Paul Kusserow

20 years of chronic illness, you have to have your head on right and focused on doing all the right things.

So behavioral health is very important.

Also, activities of daily living called ADLs, making sure that you're doing your bathing and you're taking your meds and you're exercising and you're getting the right sleep and all that sort of thing.

So activities of daily living, very, very important.

And then social determinants, which has become more of a buzzword in the last five years or so.

But these are dealing with things that are environmental, that deal with access, that deal with things like loneliness, where someone, the environment somebody lives in.

All of these, when you add them together and you put them together, that is the way you can go after chronic illness.

And you have to do this on an individualized basis.

And that's where technology can help.

And that's where we've made a lot of progress, for example, in a medicine when I was running that is we have customized care plans that try to take all this in together and then try to build whole health models.

I think caregivers are essential.

Again, as we're getting older and the older portion of our population grows, we're starting to see a real scarcity of caregivers.

And there's two things that you can do with caregivers.

One is we will never have enough doctors.

We will never have enough nurses.

Absolutely not.

We'll never have enough licensed clinicians.

So what do we have to do?

We have to actually take people who are not clinicians and make them caregivers.

And they can do a lot of the work.