1. Innovations Demos New Ideas

2. Jeff Kozloff Verilogue

4. 1 Billion Physician Visits per year

5. Healthcare Reform Evidence Based Medicine Patient Centered Medical Home Meaningful Use Shared Decision Making Medicare Medicaid Coordinationof Care Community Preventive Services Insurance Exchanges Pay for Reporting Pay for Performance Accountable Care Organizations Federal Subsidies National Voluntary Insurance Patient-Centered Outcomes Research Institute Electronic Health Records Preventive Care Comparative Effectiveness Patient – Doctor Visit

7. DR: ...But, um, the PARP inhibitors looks like very, very good drugs, very few side effects. They do cause a little bit of neuropathy, some numb fingers and toes is the main thing I remember that we watch for. Um, the other thing is this one is very inconvenient. You have to come twice a week on like Monday, Thursday, Tuesday, Friday for two weeks in a row, off the third week and we give chemotherapy with it. (Interaction 55041 - Triple Negative Breast Cancer - New to Chemotherapy)

8. TALK RATIO 5:1 Physicians Patients

10. >80% - Dr. Who?

11. >30% - Dx?

12. 54% of patients don’t discuss their fears and anxieties with their doctors

13. 89% of doctors said keep a log, but

14. Only 33% of patients routinely do soSource: Archives of Internal Medicine ; Consumer Reports

15. PASSIVE DIALOGUE DISORDER

16. When patients understand the information that is communicated by a healthcare provider Patient satisfaction Anxiety Compliance with recommendations Treatment time Outcomes Cost Source: Thomson, AM, Cunningham SJ, Hunt NP (2001)

17. OVERWHELMED NOT ACTIVE POOR RECALL

18. www.carecoach.com