It expands the artery to hold it open and allow the blood to flow. You're two or three times as likely to get a heart catheterization or have a stent in your coronaries. He told Dean, how long is the program? And that model has continued until today. Ten allotted. This is a lot worse. 27 cardiac catheterization and well over seven stents. But, one of the best times to do that is when they have one of these catastrophic kind of things like a heart attack. (COMMERCIAL BREAK) (BEGIN VIDEO CLIP) UNIDENTIFIED MALE: If you need serious technology today, like a very complex cardiac surgery, you're lucky to be in this country. Respiratory shutdown. I'm one of the busiest surgeons in the country, however, I don't believe every men with prostate cancer needs immediate treatment. Special tubing with an attached deflated balloon is threaded up to the corner of your arteries. UNIDENTIFIED REPORTER: A Senate investigation accuses the Food and Drug Administration of ignoring research. So, if you have a patient comes in, you get paid a certain amount because you do a stent. NISSEN: Finally, the FDA put severe restrictions on the drug. We're part of the community. When I had my first heart attack, did the cardiac catheterization, put the thing up there and put a stent in my heart, because I had a clogged artery. Half of Americans will be diabetic or pre-diabetic in the next 10 years. DR. ANDREW WEIL, PROFESSOR OF MEDICINE AND PUBLIC HEALTH, UNIVERSITY OF ARIZONA: Hippocrates said let food be your medicine and medicine be your food. And how to know if you're being prescribed unnecessary procedures. detail. I'm not changed, but I'm changing. UNIDENTIFIED MALE: Good, how have you been? You just look different. The costs are going through the roof and the ability to help these service members and their families recover and repair and come back to a functional life is getting less and less. You allow and encourage your employees to become healthier. ROBERTSON: Right. But I think the economic imperatives are much stronger now. I can't be having heart problems. The brain is not particularly good at distinguishing thirst and hunger, so we often eat when we should be drinking, things like water. I just had been ignoring it, because I thought, you know, I'm only 34 years old. I'm really, really pleased. We pay hospitals to be full, so they try to be full. GUPTA: Erin, do you want to respond to that? For me to spend 45 minutes on an established visit with a patient to make sure they are doing their exercise, make sure their diabetes is going okay, and to try to figure out what their true problem is, probably get paid $15. ROSS: What do you think about that? Well, it drives demand. When I was at U.S. News and World Report, I wrote cover stories about how great the newest and greatest treatment and pill and procedure was. Are you incentivized to do more stents? Here's a couple simple tips. One of the three men who survived the Montana fire did so through an ingenious solution and a leap of faith by making an escape fire. (COMMERCIAL BREAK) DR. ERIN MARTIN, PRIMARY CARE: After I'd left La Clinica, I joined this new practice. It really does. Alice in Wonderland (1951)/Transcript. Cost about $1200. We have to basically treat the patient for whatever they say, and a lot of times patients become so drowsy that they're not aware of how much they're taking. How are you? That requires so much work, but we do it because we're committed to having her stay out of the hospital. Dodge had invented what is now called an "escape fire," and soon after it became standard practice. UNIDENTIFIED FEMALE: They are all combined. There has to be a different way of doing things. You can empower people to change their lifestyle and if we can make it really reversible, that really brings it into the mainstream. If I burn the fuel around me, then when the fire comes and it takes me, I'm safe. UNIDENTIFIED REPORTER: A new study finds a growing number of combat veterans are battling mental illness, but many are finding it difficult to get the help they need. UNIDENTIFIED MALE: What I'm arguing for is not to make things tough on industry, it's to make things safe for patients. The answer is among us. Just sheer numbers, $2.7 trillion per year. We are more likely to get a knee replacement or have a cat scanner, have an MRI. You just never get to the bottom of what's causing al he these problems they're having. Escape Fire Worksheet Escape Fire: The Fight to Rescue American Healthcare HSC 507 Introduction to Health Service Systems & Organizations Central Michigan University - Spring 2020 Print your name: _Kya Churchill _____ The video has been placed on reserve in the CMU Library. And that's the problem. (BEGIN VIDEO CLIP) DR. ERIN MARTIN, PRIMARY CARE: As a primary care physician, we are supposed to be the people that are making sure the patients don't get sick and they have everything they need to maintain health. That's almost as much as the rest of the world combined. UNIDENTIFIED CHILD: There we go. CARNES: So feel yourself there in your safe place. (LAUGHTER) That's the way I like to look at it. It includes the mandate, the requirement that we all have to buy their coverage. The way that the system is set up, you can't be effective. We have a lot more power over how healthy we are than we are willing to take credit for or willing to take responsibility for. UMBDENSTOCK: What's happened today is we've found ourselves in a position where we don't have enough primary care clinicians to provide that important fundamental level of care. And if you try and buck the system, someone says, what can we do to get your productivity up? What is really striking is how little they have written the last few years. (COMMERCIAL BREAK) UNIDENTIFIED REPORTER: One company has figured out how to lower healthcare costs by more than 40 percent. The film interweaves personal stories with the efforts of leaders battling to transform it. UNIDENTIFIED FEMALE: Because he's real sleepy? The documents are coming out in these court suits, it looks worse and worse. . And not just a little bit here, a lot of money, we're talking $5 billion, I think last year from United Health. UNIDENTIFIED MALE: Once I found out what was really wrong with me. If we just change reimbursement, it's a game changer, we change medical practice and we change medical education. That is chest pain that is actually currently damaging the heart in patients. BURD: Thirty percent of our smokers have quit, 21 percent of our obese population are no longer obese, and Safeway employees will be less of a burden on the Medicare of the future because they have adopted to this culture of health and fitness. These perverse incentives that you described? OK. No soldier should have to go through this. GUPTA: Erin, what did you think about that particular theme? BROWNLEE: We spend a spectacular amount of money on healthcare. GUPTA: Are you optimistic about the future when it am could to family care, and when it comes to our health care overall? MARTIN: I had to do the fellowship because it was kind of my little ray of hope that things could be better, things can be done differently. UNIDENTIFIED MALE: No. Because I've gotten a lot of inspiration from the fellowship. They have talked about a child between age of one and four, having the third most common causes of homicide. It was so consistent. MARTIN: And they don't reimburse for nutritional counseling or anything like that. There's a contradiction to what we do. We even found that when you change your lifestyle, over 500 genes were changed. Escape Fire escape fire University Central Michigan University Course Introduction to Health Service Organizations and Systems (HSC 507) Academic year 2021/2022 Helpful?00 Share Comments Please sign inor registerto post comments. UNIDENTIFIED MALE: Nine months. And somebody's going to teach me how to do that, so I'm going to -- I'm going to do it. Our life span isn't even in the top 20. ROBERT YATES, INFANTRY, U.S. ARMY: Medications I was on. UNIDENTIFIED MALE: I love you, too! GUPTA: A lot of these stents are unnecessary? (COMMERCIAL BREAK) WEIL: The American health care system, it's generating rivers of money that are flowing into very few pockets. We're dealing with the health of the nation. And the company did nothing. Psychologically, you deal with a lot of these sorts of things. I mean, give me a break. So, a hospital like the one you just saw there. THIS COPY MAY NOT BE IN ITS FINAL FORM AND MAY BE UPDATED. She needs a follow-up within three month with an echo. Our automatic transcription software will convert your video to text in just a few minutes (depending on the length of your video). We need to change the nature of medicine. And welcome home. Our forefathers in medicine were really about patients. The really astonishing part about the fact that we spend more is we have worse health outcomes. UNIDENTIFIED MALE: The healthcare reform bill that was enacted achieved two of the insurance industry's major objectives. Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health DR. STEVEN NISSEN, CHAIRMAN, CARDIOVASCULAR MEDICINE, CLEVELAND CLINIC: Having a diabetes drug that increases the risk of heart attack by nearly one-third is a public health catastrophe and the company didn't tell anybody. GUPTA: The children dying before the age of five exceeds any of the other 16 richest countries. How to know if you are being prescribed unnecessary medications or procedures, that's next. This is all coming out of our pockets. But, that's not the whole story. It's just a terrible tragedy for patients. So, these models that I'm talking about are based on fee for service, then, they are being paid for a care coordination fee. ESCAPE FIRE: The Fight to Rescue American Healthcare tackles one of the most pressing issues of our time: how can we save our badly broken healthcare system? Compared to having your chest cut open? The fire exploded, it's moving over 600 feet a minute, faster than most people could ever run. I never had a personal doctor, family doctor, nothing, all my life. Now you're going to get the scissors. UNIDENTIFIED MALE: I have no health insurance. (LAUGHTER) NIEMTZOW: Hi. But we end up being this revolving door. TUCKSON: Primary care doctors are being cared more. UNIDENTIFIED MALE: What are you going to do at work? It's been a wild ride. John than, you'll have to excuse me because you're an economist I'm not. 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