Welcome to our new video series on a variety of topics in U.S. healthcare. Check back regularly for updates as we have more videos coming soon!

Episode 1

Outline

Welcome
- 1st of an 8 part series
- Focused on U.S. healthcare system, insurance and treatment guidance and caveats
Why we created this video series
- Audience
Who Are We?
Why did we create SDthe411?
- Our mission
  - Adult Focus
  - Pediatric to Adult Challenges
  - Fill in “donut hole” in current organizations
- Feedback from patients & providers that there is a lot of misclassification about disease
Shalla’s story
David’s story

The U.S. “Sickcare” System: Navigating a Fragmented System not designed for complex care

“Sickcare” vs “Healthcare”
- Reactionary medicine vs. preventative care
- How to utilize a primary care provider
- Insurance dictates prescribing behavior
  - No incentive for metacognition
- Revolving door phenomenon in clinical visits
What it means to be complex
- Navigating multi-specialists
- Navigating hospital admission/ER
  - How to practice shared medicine to be an active voice in care
  - To-go bag
  - Labs
  - Polypharmacy
Don’t neglect/delay care due to COVID
Barriers
- Punt-Punt-Pass (
- The ugly T word
- Lack of willingness to say “I don’t know”
- Knife fight in a phone booth
Solutions Moving Forward
- Collaborative Care
- Access resources
  - Clinical Coordination of Care (pharmacy, nurse navigator, case manager, social work, financial assistance-insurance/drug manufacturers
- Virtual training platforms
- Pediatric Immunology/Rheumatology as a better model
- Quality of Life (QOL) and Outcomes