BP2 Health

I take myself too seriously. I think we all do, especially in healthcare. It is life or death afterall. For 20 years the 4th of July in my beloved Breckenridge is a once a year kind of day. It centers around a 50 mile mountain bike race that our husbands, friends, sometimes ourselves and now some of our kids participate in, the race is actually the lead off for the true hometown parade (the racers ride down main street to cheers), our own “make the parade great again” float with candy music and smiles and then we make it a full day bbq that culminates in a bunch of those fireworks you buy on the side of the road that are set off in our friends driveway. I’m just myself for the day. I’m not a healthcare executive. I’m not someone unable to stop iterating how to create a healthcare system to be alongside our sickcare system. I’m not someone that is driving VBC 2.0, new models of care delivery meeting people where they are and better efficiency and outcomes. Erin W. Martin Carter Williams Clint Brauer Katie Stebbins Robert Sundelius, FACHE Martin Tull Eric Smith Courtney Younglove, M.D., FOMA, FACOG, DABOM Colby Schaeffer Harriette Brainard Gottlieb W. Keller Erin Booker, LPC Padmaja Patel, MD, FACLM, Dip ABLM, LMI Zuzanna Zielińska I’m just Ellen and I’m grateful. I hope others get a chance to have a day (at least) to do the same. Photo credit to my friend who captured an important part of the real me. Thankfully my BP2 Health partners David Pavlik and Justin Politi, our The Reverse Mullet Healthcare Podcast along with a number of our clients past and present embrace it too.

Spitball Sunday - Healthy Kraft Heinz creates a “Healthspital” My husband would be proud, he coined the phrase - “healthspital” a while ago. Because it’s such a strange word it’s allowed to be amorphous. When I read about the new Heinz leader (he's a self-professed health nut) I feel equal parts brother from another mother destined to be besties, wow this could be a white knight for healthcare and this is a PR ploy don’t fall for it. But as I always say I’m a polyana and hope springs eternal for me so I’m sticking with the first two. Here is the article https://lnkd.in/exSwBFnP So we have a food giant that could turn the “interior” grocery food options on their heads and the funds to make a play in the health (not sickcare!) space or partner with someone and at least blur the lines. So who in my sphere is up for imagining and operationalizing a “healthspital”? Food in lieu of a bunch of meds, walking before discharge instead of infirming, taking a cooking lesson while admitted but stable and preparing for discharge, having a grocery list sent to instacart being delivered to your house in pereration for discharge instead of just a home visit by a nurse? Who can get me (and everyone else) in touch with Carlos Abrams-Rivera? Which of my healthcare unicorns want to give this a go? This is legacy stuff - well beyond heads in beds. Bueller? When people ask my what effecting REAL change in actionable terms for me means - this right here is an example. BP2 Health doing the hard work to figure it out. I hope this doesn’t end in “Call me maybe”… How about “Duel of the Fates” from the Phantom Menace instead. Nicholas Moriello Andrew Toy John Whyte Feby Abraham Neil M. Meltzer, MPH, MHA Terry Shaw Daryl Tol Alexander Olesen John Beadle Carter Williams Katie Stebbins Lee Bowers Erin Booker, LPC John Gorman Michael Muntner John D. Couris Eric Smith foodishealth #foodismedicine

Spitball Saturday - Hospital for the Healthy. Hospitals keep sick people alive. How about we have something to get healthy people who are sick get healthy again. Part of the hospital is designated for this. Patients are encouraged to walk, they can pick fresh produce to be cooked from the atrium veggie garden on their walks, they are told what is needed to go home and helped to achieve it. Babylon Micro-Farms and Centra Health Alexander Olesen Amy Carrier are already integrating part of this into CENTRA LYNCHBURG GENERAL HOSPITAL. You have criteria that designates someone as healthy at admission. It’s based on their markers before admission. E.g. they were exercising regularly, their A1c was within certain levels, they were mobile, etc. Instead of watching your previously healthy loved one wither away while trying for 12 hrs daily to talk to the hospitalist who you are told holds the key to discharge (but failing at ever having said conversation) you are empowered to keep them healthy during this bump in the road. I somehow thought hospitals were improving. But they are when it comes to brass tacks safety and not much else. After the better part of my week with my Mom in every setting of care from ER to ICU to surgery, my image of improvement is shattered. I realized we have completely disregarded healthy people who are sick. They need healthcare not sickcare. Duh you say? Well try to unpack that statement in granular executable terms. Not so easy? Which is why I decided to spitball this fine Saturday morning now that my Mom is safely at home and my mind isn’t being numbed by beeps and moans and despair. Once again tagging some that I know are more open to spitballing and/or leading facilities that have opportunities into disruptive approaches. Apologies in advance for the tag but your thinking and risk taking is commendable. Carter Williams Feby Abraham Randy Haffner Daryl Tol Marc Harrison Erin Martin, MASM Kelly Springer MS, RD, CDN Sara Torrence RDN, LD Amit Rastogi, MD, MHCM John D. Couris Scott MacLean Neil M. Meltzer, MPH, MHA Tampa General Hospital AdventHealth LifeBridge Health Jupiter Medical Center Memorial Hermann Health System and Elizabeth Candelario (think this is right up your alley)

Sunday spitball - Cruises cure obesity Meet people where they are. Most people are in the middle. Cruises are in the middle. Cruises are popular. Cruises are typically glutinous. Cruises are made for families because there is something for everyone. Cruises are easy. Cruises used to be my worst nightmare. With a newly minted 15 year old son, cruises can’t be beat. What if we met the middle where they are. Health plan, health system, at risk provider organization or employer partners with a cruise line. Not for a one time specialty “health” cruise but for normal cruises You get testing done in advance. Ships have a small team of NPs, nutritionists and community health workers. Instead of paying for a cellulite gimmick, you learn about real nutrition. While your kid is riding the flowrider you review your health markers with the low cost medical team - heck maybe its a virtual team! You take cooking lessons, you are given a simple exercise program. You excerise each day. There is a section on the buffet and at each restaurant you can choose that comes from “gasp” regenerative farms full of nutrition that tastes and looks fantastic. You take home a meal plan and recipes and shopping list. You setup a follow up visit for 30 days post cruise with a provider while on the ship. You set up any specialist visits while on the ship. You get a warm handoff to a mental health provider if you need that. Maybe you don’t gain weight instead of gaining 15lbs because of this. And if you happen to lose weight you get an incentive. And if you improve your health measurably over a year maybe you get a free cruise or at least a big discount. 7.6 million people cruise on Royal Caribbean annually alone. 1 in 3 people are diabetic. Let’s deduce 2.3 million diabetics cruise on RCL annually. Say 10% of the diabetics participate in this program successfully. Diabetics on average cost $20k per year. Let’s say this program reduces that cost in half for those that participate. That’s a $2.6b annual savings. I had to do the math myself to check the staggering result - maybe my phone is playing tricks on my eyes. Who’s in? BP2 Health is all over taking this from spitball to reality with someone. This is a spitball so I know we could poke enough holes in this idea for swiss cheese. The point is to think unexpectedly, disruptively out loud. Fellow spitballers and honoraree spitballers I’m tagging you, I know you will appreciate the idea of thinking like this. Especially since it came to me on the treadmill watching the sunrise as we were docking the cruise ship on which I was the team captain at a dance contest last night. I decided to get over myself a bit. Pic below from belly flop contest. Feby Abraham Lee Bowers Matt Miller Carter Williams Erin Martin, MASM George "G.B." Pratt Kelly Springer MS, RD, CDN Samantha Citro Alexander Dariush Mozaffarian Nicholas Moriello Oliver Kharraz, MD Nigel Ohrenstein John D. Couris Peter Njongwe Marten den Haring

The (mis)adventures of On The Road at #jpm2024 with The Reverse Mullet Healthcare Podcast was a stark reminder of the mental health and substance abuse crisis that is on prominent display for the attendees of the conference especially when you make a rookie BART train decision at 5:30am. Taking the BART to the airport to help offset my carbon heavy flight home while traveling by myself proved a poor choice this fine morning. When the train stopped at the Civic center stop we were all greeted by the sound of a clearly untreated mentally ill individual who had apparently positioned herself in a precarious spot too near a potential leap in front of the train. She wouldn’t hear of moving to safety so we had to wait for her to be moved by the police. 20 minutes later no sign of police and the threat of me missing the cutoff to check my 45 lb duffel full of winter gear that I had for my originally planned next stop and I decided to exit the train and grab an Uber. In my haste I didn’t think to research the safety of the area around the station and emerged to 4 folks partaking in an early morning “wake up” of illicit substances and the surrounding sidewalks teaming with their associates who clearly had the same challenges of the woman down below. Apparently I was on the edge of the notorious “tenderloin district”. I have never felt so vulnerable in my life and I ride the subway at night by myself without fear, paralyzed with the reality that the term sitting duck was the biggest understatement of my life. Apparently angels were surrounding me because I managed to successfully lock in an UBER who was willing to pick me up and stay on the phone with me as I waited completely helplessly - no pepper spray or Birdie device was going to save me. I didn’t mess around and went UBER black for the occasion! I’m convinced I had been granted some sort of divine Harry Potter invisibility cloke for my 7 min stint standing on the corner. Literary prose aside, it left me ready to hug the Uber driver and humbled beyond words. It also reminded me to keep Behavioral Health front and center of the quest for driving REAL change in healthcare. Folks like Matt Miller and Colin LeClair and their team at Connections Health Solutions and Marten den Haring and his team Lirio and the investors like Chris Rogers and the scores of others trying to make BH better need the support of this industry it’s a non-negtiable. And to the universe - my family, business partners and friends thank you for the “invisibility cloak” this am. #behavioralhealthcare #valuebasedcare

Donning the coveted mullet of The Reverse Mullet Healthcare Podcast was the icing on the cake of amazing conversations about how to make REAL change in healthcare happen this week #jpm2024. So many fascinating people and companies in our tiny yet massive industry and it was fantastic to be able to access it in such a concentrated manner. This has renewed my pollyanna view that we can make this industry work again without waiting for Amazon or Apple to simply disrupt it. But it’s all hands on deck for sure. Feby Abraham , Chris Yeh and Paulo J Machado fantastic conversation - you are rockstars donning the actual Reverse Mullet! #jpm2024 #healthcareinnovation

Fun Fact Friday - 10 years into my career I walked away from a high profile 6-figure job to live in an RV for a year and a half with my husband to determine if we were living our best lives. Spoiler alert, I came back to healthcare but on different terms. Listen to my guest appearance on The Exit Interview with Kim Rittberg 🚀 to hear more. https://lnkd.in/erqaeNih. I was honored that Kim asked me to be a guest and we had a blast learning more about each other both professionally and personally. And of course you can hear more from me and my BP2 Health partners over at The Reverse Mullet Healthcare podcast https://lnkd.in/eWGWpwgk - with more new episodes dropping next week! #healthcareconsulting #livedexperience #livehealthy