Deans' stroke musings: If you could rebuild the healthcare system, what would you do?

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, August 9, 2015

If you could rebuild the healthcare system, what would you do?

For the stroke side, the following;
1. Pay for performance; pay for tPA only if it completely reverses the stroke. Pay for rehab only if it objectively works on your patient.
2. Require performance goals of completed translational research on new stroke research for all stroke medical professionals.
3. Semiannual proof of proficiency in the latest stroke protocols.
https://www.linkedin.com/pulse/you-could-rebuild-healthcare-system-what-would-do-dave-chase?trk=pulse-det-nav_art
Dr. Clay Johnston may have the most interesting job in all of healthcare as the dean of the new Dell Medical School at the University of Texas - Austin. My Forbes colleague, David Shaywitz, did a great job of capturing what Dell Medical School is hoping to accomplish. Take a moment and read, Forget SXSW - Austin's Most Radical New Idea May Be In Medical Education. He asks a fundamental question in his piece.

How can you expect a medical school to train physicians to think innovatively about reducing waste, or pursue serious research on waste reduction, the new Dell Medical team asks, when the results of this waste are responsible for such a large share of medical school revenue? One leader at Dell Medical described this as “the ultimate conflict of interest.”

Among the interesting facets of what they are doing is rethinking the entire care delivery process from the ground up (not just the medical education process). I've had inspiring discussions with Stacey Chang who is one of the Dell Medical School leaders. Chang formerly led IDEO's healthcare practice. It's worth reading the announcement of Chang coming on board to lead the Design Institute for Health.

The headline for this post was the first tweet that Dr. Johnston send out under Johnston's new Twitter account: "If you could rebuild the healthcare system, what would you do?" I pasted my responses below related to the Health Rosetta, 95 Theses and healthcare's enlightenment. What would your input to Dr. Johnston and the Dell Medical School be? I tweeted back to him about the aforementioned items here and here. From what I've learned of the Dell Medical School team, they would love to get more ideas and input. I believe they have an incredible opportunity to reinvent healthcare, particularly with the community support they have. They are building a world class organization that is sure to attract the best and brightest as part of their official team or the virtual team who will support them from afar. Tweet at them or add your comments below.