Well listen I’m really anxious to share with you today a glimpse into the future of health care and and really what I think is most exciting about this is the fact that the future of health care and disruption favors the DO. The future of health care favors the DO. If there’s nothing else you get from my message that’s the good news and the great honor that I have is to work across the entire health care ecosystem. And I definitely see that finally the change is happening to where we’re moving to a place of really patient centrism. It’s taken a long time but the truth of the matter is this is how you live. This is your philosophy and this is something that is now catching up with your great belief in patient centrism. Now how many of you have heard the term disruption in a journal or a lay magazine…that’s everywhere. You know it’s interesting but when you hear the word disruption the hard part is is that as we say here in California the term is really kind of squishy, right. It’s kind of amorphous and nondescript. We really don’t know for sure what it means most of the time. In fact what’s interesting is I did a study of one hundred and twenty executives in health care and asked them two very basic questions.

I said…Number one how important is disruption to your organization. And the answer was Are you kidding me. Disruption is critical to our future. If we don’t understand and leverage disruption we will evaporate. And the next question was what’s disruption, right. Nobody knew how to answer the question. Right. So it’s kind of a unicorn in many ways. But the truth of the matter is is that the future of healthcare can be described as disruptive. But the good news is is that disruption is good if you understand it’s building blocks and leverage the incredible super power that disruption provides. And I would like to offer up this definition. Disruption really is the rate and the depth of innovation. When you think about it it’s the way in which we leverage connection architecture, patient engagement, the way in which we leverage connected technologies and emerging technologies it’s the way in which we architect new models in health care. These are the things that are being accelerated to a point where it’s really hard for us to understand them. So if disruption is about the speed and the depth of innovation, then it seems to me that we need to be innovators.

We really need to leverage into the innate part of what makes us human and that’s to be an innovator. By the way I have to do a shout out to the amazing beautiful people. Who have taught me the super power of the philosophies and the beliefs of the DO. Western U. You guys are awesome. You know I spent four I’ve spent 40 years in health care and I have done what most technologists do. I design technologies based on money I design technologies based on reimbursement. I design technologies just like all my brethren and sisters do in health care technology based on the economics of Healthcare. And I’m ashamed to say that it was Dr. Paula Crone the dean of Western U that helped me understand that Nick you’re missing it. That’s cool but it’s about the human. It’s about the people. It’s about the patient. I mean I know that sounds obvious to you guys but from those of us outside of the DO ecosystem it’s not and you know what, I think that we have been incentivized to create technologies and interventions based on reimbursement not based on humanity. And I just love what I’ve learned from the amazing people at Western U. In my humble role there as their director for the Center for Innovation.

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