra hours of no matter.

So for routine stuff, I feel telehealth goes to work. Not everyone’s, you already know, embracing it as we all know, you even have a distant affected person monitoring.

And you already know, we talked about home calls, different fashions. I am curious, going again to the telehealth and the distant monitoring, is that taking a chew out of the issue?

I imply, I feel as you guys go ahead I am guessing it’s serving to, but it surely’s not sufficient, however I am curious what you suppose.

Dennis Jolley – UW Well being (he/him)

It’s serving to and it’ll assist increasingly more as each we get higher at it as a system and because the broader well being system will get higher at coping with it when it comes to fee fashions and that kind of factor.

, it’s a follow shift, but it surely’s additionally an operational and monetary shift to handle. So, to your instance of, you already know, you might have a surgical procedure and you must comply with up, you actually must drive that, you already know, three or 4 hours such as you stated, again to see how the surgeon do it, or may you go to your major care supplier and your major care supplier has obtained info from the surgeon and is aware of what to test for or you might have a digital seek the advice of whilst you’re in your major care physician with the surgeon, and your major care physician to say, that is what we’re searching for, how is affected person doing with X, Y, and Z.

And let that affected person do it of their dwelling neighborhood. There’s issues like that. The distant affected person monitoring is definitely useful.

It is best when it appears to be finest utilized when it is tied to one thing like dwelling well being, you already know, and it is handiest in like hospital at properties, at-home type of conditions.

However we have now to get higher and higher at how does that info from the distant affected person monitoring gadgets, how is it used, how is it acted upon, how does it drive care enchancment?

Stewart Gandolf

Yeah, I can see the infrastructure of all this, proper, how that knowledge goes round, how do you handle it, how does that match with all the things else you do, you already know, by the way in which, your medical doctors are all very, very busy.

So that you’re type of like fixing the airplane whereas it is flying, proper?

Dennis Jolley – UW Well being (he/him)

Completely. for issues like, you already know, hospital at dwelling, for instance, which can be a nice possibility for some individuals.

However for many hospitals at dwelling, you already know, applications, the affected person has to reside inside a sure distance, cannot reside past a sure distance from the hospital.

As a result of if issues go south, they are going to should be admitted, get into the hospital. And so, you already know, there’s all kinds of challenges round extending these into rural environments particularly.

Stewart Gandolf

Do you are feeling like, you already know, it is humorous, I have been the entire AI, which is the subject of each convention I’m going to currently.

However I’ve heard, I have not dug into this very deeply, that there are some pilots going round the place AI actually is doing a great job of diagnosing and having the ability to be part of the group.

if we’re fascinated by extending care, and I discuss this to kind of, you already know, non-healthcare buddies. What is going on on in well being care?

It is like, properly, you might have MPs. PAs and you’ve got physician shortages and you’ve got this and that, however do you are feeling like AI that it is not prepared but due to an entire bunch of points together with you already know security and you already know the dearth of being confirmed and Reimbursement and all that however can that be a part of the answer for routine stuff to assist establish

Dennis Jolley – UW Well being (he/him)

I feel it is gonna must be I feel as these algorithms get extra Environment friendly and extra dependable.

They’re really already fairly dependable and so they do actually assist Physicians diagnose extra rapidly and extra precisely And I feel that we’re gonna see large developments Within the coming years as this continues to develop, you already know, I imply proper now If you consider it a doctor You go get an MRI and also you get a lab report and people go as separate reviews into your medical file And the physician has to have a look at each and type of attempt it

you already know, piece it collectively. , I may see some extent within the not too distant future the place these type of reviews and checks all come into an AI device that appears for various patterns after which makes suggestions to a doctor when it comes to what a probable analysis could be or what a probable, you already know, acceptable remedy pathway could be.

Stewart Gandolf

Yeah that is thrilling as a result of, you already know, we’re all nonetheless people and everyone’s busy and there are biases, proper? Individuals might miss one thing.

so the concept of not less than, I really feel way more comfy if I am going by way of this course of as a affected person that the physician remains to be in cost, remains to be quarterbacking, however utilizing the instruments, then I really feel really perhaps higher, proper?

Dennis Jolley – UW Well being (he/him)

I feel, I do not see this attending to the purpose the place AI is doing the analysis and remedy plans independently, however I feel that they’ll make physicians considerably extra environment friendly.

And take workload off of the physicians the place the physicians are trying on the suggestions from the AI and type of saying Does this appear to suit with what I’ve seen within the affected person and that transferring ahead from there?

Stewart Gandolf

Yeah, I imply the It is attention-grabbing as a result of going again to pandemic when you already know Well being care as we all know, Dennis, is not well-known for being transferring quick and coordinating The however throughout pandemic we instantly telehealth went from like we will not do it and all of the the reason why we will not do it And all the rationale why I will not to suddenly everyone’s doing telehealth in a matter of weeks Seeing hundreds of thousands of sufferers and so this facet of it I am curious there may be not that singular occasion of a pandemic forcing change which simply there isn’t any different various proper however with the AI and a few of these different issues we’re speaking about I really feel Just like the demand goes to be so overwhelming that it simply has to work like we do not have to consider you already know, it’s vital.

Dennis Jolley – UW Well being (he/him)

So we all know that American healthcare is simply too costly, arduous to get into, and irritating for sufferers. I imply, it’s.

And it is unlucky. Obtained to search out methods to make it potential for individuals to entry care extra effectively, and at a decrease value.

So, you already know, for these sufferers for whom lively administration is critical to establish them earlier and supply them help in an environment friendly means once more.

And that is the place all of those instruments are going to turn out to be probably the most useful is figuring out a affected person who’s a rising threat earlier than they turn out to be a complete medical prepare wreck.

And, you already know, to raised handle these prices and their well being and their well-being.

Stewart Gandolf

So let’s discuss that a little bit bit. concept of value-based care. You simply stated, you already know, after we began taking a look at value-based care extra broadly on the population-side inhabitants well being, like how can we maintain individuals out of the hospital?

And this can be a basic space factor in rural healthcare, proper? You might have individuals which can be, it is arduous to get care anyway.

And never everyone is, you already know, tremendous inclined to deal with their well being. So, you already know, how does that change?

Like, how are you going to try this? What are you guys planning is working? Like, and is it, is it grassroots?

Is it electronic mail? Is it mailings? Is it simply ensuring your medical doctors are speaking about this to sufferers once they see them?

As a result of that is, you already know, that is an enormous problem. And I am curious, like, what steps are you able to guys take to assist on that?

Dennis Jolley – UW Well being (he/him)

Yeah, so in our present technique, we have now three key areas. name them our strategic imperatives. And one in all them is value-creating care.

And we deliberately… made the selection of not saying value-based care. And that is as a result of value-based care is a fee mannequin.

It isn’t a care mannequin. It’s not about, it is not patient-focused, it is how do I get reimbursed-focused, proper? It is payment-focused.

So for us, we wished to consider it when it comes to worth creation. And value-creating care is about what’s the worth to the affected person, what’s the worth to the payer, and what’s the worth to these concerned in delivering care.

As a result of I feel should you focus solely on the fee mannequin, it is not gonna work. What we have now to do is we have now to, and your query was actually about how can we have interaction the sufferers, proper?

So how can we establish when, you already know, when it comes to offering individuals with care that’s acceptable for the place they’re of their life, of their life and what they want.

When you’re a 20-something or one thing you are previous who’s wholesome and does not must see a health care provider often, does not have important medical considerations, how can we offer you the care and the data that helps you establish if you do must see a health care provider and do you want a selected major care supplier that is your individual or do you simply want to have the ability to get entry out of your care system and know that if there’s one thing that triggers or elevating threat concern that then you’re going to get assigned any person that will help you handle that and it could not must be a doctor.

It might be an NP, it might be a nurse, it might be a pharmacist, might be a nutritionist, might be numerous issues relying on what it’s you are in danger for the, so how can we assist individuals get the preventive care, and the you already know, minor acute care that they want in an environment friendly means that builds belief and in addition handle it, retains prices down. And so it is actually round worth creation.

It is creating a number of care fashions {that a} affected person can journey by way of primarily based on their particular person wants.

Stewart Gandolf

That is fascinating and it is actually attention-grabbing you stated nutritionists there. So you might have lifelong habits which can be forming in your 20s.

So even then it is quite a bit simpler to deal with issues for you keep away from weight problems and diabetes by way of life planning than elsewhere.

Dennis Jolley – UW Well being (he/him)

And it is about delivering care in a different way than we used to. You harm your self enjoying soccer on the weekend or no matter.

And previously you’d go to the fourth huge surgeon. Proper? Surgeons are actually costly. And more often than not you do not want surgical procedure.

So perhaps it is best to go see a bodily therapist first for any musculoskeletal stuff, until it is an apparent break or no matter, proper? Proper.

Stewart Gandolf

So, going, I am sorry.

Dennis Jolley – UW Well being (he/him)

Nope. And it is the identical kind of factor if you’re fascinated by simply even normal considerations, you already know, you might have a rash that pops up, do you actually need to see a dermatologist or can you’re taking an image of it and ship it to your major care supplier who has a, you already know, most dermatology is visible.

So, plenty of that may be carried out just about, and it may be carried out asynchronously or, you already know, reside. There’s plenty of other ways we are able to ship care now with the expertise and stuff that we have now that’s much more environment friendly than the way in which we have, quote unquote, all the time carried out it.

Stewart Gandolf

So, that is…

Dennis Jolley – UW Well being (he/him)

And that does not must be much less private. Individuals suppose it is not private. It will probably nonetheless be private.

Stewart Gandolf

So, I like that resourcefulness you simply talked about… So, for instance, the PTs with direct entry states the place individuals can go to a PT straight versus having to get a script.

After which right here in California now, I imagine it is, everyone needs to be a DPT, Director of Bodily Remedy, however that is one thing that, you benefit of the PT community out there’s a means of increasing, that is resourceful.

I am curious, how are you going to combine, and I am assuming this can be a precedence for you, however I do not know, the native major care suppliers which can be out within the countryside, do you guys have formal applications, and as you begin re-imagining well being care with them, you already know, are you attempting to have interaction them, and I am assuming a few of them are engaged than others.

you already know, will not simply maintain doing the identical stuff they’ve all the time carried out, however inform us about that.

Dennis Jolley – UW Well being (he/him)

you already know, we are inclined to work extra with both bigger practices or hospitals all through the area than one of many particular person physicians, however what we actually try to do is, as a tutorial medical middle, say, how can we finest help your follow in order that your sufferers do not have to go away your follow and your city and your system to obtain nearly all of their care?

So is that by way of offering supplier to supplier consults as wanted? Is it by way of you already know, supporting that native hospital with EICU help, you already know, that kind of factor.

Typically we and physicians out within the old style outreach clinic type of mannequin nonetheless too, however solely in these conditions the place it actually is sensible each for the supplier that we’re sending there locally with their wants.

Stewart Gandolf

In order that is sensible. So going again to participating sufferers. Some persons are way more kind of self-advocating than others.

Some individuals could be in the event that they knew the best way to. Some individuals do not know the way. Some individuals do not actually care. Have you ever discovered any secret sauce right here?

Or is it simply plenty of work? Like, how do you get individuals to have interaction, um, you already know, um, or what are among the huge challenges you have seen, simply in a perhaps it’s simply inertia or ought to they’re used to doing issues a sure means?

Dennis Jolley – UW Well being (he/him)

I feel the, the one secret sauce is giving numerous choices and serving to individuals to grasp what these choices are and why they could choose them I feel Kaiser really does this rather well the place should you name for an appointment, they are saying, properly, I can get you a digital care, I can get you a digital care, you already know, relying on what you are what you are calling for, proper?

But when it is an acceptable situation, they will say, can get you a digital care in the present day, I can get you in with an APP subsequent week, and I can get you in with a health care provider and three in, you already know, a month and a half.

And here is the value distinction between them, which one would you like, proper? Giving healthcare has by no means been good about giving sufferers the data.

to be extra engaged and take extra possession of their well being. Well being care historically has been a, I am the knowledgeable, I’ll let you know how this needs to be carried out greater than, let me have interaction you in supplying you with info so that you could decide about the way you’re cared for.

Stewart Gandolf

That is sensible. And that is, that is overdue, however superior. can see how that will work rather well. The, one other query I’d have going again to one thing else, stated a couple of minutes in the past, like bringing different choices, for instance, seeing the PT, you already know, you might have the sufferers to teach them, however the medical doctors additionally, you already know, particularly in the event that they’re in a follow, they have been doing a sure factor a sure means for a very long time.

Even when they need to cooperate, there’s habits, proper? So proper on this evaluation retailer is doing this occurs and I try this.

And if they do not even give it some thought. As a result of it’s so pure. In order you guys take into consideration the longer term, are there methods of simply frequently educating medical doctors at scale, whether or not they’re in your community or out to assist simply reinforce a few of these new concepts?

As a result of I may see it is like even when they need to take part, the uncooked human, it is like simple simply to do that factor we have all the time carried out.

Dennis Jolley – UW Well being (he/him)

Yeah, and physicians are extremely busy too, however physicians need to be working towards on the high of their license. They need healthcare suppliers typically need to be extra on the high of their license.

They need to be environment friendly. They do not need to be seeing sufferers. They needn’t see. A surgeon does not, you already know, an orthopedic surgeon does not need to see 10 sufferers who do not want his companies after which say, properly, you already know, all you want is bodily remedy or all you want is that, you already know, they do not they do not need to try this.

They do it however that is what they’ve carried out previously. However should you give them a means that claims,

we’ll take that off your plate. I am unable to consider a time after I’ve had a doctor say no, I do not need I need to maintain doing it the way in which I’ve if you give them a extremely genuinely helpful possibility.

Stewart Gandolf

That is such an insightful name as a result of I am simply considering again to all of the medical doctors I’ve labored with previously and the concept that okay that is what you are actually you already know particularly in the present day once they’re type of I am an administrator I do not need to be a administrator proper even clinically proper to have the ability to say okay you already know I am a surgeon I keep in mind as soon as I used to be only a particular physician and he is like no I am a surgeon I do surgical procedure you already know you did not need to do that different stuff and so or you already know a basic case of you already know I keep in mind excessive upkeep emotionally sufferers and the physician admitting to me like I do not need these sufferers and it is like okay as a substitute of attempting to not a foul match for each side get you already know psychological care or no matter.

Nonetheless, to be a part of the equation, that is sensible.

Dennis Jolley – UW Well being (he/him)

That is one other nice instance as a result of behavioral well being, psychological well being is an space that we have now an issue with in the USA.

We do not have suppliers, there’s unimaginable demand. What we did right here is we have now embedded behavioral well being, psychological well being suppliers inside all of our major care settings.

When you are available for any type of major care appointment, digital or in-person, we do a fast screening. When you get a sure rating, the supplier you are speaking with, whether or not it is an NP or a doctor, can probe and say, you appear to be experiencing plenty of anxiousness, is that one thing you want some assist with?

We will get them related with major care, with behavioral well being, psychological well being, in that very same go to to provoke an intervention, a short-term intervention as a result of lots of people simply want

you already know, assist getting over a hump or then in some circumstances, you already know, the psychological well being supplier identifies a extra important challenge.

However that type of factor additionally takes a load, you already know, sure, we’re asking them to provoke dialog, but it surely does really take a load off of the first care supplier to know that that useful resource is out there proper there.

Stewart Gandolf

That is nice. , and I’d assume you might have your neighborhood is a good variety of Medicare sufferers, a good variety of Medicaid, mandula-eligible, something particular you have realized about, you already know, to service these populations properly and, you already know, and is the home that evolving?

Dennis Jolley – UW Well being (he/him)

, for the Medicare or Medicaid?

Stewart Gandolf

Sorry, I all the time stated each, actually, it is like medically take separately to make it simple

Dennis Jolley – UW Well being (he/him)

For the medicare inhabitants, you already know, the expansion in medicare benefit plans, that are doubtless.

going to increase much more right here within the coming years, I feel. It is actually about proactive administration and guaranteeing that you simply get them in, you already know, complete annual wellness exams, that kind of factor, and ensuring that, you already know, that you simply’re capable of join them with a group of individuals.

And once more, that is about educating the affected person that you do not all the time must see Dr. Jones as a result of Dr. Jones has all these individuals in Dr. Jone workplace who work with him to help you. So perhaps what you want is an everyday check-in with the pharmacist, perhaps what you want is an everyday check-in with the nutritionist, perhaps what you want is an everyday check-in from dwelling well being, you already know, or, you already know, that kind of factor.

We have additionally expanded our major care at dwelling mannequin for these sufferers for whom leaving the house is difficult, to make it potential in order that they’ll obtain major care visits within the dwelling, and that is fairly vital for that inhabitants as properly.

Medicaid, it is actually round accessing and guaranteeing that they are getting the care as a result of a lot of the people on Medicaid, there is a motive for being on Medicaid and needing these companies and so figuring out how we are able to finest attain out to them.

It is a problem, I haven’t got a single reply to that query, however definitely getting them to have interaction with you in that simply annual type of test in test up is essential as a result of that is that makes the flows that all the things else flows from.

Stewart Gandolf

So we have talked in the present day about plenty of issues. The and entry is the important thing challenge after all for the belongings you’re going through.

Are there any companies that you simply nonetheless need to do extra of? Are there any companies that you do not have sufficient entry or you might have entry that you simply really feel like can actually assist or is that simply such a second precedence you guys aren’t fascinated by as of late?

Dennis Jolley – UW Well being (he/him)

No, we’re. imply, definitely, as a tutorial medical middle, we’re persevering with to push the boundaries and attempting to consider what is the subsequent.

What’s subsequent? And we’re definitely leaders in various areas, you already know, for us oncology and strong organ transplant, neurosciences, you already know, there are a variety of areas like that that we proceed to steer in and that we have now a duty to essentially present, you already know, the upper degree companies for your complete area.

And so we proceed to push in these areas and we simply, you already know, proceed to advance the sector. For instance among the, you already know, quote unquote, ancillary areas or our physicians do not prefer it after we use that time period, however, you already know,

imaging, advancing imaging and pathology, like I stated, these are type of integrating how we’re fascinated by new next-generation therapeutics.

The biologics, cell therapies, gene therapies, these kinds of issues are definitely vital as properly. So we’re not dialing again due to the entry crash.

We really suppose a few of these issues are going to be vital to how we offer entry sooner or later.

Stewart Gandolf

Is smart. So a few questions extra earlier than we wrap up. I am curious, simply from the advertising and marketing standpoint, as a result of this can be a totally different type of a scenario you have been previously, proper?

So broadly talking, you to share all the things about your advertising and marketing plan, however like how does a system like yours, you already know, market to sufferers, market to medical doctors, and the way does that evolve in altering over time?

Dennis Jolley – UW Well being (he/him)

Yeah, paradoxically, I simply had my month-to-month check-in with our Chief Advertising Officer simply instantly earlier than this name. And, you already know, for us, it is throughout that personalization.

, it is about utilizing expertise like a CRM to increase the personalization of the care that we’re attempting to offer and translating that into the data the affected person receives.

It isn’t, you already know, we used to fifteen, 20 years in the past, you’d, you already know, do a publication or journal or one thing that simply everyone acquired the identical factor.

And now we do not try this. actually goal the messaging round ways in which, you already know, have to advertise prevention, self-care, and serving to sufferers know when they need to have interaction with us primarily based on their very own profile.

Stewart Gandolf

Excellent. Something we must always have talked about in the present day, this can be a lot. This has been, that is enjoyable and insightful as I knew it could be.

Something you suppose we needs to be speaking about that, know, perhaps about the place well being care is and the place you guys are going from a strategic degree?

Dennis Jolley – UW Well being (he/him)

, I feel it’ll be a really attention-grabbing decade forward of us in well being care. We have got to get entry affordability Each type of beneath management at a systemic degree, and I imply do not imply you to be well being system I imply you already know nationwide system.

I feel every system every, you already know every of us is attempting to new issues and Persevering with to study and share by way of you already know venues like this and others Is actually vital as a result of we have now to proceed to get higher at this It’s a necessity for the well being of the nation and the person sufferers and the well being of our methods.

Stewart Gandolf

So it is attention-grabbing that you have had one other perception.

love which is you already know, I feel Reimbursement drives this a lot that typically we do not I see it. The way it’s being considered from a reimbursement viewpoint.

And the, you already know, well being care has had its challenges and definitely not too long ago, however, you already know, for the final, you already know, X variety of years, growing kind of the, I suppose, the strain.

And one factor that I’ve all the time talked about for years is that, you already know, no one would design the system that we have now in the present day from scratch like this, proper?

No one would simply say, let’s do that. Let’s go whiteboard the way it’s all going to work.

Dennis Jolley – UW Well being (he/him)

Yeah. It is probably the most rubed Goldberg of all methods in an air nation, you already know.

Stewart Gandolf

So yeah. So how do you, you already know, it is actually tough as a result of you might have, no one likes it, however then everyone has an curiosity for the way in which it’s, proper?

So it is, it is actually tough to make substantive change. However I really feel just like the strain is a lot that we’ll simply must determine it out.

Dennis Jolley – UW Well being (he/him)

Yeah. Precisely.

Precisely. And there are, there are actually good, there are some actually, actually good vibrant spots on the market too. There’s plenty of challenges, however there are plenty of actually good individuals in well being care throughout this nation and good organizations who’re attempting new issues and who’re making actually good progress in enhancing care and enhancing effectivity.

And that is why I feel sharing these classes realized so that folks can attempt it of their neighborhood and see what works you already know as a result of each neighborhood is a little bit bit totally different, however lots of people are fairly most likely relevant.

Stewart Gandolf

Nice Dennis, nice job in the present day as I anticipated. It has been actually enjoyable reconnecting.

Dennis Jolley – UW Well being (he/him)

Yeah, I had a extremely nice time speaking with you.

Stewart Gandolf

I invite you any time you might have some information you need to share that you simply suppose is useful to you already know the broader viewers.

You are all the time welcome again so consider us as you already know another microphone to get the phrase out. Thanks once more, I admire it.

Dennis Jolley – UW Well being (he/him) Thanks. Thanks. Nice to speak to you

Learn the Full Transcript

Stewart Gandolf
Hello, everybody. Welcome to our podcast once more in the present day. Immediately, I’m really interviewing a very long time good friend that we have interviewed years and years in the past and have interviewed over time.

And as I used to be fascinated by friends for this yr, I believed I ought to return to a few of my favorites from the previous.

So Dennis, thanks for becoming a member of us in the present day. Dennis is the System Vice President of Technique and Planning for UW Well being.

Welcome, Dennis.

Dennis Jolley – UW Well being (he/him)

Hello, Stuart. Thanks for having me again.

Stewart Gandolf

Sure, after all. So in the present day, I might like to begin off simply by should you may, as a result of our listeners might not keep in mind from the final time you and I’ve interviewed, plus your careers change fairly a bit.

I imply, the world has modified quite a bit since then. So inform us about your present position at UW Well being and catch us up on what you are doing as of late.

Dennis Jolley – UW Well being (he/him)

So I got here to College of Wisconsin Well being right here in Madison two and a half years in the past, System Vice President for Technique and Planning.

Our technique workplace has duty for, clearly, the strategic plan, in addition to enterprise planning, the system portfolio, and portfolio administration, after which enterprise improvement capabilities.

My space is de facto centered on the technique planning portfolio facet of the technique workplace, so figuring out the priorities for the group, guiding the group by way of the technique course of, prioritization of initiatives, and attending to work into the system portfolio and the planning essential decide what sources can be required and the best way to deploy these sources.

Stewart Gandolf

So that may be a, I feel, very thrilling and attention-grabbing job as of late, proper, healthcare is altering a lot, so quick.

Dennis Jolley – UW Well being (he/him)

It is a difficult job as of late. It’s thrilling, but it surely’s additionally difficult. Quite a lot of educational methods, UW, shouldn’t be distinctive on this, are overwhelmed proper now, you already know, with sufferers due to the affect of different elements within the setting, the broader setting.

So, yeah, it is an attention-grabbing place as of late.

Stewart Gandolf

So I need to dive proper into that in only a second, however inform us in regards to the assist catches up on the dimensions of UW Well being and among the, you already know, do you might have owned clinics, do you might have, there’s all educational, like a little bit bit extra about the usual platform of suppliers, simply so I’ve nowhere to begin.

Dennis Jolley – UW Well being (he/him)

Yeah, so we’re primarily based right here in Madison, Wisconsin, affiliated with the College Wisconsin, clearly, and the educational well being system right here.

We’re about, round a $6 billion enterprise. We’ve got three hospitals in Madison that we personal and function. College Hospital, American Household Youngsters’s Hospital, and East Madison Hospital.

We additionally function one other hospital by way of a JOA with UnityPoint Well being, the Mariner Hospital, after which we personal a community-based, small community-based hospital system in Northern Illinois, nearly an hour south of us, Northwestern Illinois, in Rockford, UW to be helped Northern Illinois is our division down there.

So we actually have two core markets, after which we have now a broad array of clinics all through the area, principally in Wisconsin, however not completely additionally in Northern Illinois.

Stewart Gandolf

Obtained it. Okay, that is about what I believed. So let’s discuss a few of these challenges. I feel the central challenge we’ll discuss in the present day is entry, and you already know, I feel use the phrase overwhelmed second in the past.

Give us a way of among the challenges you guys are going through in the present day.

Dennis Jolley – UW Well being (he/him)

Yeah, you already know, I feel it is a important variety of elements which have created the scenario that we’re in and the opposite, another methods are in.

The approaching out of the pandemic, you already know, we have been heading into the pandemic with a oncoming scarcity of healthcare suppliers anyway, because of the expertise cliff that we have been heading with retiring child boomers and are the truth that we had a broad system we weren’t producing sufficient to switch all of them.

The pandemic definitely accelerated that to a sure extent by pushing some individuals to essentially retire or to go away healthcare as a result of it was a tough time to be a healthcare supplier.

And among the challenges that have been, you already know, leg bear within the pandemic did not go away. However because the pandemic type of eased by way of.

And you then add on high of that the challenges the agricultural well being methods have confronted financially and with lack of suppliers, which has contributed their monetary challenges, has actually put a pressure on plenty of bigger methods.

Finance, the agricultural methods, plenty of closing. um or having to shut companies and people sufferers must go someplace.

Um, not all rural hospitals are a horny, you already know, acquisition for bigger methods due to the associated fee concerned. So, you already know, we have had methods which can be our hospitals which have closed in our area that, you already know, blast this.

Properly, why do not you guys simply take them over? And in some circumstances, it is a scenario of declining inhabitants, deferred upkeep, debt, regardless of the mixture is, you already know, not all rural, rural hospitals are doing properly and never all rural hospitals are essentially a horny acquisition for a bigger system.

However these sufferers nonetheless want and deserve care. And so the query is how do you help these environments and people sufferers with out all of them having to come back to, you already know, into the bigger methods?

So, for us, it has resulted in a extremely important improve in demand, and we’re struggling, actually, to satisfy all of that, and so plenty of our methods have been centered on how can we create alternatives to ship care, how can we enhance entry, and ship the care to everybody who wants it?

Stewart Gandolf

That most likely is sensible. I imply, the problem in rural well being care is, you already know, huge and looming and it is attention-grabbing, Dennis, we labored a short while with, I am unsure should you guys cooperate with them or not, however Homeward.

Their concept was, as a brand new enterprise capital-based firm, was to ship kind of home calls by way of, you already know, most of nurse practitioners and PAs, whether or not it is them or some other mannequin.

Do you see that as a viable possibility transferring ahead with you already know, firms which can be simply inside your personal system to attempt to convey, you already know, home calls out earlier than individuals get sicker?

I do not know if that is it or if its too quickly.

Dennis Jolley – UW Well being (he/him)

Our method proper now’s all the things is on the desk for consideration when it comes to each potential supply methodology. In order that’s going to incorporate digital in-home and, you already know, in-person.

And it is acquired to additionally embrace each kind of service we have to supply. We ask ourselves, is that this one thing we construct ourselves?

Is that this one thing we purchase from somebody or is that this one thing we do in partnership with somebody? And so we have now to we have now to think about all choices as a result of, you already know, I feel it is unrealistic for any system, even the massive ones, to have the ability to simply say we are able to do that all ourselves.

Stewart Gandolf

Yeah, there’s a lot on the market. I imply, it is once more, you are not alone with this downside and also you guys are a revered establishment.

It’s attention-grabbing what you simply stated in regards to the, I can definitely see that, not each localized hospital is an efficient one, proper? To have the ability to simply kind of choose up. And that brings even should you did. the executive and the administration and all these issues are actual, proper?

Dennis Jolley – UW Well being (he/him)

Yeah

Stewart Gandolf

It is actual. Properly, so the concept, let’s, you already know, another fashions that, you already know, that I, after I’m speaking to good individuals such as you that come up, clearly telehealth has some promise in some methods.

And definitely, you already know, after I suppose again about, you already know, I do not know should you discover about me, Dennis, however you already know, for years, I spent was on the street educating, you already know, advertising and marketing to practitioners, together with individuals in rural areas.

Dennis Jolley – UW Well being (he/him)

yeah, I do not forget that.

Stewart Gandolf

Yeah, so that you are available for a surgical procedure, after which you must come again for comply with up and drive for a extra mile, for extra hours of no matter.

So for routine stuff, I feel telehealth goes to work. Not everyone’s, you already know, embracing it as we all know, you even have a distant affected person monitoring.

And you already know, we talked about home calls, different fashions. I am curious, going again to the telehealth and the distant monitoring, is that taking a chew out of the issue?

I imply, I feel as you guys go ahead I am guessing it’s serving to, but it surely’s not sufficient, however I am curious what you suppose.

Dennis Jolley – UW Well being (he/him)

It’s serving to and it’ll assist increasingly more as each we get higher at it as a system and because the broader well being system will get higher at coping with it when it comes to fee fashions and that kind of factor.

, it’s a follow shift, but it surely’s additionally an operational and monetary shift to handle. So, to your instance of, you already know, you might have a surgical procedure and you must comply with up, you actually must drive that, you already know, three or 4 hours such as you stated, again to see how the surgeon do it, or may you go to your major care supplier and your major care supplier has obtained info from the surgeon and is aware of what to test for or you might have a digital seek the advice of whilst you’re in your major care physician with the surgeon, and your major care physician to say, that is what we’re searching for, how is affected person doing with X, Y, and Z.

And let that affected person do it of their dwelling neighborhood. There’s issues like that. The distant affected person monitoring is definitely useful.

It is best when it appears to be finest utilized when it is tied to one thing like dwelling well being, you already know, and it is handiest in like hospital at properties, at-home type of conditions.

However we have now to get higher and higher at how does that info from the distant affected person monitoring gadgets, how is it used, how is it acted upon, how does it drive care enchancment?

Stewart Gandolf

Yeah, I can see the infrastructure of all this, proper, how that knowledge goes round, how do you handle it, how does that match with all the things else you do, you already know, by the way in which, your medical doctors are all very, very busy.

So that you’re type of like fixing the airplane whereas it is flying, proper?

Dennis Jolley – UW Well being (he/him)

Completely. for issues like, you already know, hospital at dwelling, for instance, which can be a nice possibility for some individuals.

However for many hospitals at dwelling, you already know, applications, the affected person has to reside inside a sure distance, cannot reside past a sure distance from the hospital.

As a result of if issues go south, they are going to should be admitted, get into the hospital. And so, you already know, there’s all kinds of challenges round extending these into rural environments particularly.

Stewart Gandolf

Do you are feeling like, you already know, it is humorous, I have been the entire AI, which is the subject of each convention I’m going to currently.

However I’ve heard, I have not dug into this very deeply, that there are some pilots going round the place AI actually is doing a great job of diagnosing and having the ability to be part of the group.

if we’re fascinated by extending care, and I discuss this to kind of, you already know, non-healthcare buddies. What is going on on in well being care?

It is like, properly, you might have MPs. PAs and you’ve got physician shortages and you’ve got this and that, however do you are feeling like AI that it is not prepared but due to an entire bunch of points together with you already know security and you already know the dearth of being confirmed and Reimbursement and all that however can that be a part of the answer for routine stuff to assist establish

Dennis Jolley – UW Well being (he/him)

I feel it is gonna must be I feel as these algorithms get extra Environment friendly and extra dependable.

They’re really already fairly dependable and so they do actually assist Physicians diagnose extra rapidly and extra precisely And I feel that we’re gonna see large developments Within the coming years as this continues to develop, you already know, I imply proper now If you consider it a doctor You go get an MRI and also you get a lab report and people go as separate reviews into your medical file And the physician has to have a look at each and type of attempt it

you already know, piece it collectively. , I may see some extent within the not too distant future the place these type of reviews and checks all come into an AI device that appears for various patterns after which makes suggestions to a doctor when it comes to what a probable analysis could be or what a probable, you already know, acceptable remedy pathway could be.

Stewart Gandolf

Yeah that is thrilling as a result of, you already know, we’re all nonetheless people and everyone’s busy and there are biases, proper? Individuals might miss one thing.

so the concept of not less than, I really feel way more comfy if I am going by way of this course of as a affected person that the physician remains to be in cost, remains to be quarterbacking, however utilizing the instruments, then I really feel really perhaps higher, proper?

Dennis Jolley – UW Well being (he/him)

I feel, I do not see this attending to the purpose the place AI is doing the analysis and remedy plans independently, however I feel that they’ll make physicians considerably extra environment friendly.

And take workload off of the physicians the place the physicians are trying on the suggestions from the AI and type of saying Does this appear to suit with what I’ve seen within the affected person and that transferring ahead from there?

Stewart Gandolf

Yeah, I imply the It is attention-grabbing as a result of going again to pandemic when you already know Well being care as we all know, Dennis, is not well-known for being transferring quick and coordinating The however throughout pandemic we instantly telehealth went from like we will not do it and all of the the reason why we will not do it And all the rationale why I will not to suddenly everyone’s doing telehealth in a matter of weeks Seeing hundreds of thousands of sufferers and so this facet of it I am curious there may be not that singular occasion of a pandemic forcing change which simply there isn’t any different various proper however with the AI and a few of these different issues we’re speaking about I really feel Just like the demand goes to be so overwhelming that it simply has to work like we do not have to consider you already know, it’s vital.

Dennis Jolley – UW Well being (he/him)

So we all know that American healthcare is simply too costly, arduous to get into, and irritating for sufferers. I imply, it’s.

And it is unlucky. Obtained to search out methods to make it potential for individuals to entry care extra effectively, and at a decrease value.

So, you already know, for these sufferers for whom lively administration is critical to establish them earlier and supply them help in an environment friendly means once more.

And that is the place all of those instruments are going to turn out to be probably the most useful is figuring out a affected person who’s a rising threat earlier than they turn out to be a complete medical prepare wreck.

And, you already know, to raised handle these prices and their well being and their well-being.

Stewart Gandolf

So let’s discuss that a little bit bit. concept of value-based care. You simply stated, you already know, after we began taking a look at value-based care extra broadly on the population-side inhabitants well being, like how can we maintain individuals out of the hospital?

And this can be a basic space factor in rural healthcare, proper? You might have individuals which can be, it is arduous to get care anyway.

And never everyone is, you already know, tremendous inclined to deal with their well being. So, you already know, how does that change?

Like, how are you going to try this? What are you guys planning is working? Like, and is it, is it grassroots?

Is it electronic mail? Is it mailings? Is it simply ensuring your medical doctors are speaking about this to sufferers once they see them?

As a result of that is, you already know, that is an enormous problem. And I am curious, like, what steps are you able to guys take to assist on that?

Dennis Jolley – UW Well being (he/him)

Yeah, so in our present technique, we have now three key areas. name them our strategic imperatives. And one in all them is value-creating care.

And we deliberately… made the selection of not saying value-based care. And that is as a result of value-based care is a fee mannequin.

It isn’t a care mannequin. It’s not about, it is not patient-focused, it is how do I get reimbursed-focused, proper? It is payment-focused.

So for us, we wished to consider it when it comes to worth creation. And value-creating care is about what’s the worth to the affected person, what’s the worth to the payer, and what’s the worth to these concerned in delivering care.

As a result of I feel should you focus solely on the fee mannequin, it is not gonna work. What we have now to do is we have now to, and your query was actually about how can we have interaction the sufferers, proper?

So how can we establish when, you already know, when it comes to offering individuals with care that’s acceptable for the place they’re of their life, of their life and what they want.

When you’re a 20-something or one thing you are previous who’s wholesome and does not must see a health care provider often, does not have important medical considerations, how can we offer you the care and the data that helps you establish if you do must see a health care provider and do you want a selected major care supplier that is your individual or do you simply want to have the ability to get entry out of your care system and know that if there’s one thing that triggers or elevating threat concern that then you’re going to get assigned any person that will help you handle that and it could not must be a doctor.

It might be an NP, it might be a nurse, it might be a pharmacist, might be a nutritionist, might be numerous issues relying on what it’s you are in danger for the, so how can we assist individuals get the preventive care, and the you already know, minor acute care that they want in an environment friendly means that builds belief and in addition handle it, retains prices down. And so it is actually round worth creation.

It is creating a number of care fashions {that a} affected person can journey by way of primarily based on their particular person wants.

Stewart Gandolf

That is fascinating and it is actually attention-grabbing you stated nutritionists there. So you might have lifelong habits which can be forming in your 20s.

So even then it is quite a bit simpler to deal with issues for you keep away from weight problems and diabetes by way of life planning than elsewhere.

Dennis Jolley – UW Well being (he/him)

And it is about delivering care in a different way than we used to. You harm your self enjoying soccer on the weekend or no matter.

And previously you’d go to the fourth huge surgeon. Proper? Surgeons are actually costly. And more often than not you do not want surgical procedure.

So perhaps it is best to go see a bodily therapist first for any musculoskeletal stuff, until it is an apparent break or no matter, proper? Proper.

Stewart Gandolf

So, going, I am sorry.

Dennis Jolley – UW Well being (he/him)

Nope. And it is the identical kind of factor if you’re fascinated by simply even normal considerations, you already know, you might have a rash that pops up, do you actually need to see a dermatologist or can you’re taking an image of it and ship it to your major care supplier who has a, you already know, most dermatology is visible.

So, plenty of that may be carried out just about, and it may be carried out asynchronously or, you already know, reside. There’s plenty of other ways we are able to ship care now with the expertise and stuff that we have now that’s much more environment friendly than the way in which we have, quote unquote, all the time carried out it.

Stewart Gandolf

So, that is…

Dennis Jolley – UW Well being (he/him)

And that does not must be much less private. Individuals suppose it is not private. It will probably nonetheless be private.

Stewart Gandolf

So, I like that resourcefulness you simply talked about… So, for instance, the PTs with direct entry states the place individuals can go to a PT straight versus having to get a script.

After which right here in California now, I imagine it is, everyone needs to be a DPT, Director of Bodily Remedy, however that is one thing that, you benefit of the PT community out there’s a means of increasing, that is resourceful.

I am curious, how are you going to combine, and I am assuming this can be a precedence for you, however I do not know, the native major care suppliers which can be out within the countryside, do you guys have formal applications, and as you begin re-imagining well being care with them, you already know, are you attempting to have interaction them, and I am assuming a few of them are engaged than others.

you already know, will not simply maintain doing the identical stuff they’ve all the time carried out, however inform us about that.

Dennis Jolley – UW Well being (he/him)

you already know, we are inclined to work extra with both bigger practices or hospitals all through the area than one of many particular person physicians, however what we actually try to do is, as a tutorial medical middle, say, how can we finest help your follow in order that your sufferers do not have to go away your follow and your city and your system to obtain nearly all of their care?

So is that by way of offering supplier to supplier consults as wanted? Is it by way of you already know, supporting that native hospital with EICU help, you already know, that kind of factor.

Typically we and physicians out within the old style outreach clinic type of mannequin nonetheless too, however solely in these conditions the place it actually is sensible each for the supplier that we’re sending there locally with their wants.

Stewart Gandolf

In order that is sensible. So going again to participating sufferers. Some persons are way more kind of self-advocating than others.

Some individuals could be in the event that they knew the best way to. Some individuals do not know the way. Some individuals do not actually care. Have you ever discovered any secret sauce right here?

Or is it simply plenty of work? Like, how do you get individuals to have interaction, um, you already know, um, or what are among the huge challenges you have seen, simply in a perhaps it’s simply inertia or ought to they’re used to doing issues a sure means?

Dennis Jolley – UW Well being (he/him)

I feel the, the one secret sauce is giving numerous choices and serving to individuals to grasp what these choices are and why they could choose them I feel Kaiser really does this rather well the place should you name for an appointment, they are saying, properly, I can get you a digital care, I can get you a digital care, you already know, relying on what you are what you are calling for, proper?

But when it is an acceptable situation, they will say, can get you a digital care in the present day, I can get you in with an APP subsequent week, and I can get you in with a health care provider and three in, you already know, a month and a half.

And here is the value distinction between them, which one would you like, proper? Giving healthcare has by no means been good about giving sufferers the data.

to be extra engaged and take extra possession of their well being. Well being care historically has been a, I am the knowledgeable, I’ll let you know how this needs to be carried out greater than, let me have interaction you in supplying you with info so that you could decide about the way you’re cared for.

Stewart Gandolf

That is sensible. And that is, that is overdue, however superior. can see how that will work rather well. The, one other query I’d have going again to one thing else, stated a couple of minutes in the past, like bringing different choices, for instance, seeing the PT, you already know, you might have the sufferers to teach them, however the medical doctors additionally, you already know, particularly in the event that they’re in a follow, they have been doing a sure factor a sure means for a very long time.

Even when they need to cooperate, there’s habits, proper? So proper on this evaluation retailer is doing this occurs and I try this.

And if they do not even give it some thought. As a result of it’s so pure. In order you guys take into consideration the longer term, are there methods of simply frequently educating medical doctors at scale, whether or not they’re in your community or out to assist simply reinforce a few of these new concepts?

As a result of I may see it is like even when they need to take part, the uncooked human, it is like simple simply to do that factor we have all the time carried out.

Dennis Jolley – UW Well being (he/him)

Yeah, and physicians are extremely busy too, however physicians need to be working towards on the high of their license. They need healthcare suppliers typically need to be extra on the high of their license.

They need to be environment friendly. They do not need to be seeing sufferers. They needn’t see. A surgeon does not, you already know, an orthopedic surgeon does not need to see 10 sufferers who do not want his companies after which say, properly, you already know, all you want is bodily remedy or all you want is that, you already know, they do not they do not need to try this.

They do it however that is what they’ve carried out previously. However should you give them a means that claims,

we’ll take that off your plate. I am unable to consider a time after I’ve had a doctor say no, I do not need I need to maintain doing it the way in which I’ve if you give them a extremely genuinely helpful possibility.

Stewart Gandolf

That is such an insightful name as a result of I am simply considering again to all of the medical doctors I’ve labored with previously and the concept that okay that is what you are actually you already know particularly in the present day once they’re type of I am an administrator I do not need to be a administrator proper even clinically proper to have the ability to say okay you already know I am a surgeon I keep in mind as soon as I used to be only a particular physician and he is like no I am a surgeon I do surgical procedure you already know you did not need to do that different stuff and so or you already know a basic case of you already know I keep in mind excessive upkeep emotionally sufferers and the physician admitting to me like I do not need these sufferers and it is like okay as a substitute of attempting to not a foul match for each side get you already know psychological care or no matter.

Nonetheless, to be a part of the equation, that is sensible.

Dennis Jolley – UW Well being (he/him)

That is one other nice instance as a result of behavioral well being, psychological well being is an space that we have now an issue with in the USA.

We do not have suppliers, there’s unimaginable demand. What we did right here is we have now embedded behavioral well being, psychological well being suppliers inside all of our major care settings.

When you are available for any type of major care appointment, digital or in-person, we do a fast screening. When you get a sure rating, the supplier you are speaking with, whether or not it is an NP or a doctor, can probe and say, you appear to be experiencing plenty of anxiousness, is that one thing you want some assist with?

We will get them related with major care, with behavioral well being, psychological well being, in that very same go to to provoke an intervention, a short-term intervention as a result of lots of people simply want

you already know, assist getting over a hump or then in some circumstances, you already know, the psychological well being supplier identifies a extra important challenge.

However that type of factor additionally takes a load, you already know, sure, we’re asking them to provoke dialog, but it surely does really take a load off of the first care supplier to know that that useful resource is out there proper there.

Stewart Gandolf

That is nice. , and I’d assume you might have your neighborhood is a good variety of Medicare sufferers, a good variety of Medicaid, mandula-eligible, something particular you have realized about, you already know, to service these populations properly and, you already know, and is the home that evolving?

Dennis Jolley – UW Well being (he/him)

, for the Medicare or Medicaid?

Stewart Gandolf

Sorry, I all the time stated each, actually, it is like medically take separately to make it simple

Dennis Jolley – UW Well being (he/him)

For the medicare inhabitants, you already know, the expansion in medicare benefit plans, that are doubtless.

going to increase much more right here within the coming years, I feel. It is actually about proactive administration and guaranteeing that you simply get them in, you already know, complete annual wellness exams, that kind of factor, and ensuring that, you already know, that you simply’re capable of join them with a group of individuals.

And once more, that is about educating the affected person that you do not all the time must see Dr. Jones as a result of Dr. Jones has all these individuals in Dr. Jone workplace who work with him to help you. So perhaps what you want is an everyday check-in with the pharmacist, perhaps what you want is an everyday check-in with the nutritionist, perhaps what you want is an everyday check-in from dwelling well being, you already know, or, you already know, that kind of factor.

We have additionally expanded our major care at dwelling mannequin for these sufferers for whom leaving the house is difficult, to make it potential in order that they’ll obtain major care visits within the dwelling, and that is fairly vital for that inhabitants as properly.

Medicaid, it is actually round accessing and guaranteeing that they are getting the care as a result of a lot of the people on Medicaid, there is a motive for being on Medicaid and needing these companies and so figuring out how we are able to finest attain out to them.

It is a problem, I haven’t got a single reply to that query, however definitely getting them to have interaction with you in that simply annual type of test in test up is essential as a result of that is that makes the flows that all the things else flows from.

Stewart Gandolf

So we have talked in the present day about plenty of issues. The and entry is the important thing challenge after all for the belongings you’re going through.

Are there any companies that you simply nonetheless need to do extra of? Are there any companies that you do not have sufficient entry or you might have entry that you simply really feel like can actually assist or is that simply such a second precedence you guys aren’t fascinated by as of late?

Dennis Jolley – UW Well being (he/him)

No, we’re. imply, definitely, as a tutorial medical middle, we’re persevering with to push the boundaries and attempting to consider what is the subsequent.

What’s subsequent? And we’re definitely leaders in various areas, you already know, for us oncology and strong organ transplant, neurosciences, you already know, there are a variety of areas like that that we proceed to steer in and that we have now a duty to essentially present, you already know, the upper degree companies for your complete area.

And so we proceed to push in these areas and we simply, you already know, proceed to advance the sector. For instance among the, you already know, quote unquote, ancillary areas or our physicians do not prefer it after we use that time period, however, you already know,

imaging, advancing imaging and pathology, like I stated, these are type of integrating how we’re fascinated by new next-generation therapeutics.

The biologics, cell therapies, gene therapies, these kinds of issues are definitely vital as properly. So we’re not dialing again due to the entry crash.

We really suppose a few of these issues are going to be vital to how we offer entry sooner or later.

Stewart Gandolf

Is smart. So a few questions extra earlier than we wrap up. I am curious, simply from the advertising and marketing standpoint, as a result of this can be a totally different type of a scenario you have been previously, proper?

So broadly talking, you to share all the things about your advertising and marketing plan, however like how does a system like yours, you already know, market to sufferers, market to medical doctors, and the way does that evolve in altering over time?

Dennis Jolley – UW Well being (he/him)

Yeah, paradoxically, I simply had my month-to-month check-in with our Chief Advertising Officer simply instantly earlier than this name. And, you already know, for us, it is throughout that personalization.

, it is about utilizing expertise like a CRM to increase the personalization of the care that we’re attempting to offer and translating that into the data the affected person receives.

It isn’t, you already know, we used to fifteen, 20 years in the past, you’d, you already know, do a publication or journal or one thing that simply everyone acquired the identical factor.

And now we do not try this. actually goal the messaging round ways in which, you already know, have to advertise prevention, self-care, and serving to sufferers know when they need to have interaction with us primarily based on their very own profile.

Stewart Gandolf

Excellent. Something we must always have talked about in the present day, this can be a lot. This has been, that is enjoyable and insightful as I knew it could be.

Something you suppose we needs to be speaking about that, know, perhaps about the place well being care is and the place you guys are going from a strategic degree?

Dennis Jolley – UW Well being (he/him)

, I feel it’ll be a really attention-grabbing decade forward of us in well being care. We have got to get entry affordability Each type of beneath management at a systemic degree, and I imply do not imply you to be well being system I imply you already know nationwide system.

I feel every system every, you already know every of us is attempting to new issues and Persevering with to study and share by way of you already know venues like this and others Is actually vital as a result of we have now to proceed to get higher at this It’s a necessity for the well being of the nation and the person sufferers and the well being of our methods.

Stewart Gandolf

So it is attention-grabbing that you have had one other perception.

love which is you already know, I feel Reimbursement drives this a lot that typically we do not I see it. The way it’s being considered from a reimbursement viewpoint.

And the, you already know, well being care has had its challenges and definitely not too long ago, however, you already know, for the final, you already know, X variety of years, growing kind of the, I suppose, the strain.

And one factor that I’ve all the time talked about for years is that, you already know, no one would design the system that we have now in the present day from scratch like this, proper?

No one would simply say, let’s do that. Let’s go whiteboard the way it’s all going to work.

Dennis Jolley – UW Well being (he/him)

Yeah. It is probably the most rubed Goldberg of all methods in an air nation, you already know.

Stewart Gandolf

So yeah. So how do you, you already know, it is actually tough as a result of you might have, no one likes it, however then everyone has an curiosity for the way in which it’s, proper?

So it is, it is actually tough to make substantive change. However I really feel just like the strain is a lot that we’ll simply must determine it out.

Dennis Jolley – UW Well being (he/him)

Yeah. Precisely.

Precisely. And there are, there are actually good, there are some actually, actually good vibrant spots on the market too. There’s plenty of challenges, however there are plenty of actually good individuals in well being care throughout this nation and good organizations who’re attempting new issues and who’re making actually good progress in enhancing care and enhancing effectivity.

And that is why I feel sharing these classes realized so that folks can attempt it of their neighborhood and see what works you already know as a result of each neighborhood is a little bit bit totally different, however lots of people are fairly most likely relevant.

Stewart Gandolf

Nice Dennis, nice job in the present day as I anticipated. It has been actually enjoyable reconnecting.

Dennis Jolley – UW Well being (he/him)

Yeah, I had a extremely nice time speaking with you.

Stewart Gandolf

I invite you any time you might have some information you need to share that you simply suppose is useful to you already know the broader viewers.

You are all the time welcome again so consider us as you already know another microphone to get the phrase out. Thanks once more, I admire it.

Dennis Jolley – UW Well being (he/him) Thanks. Thanks. Nice to speak to you