The Modern MD Unknown

Listen as Dr. Jeffrey Gold shares his vision for the future of primary care and passion for delivering care the way it was intended - through trust, openness, and investing in the doctor-patient relationship.

The ModernMD: Dr. Jeffrey Gold

Dr. Jeffrey Gold is the Founder of Gold Direct Care, one the first Direct Primary Care practices in Massachusetts. A family physician by training, he attended the University of Massachusetts Medical School. After completing his residency in Arizona, he moved back home to Massachusetts and worked for the North Shore Physicians Group. Jeff was continuously frustrated with the traditional system and with a passion for improving care deliver and patient experience he launched Gold Direct Care.





Success Quote:

“If opportunity doesn’t knock build a door.” - Milton Berle

White Coat to Business Suit:

Jeff never saw himself as an entrepreneur, but grew up in small retail business family and was inspired by his parents and grandparents. Jeff completed his residency training in family medicine and joined a traditional primary care practice after graduation. During his work in the traditional system he saw the role of doctors as assembly line worker with limitations to perform their greatest skills of creative problem solve and building strong patient-doctor relationships. Jeff was frustrated with the current system and decided to launch Gold Direct Care!

Why Direct Primary Care (DPC)?

Traditional system of primary care is complex with increased demands on coding and shorter visit times. Direct primary care lets you build a high quality practice with simple payment, longer visit times, and better doctor-patient relationships.

Advice for launching DPC practice:

Physicians are not well training in the business of medicine. Surround yourself with people who you trust and can provide complementary skills and knowledge.

Admit when you don’t know something.

You must have your WHY but you might need help with the HOW!

Build two models scenarios when you are getting started:  Your Best & Worst case scenarios.

If it does not work out... You will always have a JOB.

DPC Big Insights:

Insurance does not mean healthcare.

A large portion of healthcare is expensive, but not primary care.

Healthcare economics is complex and the goal should be to find simple solutions to complex problems.

DPC has a strong “heart beat” and will require a ground up approach for success.

Idea to Venture:

The Idea: Gold Direct Primary Care (DPC) - Committed to delivering primary care as it was intended! Listen as Jeff shares his entrepreneurial journey launching one of Massachusetts first DPC practices.

Challenges: Jeff shares some of his challenges launching his practice including: Negotiating and navigating state laws and polices on insurance, financial viability, scalability, and concerns of quality and oversight.

Insights: Health is accomplished through a reliable and trusting partnership between physicians and patients.

Success: Studied and modeled his practice using other successful Direct Primary Care practices in the country. Jeff uses innovative technology platforms to enhance and improve care including: RubiconMD an e-consult specialists platform and Twine Health a collaborative care platform.

Business Rounds:

Best Advice: Nothing good comes easy!

Daily Success Habit: Admit the things you don’t know on a day to day basis. Focus on your strengths but continue to educate yourself on your weakness.

Healthcare Trends:

On-Demand Care: Patient having access to on demand care with trusted primary care doctor.

Individualized Care: Personalize care to meet your patients needs.

Old School: Just simple old school medicine = Patient + Doctor!

Links: 

http://www.golddirectcare.com/

Follow: @GoldDirectCare

DoseUP:

Dr. Ramesh Subramani shares his passion for patient driven care, exciting work at Analyte Health, and insights from his new book "Health on Demand".

The ModernMD: Dr. Ramesh Subramani

Dr. Ramesh Subramani is the Chief Medical Officer at Analyte Health, a digital diagnostics triage company with a doctor-guided digital system that helps patients get convenient, faster, and cost-effective care. Dr. Subramani is the author of “Health on Demand”, an Amazon Best Seller. Previously, Ramesh served as Vice President of New Leaf Venture Partners, Strategy Consultant at McKinsey & Company, and Assistant Professor & Directory of Global Health - Emergency Medicine at Northwestern University.





Success Quote:

“Don’t just go through any open door, open the doors that you want to walk through.” - Ramesh

White Coat to Business Suit:

Dr. Ramesh Subramani’s career blends his work in emergency medicine, venture investing, McKinsey strategist, and digital health disruptor. His passion for technology started at an early age with computer programing and robots. He saw the opportunity for how technology could fit into healthcare.

What does it mean to be a doctor? How can technology hack healthcare?

Ramesh transformed his thinking from one-one patient care to healthcare system level transformation and focused on how technology could hack healthcare. In medical school, he completed both his MBA and MPH to broaden his system level knowledge and better understand the different aspects of healthcare. He initially pursed a traditional track completing his residency in emergency medicine and becoming an Assistant Professor. Listen as Ramesh shares his journey from traditional medicine to the entrepreneurial world.

What was your mindset as you left traditional practice?

Ramesh honored clinical practice and enjoyed the art of taking care of patients. He left clinical medicine to make a bigger impact into healthcare nationally and globally. Listen as he shares his baseball analogy for hitting a grand slam in healthcare!

Idea to Venture:

The Idea: Analyte Health + “Health on Demand”!!

Analyte Health: How do you break down barrier to healthcare? How can you help consumers find actionable path to wellness? Listen as Dr. Subramani shares the mission and vision for Analyte health to discover the ways you can get diagnosed and tested.

“Health On Demand”: Insider Tips to Prevent Illness and Optimize Your Care in the Digital Age of Medicine.

Want to take control of your health?

Get an insiders perspective as Dr. Subramani shares his exciting insights from his new Amazon best seller.

How does technology allow patients to access and engage in their care?

Ramesh shares how we can bridge the gap between how we currently practice medicine and meet the wants of our patients. Ramesh shares the roadmap to faster, better, and smarter care.

How do physicians become more digitally savvy?

iTunes: Search iTunes medical applications in your speciality.
Get digital updates with: http://www.imedicalapps.com/, http://www.medpagetoday.com/, http://mobihealthnews.com/.
Redesign how you take care of patients: Be digitally active with text messages and coaching. Your goal should be to make patients happy and doctors productive.
Get your digital prescription now and read Health on Demand!

Business Rounds:

Best Advice: Ask for help! Get advice from mentors who you admire that are 5 to 10 years ahead in their career. Ask these mentors: “If they could do it all over again what would they do differently?”

Daily Success Habit: Cross things out and take them off your schedule and create a sense of focus.

Healthcare Trends:

Machine learning and predictive algorithms: Creating large data sets that will have the ability to correlate.

Listen as Dr. Miles Beckett shares his creative entrepreneurial journey from starting a YouTube sensation to exciting work streamlining physician credentialing at SilverSheet!

The ModernMD: Dr. Miles Beckett

Dr. Miles Beckett is the Co-Founder and CEO of Silversheet, a company dedicated to developing software solutions that transform the way healthcare facilities and providers collaborate and connect. Previously, Miles was the Co-Founder and CEO of the social entertainment company, EQAL, and was the Co-Creator and Executive Producer of the web series lonelygirl15 and KateModern. Miles holds a B.S. in Neuroscience from the University of California at Berkley and an M.D. from the University of California at San Diego.


Success Quote:

“If you are going through hell keep going.” - Winston Churchill

“Success consists of going from failure to failure without loss of enthusiasm.” - Winston Churchill
White Coat to Business Suit:
Miles always had a passion for entertainment and during medical school he pursued this interest as the founder and co-editor of The Pulse, a UCSD Medical School newsletter and The Inhuman Condition, a UCSD Medical School underground comedy newsletter as well as the Design Editor and staff writer for The Heuristic Squelch, the UC Berkeley humor magazine. After graduating from medical school and entering a plastic surgery residency at Loma Linda University Medical Center, Miles’ created lonelygirl15, a serialized drama that became a pop culture phenomena and online interactive show. Listen as Miles shares his journey on why he dropped out of his plastic surgery residency to follow his passion in online video, build EQAL, and create communities around entertainment and consumer brands while building his own brand recognition.

Round Two - What are the biggest lessons starting your second company Silversheet?

Planning: Improved ability to scope, design, and develop software.

Capital: Raising funding, negotiating term sheets, and selecting the right investors partnerships.
Operations: Learning and operating business and structuring the corporate governance, insurance, board structure.

Idea to Venture:

The Idea: How do you simplify physician credentialing? What is the big vision of Silversheet?

SilverSheet helps streamline physician credentialing and empowers physicians to keep their qualifications up-to-date. SilverSheet believes healthcare should be about patients, not paper work!

Success: Launching with surgical center market, with core focus on credentialing and privileging process.

Lesson Learned: Build an awesome product with beautiful design and have empathy for your users!
Business Rounds:
Best Advice: “Never to give up” - Paras Maniar, Board Member Silversheet

Daily Success Habit: Miles reviews weekly his list of goals and breaks them down into concrete tasks. He has a daily list of items and makes sure to complete at least one major item each day.

Healthcare Trends:

Listen as Miles shares why he believes the healthcare world is going digital for storage of documents and workflows.

Mining the data to drive more evidence-based outcomes.
Health Kit APIs - Devices measurements, synchronization
Mobile workflows in healthcare. More ability to do job from mobile device.

Links:

https://silversheet.com/

@mbeckett

@silversheet


DoseUP:

Thanks for all your incredible support. We are grateful and blessed to all our listeners who support physician entrepreneurship and innovation.

Be innovative - Subscribe, share the love, and write an iTunes review at TheModernMD.com/review

Dream Big and Make it Happen,

Dr. Goodman

Dr. Ariel Drori shares his entrepreneurial journey, inspiring story in the battle field, and exciting work Co-Founding ThoraXS!

The ModernMD: Dr. Ariel Drori

Dr. Ariel Drori is the Co-Founder of ThoraXS, a single step, rapid life saving solution for treating pneumothorax. ThoraXS is a one-handed thoracic portal opener that shortens the procedure time of chest-tube insertion from minutes to less than 30 seconds. Dr. Drori is an Attending Internal Medicine physician at Hadassah University Medical Center and graduate of The Hebrew University in Jerusalem.


Success Quote:

"Anyone who has never made a mistake has never tried anything new." - Albert Einstein
White Coat to Business Suit:
Ariel is a practicing Internal Medicine physician at Hadassah University Medical Center. He also is a reserve medical doctor in the Israel Defense Forces (IDF). During one of his military services, a soldier was shot by his sniper suffering a chest trauma and a pneumothorax. Listen as Ariel shares his battle field story that inspired the creation of ThoraXS.

Idea to Venture:

The Idea: Pneumothorax is a medical emergency caused by chest trauma and is responsible for about one-third of preventable deaths on the battle field. Listen as Dr. Drori share his inspiration for the creation of ThoraXS and big vision for saving lives.

Success: Rapid medical innovation through BioDesign! Ariel shares the value of BioDesign program that brings the best and brights together to solve medicines most challenging problems.

What is BioDesign: A multi-disciplinary, team-based approach to medical innovation, created by Hebrew University of Jerusalem and Hadassah Medical Center in partnership with Stanford University.

Success: ThoraXS has simple mechanism that allows for an innovative one-handed solution that shortens the chest tube procedure time.
Business Rounds:
Best Advice: Never quit! Don’t take “No” as an answer.

Daily Success Habit: Ariel has busy schedule and wakes up early to review and plan his day.

Healthcare Trends:

Information Technology: How can we best organize and transfer patient data? Healthcare is moving into an information technology era with large amount of patient data accumulating.

Patient Safety: How can we improve patient safety and quality care? Patient expect excellent high quality care and have less tolerance for mistakes.
Links:
Join the movement and help support ThoraXS team on their mission to save lives!

Check out: http://www.thoraxs.com/

For more on BioDesign: http://www.biodesignisrael.com/

DoseUP:

Thanks for all your incredible support. We are grateful and blessed to all our listeners who support physician entrepreneurship and innovation.

Be innovative - Subscribe, share the love, and write an iTunes review at TheModernMD.com/review

Dream Big and Make it Happen,

Dr. Goodman

Dr. Vishaal Virani shares his entrepreneurial journey, passion for physician entrepreneurship, and exciting work at Doctorpreneurs.

The ModernMD: Dr. Vishaal Virani

Dr. Vishaal Virani is the Co-Founder of Doctorpreneurs, the global community for medical entrepreneurs with a mission to provide the next generation of entrepreneurs with the insights, network, and opportunities to lead innovative improvements in healthcare. Vishaal graduated from UCL Medical School in 2011 and completed his Foundation Training at William Harvey Hospital and King’s College Hospital in London. He then worked at Mansfield Advisors, a startup healthcare consultancy, analyzing business plans for medical technology companies and private hospital groups. Vishaal currently works as a management consultant at OC&C Strategy Consultants, where he specializes in retail, consumer goods and media.


Success Quote:

“Focus on the journey not the destination.” - Vishaal
White Coat to Business Suit:
Vishaal practiced as a general practitioner after graduating medical school. He started exploring opportunities outside of the clinical world, and jumped full time into the consulting space. Listen as Vishaal shares his journey jumping off the cliff, his push-pull factors, and the story of Doctorpreneurs.

Your Medical Entrepreneur Road Map:

Gut Check: Where do you want to be in the next 10-20 years of your career? Are your mentors happy with their career? This is a good way to validate your options and career path.

Push-Pull Factor: What are the factors that push you out of traditional practice? What are the exciting features of a career outside of clinical practice that excite you? How do you balance these push-pull factors will help set your path.

Path: How do you begin? How do you get into the entrepreneurial world? Build a strong business foundation. Consulting can be a great way to build your on the job MBA and learn core business education and training.

Idea to Venture:

The Idea: How do you build a global community medical entrepreneurs? Listen to the story of how Doctorpreneurs was founded and their mission to build a sustainable medical entrepreneurship community.

Success: Focus on maximizing impact with a strong core focus. The three main features of the Doctorpreneurs offering: Interviews of UK healthcare entrepreneurs, resources and events, and opportunities.
Business Rounds:
Best Advice:

Circumstances make you!
You never know when you are going to get good advice - Write it down and capture it. Vishaal believes in the magic of the little black note book!
Put your efforts into passions not profits.

Daily Success Habit: If you are going to do something daily it should be simple not ground breaking. Vishaal shares two daily success habits:

Immediate Email Response: Replies to emails straight away.

Take time for Lunch: Get outside the office, take time for lunch, and interact with people not just your computer.

Healthcare Trends:

Vishaal shares his biggest healthcare trends - Doctors should focus on making these trends more scientifically relevant!

Medical Student Entrepreneurship: Medical student increasing becoming interested in entrepreneurship. Their will be a growing number of physician founders and medical start up founded during medical school.

Consumer Healthcare: People integrating healthily habits into their daily lives. Exercise is becoming a bigger part of lives with new type of classes and smart exercise wear.

Detox Holidays: Travel with the idea of health.

Healthy Eating: New focus on healthy eating and wellness.
Links:
Join Doctorpreneurs community: www.doctorpreneurs.com/join

http://www.doctorpreneurs.com/

@doctorpreneurs

DoseUP:

Thanks for all your incredible support. We are grateful and blessed to all our listeners who ...

Listen as Dr. Andrew Rhinehart shares his entrepreneurial journey and exciting work at Glytec transforming diabetes care!

The ModernMD: Dr. Andrew Rhinehart

Dr. Andrew Rhinehart is the Chief Medical Officer at Glytec, a clinical information technology company dedicated to the mission of improving insulin management and glycemic control. Dr. Rhinehart previously served as a diabetologist and the program director of the Johnston Memorial Diabetes Care Center and Johnston Memorial Center for Comprehensive Wound Care in Virginia. He was also the Chairman of the ADA’s Primary Care Advisory Group and the first physician to be Board Certified in Advanced Diabetes Management (BC-ADM) by the American Association of Diabetes Educators.


Success Quote:

“You have to spend money to make money.”-W Scott Rhinehart

“You have to learn to loose money gracefully.”-W Scott Rhinehart
White Coat to Business Suit:
Dr. Rhinehart is an internist by training with a passion for diabetes. Andy always had an entrepreneurial spirit with early influences from his family business. In high school he started a DJ company and after graduating from residency went into private practice. Listens as Dr. Rhinehart shares his entrepreneurial journey.

Andy’s Innovation Dose: Become an expert, join hospital level committees, increase credibility with credentialing, and speak at national conferences!

Idea to Venture:

The Idea: How can you transform diabetes care across the continuum? Listen as Dr. Rhinehart shares his work at Glytec, a clinical information technology company dedicated to improving insulin management and glycemic control and their innovative glycemic solutions!

Success: Build a cloud based system with algorithms that are physician ordered and nursing driven. Start a glycemic management committee at your hospital.

Lesson Learned: Inpatient glycemic control is important with physician practice change as your biggest hurdle. Develop a team based interdisciplinary approach with goal of preventing hypoglycemia.
Business Rounds:
Best Advice: Listen as Dr. Rhinehart shares his best life advice.

1) Purse your passion to become successful.
2) Produce the best possible product or service.
3) Work hard play hard - Can’t be business all the time!

Daily Success Habits:

1) Fit body and fit mind.
2) Use lists to focus on your top priorities.
3) Surround yourself with great people.

Healthcare Trends:

Population Management: Team based approach to provide excellent care.

Patient Engagement: The successful office of the future has an empty waiting room. Patients are engaged before they need your help.

Healthcare Delivery/Payment Models: Value based and quality payment system.

Data: How do we leverage big data? Use actionable data and make clinical changes based information.
Links:
@ASRhinehart

https://www.glytecsystems.com/

@Glytec

DoseUP:

Thanks for all your incredible support. We are grateful and blessed to all our listeners who support physician entrepreneurship and innovation.

Be innovative - Subscribe, share the love, and write an iTunes review at TheModernMD.com/review

Dream Big and Make it Happen,

Dr. Goodman