WHERE DO YOU SEE HEALTH­CARE GO­ING IN THE YEARS AHEAD?

Modern Healthcare - - Q&A -

DAVID EN­TWISTLE

We’ve got to be able to use the in­for­ma­tion that we’re get­ting. Our EHRs, our tech­nol­ogy, our data sets are just pro­vid­ing a rich source of op­por­tu­nity for us to be able to learn. The ques­tion is: Are we lever­ag­ing that data into knowl­edge? Are we us­ing that to limit vari­a­tion? Are we us­ing that to make im­prove­ments? There’s a tremen­dous amount of op­por­tu­nity in health­care that’s now be­ing driven by the data and the ques­tion is: Are we us­ing our tech­nol­ogy to do that?

DR. DON­ALD BER­WICK

On the pop­u­la­tion health front, we are way, way away from where we need to be. That is be­cause we’ve un­der­in­vested in preven­tion and also be­cause we re­main in­equitable in our so­ci­ety. I no longer think we can sep­a­rate the pur­suit of health from the pur­suit of jus­tice and eq­uity. Health­care sys­tems are go­ing to have to be­come ac­tivists in solv­ing the prob­lems of poverty and racism that are still with us and build­ing com­mu­nity in­fra­struc­tures that mat­ter.

MARNA BORGSTROM

Health­care has grown as a func­tion of lack of in­vest­ment in so­cial in­fra­struc­ture like safe hous­ing, ed­u­ca­tion and ac­cess to healthy food. Those so­cial de­ter­mi­nants are prob­a­bly more im­por­tant to in­vest in than in­vest­ing more in the health­care sys­tem. We, as a health­care sys­tem, need to be part of help­ing to fuel a broader so­ci­etal trans­for­ma­tion. The chal­lenge we have, though, is we have to keep a vi­able busi­ness model go­ing while we’re in­vest­ing in the trans­for­ma­tion. Right now, it doesn’t pay us in any way, shape or form to make the kinds of in­vest­ments in so-called pop­u­la­tion health that I think can re­ally make a dif­fer­ence.

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