2:30 - 2:50 pmSunday, September 7
LK 120
The continuity coefficient
LK 120
The continuity coefficient
Founder, Healthloop
Life and the human experience happen over time.  When we are sick or in need of medical attention, we seek ways to solve our problem in order to get back to our lives.  Our existing medical system... Read more


Life and the human experience happen over time.  When we are sick or in need of medical attention, we seek ways to solve our problem in order to get back to our lives.  Our existing medical system is based on primary care and specialty care; yet the continuity between these two main actors is failing.  Specialists, by definition, specialize in organ systems (neurology, cardiology, oncology, etc) and their expertise is focused on a specific question that is often being asked by the primary care doctor.

The problem is that specialists have no longitudinal view of the patient and/or their preferences and they take action based on what they see in front of them.  Morever, specialists often inform the primary care doctor of their actions after they did it, rather than in consultation with the doctor who will ultimately own the outcomes. Specialists are consultants who should be a node in the continuum, not in a vacuum.
The forces of the capital markets demand efficiency which is why hospitals have employed hospitalists.  (These are doctors whose ‘specialty’ is not an organ system, rather a hospital system).  They know how to navigate the hospital in addition to tending to the medical needs of the patient, however, every 8 hours there is a new shift for a hospitalist.  This means that each patient has three doctors and three hand-offs in a 24 hour period when they are in their most vulnerable state.  Add to this that specialists are coming and going throughout the day.  The continuity coefficient often countervails the desire for operational efficiency ~ and when health is on the line, we need to weigh the probability of error as it pertains to lack of continuity.
Patient data that is stored in electronic medical records helps to boost the continuity coefficient, however, what the data doesn’t understand is nuance, humanity and preferences.  
In a more perfect world we would evaluate all systems in the context of how much continuity there was between people and systems, not just data. The workflow of every doctor and the experience of every patient is dependent on how information is presented, to whom it is presented to and it's temporal and spacial sequence. Healthloop has developed a Patient Continuity Engine which enables information to be packaged, in context, to all interested parties who may have inputs.  The subsequent output is presented to the key decision makers with specific and relevant actions that are all oriented towards what all parties agree is a good outcome.

Dr. Jordan Shlain is a primary care doctor and respected thought leader in national health policy. He is best known in the health community as an advocate for both the well-being of physicians and patients.  

Dr. Shlain sits on the board of the bi-partisan Washington, D.C. Hope Street Group, and is a Mayoral appointed Commissioner on the Health Service Systems Board of San Francisco. He is an advisor to the Aspen Institute and serves on the board of WildAid (ending illegal wild life trade: when the buying stops, the killing can too) and is chairman of the Institute for Responsible Nutrition’s (sugar is the new tobacco).

He recently founded Healthloop, a leading digital health company that creates a dynamic digital conversation between doctors and patients between visits.  Healthloop just raised a $10M series A round from a leading Silicon Valley venture capital group.

After graduating from UC Berkeley and before attending Georgetown Medical school, Dr. Shlain spent a year teaching in Western Kenya with Harvard affiliated WorldTeach.

He lectures around the world and focuses on root causes of complex problems with an emphasis on simple solutions with the widest impact.

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