Health Fail

In this episode of Health Fail, Michelle and Zac sit down with Alan Graham, the founder and CEO of Mobile Loaves & Fishes and 2015 Austinite of the Year. Amidst the heated battle over Austin’s homeless crisis, Alan Graham is a beacon in the community, committed to solving an intractable situation that is complicated by mental and behavioral health issues and the loss of family and community. Alan shares his journey from commercial real estate developer to founder of Mobile Loaves & Fishes, a ministry that is now supported by 20,000 volunteers, has served more than 5.5 meals, and includes Community First! Village, a 51-acre master planned community that provides affordable, permanent housing and community support for individuals who were once chronically homeless. Resources: Mobile Loaves & Fishes - https://mlf.org Community First! Village - https://mlf.org/community-first/ Welcome Homeless - https://www.amazon.com/dp/0718086554/ref=cm_sw_em_r_mt_dp_U_yKnQDbFC5DAPT The Gospel Con Carne Podcast - https://mlf.org/gospel-con-carne-podcast/

In this episode of Health Fail, Michelle & Zac sit down with Award Winning CIO of the Year and current CIO of the Cleveland Clinic, Ed Marx. Ed shares some of the many lessons he has learned from various personal and professional failures, including a failed marriage - and his failure to climb “only” three of the world’s Seven Summits. Ed also discusses his professional journey and how the evolution of his healthcare career from hospital janitor to CIO of one of the country’s leading healthcare systems.   Resources:Voices of Innovation: Fulfilling the Promise of Information Technology in Healthcare - by Edward W. Marx  https://www.amazon.com/Voices-Innovation-Fulfilling-Information-Technology/dp/1498769683Extraordinary Tales From a Rather Ordinary Guy - by Ed Marx https://www.amazon.com/Extraordinary-Tales-Rather-Ordinary-Guy/dp/1625351402

In this episode of Health Fail, Michelle & Zac sit down with Dr. Katriny Ikbal, CEO and Founder of DirectMed, a direct primary care practice in Austin, Texas.   Dr. Ikbal shares why she has embraced the direct primary care model and how this model helps to address some of the failures in today’s insurance-driven healthcare system. She believes that the direct primary care model provides the opportunity for more personal, high-quality care that is more satisfying for both patients and physicians.  Resources:What is Direct Primary Care? https://en.wikipedia.org/wiki/Direct_primary_careDirectMed by Dr. Katriny Ikbal - https://www.directmed.care/Atlas.md EMR -  https://atlas.md/ Texas Free Market Surgery - https://texasfreemarketsurgery.com/Spruce Secure Messaging - https://www.sprucehealth.com/Find a DPC Doctor near you - www.DPCfrontier.com/mapper Want to become a DPC Doctor - www.DPCNation.com Recommended Podcast: The Doctors Farmacy - https://drhyman.com/podcast/Book Recommendations: The Longevity Diet - https://www.amazon.com/dp/0525534075/ref=cm_sw_em_r_mt_dp_U_tKxxDbB4GVG83 Food: What the Heck Should I Eat? - https://www.amazon.com/dp/0316338869/ref=cm_sw_em_r_mt_dp_U_zJxxDbSS5SSCJ 

In this episode of Health Fail, Zac sits down with the new co-host of the Health Fail podcast, Michelle Noteboom, a healthcare IT veteran from Austin, TX.  Michelle shares a bit about her career (including selling EMRs in the “old days.) Zac and Michelle also reflect on some health IT failures through the years, plus newer technologies that are impacting the delivery of healthcare.    Resources:https://khn.org/news/death-by-a-thousand-clicks/https://www.amazon.com/When-Life-Gives-You-Lululemons/dp/1476778442https://en.wikipedia.org/wiki/The_Pillars_of_the_Earth

In this episode of Health Fail, Steven & Zac sit down with Jose “Hutch” Rasco, CEO and Founder of dotHealth, the .health Top-level domain (TLD). We hear from Hutch, how search giant Google can kill a successful search aggregator for hotels overnight, how the little understood market for top-level domains are transacted and how a desire for “doing well by doing good” evolved into his fate of acquiring .health . We also discuss Hutch’s perspective on failure - a hint - for the  committed, it’s a temporary state on the path to success.  Resources:https://www.amazon.com/Dopesick-Dealers-Doctors-Company-Addicted/dp/0316551244www.get.healthhttps://www.bizjournals.com/southflorida/news/2014/03/21/miami-internet-company-sells-for-109m.htmlhttp://www.miamiherald.com/news/business/technology/article138410903.html

In this episode of Health Fail, Steven & Zac sit down with healthcare industry icon and first-time author, Ivo Nelson. They discuss Ivo’s new book, The 10 Principles of a Love-Based Culture while exploring facets of his 40-year career that led him to write it. You’ll hear about the biggest mistake he ever made in business along with a deeply personal failure that redefined his marriage. In the conversation Ivo shares his perspective on the failures of our health system, how he thinks we will rise to the challenge to fix them but why we may not be willing to fix them just yet. Resources:About Ivo NelsonThe 10 Principles of a Love-Based Culture12 Rules for Life: An Antidote to Chaos

In this episode of Health Fail, Steven & Zac sit down with Ruy Carrasco, Chief Medical Information Officer (CMIO) at Presbyterian Healthcare Services. Ruy shares his story of growing up on a pig farm to becoming a doctor, how he learned to practice meditation to ground himself in stressful situations, and the importance of intently listening to and learning from the patients he serves. Resources:“The Servant Leader” by James AutrySelf Realization Fellowship Meditation

Health Sharing is a movement centered on the sharing of healthcare costs among individual members that is gaining steam in the US. What is it? Is it a realistic alternative to health insurance? Why do we need an alternative to health insurance? In this episode of Health Fail, we are joined by Jamie Lagarde, CEO of Sedera Health, a medical cost sharing community, to discuss the current state of health insurance and explain how health sharing works. Resources:Sedera Health“Building a StoryBrand” by Donald Miller“NextGeneration Healthcare: Proven Secrets of Managing the Healthcare Value Chain to Improve Outcomes and Reduce Costs” by NextGeneration Benefit Advisors

In this episode of Health Fail, Steven & Zac sit down with Niall Brennan, former CDO of HHS & current President & CEO of the Health Care Cost Institute. They discuss Niall's fascinating story of immigrating to the US from Ireland with nothing but his "rucksack" on his back and his education from the "University of Life". In the conversation Niall shares his perspective on the failures of our health system, what it’s like working within the US government and why there is an unbroken line of rising healthcare costs. Resources:Health Care Cost Institute Martin Gaynor Hospital Merger ResearchPatrick Conway CEO of BlueCross BlueShield North CarolinaCenter for Medicare & Medicaid Innovation

What is patient advocacy? Should it be a business? Is there a real need for it? In this “discussion” episode of Health Fail, our colleague Felicia Betancur Joubert joins us to discuss what patient advocacy really is and why failures in healthcare have led to a need for advocacy. Resources:#HCLDR Twitter Thread on Patient Advocacy: https://twitter.com/nickisnpdx/status/1115746286811017216?s=21Wikipedia: https://en.wikipedia.org/wiki/Patient_advocacyNIH: https://www.cancer.gov/publications/dictionaries/cancer-terms/def/patient-advocate

In this episode of Health Fail, we sit down with Rasu Shrestha who recently left his role as Chief Innovation Officer at UPMC to become Chief Strategy Officer & EVP at Atrium Health. Dr. Shrestha shares his views on failure as a gift and the importance of embracing our failures to avoid essentially failing twice. Throughout his career he has been working to build a culture where failure is celebrated by creating a safe space for his team to experiment and fail. In the conversation, we also dig into clinician burnout, the allergic reaction to failure in medicine, self-reflection, and not being afraid to kill an idea and put it behind you. Resources:Rasu’s organization Atrium Health and their recently launched partnership with Wake Forest: BestCareForAll.org

Health Fail alternates episodes featuring an intimate interview on failure with an influential leader in healthcare, followed by a discussion between the hosts regarding current events in healthcare and the “health fails” of today. For our first "Discussion" episode, we review an analysis on what healthcare will look like in 2030, "Healthcare 2030: Four Economic Scenarios” from Oliver Wyman Health. In the conversation we discuss the potential future scenarios, which ones are most realistic and what we actually expect to see in 2030. Plus we share a number of great resources for anyone looking to better understand the state of healthcare in the US. Resources:"Healthcare 2030: Four Economic Scenarios” - Fritz Heese & David Fries of Oliver Wyman HealthMillennials projected to overtake Baby Boomers as America’s largest generation - PEW ResearchHealth Insurance Coverage in the United States: 2017 - Census.govDave Chase, Co-Founder of The Health Rosetta"The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care" - T.R. Reid"The Innovators Prescription" - Clayton Christensen"Love Culture" - Ivo NelsonArmchair Expert Podcast with Dax Shepard & John Gottman

For our first episode, we sat down with Mona Siddiqui, Chief Data Officer of US Health & Human Services. We went deep with Mona to discuss her career transition, personal vulnerability, dealing with disappointment, being afraid to fail, making time to grieve when you do fail and being transparent about failures so others can learn from them. Resources:Brene Brown - Watch her TED talk here.Sheryl Sandberg - Check out her book "Option B"

Health Fail is a podcast exploring the Fails in healthcare, of which there are many. Join host Zac Jiwa as he converses with some of the top healthcare minds in government, for-profit and non-profit, as he discuss failures from the highly publicized to the never before told stories of failures that birthed healthcare transformation.