“(22Min) he said give me straight answers, I don’t want you to talk down to me. Give me easy access, he said his favourite thing is when he’s not sure about something he just wants to be able to pick up the phone and call his team and get an answer immediately. The idea of setting up an appointment and making a visit that does not appeal to him. He would love facetime. I asked him about texting and he said I’m gonna cut you old people some flack - which really em I don’t know - but we won’t really feel like we need to text you all the time right now but you really need to get ready for this. So he said what I want is a strong bond between me and my care team. He said I want the ability to express a concern and get my advice and my answers right away. He said ‘I’d love FaceTime visits’ but he said I’d love all of my care to happen without going to the office.
Trevor knows what this (“5,000 hours”) is. How many of you here know what 5,000 hours is? Just a few. 5,000 hours is the number of waking hours in the year Trevor has to take care of himself, so Trevor is taking care of himself for 5,000 hours. In the old days he would see his doctor twice a year for 15 minutes so should we optimise the two 15 minute visits or should we focus on the 5,000 hours. Trevor believes that we need to flip care so that we’re not only focused on the visit but we’re thinking how do we optimise those 5,000 hours with relationships involving interactions that are frequent short, direct and helpful. No office visits, constant care. beside Trevor there about 26 million people in the United States with diabetes - 8.3% of people here in the united states have diabetes”
Maureen Bisognano, President and CEO at the Institute for Healthcare Improvement (IHI), Instructor of Medicine at Harvard Medical School and Research Associate at the Brigham and Women’s Hospital Division
of Social Medicine and Health Inequalities, shares insights from Trevor Torres, Type 1 Diabetic and Diabetes Evangelist, on the opportunity we have to flip the clinic.