EP477: Through Line Show: What the Tribe Thinks You Need to Know About Trust or It’s Gonna Be a Problem. Also, Why You Are Smart, With Stacey Richter Podcast Por arte de portada

EP477: Through Line Show: What the Tribe Thinks You Need to Know About Trust or It’s Gonna Be a Problem. Also, Why You Are Smart, With Stacey Richter

EP477: Through Line Show: What the Tribe Thinks You Need to Know About Trust or It’s Gonna Be a Problem. Also, Why You Are Smart, With Stacey Richter

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 A couple months ago, I did my very first episode (EP467) that locked down a very clear through line, a theme tying together a bunch of RHV (Relentless Health Value) episodes from earlier this year. That earlier through line was a lack of good primary care means higher emergency room spend. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Let’s talk about another emerging (in hindsight) through line. And to be clear, just like that last show, this through line emerged because of you lot who listen every week. You all wrote great, really insightful comments and reposts that excavated underlying themes tying a bunch of the episodes together. So, this show is going to be about one of these underlying themes: the very real impact of trust or lack of trust, which may come from too little antitrust. I’ll pause for a sec for you to appreciate that little poetic gem I copied from Mick Connors, MD, and I’ll tell you where we’re gonna finish up. Spoiler alert: It’s with me telling you, Relentless Health Value listener, this whole thing is gonna wrap up with me telling you how smart you are. Because you’re ultimately going to be the happiest, probably the longest living, and also most successful. So, stick with me here because we’re gonna go down before we go up. I also wanna mention the bonus clip that you will find released on the exact same day as this show. It’s from one of the first Relentless Health Value episodes from literally 10 years ago that I did with Charles Green, who is an expert on trust. Most of that original and ancient episode is kind of terribly embarrassing for me to revisit. Don’t get me wrong, Charles Green is amazing and totally carries the interview; but I listened to myself and realized that, yeah, 10 years of practice makes not perfect, for sure in my case, but at least better. This is likely TMI, so let me move on and say that the 10-minute bonus clip of that original show covers how to earn trust and to be worthy of trust IRL and thus really apropos to this conversation. So, you will find this clip for your convenience back in the pod feed also released today. Okay … so, trust, the impact of trust. Just two weeks ago, my guest, Peter Hayes (EP475), talked about a pervasive lack of trust that has developed among patients and also Americans scared to become patients as well as clinicians. Enrico Cullen also called out on LinkedIn the other day. He was talking about the show with Kenny Cole, MD (EP473), and he wrote, “If a patient is not taking the statin that you prescribe them because their neighbor’s uncle developed bad muscle aches while taking it … all it means is they trust their neighbor more than they trust their doctor.” So, that was something that Kenny Cole had said during the show. Or as Denise Wiseman, PhD, MBA, CPXP, wrote the other day (again about the Kenny Cole episode from a few weeks ago), she said, “One key message that stood out: Building trusted relationships isn’t soft or secondary—it’s a critical lever for better health outcomes and smarter system design. As Dr. Cole says, ‘It’s our job to earn their trust and go on a journey with [patients].’” Also, along these same exact lines (ie, the impact trust can have when it exists or the problems a lack of trust creates), Julie Siemers, DNP, MSN, RN, wrote, “It’s fascinating how trust shapes patient choices. Strengthening those connections with various providers is essential for better healthcare outcomes.” And, right? Let me paraphrase Enrico and Denise and Julie with some additional context. If trust isn’t built with patients and then if some clinical or pop health or navigator/coordinator somebody pops up on the scene and tries to close care gaps or navigate members away from a low-quality or ridiculously high-cost care setting, or tries to get a member/patient to not show up in the ER as a default … Look, anybody trying to do any of these things without a foundation of member or patient trust will be mopping up the floor while the faucet’s still running. Listen to the show with Matt McQuide (EP468) for this point with five underlines. Listen to the show with Christine Hale, MD, MBA (EP471) on high-cost claimants. The TLDR on that one: You cannot spreadsheet your way out of high-cost claims. You need trust. You gotta, with all of these things, start with a step one: Build trust. And if you hop over that part, yeah, good luck with pretty much anything that you’re gonna try to do, as many find out the hard way. So, what I just said there, starting with a foundation of trust to make almost anything happen as the step two, is this a popular but just kind of rando theory based on nothing much as far as evidence goes? Oh, very much no. So much evidence. Listen to the pod with Rebecca Etz, PhD (EP295) from a while back that covers a few of the ...
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