What They’re Watching: Mark Marabella

Mark Marabella, who works in patient engagement at Mountain Pacific Quality Health, joins us in this edition of What They’re Watching to discuss the importance of giving patients stewardship of their health.

Well the framework of the system is not going to be there in future, we know that. So one of the changes we do know is you have to be the first link in your chain of care. So it’s no longer here and here, and you can’t flip it because it’d be too hard for the patients, but it could be horizontal. We could look at this as peer-based, community-first, whereas I come to you not to be fixed but I come to you to test, “Okay I did this over the last twelve weeks, how was my A1C score, did it come down?” I own it. And now I can self-manage because I’ve been taking care of these things.

So the more often we put the beneficiary, the consumer of care in a position to make their own decisions and to record those decisions, the faster they’ll catch on to what their needs are. So we have to help them practice those things then.

When you stop and think about it really, when you say to yourself, “I’m too busy to cook, and I don’t have time to clean up,” but it means that your children are eating food that’s not very good, you really wouldn’t do that if you were in control of your mind. You would never do that, you would never think about it because you love them too much and they love you.

Or if you were to say to yourself, “I’m too busy to workout,” well I guess you’re too busy to live. Because if you don’t get into this area, you’re not going to be around for them later in life. So there are so many reasons for us to go and here Hawaii even more particular because we have this wonderful Hawaiian culture and what happens if the culture goes away? Right now, diabetes and the cardiometabolic diseases, obesity and diabetes are running rampant through our population.