Joe Selby's guest appearances

Joe Selby

Relentless Health Value™

World Extreme Medicine Podcast

Mark Cuban

Kyle Samani

David Smith

Michael Hunt

Scott King

Steve Wood

David Nott

Gareth Lock

Nathan Smith

Marty Makary

Mike Rea

Laura Adams

Erik Davis

Jason Rose

Johns Hopkins

OwlTail

Eoin Walker

‘The good thing with adventure racing is you’re often not too far after a low moment, from a high… finding that waterfall… it was by far and away the best experience I’ve ever had on a race’.    Joe Selby is a UK-based adventure seeker who is passionate about the outdoors and has raced all over the world, most recently competing in The World‘s Toughest Race: Eco Challenge in Fiji with Team UK Adventurers. The World's Toughest Race: Eco Challenge Fiji encompassed trekking by foot and traveling in various non-motorised forms of transportation, including paddling and sailing in an outrigger, paddle boarding, mountain biking, whitewater rafting, rappelling, climbing, canyoneering and Bilibili rafting, with only a map and compass to navigate across over 670km of Fijian terrain.    Alongside WEM Trauma Lead Eoin Walker, Joe explores his Eco Challenge journey; from preparation and crafting team dynamics to tackling the 10 different domains the course encompasses, plus all the miles in-between.  Joe reflects on some of his biggest challenges during the race, including what he termed the 'Mud Festival' (which turns out, was not as fun as it sounds) to getting lost during the waterfall section, and how his team recovered from these setbacks in their attempt to cross the finish line.  Joe also provides his top tips for anyone considering entering the incredible world of adventure racing; from getting into long distance events, to ensuring you've got the right kit - and most importantly, looking after your feet!    *** The World's Toughest Race: Eco Challenge Fiji is now available to stream on Amazon Prime Video. 

‘The good thing with adventure racing is you’re often not too far after a low moment, from a high… finding that waterfall… it was by far and away the best experience I’ve ever had on a race’.  Joe Selby is a UK-based adventure seeker who is passionate about the outdoors and has raced all over the world, most recently competing in The World‘s Toughest Race: Eco Challenge in Fiji with Team UK Adventurers. The World's Toughest Race: Eco Challenge Fiji encompassed trekking by foot and traveling in various non-motorised forms of transportation, including paddling and sailing in an outrigger, paddle boarding, mountain biking, whitewater rafting, rappelling, climbing, canyoneering and Bilibili rafting, with only a map and compass to navigate across over 670km of Fijian terrain.  Alongside WEM Trauma Lead Eoin Walker, Joe explores his Eco Challenge journey; from preparation and crafting team dynamics to tackling the 10 different domains the course encompasses, plus all the miles in-between.  Joe reflects on some of his biggest challenges during the race, including what he termed the 'Mud Festival' (which turns out, was not as fun as it sounds) to getting lost during the waterfall section, and how his team recovered from these setbacks in their attempt to cross the finish line.  Joe also provides his top tips for anyone considering entering the incredible world of adventure racing; from getting into long distance events, to ensuring you've got the right kit - and most importantly, looking after your feet!  *** The World's Toughest Race: Eco Challenge Fiji is <a href="https://www.amazon.co.uk/Worlds-Toughest-Race-Eco-Challenge-Fiji/dp/B08F71Z4JK#ace-g0979249316" rel="nofollow" target="_blank">now available to stream</a> on Amazon Prime Video.

Adventure Racing Around the World with Joe Selby

There is a land grab going on right now, the likes of which the health care industry hasn’t seen before—at least in our generation. Spoiler alert: There’s a whole episode of Relentless Health Value coming up on the impact of the Teladoc-Livongo hookup. And that is totally relevant to the point I’m about to make. But let me just start with a little bit of background: American patients—let’s get real here—have no more money to spend on health care every year. Really. I mean, you look to employers. The government? Who knows? But let’s just say for the purposes of this discussion that what’s going on right now is a zero-sum game—that the dollars in the system every year are the dollars in the system, and if you want to increase your revenue as any given health care stakeholder, you’ve got to take those dollars from somebody else. Alright … now consider this: Previously, if a health system, say, were going to make a list of their competitors, they’d probably list the health system down the street, maybe the one in the next town over if there seems to be a lot of commuting. Oh, my, how we no longer live in that simple world! Enter the pandemic and patients not only accepting but kind of digging virtual care and its convenience and its accessibility. Now consider what happened to brick-and-mortar stores who didn’t add online retailers to their list of competitive threats. Virtual entities doing chronic care management, diabetes, musculoskeletal, other population health endeavors … these are now or will soon enough be head-to-head competitors to in-person care settings. My local health system, they may also decide to stand up to telehealth—and many of them did. But if the playing field is now in the Cloud, how’s the patient experience on their systems? Everybody accepted that, in the beginning, they were kind of buggy and calls dropped and all you could see was the doctor’s ear in a weirdly dark room or something. But six months later or a year later? Not exactly sure when patients’ patience will run out, especially when there are companies out there who built amazing virtual experiences from the ground up and who, by the way, are often hired by health plans, who, by the way, make it financially, let’s just say, attractive for patients to use those services that the plan is providing instead of the big expensive consolidated health plan that raised their rates 30-fold over the past couple of years like one of them anecdotally did. So, you start to see why, if I were a health system or a provider executive, I’d kind of shuffle the patient centricity, design thinking, patient experience—that whole bunch—to the first tab of my spreadsheet. Patients have, at this moment, unprecedented choice; and so do their employers, nothing for nothing. As Dr. Matt Anderson told me the other day, if a health system thinks that it’s going to make the difference by doing more specialty services and expensive procedures, that might be a risky bet. Other battlegrounds in the land grab include home health or hospital at home. Humana, for one, is trying to dominate the whole home health space. Again, it’s a turf war, because these patients are now not going to the local hospital—you know, not paying the local hospital, which might be the more operative statement. So, anyway, I thought it might be a good idea to replay my conversation with Dr. Joe Selby from early last year. Dr. Selby is the [now-retired] executive director of PCORI, otherwise known as the Patient-Centered Outcomes Research Institute. PCORI is an independent nonprofit organization in Washington, DC. Since December 2012, PCORI has funded hundreds of studies that compare health care options to learn which work best given patient circumstances and preference. So, it’s definitely good background information. Anyone driving for the best patient experience might want to have it at their fingertips. If you want even more advice about what to contemplate when contemplating patient experience, I’d refer you to episode 236, which is my conversation with Liliana Petrova, the CEO and founder over at The Petrova Experience. In that episode, Liliana translates her experience as director of customer experience at JetBlue to the health care industry. You could also check out episode 228, “How to Figure Out What Patients Really Want,” when I spoke with Julie Rish, PhD, from the Cleveland Clinic. And I’d round out the mix with episode 252, “The Not-So-Obvious Thing That Musculoskeletal Care and a 4-Minute Mile Have in Common”; and that’s when I talked to Chad Gray, CEO over at Integrated Musculoskeletal Care. I mention this last one because Chad’s company is pretty much a direct competitor to local orthopedic practices across the nation that his group is not aligned with. When you listen to the show, you can start to get a bead on how high the bar is starting to raise.  You can learn more at PCORI.org.    Joe V. Selby, MD, MPH, retired as the executive director of the Patient-Centered Outcomes Research Institute (PCORI) in December 2019. A family physician, clinical epidemiologist, and health services researcher, Dr. Selby has more than 35 years of experience in patient care, research, and administration. He was responsible for identifying strategic issues and opportunities for PCORI and implementing and administering programs authorized by the PCORI Board of Governors. Dr. Selby joined PCORI from Kaiser Permanente Northern California, where he was director of the division of research for 13 years and oversaw a department of more than 50 investigators and 500 research staff members working on more than 250 ongoing studies. He was with Kaiser Permanente for 27 years. An accomplished researcher, Dr. Selby has authored more than 200 peer-reviewed articles, with his most recent research primarily in the areas of diabetes outcomes and quality improvement. His publications cover a spectrum of topics, including effectiveness studies of colorectal cancer screening strategies; treatment effectiveness, population management, and disparities in diabetes mellitus; primary care delivery; and quality measurement. Dr. Selby was elected to membership in the Institute of Medicine in 2009 and was a member of the Agency for Healthcare Research and Quality study section for Health Care Quality and Effectiveness from 1999 to 2003. A native of Fulton, Missouri, Dr. Selby received his MD from Northwestern University and his MPH from the University of California-Berkeley. He was a commissioned officer in the Public Health Service Corps from 1976 to 1983 and received the Commissioned Officer’s Award in 1981. 05:36 Can payers afford to make health care patient-centric? 05:59 “If you make care more patient-centric … you actually see decreases in utilization.” 06:32 Shared decision making. 09:59 “What gets in the way of implementing good evidence?” 10:08 A study involving community health workers. 11:26 Default care and back surgery. 13:45 “There’s just a lot of habits like that in clinical care that aren’t backed up by evidence and can be undone with good evidence.” 14:23 How Dr. Selby figures out what the patients want and what outcomes to focus on. 14:48 Looking for evidence gaps. 16:26 What PCORnet is and what they’re doing. 18:15 “To do really good quality research, you have to be able to link the data from health systems … to data from claims.” 19:32 “We’re asking questions that matter to them, to their bottom line, and to their patients.” 19:37 What the main goal of PCORnet is—what or where? 21:26 Giving and getting data as a health system. 22:12 Studies that have come from PCORI’s queries. 25:31 “It’s very important that the systems … appreciate that PCORnet is active in their midst.” 26:09 “It’s hopefully a culture-changer, driving toward more collaboration and toward … finding common ground between people who are asking purely clinical questions and people who are asking the more practical questions.” 26:28 What frustrates Dr. Selby the most. 28:39 Turn the Ship Around!—a book about short-term evaluation and short-term results vs long-term change. You can learn more at PCORI.org.   Check out our latest #healthcarepodcast with @joevselby as he discusses #patientcentricity. #healthcare #podcast #digitalhealth #healthtech “If you make care more patient-centric … you actually see decreases in utilization.” @joevselby discusses #patientcentricity. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech “What gets in the way of implementing good evidence?” @joevselby discusses #patientcentricity. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech “There’s just a lot of habits like that in clinical care that aren’t backed up by evidence and can be undone with good evidence.” @joevselby discusses #patientcentricity. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech “To do really good quality research, you have to be able to link the data from health systems … to data from claims.” @joevselby discusses #patientcentricity. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech “We’re asking questions that matter to them, to their bottom line, and to their patients.” @joevselby discusses #patientcentricity. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech

There is a land grab going on right now, the likes of which the health care industry hasn’t seen before—at least in our generation. Spoiler alert: There’s a whole episode of Relentless Health Value coming up on the impact of the Teladoc-Livongo hookup. And that is totally relevant to the point I’m about to make. But let me just start with a little bit of background: American patients—let’s get real here—have no more money to spend on health care every year. Really. I mean, you look to employers. The government? Who knows? But let’s just say for the purposes of this discussion that what’s going on right now is a zero-sum game—that the dollars in the system every year are the dollars in the system, and if you want to increase your revenue as any given health care stakeholder, you’ve got to take those dollars from somebody else. Alright … now consider this: Previously, if a health system, say, were going to make a list of their competitors, they’d probably list the health system down the street, maybe the one in the next town over if there seems to be a lot of commuting. Oh, my, how we no longer live in that simple world! Enter the pandemic and patients not only accepting but kind of digging virtual care and its convenience and its accessibility. Now consider what happened to brick-and-mortar stores who didn’t add online retailers to their list of competitive threats. Virtual entities doing chronic care management, diabetes, musculoskeletal, other population health endeavors … these are now or will soon enough be head-to-head competitors to in-person care settings. My local health system, they may also decide to stand up to telehealth—and many of them did. But if the playing field is now in the Cloud, how’s the patient experience on their systems? Everybody accepted that, in the beginning, they were kind of buggy and calls dropped and all you could see was the doctor’s ear in a weirdly dark room or something. But six months later or a year later? Not exactly sure when patients’ patience will run out, especially when there are companies out there who built amazing virtual experiences from the ground up and who, by the way, are often hired by health plans, who, by the way, make it financially, let’s just say, attractive for patients to use those services that the plan is providing instead of the big expensive consolidated health plan that raised their rates 30-fold over the past couple of years like one of them anecdotally did. So, you start to see why, if I were a health system or a provider executive, I’d kind of shuffle the patient centricity, design thinking, patient experience—that whole bunch—to the first tab of my spreadsheet. Patients have, at this moment, unprecedented choice; and so do their employers, nothing for nothing. As Dr. Matt Anderson told me the other day, if a health system thinks that it’s going to make the difference by doing more specialty services and expensive procedures, that might be a risky bet. Other battlegrounds in the land grab include home health or hospital at home. Humana, for one, is trying to dominate the whole home health space. Again, it’s a turf war, because these patients are now not going to the local hospital—you know, not paying the local hospital, which might be the more operative statement. So, anyway, I thought it might be a good idea to replay my conversation with Dr. Joe Selby from early last year. Dr. Selby is the [now-retired] executive director of PCORI, otherwise known as the Patient-Centered Outcomes Research Institute. PCORI is an independent nonprofit organization in Washington, DC. Since December 2012, PCORI has funded hundreds of studies that compare health care options to learn which work best given patient circumstances and preference. So, it’s definitely good background information. Anyone driving for the best patient experience might want to have it at their fingertips. If you want even more advice about what to contemplate when contemplating patient experience, I’d refer you to <a href="https://relentlesshealthvalue.com/audios/ep236/" rel="noopener noreferrer nofollow" target="_blank">episode 236</a>, which is my conversation with Liliana Petrova, the CEO and founder over at The Petrova Experience. In that episode, Liliana translates her experience as director of customer experience at JetBlue to the health care industry. You could also check out <a href="https://relentlesshealthvalue.com/audios/ep228/" rel="noopener noreferrer nofollow" target="_blank">episode 228</a>, “How to Figure Out What Patients Really Want,” when I spoke with Julie Rish, PhD, from the Cleveland Clinic. And I’d round out the mix with <a href="https://relentlesshealthvalue.com/audios/ep252/" rel="noopener noreferrer nofollow" target="_blank">episode 252</a>, “The Not-So-Obvious Thing That Musculoskeletal Care and a 4-Minute Mile Have in Common”; and that’s when I talked to Chad Gray, CEO over at Integrated Musculoskeletal Care. I mention this last one because Chad’s company is pretty much a direct competitor to local orthopedic practices across the nation that his group is not aligned with. When you listen to the show, you can start to get a bead on how high the bar is starting to raise.  You can learn more at <a href="https://www.pcori.org/" rel="noopener noreferrer nofollow" target="_blank">PCORI.org</a>.  Joe V. Selby, MD, MPH, retired as the executive director of the Patient-Centered Outcomes Research Institute (PCORI) in December 2019. A family physician, clinical epidemiologist, and health services researcher, Dr. Selby has more than 35 years of experience in patient care, research, and administration. He was responsible for identifying strategic issues and opportunities for PCORI and implementing and administering programs authorized by the PCORI Board of Governors. Dr. Selby joined PCORI from Kaiser Permanente Northern California, where he was director of the division of research for 13 years and oversaw a department of more than 50 investigators and 500 research staff members working on more than 250 ongoing studies. He was with Kaiser Permanente for 27 years. An accomplished researcher, Dr. Selby has authored more than 200 peer-reviewed articles, with his most recent research primarily in the areas of diabetes outcomes and quality improvement. His publications cover a spectrum of topics, including effectiveness studies of colorectal cancer screening strategies; treatment effectiveness, population management, and disparities in diabetes mellitus; primary care delivery; and quality measurement. Dr. Selby was elected to membership in the Institute of Medicine in 2009 and was a member of the Agency for Healthcare Research and Quality study section for Health Care Quality and Effectiveness from 1999 to 2003. A native of Fulton, Missouri, Dr. Selby received his MD from Northwestern University and his MPH from the University of California-Berkeley. He was a commissioned officer in the Public Health Service Corps from 1976 to 1983 and received the Commissioned Officer’s Award in 1981. 05:36 Can payers afford to make health care patient-centric? 05:59 “If you make care more patient-centric … you actually see decreases in utilization.” 06:32 Shared decision making. 09:59 “What gets in the way of implementing good evidence?” 10:08 A study involving community health workers. 11:26 Default care and back surgery. 13:45 “There’s just a lot of habits like that in clinical care that aren’t backed up by evidence and can be undone with good evidence.” 14:23 How Dr. Selby figures out what the patients want and what outcomes to focus on. 14:48 Looking for evidence gaps. 16:26 What PCORnet is and what they’re doing. 18:15 “To do really good quality research, you have to be able to link the data from health systems … to data from claims.” 19:32 “We’re asking questions that matter to them, to their bottom line, and to their patients.” 19:37 What the main goal of PCORnet is—what or where? 21:26 Giving and getting data as a health system. 22:12 Studies that have come from PCORI’s queries. 25:31 “It’s very important that the systems … appreciate that PCORnet is active in their midst.” 26:09 “It’s hopefully a culture-changer, driving toward more collaboration and toward … finding common ground between people who are asking purely clinical questions and people who are asking the more practical questions.” 26:28 What frustrates Dr. Selby the most. 28:39 <a href="https://amzn.to/2Dtr3OR" rel="noopener noreferrer nofollow" target="_blank">Turn the Ship Around!</a>—a book about short-term evaluation and short-term results vs long-term change. You can learn more at <a href="https://www.pcori.org/" rel="noopener noreferrer nofollow" target="_blank">PCORI.org</a>.  Check out our latest #healthcarepodcast with @joevselby as he discusses #patientcentricity. #healthcare #podcast #digitalhealth #healthtech “If you make care more patient-centric … you actually see decreases in utilization.” @joevselby discusses #patientcentricity. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech “What gets in the way of implementing good evidence?” @joevselby discusses #patientcentricity. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech “There’s just a lot of habits like that in clinical care that aren’t backed up by evidence and can be undone with good evidence.” @joevselby discusses #patientcentricity. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech “To do really good quality research, you have to be able to link the data from health systems … to data from claims.” @joevselby discusses #patientcentricity. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech “We’re asking questions that matter to them, to their bottom line, and to their patients.” @joevselby discusses #patientcentricity. #healthcarepodcast #healthcare #podcast #digitalhealth #healthtech

Encore! EP225: Why, Right Now, It Is No Longer Optional to Suck at Patient Centricity, With Joe Selby, MD, MPH, Former Executive Director of PCORI

It turns out, patient-centric care that produces outcomes patients care about is usually less expensive than care that is not. The Patient-Centered Outcomes Research Institute (PCORI), an independent nonprofit, nongovernmental organization in Washington, DC, was authorized by Congress in 2010. PCORI was established to fund research that can help patients make better-informed decisions, guided by clinicians, payers, and others. In other words, help nudge health care into a patient-centric place, for the good of everyone involved in a quadruple aim sort of way. Since December 2012, PCORI has funded hundreds of studies that compare health care options to learn which work best, given patients’ circumstances and preferences. Today I speak with Dr. Joe Selby, executive director of PCORI. You can learn more at PCORI.org.   Joe V. Selby, MD, MPH, is the executive director of the Patient-Centered Outcomes Research Institute (PCORI). A family physician, clinical epidemiologist, and health services researcher, Dr. Selby has more than 35 years of experience in patient care, research, and administration. He is responsible for identifying strategic issues and opportunities for PCORI and implementing and administering programs authorized by the PCORI Board of Governors. Dr. Selby joined PCORI from Kaiser Permanente Northern California, where he was director of the division of research for 13 years and oversaw a department of more than 50 investigators and 500 research staff members working on more than 250 ongoing studies. He was with Kaiser Permanente for 27 years. An accomplished researcher, Dr. Selby has authored more than 200 peer-reviewed articles and continues to conduct research, primarily in the areas of diabetes outcomes and quality improvement. His publications cover a spectrum of topics, including effectiveness studies of colorectal cancer screening strategies; treatment effectiveness, population management, and disparities in diabetes mellitus; primary care delivery; and quality measurement. Dr. Selby was elected to membership in the Institute of Medicine in 2009 and was a member of the Agency for Healthcare Research and Quality study section for Health Care Quality and Effectiveness from 1999 to 2003. A native of Fulton, Missouri, Dr. Selby received his MD from Northwestern University and his MPH from the University of California–Berkeley. He was a commissioned officer in the Public Health Service Corps from 1976 to 1983 and received the Commissioned Officer’s Award in 1981.  01:34 Can payers afford to make health care patient-centric? 01:57 “If you make care more patient-centric … you actually see decreases in utilization.” 02:30 Shared decision making. 05:57 “What gets in the way of implementing good evidence?” 06:05 A study involving community health workers. 07:24 Default care and back surgery. 10:28 “There’s just a lot of habits like that in clinical care that aren’t backed up by evidence and can be undone with good evidence.” 11:36 “Where would you push the randomization?” 12:07 “We are trying to conduct practical research that really helps clinicians and patients make decisions differently.” 12:34 How Dr. Selby figures out what the patients want and what outcomes to focus on. 13:00 Looking for evidence gaps. 14:47 What PCORnet is and what they’re doing. 16:28 “To do really good quality research, you have to be able to link the data from health systems ... to data from claims.” 17:46 “We’re asking questions that matter to them, to their bottom line, and to their patients.” 18:07 What the main goal of PCORnet is—what or where? 19:59 Giving and getting data as a health system. 21:33 Studies that have come from PCORI’s queries. 25:02 “It’s very important that the systems … appreciate that PCORnet is active in their midst.” 25:41 “It’s hopefully a culture-changer, driving toward more collaboration and toward … finding common ground between people who are asking purely clinical questions and people who are asking the more practical questions.” 26:01 What frustrates Dr. Selby the most. 28:12 Turn the Ship Around!—a book about short-term evaluation and short-term results vs long-term change. You can learn more at PCORI.org.

It turns out, patient-centric care that produces outcomes patients care about is usually less expensive than care that is not. The Patient-Centered Outcomes Research Institute (PCORI), an independent nonprofit, nongovernmental organization in Washington, DC, was authorized by Congress in 2010. PCORI was established to fund research that can help patients make better-informed decisions, guided by clinicians, payers, and others. In other words, help nudge health care into a patient-centric place, for the good of everyone involved in a quadruple aim sort of way. Since December 2012, PCORI has funded hundreds of studies that compare health care options to learn which work best, given patients’ circumstances and preferences. Today I speak with Dr. Joe Selby, executive director of PCORI. You can learn more at <a href="http://PCORI.org" rel="noopener noreferrer nofollow" target="_blank">PCORI.org</a>. Joe V. Selby, MD, MPH, is the executive director of the Patient-Centered Outcomes Research Institute (PCORI). A family physician, clinical epidemiologist, and health services researcher, Dr. Selby has more than 35 years of experience in patient care, research, and administration. He is responsible for identifying strategic issues and opportunities for PCORI and implementing and administering programs authorized by the PCORI Board of Governors. Dr. Selby joined PCORI from Kaiser Permanente Northern California, where he was director of the division of research for 13 years and oversaw a department of more than 50 investigators and 500 research staff members working on more than 250 ongoing studies. He was with Kaiser Permanente for 27 years. An accomplished researcher, Dr. Selby has authored more than 200 peer-reviewed articles and continues to conduct research, primarily in the areas of diabetes outcomes and quality improvement. His publications cover a spectrum of topics, including effectiveness studies of colorectal cancer screening strategies; treatment effectiveness, population management, and disparities in diabetes mellitus; primary care delivery; and quality measurement. Dr. Selby was elected to membership in the Institute of Medicine in 2009 and was a member of the Agency for Healthcare Research and Quality study section for Health Care Quality and Effectiveness from 1999 to 2003. A native of Fulton, Missouri, Dr. Selby received his MD from Northwestern University and his MPH from the University of California–Berkeley. He was a commissioned officer in the Public Health Service Corps from 1976 to 1983 and received the Commissioned Officer’s Award in 1981.  01:34 Can payers afford to make health care patient-centric? 01:57 “If you make care more patient-centric … you actually see decreases in utilization.” 02:30 Shared decision making. 05:57 “What gets in the way of implementing good evidence?” 06:05 A study involving community health workers. 07:24 Default care and back surgery. 10:28 “There’s just a lot of habits like that in clinical care that aren’t backed up by evidence and can be undone with good evidence.” 11:36 “Where would you push the randomization?” 12:07 “We are trying to conduct practical research that really helps clinicians and patients make decisions differently.” 12:34 How Dr. Selby figures out what the patients want and what outcomes to focus on. 13:00 Looking for evidence gaps. 14:47 What PCORnet is and what they’re doing. 16:28 “To do really good quality research, you have to be able to link the data from health systems ... to data from claims.” 17:46 “We’re asking questions that matter to them, to their bottom line, and to their patients.” 18:07 What the main goal of PCORnet is—what or where? 19:59 Giving and getting data as a health system. 21:33 Studies that have come from PCORI’s queries. 25:02 “It’s very important that the systems … appreciate that PCORnet is active in their midst.” 25:41 “It’s hopefully a culture-changer, driving toward more collaboration and toward … finding common ground between people who are asking purely clinical questions and people who are asking the more practical questions.” 26:01 What frustrates Dr. Selby the most. 28:12 <a href="https://amzn.to/2Dtr3OR" rel="nofollow" target="_blank">Turn the Ship Around!</a>—a book about short-term evaluation and short-term results vs long-term change. You can learn more at <a href="http://PCORI.org" rel="noopener noreferrer nofollow" target="_blank">PCORI.org</a>.

EP225: Can We Afford to Make Health Care Patient-centric?, With Joe Selby, MD, MPH, Executive Director of PCORI