Healthcare hotspotting | Dr. Jeffrey Brenner, MD | TEDxFreeLibraryofPhiladelphia

Dr. Brenner details where money in the healthcare system goes and where the costs come from. Finding that a small percentage of patients drive most of the costs in healthcare, he shows how the American healthcare system is not a sustainable model financially and does not effectively address its patients’ health issues. Dr. Brenner explains his ideas of how our healthcare can work better for patients, taxpayers, and providers alike.
Dr. Jeffrey Brenner, MD, has been a family physician for over 15 years serving the Camden, NJ area. Dr. Brenner owns and operates a solo-practice, urban family medical office that provides full-spectrum family health services to a largely Hispanic, Medicaid-funded population, delivering babies, caring for children and adults, and making house calls to homebound patients. Recognizing the need for a new way for hospitals, providers, and community residents to collaborate, he founded and has served as the Executive Director of the Camden Coalition of Healthcare Providers since 2003. Dr. Brenner’s work has been profiled in The New Yorker and in an episode of PBS’ Frontline. He is also the Medical Director of the Urban Health Institute, a dedicated business unit built at the Cooper Health System focused on improving care of the underserved. Most recently, Dr, Brenner received a MacArthur award in 2013.
This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at ted.com/tedx

[@christinewhite9301]

This is a great presentation. The ACE study reviewed adverse childhood experiences prior to the age of 18 (not 5). The presenter relayed so much wonderful info. but this one fact needs clarification. Great and important work!

[@aQuisimo]

Top 10 ER Diagnosis 2002-2007 1. Acute upper respiratory infection (head cold) 2. Otitis media NOS (ear infx) 3. Viral infection NOS 4. Acute pharyngitis (sore throat) 5. Asthma NOS w/ exacer 6. NONINF gastroenteri (stomach virus) 7. Abdominal pain - site NEC 8. Fever 9. Chest pain NEC 10. Headache

[@janespitfire9884]

Dr.. Brenner, enjoyed your speech. Sorry your medical practice closed too. This is most interesting that trendy word you created.....hot spotting. Hot spotting is a way to save HC funds and treat the most ill people. However, most hot spotting is usually the poorest patient with the worst health problem who has the largest HC bills. Is not hot spotting another way to encourage more preventive care? I believe if some clinics were free for the poor and the bill sent automatically to the government it would aid in lower costs. These clinic medical fees would be set certain prices for just the poor indigent who arrive. The other part of spiked high HC costs is the insurance companies only pay certain allowed amount but still making huge profits. Supplies and medications are over priced in for profit medical centers. No one is focusing on the mid cycle process of the HC cost-paperwork, coding, staff development, and the DRG weighted value. Monitoring the front and back end of billing and registration helps but the middle processes be an advantage too check out also. Really, we need a two tier HC system for America...wealthy and the poor. Thank you for time did presentation!