
A Team to Fix HealthCare — Stephanie Bartz, Curtis Mock, Todd Staub, and Kay Stevens Madler from OptumCare
05/03/19 • 50 min
The statistics are now known by everyone: by September 2018 it was reported by the Physicians Foundation that 78% of doctors are presenting symptoms of burnout. Physicians have the highest rates of suicide in the nation; interns experience a 10-fold increase in depression during the first year of internship; it is a very tough time to be in medicine. There are many institutions fighting back against this trend; one of them is OptumCare, which is an incredible team that is working hard to reverse this trend.
OptumCare is a subsidiary of United Health, the world largest healthcare provider, serving 115 million individuals. Optum is working to transform the U.S. health system into one that serves people with greater value, with a focus on ambulatory, community-based and primary-care-driven solutions.
Today guests are Stephanie Bartz, VP, strategy and chief of staff of OptumCare; Curtis Mock, physician executive, serving as Culture facilitator, a member of Optum diversity and inclusion council, and a member of culture leadership team; Todd Staub, senior VP of physician relations; and Kay Stevens Madler, director of the office for provider advancement, focusing on provider development and engagement.
Key takeaways:
[1:37] Stephanie Bartz
[1:51] Curtis Mock
[2:18] Todd Staub
[2:35] Kay Stevens Madler
[3:06] Why wellness?
[5:19] What bring Curtis Mock into this space?
[6:20] The space of culture.
[9:18] Biggest challenges.
[11:14] Building resiliency.
[13:18] Creating community.
[14:23] What can be done?
[16:01] People were seeking for purpose but were missing a place to go.
[16:49] Meaning of leadership in healthcare today.
[18:06] Co-creation at OptumCare.
[21:39] Medical Culture.
[22:15] Primary care to keep people out of hospitals.
[25:20] Is the healthcare system heading to a “bank bailout” moment?
[27:28] Is there a physician shortage in the U.S.?
[29:10] Rethinking healthcare.
[30:32] Realities on the inside and the outside of the clinic.
[32:20] Primary care is a mirror of society.
[34:12] Optum going beyond the clinic with their Mobile Clinics.
[37:48] Social determinants of health.
[38:42] Using technology to support relationships.
[39:33] Empowering patients.
[41:05] Burnout.
[42:16] The difference in OptumCare practices.
[44:36] Clinicians are building a resilient and positive culture.
[45:10] The crucial value of inclusion.
[46:17] Rapid Fire questions!
Mentioned in this Episode:
Relational Rounds at Primary Care Progress
The statistics are now known by everyone: by September 2018 it was reported by the Physicians Foundation that 78% of doctors are presenting symptoms of burnout. Physicians have the highest rates of suicide in the nation; interns experience a 10-fold increase in depression during the first year of internship; it is a very tough time to be in medicine. There are many institutions fighting back against this trend; one of them is OptumCare, which is an incredible team that is working hard to reverse this trend.
OptumCare is a subsidiary of United Health, the world largest healthcare provider, serving 115 million individuals. Optum is working to transform the U.S. health system into one that serves people with greater value, with a focus on ambulatory, community-based and primary-care-driven solutions.
Today guests are Stephanie Bartz, VP, strategy and chief of staff of OptumCare; Curtis Mock, physician executive, serving as Culture facilitator, a member of Optum diversity and inclusion council, and a member of culture leadership team; Todd Staub, senior VP of physician relations; and Kay Stevens Madler, director of the office for provider advancement, focusing on provider development and engagement.
Key takeaways:
[1:37] Stephanie Bartz
[1:51] Curtis Mock
[2:18] Todd Staub
[2:35] Kay Stevens Madler
[3:06] Why wellness?
[5:19] What bring Curtis Mock into this space?
[6:20] The space of culture.
[9:18] Biggest challenges.
[11:14] Building resiliency.
[13:18] Creating community.
[14:23] What can be done?
[16:01] People were seeking for purpose but were missing a place to go.
[16:49] Meaning of leadership in healthcare today.
[18:06] Co-creation at OptumCare.
[21:39] Medical Culture.
[22:15] Primary care to keep people out of hospitals.
[25:20] Is the healthcare system heading to a “bank bailout” moment?
[27:28] Is there a physician shortage in the U.S.?
[29:10] Rethinking healthcare.
[30:32] Realities on the inside and the outside of the clinic.
[32:20] Primary care is a mirror of society.
[34:12] Optum going beyond the clinic with their Mobile Clinics.
[37:48] Social determinants of health.
[38:42] Using technology to support relationships.
[39:33] Empowering patients.
[41:05] Burnout.
[42:16] The difference in OptumCare practices.
[44:36] Clinicians are building a resilient and positive culture.
[45:10] The crucial value of inclusion.
[46:17] Rapid Fire questions!
Mentioned in this Episode:
Relational Rounds at Primary Care Progress
Previous Episode

A New Perspective in Medical Education— Dr. Mark Schuster, MD. Ph.D.
A physician, scientist, educator, and advocate for healthy families and communities, Dr. Mark Schuster is an international leader on quality of care, health disparities, and prevention. Author of two books and more than 200 journal articles, Dr. Schuster was appointed founding Dean and CEO of the Kaiser Permanente School of Medicine in 2017. The school is set to open its doors to an inaugural class of aspiring clinicians this year.
As talk of graduate medical education reform continues to reverberate in the healthcare community, Kaiser Permanente is betting on a more integrated approach that brings students into a large health system at the very beginning of their training, with an emphasis on primary care, prevention, and innovation.
Key takeaways:
[:30] Dr. Mark Schuster career briefing.
[1:37] Why is Dr. Schuster a “man to watch”?
[2:14] Uniqueness about Kaiser Permanente.
[4:10] A school focused on medical education with the most effective approach
[5:29] What is wrong with the current medical education?
[6:38] What does Dr. Schuster wish he had learned in his medical training?
[8:54] Changes Kaiser Permanente is implementing in the ways students are learning.
[9:29] Integrating foundational science, clinical science, and health system science.
[11:52] Spiral approach.
[12:13] No cadaver labs.
[14:03] Does being in direct contact with a body provide a level of humanism?
[14:16] Medical students in the first year will be with physicians and the medical team, seeing patients in a primary care setting.
[17:05] Tackling social determinants of health in medical education.
[20::30] The power of each individual physician as a local advocate
[22:53] Role of physicians in gun violence.
[24:20] Burnout, training for doctors to keep their own self-care.
[25:48] Students connected to faculty.
[26:19] Regular consultations of students with a psychologist
[27:15] Academic support.
[27:50] Encouraging students to take breaks
[28:12] REACH weeks.
[29:50] Are we going soft?
[33:07] Being a dean of a medical school.
[34:44] Rapid fire questions
Mentioned in this Episode:
Relational Rounds at Primary Care Progress
Next Episode

Medical Education with Dr. Mark Schuster
Dr. Mark Schuster is a physician, scientist, and advocate for healthy families and communities. Dr. Schuster is recognized as an international leader in research on child, adolescent, and family health, concentrating on topics such as quality of care, health disparities, family leave, obesity prevention, and bullying. Dr. Mark is a founding dean and CEO of Kaiser Permanente School of Medicine; he explains the most important aspects of their innovative approach in teaching medicine integrating foundational, clinical, and health system science together as well as giving students the opportunity to work with patients starting in the second year. Addressing burnout and social environmental factors are two areas of main importance in Kaiser too. The change in the health system starts in how physicians are being trained. Listen to this episode and discover a different approach to medical education.
Key takeaways:
[:33] Dr. Mark Schuster career briefing.
[1:26] One of the one hundred most influential people in healthcare.
[3:50] What need did Kaiser identify that Dr. Mark is trying to fill? The most effective approach for medical education.
[5:38] How best to design medical education in the U.S?
[6:38] Before, students used to absorb content passively in Medical training.
[8:55] Kaiser provides a small-group, case-based learning approach.
[9:22] Working in integrating foundational, clinical, and health system science together.
[11:45] Spiral approach.
[12:05] Students at Kaiser are not working on cadavers.
[14:14] Humanism while studying medicine.
[15:15] Second year at Keiser provides interaction with patients.
[17:11] Using imaging for anatomy.
[17:35] How can a health system address social environment risks?
[22:13] Physicians have to address community health.
[20:08] Addressing the social determinants of health.
[23:22] Physicians have a privileged place in treating mass shooting victims.
[25:32] Training students for them to keep their own self-care as a priority.
[29:03] REACH (Reflection Education Assessment Coaching Health and Wellbeing) weeks are breaks from the regular curriculum.
[32:14] Physician burnout also affects patients.
[37:05] Hot seat!
Mentioned in this Episode:
Relational Rounds at Primary Care Progress
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