Janice E. Nevin, MD, MPH

What's happening is the technologies that we talked about

are highly used in just about every other aspect of a person's life.

My daughter, who is 23, gave me a really hard time because she couldn't yet schedule an online appointment with her primary care physician, who happens to be a member of our staff.

My 84-year-old mother is adept at using her smartphone.

I firmly believe that we've got an opportunity to create access and really create an experience that delights people with the emergence of the technology that is so comfortable to people really of all ages.

At Christiana Care, we have talked about our journey from hospital system to health system.

Success as a hospital was how many people could we get in the front door.

Success as a health system has been how many lives can we manage using data, using care coordination.

We will be a system that has the ability to impact the health of all of the people who live in the communities that we serve.

And it's creating that experience that will truly deliver health based on these new technologies.

It will be a disruption in a very positive way, and I'm excited about that.

We're used to seeing announcements about horizontal integration and consolidation.

I think what's remarkable in that space is some of the mergers have now become mega mergers, and it'll be very interesting to see how, for example, a 191-bit hospital system creates value.

Looking forward to the learning from that.

But of course, it's the vertical integration that's getting the most attention.

CVS Aetna, the potential for Walmart, Humana, and certainly the JP Morgan, Berkshire Hathaway, Amazon announcement.

Those are going to be disruptions.

And as a health system provider, it would be perhaps easy to sit back, dig heels in and say, well, we're just going to hunker down and see what comes of all of that.

But I think we're not doing that.

We're really embracing the opportunity and what's causing all of this activity.