Dr. Ron Walls

speaker
191 appearances 1 recordings 1 series first heard Nov 2019 last heard Nov 2019

Dr. Ron Walls’s voice in public audio — every appearance, attributed to the second.

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So we tend to think we can change things around that inalienable section, but we can't touch it.
And until we can think differently about how we do, you're talking about primary care, long-term management of hypertension and long-term management of lipids and diabetes and all of those conditions,
and think about how we handle mental health issues and behavioral issues at the same time as we're handling overall health because it's all one thing.
Until we can think differently about that, I don't think we can iterate in a way that is going to make us effective.
We can be more effective than we've been, but we'll never actually be effective.
I mentioned active asset management a few minutes ago, and I think that is by far the thing of which I'm most proud because it brought us together as a team and allowed us to really take on challenging issues that we had not really been able to effectively and collectively take on before.
So we've seen over 50% increase in our net margin year to year.
over the last four years.
So we're operating at a very different level than we were.
So we've been able to grow without adding cost by being more effective at the bedside and through the entire operation.
And that's given people, I think, a real sense of pride of being on a winning team.
It's really tough because most healthcare systems and most hospitals are operating on a pretty thin margin and trying to figure out how to capitalize something big is really challenging.
If that really big thing has such obvious merit that it has to be done, for example, going to a single integrated electronic record has such obvious merit.
I think you find a way.
When it's something else, though, that might drive a lot of innovation or transform patient experience,
But it's tough to measure what the real impact of that is going to be in terms of generating return on that capital.
That gets a lot harder.
We have so much we could do on innovation in everything from how a patient enters a practice, how that practice is conducted, and all the way back home again.
And it's tough to find that capital because the investment return is not so easy to determine in advance.
And you have to be ready to fail.
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