Episode 8: Caring for caregivers with Senior Scholar at Stanford University’s Clinical Excellence Research Center Nirav Shah
1. Nuances of understanding value-based care and the invisible care-giver economy
2. The importance of caring for caregivers
3. Insights on who the caregivers are and their experience with COVID
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About our guests
Nirav R. Shah
Nirav R. Shah, MD, MPH, is Senior Scholar at Stanford University’s Clinical Excellence Research Center. He is a leader in patient safety and quality, innovation and digital health, and the strategies required to transition to lower-cost, patient-centered health care. Board-certified in Internal Medicine, Dr. Shah is a graduate of Harvard College and Yale School of Medicine, and is an elected member of the National Academy of Medicine. He serves as an independent director for STERIS plc, as trustee for The John A. Hartford Foundation, as Senior Fellow of the Institute for Healthcare Improvement (IHI), and as a member of the HHS Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030. Previously, he served as senior vice president and Chief Operating Officer for clinical operations for Kaiser Permanente in Southern California, and as Commissioner of the New York State Department of Health.
Watch the video of our episode on YouTube
At 3mins 27 seconds:
“I learned from the AARP, the American Association of Retired Persons, that unpaid family caregivers are responsible for about $500 billion, that's Billion with a B, dollars of care every year that they're not paid for. So fully 2% 2.5% of our GDP in America is silent, it's invisible.”
At 5mins 18 seconds:
For the last few decades in America, we've been talking about this thing called value based care. And what value based care means is that we're not going to be paying for things one at a time, we're going to be paying for improvement in outcomes and overall care.
At 13mins 09 seconds:
I'm making a story about how important it is to move care into the home. Well, I think that's what we used to call house calls a few decades ago, right? It used to be normal that the doctor came to you in your home, and actually outside of America, that is still the norm in many other countries. So what we're finding is that we're reinventing and rediscovering what used to work, it made a lot of sense.
At 16mins 22 seconds:
The research we've done at Stanford so far has shown that this cost and burden can last decades in terms of psychological impact, in terms of total cost of care in terms of your own health burdens, in terms of having heart attacks, in terms of dying young, as a caregiver, that kind of impact can be averted. And that's the lesson here is take care of yourself. So you can better take care of your loved one as well.
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