{"id":11,"date":"2015-04-05T21:55:39","date_gmt":"2015-04-05T21:55:39","guid":{"rendered":"http:\/\/www.ef.panicola.com\/?p=11"},"modified":"2015-04-07T11:56:12","modified_gmt":"2015-04-07T11:56:12","slug":"day-zero","status":"publish","type":"post","link":"https:\/\/www.ef.panicola.com\/?p=11","title":{"rendered":"Day Zero"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-12 size-full\" src=\"http:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150405_003.jpg\" alt=\"WP_20150405_003\" width=\"1280\" height=\"720\" srcset=\"https:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150405_003.jpg 1280w, https:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150405_003-300x169.jpg 300w, https:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150405_003-1024x576.jpg 1024w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><\/p>\n<p>So the day is finally here and I\u2019m about to embark on my 2015 Eisenhower Fellowship. I\u2019m typing this on the plane from Sydney to Philadelphia via San Francisco.<\/p>\n<p><a href=\"http:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150405_007.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-13 size-full\" src=\"http:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150405_007.jpg\" alt=\"WP_20150405_007\" width=\"918\" height=\"1632\" srcset=\"https:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150405_007.jpg 918w, https:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150405_007-169x300.jpg 169w, https:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150405_007-576x1024.jpg 576w\" sizes=\"auto, (max-width: 918px) 100vw, 918px\" \/><\/a><\/p>\n<p>I&#8217;m trying not to succumb to the American food environment, so hope to\u00a0be more conscious about what I put in my mouth. Part of this will involve me taking photos of what I eat, to wit, my first meal of the trip (I didn&#8217;t eat the bread roll):<\/p>\n<p><a href=\"http:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150406_001.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-14 size-full\" src=\"http:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150406_001.jpg\" alt=\"WP_20150406_001\" width=\"1632\" height=\"918\" srcset=\"https:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150406_001.jpg 1632w, https:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150406_001-300x169.jpg 300w, https:\/\/www.ef.panicola.com\/wp-content\/uploads\/2015\/04\/WP_20150406_001-1024x576.jpg 1024w\" sizes=\"auto, (max-width: 1632px) 100vw, 1632px\" \/><\/a><\/p>\n<p><strong>Transit\u00a0Details:\u00a0<\/strong><\/p>\n<ul>\n<li>UA870: SYD &gt; SFO 13hr 40mins<\/li>\n<li>UA267: SFO &gt; PHL 5hrs 23 mins<\/li>\n<li>SYD&gt;PHL door to door: 24hrs<\/li>\n<li>Meal: Omelet, smear of spinach, chicken sausage (photo).<\/li>\n<li>Movies: Gone Girl. Trading Places.<\/li>\n<li>Paid US$250 after boarding for an upgrade to premium economy.<\/li>\n<\/ul>\n<p>I&#8217;m coming around to the view that with a few exceptions, there are generally no people, just bad incentives. However, I also contend that\u00a0these bad incentives have resulted in\u00a0the world\u2019s healthcare systems letting down the populations they are bound to serve.\u00a0Fixing doctors\u2019 incentives, as the US is seeking to do, will only be just part of the fix, with hospitals, pharmaceutical companies, prosthesis manufacturers etc. also in time having to participate in\u00a0value-based payment models.<\/p>\n<p>In this context, my Fellowship will\u00a0focus on two themes:<\/p>\n<ol>\n<li>A contemporary exploration of how data science can improve health<strong><span style=\"text-decoration: underline;\">care<\/span><\/strong> systems\n<ul>\n<li>Measurement\/Detection\/Prediction of Fraud, Abuse, Waste and Errors<\/li>\n<li>Measurement\/Detection\/Prediction of Cost<\/li>\n<li>Measurement\/Detection\/Prediction of Quality of Care<\/li>\n<li>Measurement\/Detection\/Prediction of Value of Care<\/li>\n<li>Delivery of Transparency (Cost, Quality, Value Indicators) Metrics to legitimate health market stakeholders<\/li>\n<li>Data-driven, Behavioural Economic Health System Interventions focused on improved outcomes<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<ol start=\"2\">\n<li>A blue sky thought experiment on\u00a0how a novel financing model might support an enterprise market for population health\n<ul>\n<li>Beneficiaries of Healthy Life Extension<\/li>\n<li>Data sets\/statistical treatments\/in vivo measures\/predictors of wellness e.g. social determinants\/health data<\/li>\n<li>Financial Models for Pooling Population Health Risk e.g. Life Insurance<\/li>\n<li>Potential Efficacy of Population Health Intervention<\/li>\n<li>Attribution of Interventions to Health Outcomes<\/li>\n<li>Priming the Wellness Market<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<p>After discussing the Fellowship with Australian Eisenhower Alumni, I\u2019m persuaded that the experience will be transformative, but not for the reasons I had assumed. Despite the privilege, honour and compelling subject matter associated with the Fellowship, I\u2019m reliably informed that I\u2019ll get at least as much (if not more) from my fellow Eisenhower Fellows (who I\u2019ll be meeting face to face in just a few hours) and the people and places I visit, as I will from the ideas we exchange and discuss. As such, I\u2019m going to use this blog to support a discipline around the contemporaneous capture of the various experiences during and beyond the Fellowship.<\/p>\n<p>I\u2019ll be accompanied on the last three weeks of the Fellowship by my wife Yan Li, who has been in Singapore awaiting the arrival of her partner visa after our marriage last year. She\u2019ll be returning to Sydney with me at the conclusion of the Fellowship which is very exciting.<\/p>\n<p>Many people have provided inspiration and encouragement at various stages leading up to and including the fellowship \u2013 family, friends, soon to be fellow EF alumni, and my colleagues at work who are covering for me in my absence.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>So the day is finally here and I\u2019m about to embark on my 2015 Eisenhower Fellowship. I\u2019m typing this on the plane from Sydney to Philadelphia via San Francisco. I&#8217;m trying not to succumb to the American food environment, so hope to\u00a0be more conscious about what I put in my mouth. Part of this will &hellip; <a href=\"https:\/\/www.ef.panicola.com\/?p=11\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Day Zero<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-11","post","type-post","status-publish","format-standard","hentry","category-uncategorised"],"_links":{"self":[{"href":"https:\/\/www.ef.panicola.com\/index.php?rest_route=\/wp\/v2\/posts\/11","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ef.panicola.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ef.panicola.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ef.panicola.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ef.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11"}],"version-history":[{"count":1,"href":"https:\/\/www.ef.panicola.com\/index.php?rest_route=\/wp\/v2\/posts\/11\/revisions"}],"predecessor-version":[{"id":17,"href":"https:\/\/www.ef.panicola.com\/index.php?rest_route=\/wp\/v2\/posts\/11\/revisions\/17"}],"wp:attachment":[{"href":"https:\/\/www.ef.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ef.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ef.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}