An AllOut Talk w/ Dr. Warren Wexelman: How Physicians Interact with Patients and Pharma Today

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#HEALTHCARE #VIRTUALCARE #DIGITALHEALTH

This summer I sat down with one of the most outspoken and passionate guests I have ever hosted at Alloutcoach and recorded a truly “AllOut”, candid and colorful conversation that will leave you with calls to action to use Data and Technology not to only Count but to Connect in Healthcare. Dr. Warren Wexelman, a cardiologist, Associate Chief Medical Officer at Maimonides Hospital, renowned global keynote speaker, and lecturer addresses the latest trends in 1) virtual healthcare & telehealth and 2) interactions of healthcare professionals with pharma, biotech, and medical device companies to provide hands-on, real world case studies and recommendations to improve healthcare quality.

2:36 – Up to $250 billion could be shifted towards virtual healthcare
2:45 – Only 1% of primary care visits in Medicare were virtual as of January 2020, which rose to 50% of all Medicare Patients received virtual medical care
9:47 – How has telehealth impacted the quality of healthcare?
10:08 – Necessity is the mother of all invention – Sir Isaac Newton
10:47 – Basic tenets of the Doctor-Patient Relationship
10:56 – Doctor Patient Relationship is the single most important piece of healthcare
11:41 – As a Cardiologist, there are a dozen different ways to check the patient’s pulse
11:49 – Doctors check the pulse not to count the beats but to connect and touch the patient!
12:00 – Psychiatrists, psychologists, mental health experts rely on the bond with the patient
12:38 – In 1968, when Medicare first started in the U.S., physicians were able to speak to patients and bill for their consultation time but it’s never used because it is not reimbursed
13:11 – Increased reimbursement for virtual visits during the pandemic
13:40 – Two of Dr. Wexelman’s patients died at home due to non-COVID cardiac reasons because they were afraid to seek healthcare
15:40 – Telehealth increasing and plateauing trends and predictions
16:06 – New incentives for healthcare providers to use telehealth but the impact on the quality of care is yet to be determined
16:13 – Still a substantial population with low access to technology in certain areas – serious gap in access to care
18:19 – Dr. Wexelman’s own software company – Alphamed Disease Management Systems, alphameddms.com
20:05 – Many physicians still not advanced in their use of technology
21:08 – Are the structures in place for physicians to be incentivized sufficiently to adopt telehealth?
21:51 – US VA has had healthcare records since the 1970’s
22:07 – Obama administration brought upon “Meaningful Use” of electronic health records
22:51 – Healthcare records are not designed to be simple to use
23:02 – Physicians hate using their electronic healthcare records, which take them 3x the time to see a patient
23:57 – Electronic Healthcare Records were never designed to be shared everywhere
27:01 – Message to the government: make digital health devices available for home use, incentivize the healthcare providers
28:11 – Is Telepharmacy a possibility in our healthcare system?
29:29 – What is the ultimate relevance and innovation of being forced to only submit a prescription via a computer rather than the phone?
30:36 – Pharmaceutical Industry’s Adoption of Digital Health Technology
30:43 – Example of Pharmaceutical Companies going live on LinkedIn and Social Media
31:25 – How physicians engage virtually with pharma or med devices
31:56 – Why Physicians use Social Media – data from Scranton University
32:22 – How physicians shifted to attending virtual scientific conferences
32:59 – Few physicians engage with pharma at virtual conferences
33:41 – Medical Science Liaison (MSL) Society survey – how important is it to stay connected with MSLs during the pandemic?
34:32 – How frequently do physicians prefer to communicate with an MSL?
35:50 – Dr. Wexelman: “The term “pharma” has become a dirty with healthcare providers, and everyone in the healthcare system to blame!”
36:26 – Where would we be without pharma today?
40:06 – Physicians in large healthcare systems are not allowed to see pharma reps – “secure samples” software program by Dr. Wexelman

41:13 – keeping information from physicians who “serve” is a “disservice”
41:48 – Physicians need to know information BEFORE it is published
42:18 – Pacemaker sales rep example
45:51 – Medical Affairs and Sales partners in the Continuum of Healthcare
46:07 – Value of samples of cutting-edge treatments
46:52 – Why restrict “samples”, particularly for some life-saving medications such as PSCK9 inhibitors, antiplatelet medications to prevent strokes, etc?
47:06 – Drug prices: “There should never be a question – do I take my diabetes medication or do I eat today?”
48:35 – It is not about the number of years of experience in healthcare or any other field, but about how you utilize the experience, or technology
50:14 – Dr. Wexelman referencing the Hippocratic Oath and what it means to him!

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