Attend TEDMED 2014

The 20 Great Challenges of Health and Medicine

  • The 20 Great Challenges
  • About the Great Challenges
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  • Great Challenges Day
3_role_of_the_patient.jpg The Role of the Patient
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The Role of the Patient

Patient empowerment can be a double-edged sword. From hospitals and insurance companies to doctors and patients themselves, much of the medical system increasingly treats patients as “customers” or “consumers,” terms that some people love and others hate. If patients are customers, does that mean “the customer is king” or does it mean “buyer beware” — or both? 

If patients retain their traditional role, does that mean doctors are in charge? Are both in charge somehow? How is “power” shared among all stakeholders and how should it be shared?

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6.jpg Managing Chronic Diseases
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Managing Chronic Diseases

Chronic disease is America’s leading cause of premature death and disability. Heart disease, cancer, respiratory illness and certain others are among the most costly and common health problems, yet they are often among the most easily prevented and controlled.

How can we innovate better approaches to help patients prevent, manage and treat their chronic diseases and achieve better outcomes?

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4.jpg The Obesity Crisis
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The Obesity Crisis

In 40 years, the U.S. population has gone from 40% overweight to 68% overweight. Half of American adults are dangerously obese, leading to many chronic conditions and deadly (and expensive) diseases.

Scientists and doctors generally agree the obesity epidemic is behavioral in nature (not the result of a pathogen).

The key drivers are our choices of food and activity, but multiple additional factors also play a role — from family dynamics to cultural roots, stress, economics, lifestyle and many more. Unlike smoking or drinking, eating is not optional. How can Americans move to healthier lifestyles — or, if we can’t change these trends, how can the healthcare system cope with the results?

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2.jpg The Caregiver Crisis
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The Caregiver Crisis

An estimated 44 million people provide full-time or part-time care for the elderly, disabled veterans, new mothers, the injured, the sick, etc. — a problem that eventually impacts everyone in the nation.

Caregivers have few tools, few support systems and receive minimal, if any, training for these responsibilities. What innovations can we develop specifically to support the caregiver community? Join In
20.jpg Eliminating Medical Errors
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Eliminating Medical Errors

All humans make mistakes. Doctors and nurses are human; they make mistakes. All systems are imperfect. Medical professionals use systems.

Errors by medical professionals and systems are inevitable (unfortunately, they send 2.4 million patients to hospitals yearly and are directly linked to 200,000 annual fatalities). Regardless of methods used to detect, prove and compensate for medical errors, how much better can we do in reducing or eliminating medical errors and what areas should we focus on to get the best improvements?

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5.jpg Achieving Medical Innovation
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Achieving Medical Innovation

New medical tests, treatments and devices are often very expensive when first introduced. Eventually, market forces bring the prices down. However, since most patients don’t pay for healthcare out of their own pockets, they don’t want to wait.

Patients disproportionately demand the latest, best medical products and services immediately — often, even if the demanded good is of marginal relevance to their condition. Leaving out questions of universal access and rationing, how can we make more medical innovations more affordable, more quickly, for more people?

Which proven strategies from Silicon Valley, the Moon landings, the Manhattan Project or other successful models could be applied effectively to achieving faster, yet less costly innovation in health and medicine?

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8_reducing_childhood_obesity_1.jpg Reducing Childhood Obesity
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Reducing Childhood Obesity

The challenge of childhood obesity is significantly different, some argue, from the challenge of adult obesity. Children don’t have the power over their lives, decisions, and lifestyles that adults have (parents and adults make many decisions for them and have the power to enforce certain behaviors).

Social institutions have more impact on kids than on adults (like church, YMCA, and especially school — including school lunch programs, mandatory gym classes, possible nutritional education, etc.).

Finally, there is the fact that kids are less set in their ways than adults, so it’s easier to change their behaviors and teach them new concepts. The number of obese children has just passed 20% and continues to grow. What is the full range of underlying causes for this trend and which combined causes are chiefly responsible?

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10_end_of_life_care_1.jpg End-of-life Care
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End-of-life Care

Modern medicine has extended the life expectancies of many terminally ill Americans. In turn, prolonging lives can mean incurring more intensive care and the associated costs.

In 2010, Medicare paid $55 billion for doctor and hospital bills during the last two months of patients’ lives. Quality end-of-life care requires balancing the input of doctors, families and patients themselves. And making crucial end-of-life decisions can take physical and emotional tolls on patients and their loved ones.

How should we help people manage end-of-life care choices to maximize individual well-being and minimize social cost?

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17_dementia_tsunami_1.jpg Preparing for Dementia
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Preparing for Dementia

It’s no secret that mental health tends to decline as we age (Alzheimer’s, dementia, etc). Some is natural cognitive decline; some is disease with severe cognitive impairment due to diseases associated almost entirely with aging.

By 2020 there will be 43 million Americans over 65 and 15 million over 85 (double the figures of 1980). Almost certainly, we are facing an unprecedented number of mentally impaired citizens.

Hope for cures is not a strategy. What should we be doing to prepare to meet the needs of tens of millions of mentally impaired older citizens?

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19_whole_patient_care_1.jpg Whole-Patient Care
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Whole-Patient Care

Regardless of patients’ roles in their own healthcare, there will always be questions about how doctors should approach medical problems — by focusing more on the symptoms and disease, or on the patient who has them?

Most doctors specialize due to a variety of pressures and incentives from economic and technological to social, professional and educational. The number of medical specialists (and specialties) continues to grow while the number of primary care physicians continues to shrink.

In the process, the goal of fitting all these specialties together for effective whole-patient care becomes ever more elusive. How can we treat the whole patient rather than the disease?

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9_making_prevention_popular_1.jpg Making Prevention Popular
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Making Prevention Popular

America spends $2 trillion a year on healthcare — mostly treating people after they become sick. How can we unlock prevention as a trillion-dollar business in America so we spend less on “sick care” and get Americans to “buy” healthy lifestyles?

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7_improving_medical_communication_1.jpg Medical Communication
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Medical Communication

Physicians are not typically trained in interpersonal communications and are not rewarded based on their communication skills.

Equally important, patients are often intimidated when talking to doctors and often feel they don’t have a receptive audience, especially when doctors are rushed. What can be done about this on both sides of the challenge (patients and doctors) — including possible initiatives in areas ranging from education to technology, to possible changes in the physical workspace? How do we make this issue a priority?

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13_best_practices_1.jpg Faster Adoption of Best Practices
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Faster Adoption of Best Practices

Best Practices Medical progress only occasionally depends on double blind, placebo-controlled studies. Most healthcare improvements come through small, incremental steps across tens of thousands of surgeries, procedures and protocols — from a better way to take a temperature to a better stitch or a better way to ask a question in the ER. But most of these improvements are not captured, shared and replicated across the healthcare system.

Even when best practices are identified and publicized, many providers seem slow to adopt them. What can we do to capture millions of improvements per year and make best practices available to benefit many more providers and patients?

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18_healthcare_cost_1.jpg Addressing Healthcare Costs
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Addressing Healthcare Costs

The U.S. remains locked in a decades-long controversy over how citizens should pay for healthcare, what healthcare should cost, who should pay, how much, and what incentives, if any, should be “paid” to patients who stay well (or try to).

How do we foster a thoughtful, civil dialog that focuses on science and the public interest, in a way that has a reasonable chance of eventually creating an approach we can all support?

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12_impact_of_poverty_1.jpg Impact of Poverty on Health
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Impact of Poverty on Health

The 46 million Americans who live in poverty are measurably less healthy and have far worse health outcomes than the rest of the population. Less certain is how much of these negative health outcomes are directly caused by poverty and how much is caused by other factors.

America would be better off if everyone were healthy, regardless of income — especially since government programs cover some of these costs directly. How should we think about the role and impact of poverty within the larger question of health?

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16_active_lifestyles_1.jpg Promoting Active Lifestyles
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Promoting Active Lifestyles

There is no disagreement that people who are more active have dramatically better overall health. Yet today’s average American adult burns 500 fewer calories per day than farmers and factory workers did 100 years ago — while consuming many more calories.

How do we invent broadly popular and achievable ways for people to become more active, so as to replace those “lost” energy expenditures?

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1_inventing_wellness_programs_1.jpg Inventing Wellness Programs
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Inventing Wellness Programs

From corporate America to the U.S. government and its armed forces, small businesses and even religious and educational institutions, many large-scale organizations have a strong economic motive to encourage their workforces to adopt healthier lifestyles (worker wellness means lower insurance rates for employers).

Many organizations have discovered elements that support worker wellness to some degree, but no group has put it all together for large scale, long-term success. Compounding this problem is a disagreement over the relative responsibility of the individual versus the responsibility of the organization for employee health (with issues ranging from workplace environment and stress, to on-the-job support for healthy lifestyles—or the lack of such support).

What kinds of innovation should we be thinking about and how can we encourage them to come to market as soon as possible?

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11_sleep_deprevation.jpg Causes of Sleep Deprivation
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Causes of Sleep Deprivation

While sleeping too few hours each night can have serious health consequences, we now know that better sleep is a tool that can be applied to many other Great Challenges of health and medicine. More and better quality sleep can fight obesity, help reduce medical errors, improve outcomes for the chronically ill, help special needs children cope better in society, fight stress, etc.

Sleep fights an uphill battle as American society seems to conspire against it.  Children set off for school at dawn. Tough financial times push cash-strapped workers to take multiple jobs. Shift work conflicts with the body’s natural clock. Type A personalities push themselves to work long hours and take redeye flights. Undiagnosed sleep apnea is rampant. Med students work 30-hour shifts with no sleep. Teenagers text into the night.

What is the full range of causes (social, medical, technological, economic, etc.) that engender and promote this widespread problem? What are the first-order and second-order effects, and beyond, of sleep deprivation? What would it take, and what would it mean, for America to view sleep as the third pillar of total health, alongside diet and exercise?

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14_coping_with_stress.jpg Impact of Stress
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Impact of Stress

Tranquilizers, antidepressants, sleeping pills and antianxiety medications exceed 33% of annual U.S. prescriptions. Unhealthy levels of stress are far more prevalent than most people recognize, and stress contributes to many other mental and physical health problems.

Given that stress is difficult to quantify and varies from person to person, how do we better understand the role of stress in the larger picture of health?

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15_personalized_medicine.jpg Future of Personalized Medicine
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Future of Personalized Medicine

Science is harvesting more and more information about the human population, and individual patients specifically. Medicine is understanding the roles of genomics and the environment in a patient’s medical history. Yet translating this data to practice has proved difficult. The fundamental question for a physician is still: will this treatment work for my patient?

How can the wealth of medical information be factored into patient medical records and into everyday care — more quickly, more usefully and more completely?

How can insights into individual patients — gleaned from in vitro and in vivo diagnostic tests — allow us to zero in on targeted therapies?

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The Great Challenges of Health and Medicine are complex, persistent problems that have medical and non-medical causes, impact millions of lives, and affect the well-being of all of America – beginning with patients, and extending to families and citizens everywhere.

These knotty problems are not susceptible to simple cures, magic bullets or “one-size-fits-all” solutions because they stem from broad, interlocking social, economic and psychological sources as well as from medical or scientific triggers. What’s more, each challenge creates multiple, overlapping effects that may cut across all sectors of society.

The mission of TEDMED’s Great Challenges Program is not to solve these complex problems. Instead, we propose to provide America and the world with an unbiased and broadly inclusive view of these challenges, incorporating thoughtful, multidisciplinary perspectives.

TEDMED believes that through an open, ongoing dialog with our intellectually diverse community, we can move toward a broad-based understanding of each challenge. Such an understanding can, in turn, set the stage for truly effective action.

The Great Challenges Program encourages everyone’s input. Doctors, scientists and researchers, of course – also technology innovators, business and government leaders, patients, legal experts, representatives of the armed forces, and the media. Quite simply, if you have a stake to protect…an idea to contribute…or a cause to promote, we want to hear from you!

To learn more about how the program works, click here.

How the Program Works

For the coming year, the Great Challenges Program will conduct a lively national dialogue on 20 challenges chosen by the TEDMED community. For each challenge, we have assembled a different Challenge Team, consisting of a multi-disciplinary group of leaders in their fields, each of whom brings a passionate and thoughtful perspective.

Conversations among Challenge Teams will take place through next March on TEDMED.com and during a series of live web-based sessions. TEDMED community members are encouraged to add their voices and unique points of view. You can participate by posting comments and follow-up questions, engaging in real-time, multi-disciplinary dialog with all members of a Challenge Team as well as other members of the TEDMED community.

Ultimately, success of the Great Challenges Program will be defined by lively, far-reaching and meaningful discussions that lead to deeper understanding of these complex challenges.

  • Challenge: Reducing Childhood Obesity
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    JOSE FERRERO: As a pediatrician I fight with this issue every single day, excess caloric consumption starts very early in life. And then there is the issue of early fetal programming... it is very complex, and should be in the mind of every pediatrician every day in every consultation.
    Reply
  • Challenge: Making Prevention Popular and Profitable
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    Adam Watson: o I believe an effective transformation into mainstream medicine for prevention lies with aligning the inherent motivations of both physicians and patients to one single goal: health maintenance. Seems simple enough, but the current reimbursement methodology for physicians is not truly structured to reinforce this mindset. Traditional fee-for-service installments incentivize doctors to, at times, exploit opportunities for over-treatment and 'padding the bill' if you will. Instead, I call for the adoption of fee-for-value reimbursement strategies to place physicians and patients on the same team. A more consistently healthy patient results in a victory for all players involved.
    Reply
  • Challenge: Promoting Active Lifestyles
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    Jen Jen Chen: Case in point:
    I'm in my last year of fellowship and finally have an afternoon off for the first time in weeks. My mind is nagging at me to get off the computer and go out for a 3 mile run NOW, before I talk myself out of it. Instead, I'm rationalizing staying on the computer because, hey, this is important stuff. If I want to open up a clinic that encompasses asthma education, fitness, and telemedicine, I should do my homework. Plus, my brain is telling me:

    1) The beach is a whole mile away, which means getting in the car and driving, just to enjoy that particular course
    2) I dread, dread, DREAD getting tired at the 2 mile mark
    3) There is a gallon of coffee in my stomach that will surely slosh around. Not a comfortable feeling
    4) I need to do my laundry because there may be rats making nests in those piles by now
    5) I'll run tomorrow

    All that from someone who know and fully believes the cardiovascular benefits of exercise, rising rates of obesity, etc. Which is just sad. If as a doctor, I'm finding it hard to go workout when I have time, how much harder would it be for the general population who essentially has no time and is less observant of aforementioned exercise benefits? You hear a lot about "mind over body" in regards to doing great things - like climbing Mt Everest or running marathons - but perhaps in this situation it's better to use the mantra of "body over mind." The mind is what talks us out of going to the gym (which I completely agree with Mr. Bricker's post about its overrated use), nags at us to do our chores, and makes us feel guilty for not exercising that sometimes it's exhausting. Sometimes we just need to shut off the brain and listen to your body. Mine is yelling at me that it's aching, bored, and weak from too little use and too much sitting. So stop sitting.

    I'm gonna go on that run now.
    Reply
  • Challenge: The Role of the Patient
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    Adam Watson: o This is a taylor-made opportunity for an introduction of a new form of physician-patient interaction. Currently in interactions with patients, physicians are trained to utilize the biophysical model when during their initial assessment. It is one that tends to marginalize patients and feelings. This might be useful for a mechanic repairing a familiar engine model, but people are much more complex and should demand an interaction that accounts for that. Enter the biopsychosocial model: a strategy that interprets patients wholistically, accounting for physical, mental and social codeterminants of the patient’s ailment. Equipping physicians with a more rounded understanding of a patient would logically lead to a more accurate diagnosis, result in more effective treatment patterns and most importantly, quicker recovery for the patient.
    Reply
  • Challenge: Reducing Childhood Obesity
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    General Healthy: Change doesn't occur without initiative. No brain trust here has identified that to kids, "healthy" just isn't COOL. Until we have cultural leadership (and the money behind it) to counter the unhealthy messages AND are able to capture the hearts and souls of our kids, there will be no solution. Niow, wake up!! Let's measure "desire for health", which is a leading indicator of change...not just the waist sizes of our kids (a lagging indicator).
    Reply
  • Challenge: Addressing Healthcare Costs and Payment Systems
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    David Ip: Agreed...we need to combine holistic and traditional care.
    Reply
  • Challenge: Addressing Healthcare Costs and Payment Systems
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    David Ip: Where are the results of what we discussed at TedMed. That might be a good springboard rather then reinventing the wheel.
    Reply

Live Events

Join us for TEDMED Thursdays when we will host live video chats as a way to further explore these great challenges. Participate by submitting questions and sharing your perspective with Challenge Team members and the TEDMED community in real-time. Join us for these live events here on TEDMED.com (see schedule below). To submit questions, follow us on Twitter @TEDMED and tag your questions with #GreatChallenges. Check this schedule regularly for weekly updates.

Upcoming Live Events

Thursday June 20th @ 2:00 pm
LIVE FACEBOOK CHAT WITH PETER ATTIA
Peter was a TEDMED 2013 speaker and is founder of the non-profit organization, Nutrition Science Initiative (NuSI). Through NuSI, Dr. Attia hopes to help science, and eventually public policy, reach the truth on obesity.

Thursday, June 27 @ 2:00 pm
HEALTH IS WHERE WE LIVE, WORK, PLAY AND PRAY
Featuring Great Challenges: Inventing Wellness Programs, Promoting Active Lifestyles, Making Prevention Popular

Thursday, July 18 @ 2:00 pm
PARTNERSHIPS WITH PATIENTS
Featuring Great Challenges: Role of the Patient, Whole Patient Care, Managing Chronic Disease

  

Watch Recasts of our Live Events

Did you miss one of our Great Challenge live events? Check out a recast of one today.

The Storytelling of Science: ​
Great Challenges Day

To cap off TEDMED 2013, we convened a special afternoon session devoted to the 20 Great Challenges of Health and Medicine and explored how storytelling and narrative framework can be utilized to help us gain a deeper understanding of these critical topics. 

We invite everyone to explore the collaboration from Great Challenges Day and then add your voice to the conversation!

We invite you to:
​

  EXPLORE: Community Collaboration   WATCH: The Storytelling of Science   SHARE: Join the Conversation
 

Explore conversations the community has engaged in across 20 of the most pressing issues we're facing in health and medicine today...then join in. Check out discussions brought together through Storify, as well as those captured at TEDMED 2013 and at our first-ever Great Challenges Day as infographics, community statements and action commitments.

  

Watch these videos and discover the power of storytelling and the important role it plays in science. Three master storytellers, Randy Olson, Ben Lillie and Erin Barker help us challenge assumptions and tap into new insights.
 


Randy Olson | Watch


Ben Lillie & Erin Barker from
​The Story Collider | Watch

  

Share your perspective by creating your own ‘And, But, Therefore’ statement, reflecting your input on the challenges you are most passionate about. Throughout this summer and fall, we’ll feature selected statements as part of our ongoing dialog online and via Google Hangouts. Join the conversation today!

About Great Challenges Day


To cap off TEDMED 2013, we convened a special afternoon session devoted to the 20 Great Challenges of Health and Medicine and explored how storytelling and narrative framework can be utilized to help us gain a deeper understanding of these critical topics. 

The purpose of Great Challenges Day was to:

  • Gather the Great Challenges Community for a hands-on working session that challenged our assumptions, inspired new perspectives and encouraged collaboration as we seek to better understand these important issues
  • Explore how storytelling captures attention and stimulates action while helping us gain a deeper understanding of a topic
  • Facilitate the composition of story narratives for each Great Challenge into a single statement and community actions during the working session
  • Inspire the submission of stories and actions from every member of the Great Challenges Community

We invite you to explore the work from Great Challenges Day and contribute your voice to the Great Challenges by creating statements and action commitments for yourself, your home, your workplace, or even your local community.

We also encourage you to join the TEDMED community and learn about the Great Challenges program and the Great Challenges team members, live events, and social media communities on Twitter, Facebook, and Google+ and then join the conversation by sharing your stories and reflections. 


The Importance of Storytelling

 

Though research and data are vital, effective storytelling is key to any compulsory exercise in the thinking and exploration of a topic, and mastering the art of storytelling is carefully integrated into the TEDMED experience. Stories create receptivity, engagement, and connection that dissolve during a presentation of cold hard facts.

To make change in the world around us we need to capture other people’s attention; we need them to care; and, ultimately, we need to provoke passion and ignite action. Storytelling provides this difference.  

At Great Challenges Day, the community heard from three master storytellers to learn how to compose an effective narrative and how to identify their own story within their research and work. The community spent the afternoon uncovering new insights and challenging assumptions as they leveraged a narrative framework to create a single statement representing each challenge. Learn more by watching these videos of the experience.

  
The "And, But & Therefore" of storytelling
Randy Olson
Why your life is as interesting as your research
Story Collider
Ben Lillie
 
Erin Barker
 
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The Role of the Patient

Community DISCUSSION

Explore the community's year-long combined thinking on these critical topics. 
View on Storify
View Full Infographic

Community
STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge. 

Patients/Consumers are responsible for their own care AND need the tools and education to make informed decisions. BUT Patients don’t own their power, don’t always have the knowledge to ask informed questions, and lack meaningful relationships with providers. THEREFORE there should be (1) National direct to consumer campaigns & education on patient empowerment from the earliest age and at key life stages, with incentives for patient participation (2) “Cues to Action” prompts embedded into patient-provider interactions, with incentives for provider initiation (3) A matchmaking engine to match patients with providers who have similar levels of participatory care.

​

Create your own statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year. 



1. National direct to consumer campaigns & education on patient empowerment from the earliest age and at key life stages, with incentives for patient participation.

2. “Cues to Action” prompts embedded into patient-provider interactions, with incentives for provider initiation.

3. A matchmaking engine to match patients with providers who have similar levels of participatory care.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss or simply share your thoughts about this great challenge.

Managing Chronic Diseases

Community DISCUSSION

Explore the community's year-long combined thinking on these critical topics. 
 View on Storify
View Full Infographic

Community
STATEMENT


​Great Challenges Day Participants said...
Great Challenges Day stimulated engagement from attendees, team and individual actions – anticipated for completion within the year – which become the momentum that expands these conversations and exposes new understandings.  
Chronic diseases, whether genetic and/or behavioral can result in great harm…and deaths…AND managing these conditions can be overwhelming for patients, their families, our healthcare system and our economy BUT if we rethink how we manage chronic disease from being about a group to be more focused on the ‘individual’ and how he/she lives as discovered through shared decision-making process and enhanced awareness, THEREFORE, we can better personalize care so that each person with a chronic disease can live to their “healthiest” normal.

Create your own statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.


1. Build an open/transparent data systems that can be accessed and owned by patients and can be aggregated to lead to proven outcomes.

2. Build communities, both online and off, to help inform patients on how they can best manage their disease(s).

​3. Improve therapeutic options to minimize comorbidities and side effects.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

The Obesity Crisis

Community DISCUSSION

Explore the community's year-long combined thinking on these critical topics.

View on Storify
View Full Infographic

Community
STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge.

The obesity crisis is real AND there are no simple solutions BUT there are some unclear solutions that business, government, and medical fields have a role in helping us understand through more research THEREFORE we need to think differently for change, address the issue on a larger scale, hold to a long-term vision, bring together various views for wider range of ideas and innovations and offer opportunities to collaborate across all of these ideas.

​

Create your own statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.


1. Think Differently in order to have change.

2. Address the issue on a larger scale and hold to a long-term vision.

3. Bring together various views and offer opportunities for collaboration.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

The Caregiver Crisis

Community DISCUSSION

Explore the community's year-long combined thinking on these critical topics.

View on Storify
View Full Infographic

Community
STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge.  




​











Community agencies are a vital component of the care team BUT the lack the information needed to full support care teams THEREFORE we need to integrate community agencies into the clinical care model.

Community agencies have a need to provide transportation for caregivers and their care BUT oftentimes are limited THEREFORE we should look for partners, possible putting services where there patients are to address the transportation issues.

Payors are focused on the bottom line AND processes like appeals get in the way of care BUT they are all businesses and need to make money THEREFORE we will create an environment where the patient is at the center and eliminate the appeals process.

Caregiver ratio is a challenge among families AND is often the place where most problems arise BUT this is also the area where most get stuck THEREFORE we need to create a family environment where community is supported, celebrated, and safe using technology.

The caregiver crisis is complex, with many stakeholders with conflicting incentives, resources and priorities AND we know that there is no one-size-fits-all for addressing the multiple issues THEREFORE the focus must be on providing specific structures - centered on communication, care coordination, and a change in mindset for addressing the issues.

​

Create your own statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year. 



1. Rethink the caregiving model, what if it was built by the Marine Corps? Or Starbucks?

​2. Advocate for the elimination of the appeals process with payors

3. Build caregiving solutions with the patient at the center

4. Include community resources and obstacles (like transportation) in the clinical care model for caregivers and patients

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Eliminating Medical Errors

Community DISCUSSION

Explore the community's year-long combined thinking on these critical topics.

View on Storify
View Full Infographic

Community
STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge.
​

Medical errors are the third leading cause of death and disability AND everyone suffers when they happen (patients, healthcare clinicians, families, society) BUT we can do so much more and the opportunity and will exists to change THEREFORE we must concentrate stakeholder resources (patients, caregivers, clinicians, providers, payors, policymakers) to provide integrated solutions.

TEDMED Live Participants at California Northstate University said...

Medication errors affect thousands of people every year AND cost billions of dollars to the healthcare system. Reducing medication errors has been a priory for multiple healthcare stakeholders BUT past initiatives have failed to involve patients. Eliminating medication errors is a multidisciplinary challenge that involves all healthcare professionals as well as patients. We believe the empowerment of patients to take responsibility of their own health is an understated factor. THEREFORE as the role of a pharmacist expands, we are in a position to aid this challenge.
​

Create your own statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year. 




​



1. Develop a national patient safety board. 

2. Improve healthcare transparency when events do happen.

3. Increase the accountability across all parties possibly involved in medical errors. 

4. Build a balanced approach of incentives for expanded attention on eliminating medical errors, beyond just a certain program/project.

TEDMED Live Participants at California Northstate University said...

1. Teach our students to demonstrate to patients the pharmacists’ expertise and knowledge in an effort to gain trust and confidence from the patient while addressing important health information along with questions and concerns. Once this has been established, the goal is for patients to view their pharmacist as an easily accessible resource that can help fill the communication/information gap between prescribers and patients. The stronger relationship formed could also allow pharmacists to frequently monitor patients through their treatment, identify and resolve medication errors, and make suggestions to prescribers when appropriate for therapy changes.
​
2. Create awareness and involve patients in medication safety in our regular health fairs and support our students’ efforts to outreach the community. Examples of such efforts include participation in the “Script you Future,” “The Vial of Life,” and “GenerationRx” campaigns.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Achieving Medical Innovation

Community DISCUSSION

Explore the community's year-long combined thinking on these critical topics.

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Community
STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge.
​

The challenges to medication innovations are underpinned by the structure, quality and efficiency of FDA, CMS and federal funding agencies and a lack of understanding of barriers to innovation BUT there is a enough waste in the system that, if repurposed, could solve the problem THEREFORE we need to advocate for changes to government agencies and enable broader understanding of barriers to innovation among community leaders.

​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.



1. Advocate for:
  • Staged incentivization
  • Harmonization between FDA and other bodies
  • More federal funding to be focused towards development along a commercialization path
  • FDA has to submit pre and post filing delay analysis
  • CMS should change their policies to streamline approval of funding for new groundbreaking technologies
  • All bodies should enact policies and processes that enable collaboration between providers, payers, manufacturers and other healthcare organizations

​2. Enable community specific leaders to identify the hurdles for people’s intellectual, knowledge, social and engagement disabilities

​

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Reducing Childhood Obesity

Community DISCUSSION

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Community
STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge. 

Everyone knows that childhood obesity is a problem AND has a complicated web of circumstances preventing change BUT we know we what works and what doesn’t THEREFORE we need to build a culture of health by moving to action: educating kids to be their own advocates, inventing programs that reflect an understanding of specific populations (certain chronic conditions or those in poverty), and building healthy environments and communities.

​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Here is the copy:
Header: The 20 Great Challenges Explored Through the Lens of Storytelling. 

Explore the collaboration from Great Challenges Day and join the conversation.

Imagery: Collage of pics from GC Day.Explore conversations the community has engaged in across 20 of the most pressing issues we're facing in health and medicine today...then join in. Check out discussions brought together through Storify, as well as those captured at TEDMED 2013 and at our first-ever Great Challenges Day as infographics, community statements and action commitments.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.



1. Build a culture of health.
​
2. Move to action.

3. Educate kids to be their own advocates.

4. Invent programs that reflect an understanding of specific populations to help them achieve their health goals.

5. Construct healthy environments and communities (Health is where we live, work, play, and pray).
​

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

End-of-Life Care

Community DISCUSSION

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Community
STATEMENT 


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge.

It is difficult to talk about death. It scares us, AND it forces us to face our own mortality and that of those we love BUT when we gathered as a group to discuss End of Life Care at the TEDMED Great Challenges, we discovered we had many common concerns as patients, family members, and health care providers, and that giving voice to our fears made them easier to address THEREFORE we made commitments as individuals, and as a community, to encourage people to openly talk about death and dying, to feel empowered to make difficult decisions, and to create a culture in which people feel supported to do that. We will start now.
​
​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.



Robert: Use past experiences to start the conversation. Use my grandfather's death to plan for my own death. Time frame for action: within the month.

Barbara: Create an information and communication tool patients and families can use to build a partnership with doctors and other providers around a patient's values and end-of-life wishes. This tool would help put those wishes in place at the appropriate time. 

Heidi: Wants to do this exercise as a pop up in her park.

Earl: I will commit to building a platform or tool to where people perceiving themselves as they would die and interact one on one. A microcommunity. Make on the ground more virtual, build meaning and connection where you can talk about death. Create honesty. Time frame: by next TEDMED.

Chris:  Have all the details of advance directive by three months.

Michelle:  Best friend who died would be 30 in August. I will bring all mutual friends together August 26. I would like to be a person in the tool or platform that is working on communication pieces between patients and families and develop a framework for care goals.

Gail: I will on making some peace overtures to my family members. No time frame.  Will just get started.

Paul: Great power that comes from the story of expectation and examples of things that have gone well.  I will add to my organization the resources to tell the story of death done well.  

Katy: I will continue to be authentic daily. Quiz me anytime. Authentic about death at dinner parties, also about life.

Dorie: Two years ago my mother got cancer. I am on a mission to tell the people I love how much I love them.

Karuna: Commitment to speak to family members about advanced directives, more than just DNR and tubing.  Within two months.

Alex:  Brother diagnosed with bipolar and deep depression. I will relieve him of the past and make him feel better. Time frame: brother invited him to TX, middle of May will start.

Richard: I commit to get more voices in the group. Get together faith community group at CTAC and National Council of Churches to this group by July.

Susan: To communicate with journalists, HC professionals about the importance of end of life. Inform people about their rights and the legal and ethical responsibilities for conversations and decision make.  I will implement immediately.

Brad: As clinicians we don't do this enough, like this exercise. I will figure out what is an ideal way to do this in next 3-4 months and how to do it.

Kara: two parts. I am involved with teaching internal medical residents. I talked with them about breaking bad news. I start a sabbatical next week and want to use this role playing as physicians. As physicians we don't like role playing.  The second part – death done well. I have written a reflective piece of writing, an experience with someone who died. Time frame is by end of sabbatical, six months from now.

Keiko: I commit myself to make a presentable note to share with TEDx Fellows SEEDs. 200 Fellows in Japan. The second one is difficult. Our country cannot afford medical care of last 45 years.  Submit ideas to the group/country. Start with young people

Steve Smith: Two things around community building within the TEDMED community, and I want to take part in the TEDMED community. I hope this takes root. Other places are more about being a coalition. In my own community I am involved with a hospice and will get more involved in creating discussions with this in the community. I am a certified/trained hospice volunteer.

Amanda: I have seen my parents struggle with my grandparents. I will have the discussion with my parent within six months.

Mary: I am already doing one of these things. I am giving lectures at Northwestern out to the internists and ER to interpret POLST (Physician Orders for Life-Sustaining Treatment) form. I used this as a foot on the door to educate them about EOL planning.  In collaboration with a journalist, we have a not-for-profit providing a space for news, personal narratives, and resources pertaining to EOL.  We are trying to fill the gap that exists for people facing an end of life diagnosis but have not yet accessed the resources of Hospice.     

​Robert: Use past experiences to start the conversation. Use my grandfather's death to plan for my own death. Time frame for action: within the month.
    

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Preparing for Dementia

Community DISCUSSION

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STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge. 
​

The dementia tsunami is coming BUT its more than one wave, its many, AND we need public education THEREFORE we recommend volunteer support for education, prevention and community programs to help solve the problem.

​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.
1. Create community education programs on dementia prevention.

2. Build community-based volunteer networks to help those facing diagnosis or needing to open the dialog for testing with a loved one.

3. Develop community support networks for the community-based needs of caring for a patient with dementia.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Whole-Patient Care

Community DISCUSSION

The TEDMED Community discussed these challenges online the last year, and in person at TEDMED - checkout the story on Storify and a Discovery Doodle about the conversation.

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Community
STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge.

Patients want to be asked, heard, engaged, AND respected in a coordinated health system, BUT we have a system where care is fragmented, provider centric, wasteful, inaccessible to many, and of unreliable quality, THEREFORE we commit ourselves and challenge the TEDMED community to place patients and their values at the core of care – across all care settings (system, point of care, and community).

​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year. 



1. Initiate education efforts that support whole patient care objectives and reinforce the “triple aim” messages, creating a dynamic conversation around cost, quality/outcomes, and patient care

2. Encourage the development a social contract between patients and providers, where patients are responsible for articulating needs and providers empower and listen to their patients, to change the culture of care and create value alignment

3. Include patients in decision-making systemically, at key points, transforming care from a provider-centric to a patient centric model

4. Challenge the dominant fee-for-service payment model and advocate for a system that rewards value over volume

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Making Prevention Popular

Community DISCUSSION

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STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge.

Health AND wellness must be individual and community priorities, BUT our current culture and environment are getting in the way, THEREFORE, we need to: 1) Make health contagious; 2) Make prevention a team sport; and 3) partner to profit.

​

Create your own Community Statement using the "And But Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And But Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year. 


1. Make health contagious.

2. Make prevention a team sport.

3. Partner to Profit.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Improving Medical Communication

Community DISCUSSION

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STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge.

Patient/Provider communication is critical to good health BUT people have different perspectives/expectations/information AND there is not enough face-time to build a relationship. THEREFORE, we need tools to enhance understanding and trust.

​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.  



1. Create a template for care teams and patients to learn about each other and exchange information (medical facebook).

2. YouTube medicine with stories (reduce noise).

3. Organize an “incubator” of people who are working to connected medical info and present ideas at TEDMED 2014.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Faster Adoption of Best Practices

Community DISCUSSION

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STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge. 

We need to more rapidly capture, access AND scale improvements AND innovations that can lead to best practices, BUT resistance to change creates barriers including: competing incentives, risk aversion, trust in old and distrust of new, bias, culture, and difficulty of dissemination at scale – THEREFORE we must build a culture of trust, include stakeholders in defining the solution and take it to patients proactively.

​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year. 



1. Build a culture of trust

2. Include stakeholders in defining the solution.

3. Take it to patients proactively.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Addressing Healthcare Costs

Community DISCUSSION

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STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge. 

Healthcare costs continue to rise both in expense and complexity BUT there is a lack of understanding of the “true costs” of healthcare because this information isn’t readily available and consumers don’t demand it, THEREFORE, we need to create a more transparent system where everyone in the system (patients, doctors, etc.) is incentivized to make smart choices based on lower cost and higher quality outcomes.

​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.  


To create a more transparent system where everyone in the system (patients, doctors, etc.) is incentivized to make smart choices based on lower cost and higher quality outcomes.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

The Impact of Poverty on Health

Community DISCUSSION

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STATEMENT


Great Challenges Day Participants said...

Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge. 


Our world is one where addressing poverty is not part of the healthcare paradigm AND we all incur the humanitarian costs; costs that undermine our livelihood and could destroy society BUT collectively we have the models and solutions we need, THEREFORE we must establish goals, a common vision, and use TEDMED as an opportunity to be a transformative platform for social action - an essential component of health.


​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...

Each Great Challenges Day group crafted and committed to these actions over the course of the coming year. 

1. Use TEDMED as a platform to catapult social transformation on Poverty and Health

  • Highlight technology design stories of mitigating poverty impact on health
  • Include call to action with all TEDMED talks
  • More TEDMED Front Line Scholars that are from low income neighborhoods & are also health innovators
  • Great challenges should be earlier in the week
  • TEDMED mentor project – storytellers from TEDMED enage with low resource
  • Curate TEDMED aligned with Great Challenge themes
  • Have people volunteer (soup kitchen) for one of their days at TEDMED
  • TEDMED grants
  • Companies that bring staff to TEDMED – bring a community member/patient with them to dinner
  • More authentic voices form the community as speakers & delegates

2.Establish Poverty Reduction Goals and Objectives (All Levels)

  • Discuss Millennium Development Goals (MDGs) & successes
  • Tell congress to eliminate poverty — jobs & income supports
  • Cultivate reverse innovation from L & MI countries
  • Convene intervention leaders who are working on this issue

3. Boost Awareness outside the public health community - in a creative and impactful way (e.g., social venture challenges, PSAs, etc.)

  • Discuss treating poverty as an infectious disease
  • Choose language, say “I am middle income” stop saying “poor” or “poverty”
  • Need social venture challenges that get grants awarded to people at the conference
  • Challenge health professionals training to foster interest of connection between health & poverty
  • Positive outcomes of helping to lift people out of poverty. Challenge: Tell stories that allow people to see connections
  • PSAs about poverty & health
  • Highlight successes in up in coming incomes at community/county level
  • Share stories of what the impact of poverty on health looks like & disseminate
  • Do more to affirm humanity & strength across perceived difference
  • Motivational interviewing
  • Get people to volunteer their time, for example filmmakers making PSAs ​

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Promoting Active Lifestyles

Community DISCUSSION

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STATEMENT
Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge. 
 

Active lifestyles are dependent on a safe environment AND supportive infrastructure BUT many communities lack both of these, THEREFORE national programs need to be made available to all communities and tailored to the needs of each. We don’t have an active lifestyle AND in our culture we are addicted to immediate feedback BUT we know that being health needs us to be active THEREFORE we have to shift our current cultural norms to promote healthy lifestyles. There are communities without adequate access, support and resources AND federal regulations don’t recognize unique conditions within communities that prohibit/discourage active lifestyles BUT communities have the knowledge and power to recognize these problems and define solutions THEREFORE local and state community-driven programs and policies should be founded and funded to support active lifestyles. ​

​

Great Challenges Day LIVE Participants at Palm Beach Atlantic University School of Pharmacy said...

A health lifestyle is important to reduce risk of chronic disease AND increase our quality of life AND can foster community engagement BUT our society promotes emphasis on work productivity, which adversely effects our time available AND motivation to live a healthier lifestyle, THEREFORE, incorporating a health and wellness corporate group program will lead to healthier employees and decreased healthcare costs.
​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year. 


1. Build national programs across all communities, tailored to meet the safety/infrastructure and health needs of each.

2. Shift our cultural norms to promote healthy lifestles.

3. Develop local and state community-driven programs and policies that support active lifestyles.


Great Challenges Day LIVE Participants at Palm Beach Atlantic University School of Pharmacy said...

  1. Promote available resources on campus (gym and sports arena)

  2. Sponsor an employee health challenge event (for non profit)

  3. Convene with cafeteria vendor on campus and self insured employee group ICUBA to seek nutritional transparency of food and beverages offered on campus

  4. Sponsor campus wide and pharmacy school nutrition and wellness "Table Talk", "Eat this NOT that", and "Tips of the Month" key educational messages

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

Inventing Wellness Programs that Work

Community DISCUSSION

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STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge. 

People want to be happy and healthy AND companies/communities need healthy and productive employees/citizens. BUT wellness programs are too often poorly defined with results that are long term and hard to measure. THEREFORE we need a new model that clearly defines wellness that is focused on the individual and has proven, measurable outcomes.

TEDMED Live Participants at Palm Beach Atlantic University said...

A health lifestyle is important to reduce risk of chronic disease AND increase our quality of life AND can foster community engagement BUT our society promotes emphasis on work productivity, which adversely effects our time available AND motivation to live a healthier lifestyle, THEREFORE, incorporating a health and wellness corporate group program will lead to healthier employees and decreased healthcare costs.
​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.
1. Collect indidvidual wellness success stories.
2. Explore ways to implement wellness in your own company.

TEDMED Live Participants at Palm Beach Atlantic University said...

1. Promote available resources on campus (gym and sports arena).

2. Sponsor an employee health challenge event (for non profit).

​3. Convene with cafeteria vendor on campus and self insured employee group ICUBA to seek nutritional transparency of food and beverages on campus.

4. Sponsor campus-wide and pharmacy school nutrition and wellness "Table Talk", "Eat this NOT that", and "Tips of the Month" key educational messages.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

The Causes of Sleep Deprivation

Community DISCUSSION

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STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge.

The causes and effects of sleep deprivation on health are disrespected AND misunderstood BUT deep sleep means rejuvenation and offers tremendous health rewards THEREFORE we need to spread an awareness education campaign to have healthcare “wake up” to the impacts of sleep, we also need to encourage lifestyle changes within our culture to encourage sleep health for government policies, healthcare plans, employers and, most importantly, the individual patient as part of the goals for patient health.


​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year. 



1. Awareness "wake up" education campagin

2. Show us the data (big and small data).

3. Encourage lifestyle changes (government, healthcare, employers, individuals).

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

The Impact of Stress

Community DISCUSSION

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STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge.

Stress happens to everyone AND is often a natural response to life, BUT sometimes, when stress is overwhelming, we need help. Our system being fragmented doesn’t help therefore we need a more integrated healthcare system.

​

Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.  


1. Create a network of people that help us manage stress before it becomes illness.

2. Build better education around how to identify controllable and uncontrollable circumstances.

​

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.

The Future Of Personalized Medicine

Community DISCUSSION

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STATEMENT


Great Challenges Day Participants said...
Every Great Challenges Day participant contributed to the construction of a single statement that reflects the current state of awareness and discovery needed for each Challenge. 

ISSUE:  LACK OF CLINICAL UNDERSTANDING AND INFRASTRUCTURE
Follow the model of radiology – have a genomics medicine department – arm the physicians with behind the scenes expertise and don’t expect all physicians to become expert themselves.

​ISSUE:  DOCTORS NEED ACTUAL INSIGHT, NOT REAMS OF DATA – BUT WE DON’T KNOW WHAT THAT ACTUAL INSIGHT SHOULD LOOK LIKE
Fund development of the actual models that would show the insight gleaned from genetic and more personalized data – we need a common framework, template, lexicon.

ISSUE:  NEED FOR INTEGRATION, INTERPRETATION AND INTER-OPERABILITY

We need open access to genetic data and for systems to speak to one another, an actual repository where people could choose to “donate their data” that at the outset will accommodate and integrate different kinds of data so we can actually make some sense of it.  One team member spoke of turning the Human Genome Project into the “Open Human Project.”

ISSUE:  STANDARDIZED INTERPRETATION
The concern is that depending on who looks at your data, you may get a very different reading.  The group wanted to work to find ways to standardize measures to reduce that variance.
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Create your own Community Statement using the "And, But, Therefore" format.
Watch Randy Olson's talk for more about the power of storytelling and how to construct an "And, But, Therefore" statement. Submit and discuss below, or simply share your thoughts about this great challenge.

Community
ACTION


Great Challenges Day Participants said...
Each Great Challenges Day group crafted and committed to these actions over the course of the coming year.


1. Make training available for health professionals to better understand personalized medicine and its application.

2. Engage communities to encourage exploration of the topic and educate patients on its value/use.

3. Increase data access and applicability.

Share the Action Commitments you and your community can make to positively affect this issue in your community. Submit and discuss below, or simply share your thoughts about this great challenge.