At Issue #2025 “Is Inequality Making Us Sick?”

At Issue #2025 “Is Inequality Making Us Sick?”


>>HELLO AND WELCOME TO AT ISSUE.
THANK YOU SO MUCH FOR JOINING US
FOR THIS HALF-HOUR DISCUSSION ON THANK YOU SO MUCH FOR JOINING US
FOR THIS HALF-HOUR DISCUSSION ON
HEALTH CARE. FOR THIS HALF-HOUR DISCUSSION ON
HEALTH CARE.
I AM H. WAYNE WILSON. HEALTH CARE.
I AM H. WAYNE WILSON.
I THINK WE ALL KNOW THAT THERE I AM H. WAYNE WILSON.
I THINK WE ALL KNOW THAT THERE
IS A DISPARITY IN HEALTH CARE I THINK WE ALL KNOW THAT THERE
IS A DISPARITY IN HEALTH CARE
DELIVERY IN OUR COUNTRY, AND IS A DISPARITY IN HEALTH CARE
DELIVERY IN OUR COUNTRY, AND
THAT APPLIES TO CENTRAL ILLINOIS DELIVERY IN OUR COUNTRY, AND
THAT APPLIES TO CENTRAL ILLINOIS
AS WELL. THAT APPLIES TO CENTRAL ILLINOIS
AS WELL.
FOR THE NEXT HALF-HOUR, WE ARE AS WELL.
FOR THE NEXT HALF-HOUR, WE ARE
GOING TO DISCUSS THAT AND THE FOR THE NEXT HALF-HOUR, WE ARE
GOING TO DISCUSS THAT AND THE
EFFORTS THAT ARE BEING GOING TO DISCUSS THAT AND THE
EFFORTS THAT ARE BEING
UNDERTAKEN TO TRY TO CORRECT EFFORTS THAT ARE BEING
UNDERTAKEN TO TRY TO CORRECT
THAT SITUATION TO LEAD NUS THAT UNDERTAKEN TO TRY TO CORRECT
THAT SITUATION TO LEAD NUS THAT
DISCUSSION, WE HAVE DOCTOR GREGG THAT SITUATION TO LEAD NUS THAT
DISCUSSION, WE HAVE DOCTOR GREGG
STONER, HE IS THE DIRECTOR OF DISCUSSION, WE HAVE DOCTOR GREGG
STONER, HE IS THE DIRECTOR OF
THE HEARTLAND COMMUNITY HEALTH STONER, HE IS THE DIRECTOR OF
THE HEARTLAND COMMUNITY HEALTH
CENTER. THE HEARTLAND COMMUNITY HEALTH
CENTER.
THANK YOU FOR BEING WITH US. CENTER.
THANK YOU FOR BEING WITH US.
>>THANK. THANK YOU FOR BEING WITH US.
>>THANK.
NEXT IS DOCTOR DOCTOR GAIL>>THANK.
NEXT IS DOCTOR DOCTOR GAIL
AMUNDSON, PRESIDENT AND C.E.O. NEXT IS DOCTOR DOCTOR GAIL
AMUNDSON, PRESIDENT AND C.E.O.
OF A RELATIVELY NEW ORGANIZATION AMUNDSON, PRESIDENT AND C.E.O.
OF A RELATIVELY NEW ORGANIZATION
WE WILL LEARN A LITTLE BIT OF A RELATIVELY NEW ORGANIZATION
WE WILL LEARN A LITTLE BIT
ABOUT, THE QUALITY QUEST FOR WE WILL LEARN A LITTLE BIT
ABOUT, THE QUALITY QUEST FOR
HEALTH. ABOUT, THE QUALITY QUEST FOR
HEALTH.
THANK YOU FOR BEING HERE. HEALTH.
THANK YOU FOR BEING HERE.
>>THANK YOU, IT IS AN HONOR. THANK YOU FOR BEING HERE.
>>THANK YOU, IT IS AN HONOR.
>>SEATED ACROSS FROM THEM IS>>THANK YOU, IT IS AN HONOR.
>>SEATED ACROSS FROM THEM IS
DR. JON.>>SEATED ACROSS FROM THEM IS
DR. JON.
DR. HALVORSEN IS THE CHAIR OF DR. JON.
DR. HALVORSEN IS THE CHAIR OF
FAMILY AND COMMUNITY MEDICINE DR. HALVORSEN IS THE CHAIR OF
FAMILY AND COMMUNITY MEDICINE
AND DEAN OF COMMUNITY HEALTH AT FAMILY AND COMMUNITY MEDICINE
AND DEAN OF COMMUNITY HEALTH AT
ILLINOIS COLLEGE OF MEDICINE AT AND DEAN OF COMMUNITY HEALTH AT
ILLINOIS COLLEGE OF MEDICINE AT
PEORIA. ILLINOIS COLLEGE OF MEDICINE AT
PEORIA.
THANK YOU SO MUCH FOR BEING PEORIA.
THANK YOU SO MUCH FOR BEING
HERE. THANK YOU SO MUCH FOR BEING
HERE.
PLEASURE TO BE HERE. HERE.
PLEASURE TO BE HERE.
>>I MENTIONED DISPARITY IN PLEASURE TO BE HERE.
>>I MENTIONED DISPARITY IN
HEALTH CARE AT THE VERY TOP OF>>I MENTIONED DISPARITY IN
HEALTH CARE AT THE VERY TOP OF
THE SHOW. HEALTH CARE AT THE VERY TOP OF
THE SHOW.
I SUPPOSE THE BEST THING TO DO THE SHOW.
I SUPPOSE THE BEST THING TO DO
WOULD BE TO DEFINE DISPARITY IN I SUPPOSE THE BEST THING TO DO
WOULD BE TO DEFINE DISPARITY IN
HEALTH CARE. WOULD BE TO DEFINE DISPARITY IN
HEALTH CARE.
>>DISPARITY I GUESS IN MY MIND HEALTH CARE.
>>DISPARITY I GUESS IN MY MIND
THE SIMPLEEST DEF HAD INITIAL IS>>DISPARITY I GUESS IN MY MIND
THE SIMPLEEST DEF HAD INITIAL IS
THERE IS A DIFFERENCE. THE SIMPLEEST DEF HAD INITIAL IS
THERE IS A DIFFERENCE.
WE TALK ABOUT A DISPARITY IN THERE IS A DIFFERENCE.
WE TALK ABOUT A DISPARITY IN
HEALTH CARE, THERE IS A WE TALK ABOUT A DISPARITY IN
HEALTH CARE, THERE IS A
DIFFERENCE IN HEALTH CARE HEALTH CARE, THERE IS A
DIFFERENCE IN HEALTH CARE
BETWEEN, AND YOU CAN MEASURE IT DIFFERENCE IN HEALTH CARE
BETWEEN, AND YOU CAN MEASURE IT
IN A VARIETY OF DIFFERENT WAYS, BETWEEN, AND YOU CAN MEASURE IT
IN A VARIETY OF DIFFERENT WAYS,
THE DIFFERENCE BETWEEN GENDER, IN A VARIETY OF DIFFERENT WAYS,
THE DIFFERENCE BETWEEN GENDER,
THE DIFFERENCE BETWEEN RACE, THE DIFFERENCE BETWEEN GENDER,
THE DIFFERENCE BETWEEN RACE,
DIFFERENCE BETWEEN ETHNICITY, THE DIFFERENCE BETWEEN RACE,
DIFFERENCE BETWEEN ETHNICITY,
DIFFERENCE BETWEEN INCOME, DIFFERENCE BETWEEN ETHNICITY,
DIFFERENCE BETWEEN INCOME,
DIFFERENCE BETWEEN EDUCATION. DIFFERENCE BETWEEN INCOME,
DIFFERENCE BETWEEN EDUCATION.
SO THERE IS A LOT OF ISSUES, A DIFFERENCE BETWEEN EDUCATION.
SO THERE IS A LOT OF ISSUES, A
LOT OF AREAS WHERE WE CAN DEFINE SO THERE IS A LOT OF ISSUES, A
LOT OF AREAS WHERE WE CAN DEFINE
DISPARITY OR DEFINE LOT OF AREAS WHERE WE CAN DEFINE
DISPARITY OR DEFINE
“DIFFERENCES.” DISPARITY OR DEFINE
“DIFFERENCES.”
I THINK THAT’S PART OF WHAT WE “DIFFERENCES.”
I THINK THAT’S PART OF WHAT WE
ARE HERE TO TALK ABOUT TONIGHT I THINK THAT’S PART OF WHAT WE
ARE HERE TO TALK ABOUT TONIGHT
IS WHAT ARE THOSE AND WHY DO ARE HERE TO TALK ABOUT TONIGHT
IS WHAT ARE THOSE AND WHY DO
THEY EXIST. IS WHAT ARE THOSE AND WHY DO
THEY EXIST.
>>WHEN YOU CHECKED OFF A LIST THEY EXIST.
>>WHEN YOU CHECKED OFF A LIST
OF SOME OF THOSE EXAMPLES.>>WHEN YOU CHECKED OFF A LIST
OF SOME OF THOSE EXAMPLES.
I THINK IT BECOMES APPARENT OF SOME OF THOSE EXAMPLES.
I THINK IT BECOMES APPARENT
EARLY ON THAT MONEY, I THINK IT BECOMES APPARENT
EARLY ON THAT MONEY,
SOCIOECONOMIC STATUS TENDS TO EARLY ON THAT MONEY,
SOCIOECONOMIC STATUS TENDS TO
CREATE PART OF THAT PROBLEM. SOCIOECONOMIC STATUS TENDS TO
CREATE PART OF THAT PROBLEM.
AND WE LOOK AT 47 MILLION I CREATE PART OF THAT PROBLEM.
AND WE LOOK AT 47 MILLION I
THINK IS THE LAST COUNT OF AND WE LOOK AT 47 MILLION I
THINK IS THE LAST COUNT OF
UNINSURED AMERICANS, SOMETHING THINK IS THE LAST COUNT OF
UNINSURED AMERICANS, SOMETHING
SOMETHING OF THAT NATURE, IT UNINSURED AMERICANS, SOMETHING
SOMETHING OF THAT NATURE, IT
SEEMS LIKE THERE IS A SNOWBALL SOMETHING OF THAT NATURE, IT
SEEMS LIKE THERE IS A SNOWBALL
GOING DOWNHILL FROM MY POINT OF SEEMS LIKE THERE IS A SNOWBALL
GOING DOWNHILL FROM MY POINT OF
VIEW. GOING DOWNHILL FROM MY POINT OF
VIEW.
THAT NUMBER KEEPS RISING AND VIEW.
THAT NUMBER KEEPS RISING AND
RISING FASTER AND FASTER AS THAT NUMBER KEEPS RISING AND
RISING FASTER AND FASTER AS
INSURANCE PREMIUMS GO UP, AND WE RISING FASTER AND FASTER AS
INSURANCE PREMIUMS GO UP, AND WE
ARE ACTUALLY GETTING INTO THE INSURANCE PREMIUMS GO UP, AND WE
ARE ACTUALLY GETTING INTO THE
MIDDLE CLASS NOW THAT MIGHT BE ARE ACTUALLY GETTING INTO THE
MIDDLE CLASS NOW THAT MIGHT BE
ON THE LOWER END OF THAT MIDDLE CLASS NOW THAT MIGHT BE
ON THE LOWER END OF THAT
DISPARITY IN HEALTH CARE ON THE LOWER END OF THAT
DISPARITY IN HEALTH CARE
DELIVERY. DISPARITY IN HEALTH CARE
DELIVERY.
IN BROAD TERMS, ARE YOU HOPEFUL DELIVERY.
IN BROAD TERMS, ARE YOU HOPEFUL
THAT WE CAN STOP THE SNOWBALL IN BROAD TERMS, ARE YOU HOPEFUL
THAT WE CAN STOP THE SNOWBALL
FROM GOING DOWNHILL? THAT WE CAN STOP THE SNOWBALL
FROM GOING DOWNHILL?
HOW ARE WE DOING THAT LOCALLY? FROM GOING DOWNHILL?
HOW ARE WE DOING THAT LOCALLY?
>>THE SNOWBALL FROM GOING HOW ARE WE DOING THAT LOCALLY?
>>THE SNOWBALL FROM GOING
DOWNHILL, AND HOW ARE WE DOING>>THE SNOWBALL FROM GOING
DOWNHILL, AND HOW ARE WE DOING
THAT LOCALLY. DOWNHILL, AND HOW ARE WE DOING
THAT LOCALLY.
THAT’S A HUGE CHALLENGE FOR OUR THAT LOCALLY.
THAT’S A HUGE CHALLENGE FOR OUR
COUNTRY. THAT’S A HUGE CHALLENGE FOR OUR
COUNTRY.
AND I THINK WE WILL STOP IT COUNTRY.
AND I THINK WE WILL STOP IT
BECAUSE WE HAVE TO STOP IT. AND I THINK WE WILL STOP IT
BECAUSE WE HAVE TO STOP IT.
WE WILL NOT BE ABLE TO TOLERATE, BECAUSE WE HAVE TO STOP IT.
WE WILL NOT BE ABLE TO TOLERATE,
AS A COUNTRY AND AS A REGION, WE WILL NOT BE ABLE TO TOLERATE,
AS A COUNTRY AND AS A REGION,
MORE AND MORE PEOPLE BEING CUT AS A COUNTRY AND AS A REGION,
MORE AND MORE PEOPLE BEING CUT
OUT OF THE ABILITY TO GET GOOD MORE AND MORE PEOPLE BEING CUT
OUT OF THE ABILITY TO GET GOOD
HEALTH CARE, ACCESS TO HEALTH OUT OF THE ABILITY TO GET GOOD
HEALTH CARE, ACCESS TO HEALTH
CARE. HEALTH CARE, ACCESS TO HEALTH
CARE.
>>WHEN THEY DON’T HAVE CARE.
>>WHEN THEY DON’T HAVE
INSURANCE, WHERE DO THEY TURN,>>WHEN THEY DON’T HAVE
INSURANCE, WHERE DO THEY TURN,
DR. STONER? INSURANCE, WHERE DO THEY TURN,
DR. STONER?
>>WHEN PEOPLE DON’T HAVE DR. STONER?
>>WHEN PEOPLE DON’T HAVE
INSURANCE, IT OFTEN CURVES, THEY>>WHEN PEOPLE DON’T HAVE
INSURANCE, IT OFTEN CURVES, THEY
WILL CITY COUNCIL HEALTH CARE AT INSURANCE, IT OFTEN CURVES, THEY
WILL CITY COUNCIL HEALTH CARE AT
THE LAST MINUTE AND GO TO THE WILL CITY COUNCIL HEALTH CARE AT
THE LAST MINUTE AND GO TO THE
EMERGENCY DEPARTMENT. THE LAST MINUTE AND GO TO THE
EMERGENCY DEPARTMENT.
THAT’S PROBABLY THEIR ONLY EMERGENCY DEPARTMENT.
THAT’S PROBABLY THEIR ONLY
ALTERNATIVE IF THEY DON’T HAVE THAT’S PROBABLY THEIR ONLY
ALTERNATIVE IF THEY DON’T HAVE
ANY FUNDING, EMERGENCY ALTERNATIVE IF THEY DON’T HAVE
ANY FUNDING, EMERGENCY
DEPARTMENTS CAN’T TURN AWAY ANY FUNDING, EMERGENCY
DEPARTMENTS CAN’T TURN AWAY
PATIENTS. DEPARTMENTS CAN’T TURN AWAY
PATIENTS.
THEY SEE EVERYONE THAT COMES IN. PATIENTS.
THEY SEE EVERYONE THAT COMES IN.
PEOPLE HAVE FEW RESOURCE, AND THEY SEE EVERYONE THAT COMES IN.
PEOPLE HAVE FEW RESOURCE, AND
THEY KNOW THEY CAN BE SEEN PEOPLE HAVE FEW RESOURCE, AND
THEY KNOW THEY CAN BE SEEN
THERE. THEY KNOW THEY CAN BE SEEN
THERE.
>>AND I DON’T MEAN TO DEMEAN THERE.
>>AND I DON’T MEAN TO DEMEAN
EMERGENCY ROOMS, THEY PROVIDE>>AND I DON’T MEAN TO DEMEAN
EMERGENCY ROOMS, THEY PROVIDE
EXCELLENT CARE. EMERGENCY ROOMS, THEY PROVIDE
EXCELLENT CARE.
BUT WHY DO THEY HAVE TO GO TO EXCELLENT CARE.
BUT WHY DO THEY HAVE TO GO TO
EMERGENCY ROOM OTHER THAN THE BUT WHY DO THEY HAVE TO GO TO
EMERGENCY ROOM OTHER THAN THE
FINANCES, HISTORY OTHER THAN EMERGENCY ROOM OTHER THAN THE
FINANCES, HISTORY OTHER THAN
THAT? FINANCES, HISTORY OTHER THAN
THAT?
>>ONE OF THE THINGS THAT KEEPS THAT?
>>ONE OF THE THINGS THAT KEEPS
PEOPLE HEALTHY IS PREVENTATIVE>>ONE OF THE THINGS THAT KEEPS
PEOPLE HEALTHY IS PREVENTATIVE
CARE, CONTINUITY OF CARE, AND PEOPLE HEALTHY IS PREVENTATIVE
CARE, CONTINUITY OF CARE, AND
WHEN YOU GO TO THE EMERGENCY CARE, CONTINUITY OF CARE, AND
WHEN YOU GO TO THE EMERGENCY
ROOM, YOUR IMMEDIATE CONCERNS WHEN YOU GO TO THE EMERGENCY
ROOM, YOUR IMMEDIATE CONCERNS
ARE ADDRESSED, WHATEVER ILLNESS ROOM, YOUR IMMEDIATE CONCERNS
ARE ADDRESSED, WHATEVER ILLNESS
THAT YOU HAVE THAT DREW YOU TO ARE ADDRESSED, WHATEVER ILLNESS
THAT YOU HAVE THAT DREW YOU TO
THE EMERGENCY ROOM IS TAKEN CARE THAT YOU HAVE THAT DREW YOU TO
THE EMERGENCY ROOM IS TAKEN CARE
OF. THE EMERGENCY ROOM IS TAKEN CARE
OF.
THEY DO A WONDERFUL JOB IN THE OF.
THEY DO A WONDERFUL JOB IN THE
EMERGENCY DEPARTMENT OF DOING THEY DO A WONDERFUL JOB IN THE
EMERGENCY DEPARTMENT OF DOING
THAT. EMERGENCY DEPARTMENT OF DOING
THAT.
BUT THE FOCUS SHOULD BE ON THAT.
BUT THE FOCUS SHOULD BE ON
TRYING TO PREVENT THAT EMERGENCY BUT THE FOCUS SHOULD BE ON
TRYING TO PREVENT THAT EMERGENCY
ROOM VISIT, KEEPING PEOPLE OUT TRYING TO PREVENT THAT EMERGENCY
ROOM VISIT, KEEPING PEOPLE OUT
OF THE NEED FOR THOSE URGENT ROOM VISIT, KEEPING PEOPLE OUT
OF THE NEED FOR THOSE URGENT
KIND OF PROBLEMS. OF THE NEED FOR THOSE URGENT
KIND OF PROBLEMS.
BECAUSE GOOD MANAGEMENT OF KIND OF PROBLEMS.
BECAUSE GOOD MANAGEMENT OF
CHRONIC DISEASES CAN PREVENT BECAUSE GOOD MANAGEMENT OF
CHRONIC DISEASES CAN PREVENT
THOSE EMERGENCY ROOM VISITS. CHRONIC DISEASES CAN PREVENT
THOSE EMERGENCY ROOM VISITS.
>>IF YOU LOOK AT WHY EMERGENCY THOSE EMERGENCY ROOM VISITS.
>>IF YOU LOOK AT WHY EMERGENCY
ROOMS WERE STARTED IN THE FIRST>>IF YOU LOOK AT WHY EMERGENCY
ROOMS WERE STARTED IN THE FIRST
PLACE, IT WAS EXACTLY TO DEAL — ROOMS WERE STARTED IN THE FIRST
PLACE, IT WAS EXACTLY TO DEAL —
THEY WERE STARTED RIGHT AFTER PLACE, IT WAS EXACTLY TO DEAL —
THEY WERE STARTED RIGHT AFTER
ONE OF THE MAJOR WORLD WARS THEY WERE STARTED RIGHT AFTER
ONE OF THE MAJOR WORLD WARS
WHERE PEOPLE BECAME FAMILIAR ONE OF THE MAJOR WORLD WARS
WHERE PEOPLE BECAME FAMILIAR
WITH DEALING WITH TRAUMA. WHERE PEOPLE BECAME FAMILIAR
WITH DEALING WITH TRAUMA.
THEY SAID WE NEED A PLACE TO WITH DEALING WITH TRAUMA.
THEY SAID WE NEED A PLACE TO
KEEL WITH ACUTE CARE EVENTS, THEY SAID WE NEED A PLACE TO
KEEL WITH ACUTE CARE EVENTS,
PARTICULARLY MAJOR HEALTH CRISIS KEEL WITH ACUTE CARE EVENTS,
PARTICULARLY MAJOR HEALTH CRISIS
EVENTS. PARTICULARLY MAJOR HEALTH CRISIS
EVENTS.
SO THEY WERE DESIGNED, ACTUALLY, EVENTS.
SO THEY WERE DESIGNED, ACTUALLY,
TO BE ACUTE CARE PROVIDERS. SO THEY WERE DESIGNED, ACTUALLY,
TO BE ACUTE CARE PROVIDERS.
WELL, WHEN YOU ARE ACUTE CARE TO BE ACUTE CARE PROVIDERS.
WELL, WHEN YOU ARE ACUTE CARE
PROVIDER, AS GREG MENTIONED, YOU WELL, WHEN YOU ARE ACUTE CARE
PROVIDER, AS GREG MENTIONED, YOU
WILL NOT DEAL WITH A LOT OF PROVIDER, AS GREG MENTIONED, YOU
WILL NOT DEAL WITH A LOT OF
THOSE OTHER ISSUES. WILL NOT DEAL WITH A LOT OF
THOSE OTHER ISSUES.
IT IS NOT A PLACE TO GET THOSE OTHER ISSUES.
IT IS NOT A PLACE TO GET
CONTINUITY OF CARE, NOT TO GET IT IS NOT A PLACE TO GET
CONTINUITY OF CARE, NOT TO GET
PREVENTATIVE HEALTH CARE CONTINUITY OF CARE, NOT TO GET
PREVENTATIVE HEALTH CARE
ADDRESSED. PREVENTATIVE HEALTH CARE
ADDRESSED.
IT IS NOT A PLACE TO GET ADDRESSED.
IT IS NOT A PLACE TO GET
COMPREHENSIVE CARE IN TERMS OF IT IS NOT A PLACE TO GET
COMPREHENSIVE CARE IN TERMS OF
ALL THE THINGS THAT YOU OR YOUR COMPREHENSIVE CARE IN TERMS OF
ALL THE THINGS THAT YOU OR YOUR
FAMILY NEED TO HAVE TAKEN CARE ALL THE THINGS THAT YOU OR YOUR
FAMILY NEED TO HAVE TAKEN CARE
OF. FAMILY NEED TO HAVE TAKEN CARE
OF.
SO IT IS VERY GOOD AT DELIVERING OF.
SO IT IS VERY GOOD AT DELIVERING
VERY ACUTE EPISODIC HIGH CARE SO IT IS VERY GOOD AT DELIVERING
VERY ACUTE EPISODIC HIGH CARE
FOR CRISIS SITUATION. VERY ACUTE EPISODIC HIGH CARE
FOR CRISIS SITUATION.
BUT IT WAS NEVER DESIGNED A FULL FOR CRISIS SITUATION.
BUT IT WAS NEVER DESIGNED A FULL
SERVICE PROVIDER. BUT IT WAS NEVER DESIGNED A FULL
SERVICE PROVIDER.
SO THE ISSUE YOU ARE GETTING SERVICE PROVIDER.
SO THE ISSUE YOU ARE GETTING
INTO THEN IT IS VERY EXPENSIVE, SO THE ISSUE YOU ARE GETTING
INTO THEN IT IS VERY EXPENSIVE,
AND IT IS NOT MEETING THE NEED INTO THEN IT IS VERY EXPENSIVE,
AND IT IS NOT MEETING THE NEED
WHICH IS THE OTHER ISSUE. AND IT IS NOT MEETING THE NEED
WHICH IS THE OTHER ISSUE.
>>SO WE TURN TO SOME WHICH IS THE OTHER ISSUE.
>>SO WE TURN TO SOME
ALTERNATIVES FOR MEETING THE>>SO WE TURN TO SOME
ALTERNATIVES FOR MEETING THE
NEED, AB ONE OF THOSE IS QUALITY ALTERNATIVES FOR MEETING THE
NEED, AB ONE OF THOSE IS QUALITY
QUEST FOR HEALTH. NEED, AB ONE OF THOSE IS QUALITY
QUEST FOR HEALTH.
ANOTHER IS THE HEARTLAND QUEST FOR HEALTH.
ANOTHER IS THE HEARTLAND
COMMUNITY HEALTH CLINIC. ANOTHER IS THE HEARTLAND
COMMUNITY HEALTH CLINIC.
FIRST OF ALL, WHAT IS HEARTLAND COMMUNITY HEALTH CLINIC.
FIRST OF ALL, WHAT IS HEARTLAND
COMMUNITY HEALTH CLINIC FOR FIRST OF ALL, WHAT IS HEARTLAND
COMMUNITY HEALTH CLINIC FOR
THOSE THAT MAY NOT BE FAMILIAR. COMMUNITY HEALTH CLINIC FOR
THOSE THAT MAY NOT BE FAMILIAR.
>>HEARTLAND HEALTH CLINIC IS THOSE THAT MAY NOT BE FAMILIAR.
>>HEARTLAND HEALTH CLINIC IS
FEDERALLY QUALIFIED HEALTH>>HEARTLAND HEALTH CLINIC IS
FEDERALLY QUALIFIED HEALTH
CLINIC WHICH MEANS IT RECEIVES FEDERALLY QUALIFIED HEALTH
CLINIC WHICH MEANS IT RECEIVES
SUPPORT FROM THE GOVERNMENT CLINIC WHICH MEANS IT RECEIVES
SUPPORT FROM THE GOVERNMENT
THROUGH A GRANT. SUPPORT FROM THE GOVERNMENT
THROUGH A GRANT.
AND IT CHIEFS A CHANGE IN THROUGH A GRANT.
AND IT CHIEFS A CHANGE IN
REIMBURSEMENT FOR THE CARE THAT AND IT CHIEFS A CHANGE IN
REIMBURSEMENT FOR THE CARE THAT
IT PROVIDES, A HIGHER REIMBURSEMENT FOR THE CARE THAT
IT PROVIDES, A HIGHER
REIMBURSEMENT FOR MEDICARE AND IT PROVIDES, A HIGHER
REIMBURSEMENT FOR MEDICARE AND
MEDICAID PATIENTS. REIMBURSEMENT FOR MEDICARE AND
MEDICAID PATIENTS.
THAT COMBINATION OF FUNDING, MEDICAID PATIENTS.
THAT COMBINATION OF FUNDING,
ALONG WITH DONATIONS FROM THE THAT COMBINATION OF FUNDING,
ALONG WITH DONATIONS FROM THE
HOSPITALS AND PRIVATE DONORS, ALONG WITH DONATIONS FROM THE
HOSPITALS AND PRIVATE DONORS,
ALLOWS US TO CARE FOR PEOPLE HOSPITALS AND PRIVATE DONORS,
ALLOWS US TO CARE FOR PEOPLE
THAT HAVE NO INSURANCE AND NO ALLOWS US TO CARE FOR PEOPLE
THAT HAVE NO INSURANCE AND NO
MONEY. THAT HAVE NO INSURANCE AND NO
MONEY.
SO WE ARE — WE, OUR MISSION MONEY.
SO WE ARE — WE, OUR MISSION
WILL NOT TURN AWAY ANY PATIENT, SO WE ARE — WE, OUR MISSION
WILL NOT TURN AWAY ANY PATIENT,
REGARDLESS OF THEIR ECONOMIC WILL NOT TURN AWAY ANY PATIENT,
REGARDLESS OF THEIR ECONOMIC
STATUS AND DO THAT THROUGH THE REGARDLESS OF THEIR ECONOMIC
STATUS AND DO THAT THROUGH THE
SUPPORT OF THE GRANTS, THE STATUS AND DO THAT THROUGH THE
SUPPORT OF THE GRANTS, THE
DONORS, AND THE INCREASED SUPPORT OF THE GRANTS, THE
DONORS, AND THE INCREASED
FUNDING FROM MEDICARE AND DONORS, AND THE INCREASED
FUNDING FROM MEDICARE AND
MEDICAID. FUNDING FROM MEDICARE AND
MEDICAID.
>>YOU HAVE SEVERAL CLINICS, PLUS MEDICAID.
>>YOU HAVE SEVERAL CLINICS, PLUS
YOU ARE STARTING A DENTAL>>YOU HAVE SEVERAL CLINICS, PLUS
YOU ARE STARTING A DENTAL
CLINIC. YOU ARE STARTING A DENTAL
CLINIC.
>>WE CURRENTLY HAVE SIX CLINICS CLINIC.
>>WE CURRENTLY HAVE SIX CLINICS
IN TOWN.>>WE CURRENTLY HAVE SIX CLINICS
IN TOWN.
MAIN ONE IS ON GARDEN STREET. IN TOWN.
MAIN ONE IS ON GARDEN STREET.
WE OPENED OUR NEWEST ONE ON THE MAIN ONE IS ON GARDEN STREET.
WE OPENED OUR NEWEST ONE ON THE
EAST BLUFF AREA. WE OPENED OUR NEWEST ONE ON THE
EAST BLUFF AREA.
WE HAVE ANOTHER CLINIC, FORMER EAST BLUFF AREA.
WE HAVE ANOTHER CLINIC, FORMER
CARVER CENTER IS OPERATED BY WE HAVE ANOTHER CLINIC, FORMER
CARVER CENTER IS OPERATED BY
METHODIST IS NOW A HEARTLAND CARVER CENTER IS OPERATED BY
METHODIST IS NOW A HEARTLAND
CLINIC. METHODIST IS NOW A HEARTLAND
CLINIC.
WE HAVE A GYNECOLOGY CLINIC, AND CLINIC.
WE HAVE A GYNECOLOGY CLINIC, AND
WE HAVE A DENTAL CLINIC. WE HAVE A GYNECOLOGY CLINIC, AND
WE HAVE A DENTAL CLINIC.
WE ALSO SEE PEOPLE AT HUMAN WE HAVE A DENTAL CLINIC.
WE ALSO SEE PEOPLE AT HUMAN
SERVICE CENTER WITH CHRONIC WE ALSO SEE PEOPLE AT HUMAN
SERVICE CENTER WITH CHRONIC
PSYCHIATRIC PROBLEMS. SERVICE CENTER WITH CHRONIC
PSYCHIATRIC PROBLEMS.
>>WE WILL GET MORE INTO THE PSYCHIATRIC PROBLEMS.
>>WE WILL GET MORE INTO THE
DISCUSSION OF THESE ISSUES, BUT>>WE WILL GET MORE INTO THE
DISCUSSION OF THESE ISSUES, BUT
I WANT TO DEFINE WHAT QUALITY DISCUSSION OF THESE ISSUES, BUT
I WANT TO DEFINE WHAT QUALITY
QUEST FOR HEALTH IS. I WANT TO DEFINE WHAT QUALITY
QUEST FOR HEALTH IS.
>>THANK YOU. QUEST FOR HEALTH IS.
>>THANK YOU.
WE ARE A COLLABORATIVE.>>THANK YOU.
WE ARE A COLLABORATIVE.
WE WORK WITH HOSPITALS. WE ARE A COLLABORATIVE.
WE WORK WITH HOSPITALS.
WE WORK WITH PHYSICIANS. WE WORK WITH HOSPITALS.
WE WORK WITH PHYSICIANS.
WE WORK WITH EMPLOYERS AND WE WORK WITH PHYSICIANS.
WE WORK WITH EMPLOYERS AND
HEALTH PLANS. WE WORK WITH EMPLOYERS AND
HEALTH PLANS.
AND CONSUMERS AND WE BRING HEALTH PLANS.
AND CONSUMERS AND WE BRING
PEOPLE TOGETHER TO TRY TO SOLVE AND CONSUMERS AND WE BRING
PEOPLE TOGETHER TO TRY TO SOLVE
SOME OF OUR HEALTH CARE PEOPLE TOGETHER TO TRY TO SOLVE
SOME OF OUR HEALTH CARE
PROBLEMS. SOME OF OUR HEALTH CARE
PROBLEMS.
IN RELATIONSHIP TO THIS PROBLEMS.
IN RELATIONSHIP TO THIS
CONVERSATION, ONE OF THE TOPICS IN RELATIONSHIP TO THIS
CONVERSATION, ONE OF THE TOPICS
THAT WE ARE CONVENING A TEAM ON CONVERSATION, ONE OF THE TOPICS
THAT WE ARE CONVENING A TEAM ON
RIGHT AT THIS TIME IS THE THAT WE ARE CONVENING A TEAM ON
RIGHT AT THIS TIME IS THE
MEDICAL HOME. RIGHT AT THIS TIME IS THE
MEDICAL HOME.
MEDICAL HOME IS — I THINK, TWO MEDICAL HOME.
MEDICAL HOME IS — I THINK, TWO
DIFFERENT THINGS, ONE IS MEDICAL HOME IS — I THINK, TWO
DIFFERENT THINGS, ONE IS
DISPARITIES AND OUTCOMES TO DIFFERENT THINGS, ONE IS
DISPARITIES AND OUTCOMES TO
MEDICAL CARE. DISPARITIES AND OUTCOMES TO
MEDICAL CARE.
MEDICAL HOME IS A MEANS OF MEDICAL CARE.
MEDICAL HOME IS A MEANS OF
PROVIDING CARE IN A CLINIC. MEDICAL HOME IS A MEANS OF
PROVIDING CARE IN A CLINIC.
SO THEY ARE SLIGHTLY DIFFERENT T PROVIDING CARE IN A CLINIC.
SO THEY ARE SLIGHTLY DIFFERENT T
DOESN’T SOLVE ALL THE ISSUES FOR SO THEY ARE SLIGHTLY DIFFERENT T
DOESN’T SOLVE ALL THE ISSUES FOR
PEOPLE WHO DON’T HAVE ACCESS TO DOESN’T SOLVE ALL THE ISSUES FOR
PEOPLE WHO DON’T HAVE ACCESS TO
HEALTH CARE. PEOPLE WHO DON’T HAVE ACCESS TO
HEALTH CARE.
IT STARTS TO CHANGE THE WAY WE HEALTH CARE.
IT STARTS TO CHANGE THE WAY WE
DELIVER CARE IN CLINICS SO WE IT STARTS TO CHANGE THE WAY WE
DELIVER CARE IN CLINICS SO WE
CAN WORK ON BUILDING THESE DELIVER CARE IN CLINICS SO WE
CAN WORK ON BUILDING THESE
LONG-TERM HEALING RELATIONSHIPS CAN WORK ON BUILDING THESE
LONG-TERM HEALING RELATIONSHIPS
AND WORK ON PARTNERSHIPS AND LONG-TERM HEALING RELATIONSHIPS
AND WORK ON PARTNERSHIPS AND
WORKING ON TEAMS AND WORKING ON AND WORK ON PARTNERSHIPS AND
WORKING ON TEAMS AND WORKING ON
CONNECTING PATIENTS WITH WORKING ON TEAMS AND WORKING ON
CONNECTING PATIENTS WITH
RESOURCES IN THE COMMUNITY. CONNECTING PATIENTS WITH
RESOURCES IN THE COMMUNITY.
SO THAT’S ONE OF OUR BIGGEST RESOURCES IN THE COMMUNITY.
SO THAT’S ONE OF OUR BIGGEST
UNDERTAKINGS THIS YEAR. SO THAT’S ONE OF OUR BIGGEST
UNDERTAKINGS THIS YEAR.
WE ARE ALSO FOCUSED ON UNDERTAKINGS THIS YEAR.
WE ARE ALSO FOCUSED ON
PREVENTATIVE CARE AND IMPROVING WE ARE ALSO FOCUSED ON
PREVENTATIVE CARE AND IMPROVING
PREVENTATIVE CARE IN THE REGION, PREVENTATIVE CARE AND IMPROVING
PREVENTATIVE CARE IN THE REGION,
BRINGING PEOPLE TOGETHER ON PREVENTATIVE CARE IN THE REGION,
BRINGING PEOPLE TOGETHER ON
THAT, AND REDUCING BRINGING PEOPLE TOGETHER ON
THAT, AND REDUCING
CARDIOVASCULAR RISK IN THE THAT, AND REDUCING
CARDIOVASCULAR RISK IN THE
REGION. CARDIOVASCULAR RISK IN THE
REGION.
WE HAVE A PRETTY — REGION.
WE HAVE A PRETTY —
>>THE CONCEPT OF THE MEDICAL WE HAVE A PRETTY —
>>THE CONCEPT OF THE MEDICAL
HOME ACTUALLY ORIGINATED IN THE>>THE CONCEPT OF THE MEDICAL
HOME ACTUALLY ORIGINATED IN THE
MID 60’S IN PEDIATRICS. HOME ACTUALLY ORIGINATED IN THE
MID 60’S IN PEDIATRICS.
IT WAS DESIGNED BECAUSE THEY MID 60’S IN PEDIATRICS.
IT WAS DESIGNED BECAUSE THEY
SAID WE HAVE A LOT OF KIDS THAT IT WAS DESIGNED BECAUSE THEY
SAID WE HAVE A LOT OF KIDS THAT
HAVE MULTIPLE DISABILITIES. SAID WE HAVE A LOT OF KIDS THAT
HAVE MULTIPLE DISABILITIES.
THEY ARE SEEING MULTIPLE HAVE MULTIPLE DISABILITIES.
THEY ARE SEEING MULTIPLE
PHYSICIANS, AND WE NEED SOME THEY ARE SEEING MULTIPLE
PHYSICIANS, AND WE NEED SOME
PLACE TO HELP COORDINATE ALL OF PHYSICIANS, AND WE NEED SOME
PLACE TO HELP COORDINATE ALL OF
THAT CARE. PLACE TO HELP COORDINATE ALL OF
THAT CARE.
SO IF YOU ARE SEEING FIVE OR TEN THAT CARE.
SO IF YOU ARE SEEING FIVE OR TEN
OR SO DIFFERENT SPECIALISTS, AT SO IF YOU ARE SEEING FIVE OR TEN
OR SO DIFFERENT SPECIALISTS, AT
LEAST THERE IS SOME PLACE THAT OR SO DIFFERENT SPECIALISTS, AT
LEAST THERE IS SOME PLACE THAT
IS KEEPING TRACK OF ALL OF THIS LEAST THERE IS SOME PLACE THAT
IS KEEPING TRACK OF ALL OF THIS
STUFF AND MAKING SURE THE KIDS IS KEEPING TRACK OF ALL OF THIS
STUFF AND MAKING SURE THE KIDS
GET ALL OF THE PRIMARY CARE THAT STUFF AND MAKING SURE THE KIDS
GET ALL OF THE PRIMARY CARE THAT
THEY NEED AT THE SAME TIME. GET ALL OF THE PRIMARY CARE THAT
THEY NEED AT THE SAME TIME.
THEN IT IS ACTUALLY EVOLVED NOW, THEY NEED AT THE SAME TIME.
THEN IT IS ACTUALLY EVOLVED NOW,
THE AMERICAN ACADEMY OF FAMILY THEN IT IS ACTUALLY EVOLVED NOW,
THE AMERICAN ACADEMY OF FAMILY
PHYSICIANS WHEN THEY PUT OUT THE AMERICAN ACADEMY OF FAMILY
PHYSICIANS WHEN THEY PUT OUT
THEIR FUTURE FAMILY STUDY, NEW PHYSICIANS WHEN THEY PUT OUT
THEIR FUTURE FAMILY STUDY, NEW
MODEL OF HEALTH CARE REALLY THEIR FUTURE FAMILY STUDY, NEW
MODEL OF HEALTH CARE REALLY
DEFINED THE PATIENT CENTER, MODEL OF HEALTH CARE REALLY
DEFINED THE PATIENT CENTER,
MEDICAL HOME AS ONE OF THE KEY DEFINED THE PATIENT CENTER,
MEDICAL HOME AS ONE OF THE KEY
COMPONENTS, THE AMERICAN COLLEGE MEDICAL HOME AS ONE OF THE KEY
COMPONENTS, THE AMERICAN COLLEGE
OF PHYSICIANS GOT INTO A COMPONENTS, THE AMERICAN COLLEGE
OF PHYSICIANS GOT INTO A
DEFINITION OF ADVANCED MEDICAL OF PHYSICIANS GOT INTO A
DEFINITION OF ADVANCED MEDICAL
HOME. DEFINITION OF ADVANCED MEDICAL
HOME.
FINALLY, WE NOW HAVE THE HOME.
FINALLY, WE NOW HAVE THE
AMERICAN ACADEMY OF FAMILY FINALLY, WE NOW HAVE THE
AMERICAN ACADEMY OF FAMILY
PHYSICIANS, AMERICAN COLLEGE OF AMERICAN ACADEMY OF FAMILY
PHYSICIANS, AMERICAN COLLEGE OF
PHYSICIANS, AMERICAN ADD CAD MI PHYSICIANS, AMERICAN COLLEGE OF
PHYSICIANS, AMERICAN ADD CAD MI
OF PEDIATRICS AND AMERICAN PHYSICIANS, AMERICAN ADD CAD MI
OF PEDIATRICS AND AMERICAN
OSTEOPATHIC ASSOCIATION AGREED OF PEDIATRICS AND AMERICAN
OSTEOPATHIC ASSOCIATION AGREED
ON JOINT PRINCIPLES TO DEFINE OSTEOPATHIC ASSOCIATION AGREED
ON JOINT PRINCIPLES TO DEFINE
MEDICAL HOME. ON JOINT PRINCIPLES TO DEFINE
MEDICAL HOME.
ACTUALLY IT IS DESIGNED TO BE A MEDICAL HOME.
ACTUALLY IT IS DESIGNED TO BE A
CRITICAL COMPONENTS OF A WHOLE ACTUALLY IT IS DESIGNED TO BE A
CRITICAL COMPONENTS OF A WHOLE
REFORMED HEALTH CARE SYSTEM. CRITICAL COMPONENTS OF A WHOLE
REFORMED HEALTH CARE SYSTEM.
SO AS GAIL MENTIONED, IT IS NOT REFORMED HEALTH CARE SYSTEM.
SO AS GAIL MENTIONED, IT IS NOT
JUST A HEALTH DISPARITY RELATED SO AS GAIL MENTIONED, IT IS NOT
JUST A HEALTH DISPARITY RELATED
ISSUE. JUST A HEALTH DISPARITY RELATED
ISSUE.
IT IS AN ISSUE FOR EVERYBODY. ISSUE.
IT IS AN ISSUE FOR EVERYBODY.
BUT ONE OF THE THINGS THAT IT IT IS AN ISSUE FOR EVERYBODY.
BUT ONE OF THE THINGS THAT IT
WILL DO, HOPEFULLY, IS TO MEET BUT ONE OF THE THINGS THAT IT
WILL DO, HOPEFULLY, IS TO MEET
THE PROBLEM, THE ACCESS PROBLEM WILL DO, HOPEFULLY, IS TO MEET
THE PROBLEM, THE ACCESS PROBLEM
SOME OF THE POPULATIONS THAT ARE THE PROBLEM, THE ACCESS PROBLEM
SOME OF THE POPULATIONS THAT ARE
SUFFERING DISPARITIES CAN HAVE SOME OF THE POPULATIONS THAT ARE
SUFFERING DISPARITIES CAN HAVE
AVAILABLE TO THEM. SUFFERING DISPARITIES CAN HAVE
AVAILABLE TO THEM.
>>AND THAT’S THE CASE DOWN AT AVAILABLE TO THEM.
>>AND THAT’S THE CASE DOWN AT
HEARTLAND COMMUNITY HEALTH>>AND THAT’S THE CASE DOWN AT
HEARTLAND COMMUNITY HEALTH
CLINIC. HEARTLAND COMMUNITY HEALTH
CLINIC.
IT IS. CLINIC.
IT IS.
ONE OF THE WONDERFUL THINGS THAT IT IS.
ONE OF THE WONDERFUL THINGS THAT
HAS HAPPENED IN THE STATE IS THE ONE OF THE WONDERFUL THINGS THAT
HAS HAPPENED IN THE STATE IS THE
CHANGE WITH MEDICAID PATIENTS, HAS HAPPENED IN THE STATE IS THE
CHANGE WITH MEDICAID PATIENTS,
ILLINOIS HEALTH CONNECT PROGRAM CHANGE WITH MEDICAID PATIENTS,
ILLINOIS HEALTH CONNECT PROGRAM
NOW REQUIRES THAT EVERY MEDICAID ILLINOIS HEALTH CONNECT PROGRAM
NOW REQUIRES THAT EVERY MEDICAID
RECIPIENT LABEL A PRIMARY CARE NOW REQUIRES THAT EVERY MEDICAID
RECIPIENT LABEL A PRIMARY CARE
PROVIDER THAT THEY HAVE. RECIPIENT LABEL A PRIMARY CARE
PROVIDER THAT THEY HAVE.
IF THEY DON’T DO THAT, THEN THEY PROVIDER THAT THEY HAVE.
IF THEY DON’T DO THAT, THEN THEY
ARE ASSIGNED ONE. IF THEY DON’T DO THAT, THEN THEY
ARE ASSIGNED ONE.
BUT THAT PHYSICIAN IS SUPPOSED ARE ASSIGNED ONE.
BUT THAT PHYSICIAN IS SUPPOSED
TO COORDINATE THEIR CARE IN THE BUT THAT PHYSICIAN IS SUPPOSED
TO COORDINATE THEIR CARE IN THE
MODEL OF THE MEDICAL HOME. TO COORDINATE THEIR CARE IN THE
MODEL OF THE MEDICAL HOME.
SO THAT’S BEEN A GREAT STEP FOR MODEL OF THE MEDICAL HOME.
SO THAT’S BEEN A GREAT STEP FOR
OUR STATE TO REQUIRE EVERY ONE SO THAT’S BEEN A GREAT STEP FOR
OUR STATE TO REQUIRE EVERY ONE
THAT IS RECEIVING MEDICAID TO OUR STATE TO REQUIRE EVERY ONE
THAT IS RECEIVING MEDICAID TO
NOW DEFINE THAT. THAT IS RECEIVING MEDICAID TO
NOW DEFINE THAT.
>>GREG, YOU ALSO MENTIONED WE NOW DEFINE THAT.
>>GREG, YOU ALSO MENTIONED WE
HAD TALKED ABOUT IT EARLIER>>GREG, YOU ALSO MENTIONED WE
HAD TALKED ABOUT IT EARLIER
ABOUT SOME RESEARCH HAD BEEN HAD TALKED ABOUT IT EARLIER
ABOUT SOME RESEARCH HAD BEEN
DONE ACTUALLY LOOKING AT ABOUT SOME RESEARCH HAD BEEN
DONE ACTUALLY LOOKING AT
POPULATIONS THAT HAVE HEALTH DONE ACTUALLY LOOKING AT
POPULATIONS THAT HAVE HEALTH
DISPARITIES AND WHAT A POPULATIONS THAT HAVE HEALTH
DISPARITIES AND WHAT A
DIFFERENCE. DISPARITIES AND WHAT A
DIFFERENCE.
>>THERE WAS FANTASTIC RESEARCH DIFFERENCE.
>>THERE WAS FANTASTIC RESEARCH
THAT CAME OUT A FEW MONTHS AGO>>THERE WAS FANTASTIC RESEARCH
THAT CAME OUT A FEW MONTHS AGO
FROM THE COMMON WEALTH FUND TO THAT CAME OUT A FEW MONTHS AGO
FROM THE COMMON WEALTH FUND TO
THE HEALTH RESEARCH INSTITUTE. FROM THE COMMON WEALTH FUND TO
THE HEALTH RESEARCH INSTITUTE.
AND IN THAT REPORT, THEY LOOKED THE HEALTH RESEARCH INSTITUTE.
AND IN THAT REPORT, THEY LOOKED
AT MANY DIFFERENT ETHNICITIES, AND IN THAT REPORT, THEY LOOKED
AT MANY DIFFERENT ETHNICITIES,
BUT WHITE, HISPANIC, BLACK, AND AT MANY DIFFERENT ETHNICITIES,
BUT WHITE, HISPANIC, BLACK, AND
LOOKED AT THEIR HEALTH CARE BUT WHITE, HISPANIC, BLACK, AND
LOOKED AT THEIR HEALTH CARE
DISPARITIES AND LOOKED AT THE LOOKED AT THEIR HEALTH CARE
DISPARITIES AND LOOKED AT THE
EFFECT OF HAVING A MEDICAL HOME. DISPARITIES AND LOOKED AT THE
EFFECT OF HAVING A MEDICAL HOME.
WHAT THEY FOUND WAS THAT WHEN EFFECT OF HAVING A MEDICAL HOME.
WHAT THEY FOUND WAS THAT WHEN
PATIENTS HAD A MEDICAL HOME, WHAT THEY FOUND WAS THAT WHEN
PATIENTS HAD A MEDICAL HOME,
THEY HAD THAT HEALING PATIENTS HAD A MEDICAL HOME,
THEY HAD THAT HEALING
RELATIONSHIP, THEY HAD A GOOD THEY HAD THAT HEALING
RELATIONSHIP, THEY HAD A GOOD
CONTINUITY OF CARE, RELATIONSHIP RELATIONSHIP, THEY HAD A GOOD
CONTINUITY OF CARE, RELATIONSHIP
WITH THEIR DOCTOR. CONTINUITY OF CARE, RELATIONSHIP
WITH THEIR DOCTOR.
THEY FOCUSED ON PREVENTATIVE WITH THEIR DOCTOR.
THEY FOCUSED ON PREVENTATIVE
MEDICINE. THEY FOCUSED ON PREVENTATIVE
MEDICINE.
THEY HAD ACCESSIBLE HEALTH CARE, MEDICINE.
THEY HAD ACCESSIBLE HEALTH CARE,
THE HEALTH CARE DISPARITIES WERE THEY HAD ACCESSIBLE HEALTH CARE,
THE HEALTH CARE DISPARITIES WERE
ESSENTIALLY ELIMINATED. THE HEALTH CARE DISPARITIES WERE
ESSENTIALLY ELIMINATED.
THAT’S THE FIRST TIME IT HAS ESSENTIALLY ELIMINATED.
THAT’S THE FIRST TIME IT HAS
BEEN DEMONSTRATED. THAT’S THE FIRST TIME IT HAS
BEEN DEMONSTRATED.
THERE IS A LOT OF RESEARCH THAT BEEN DEMONSTRATED.
THERE IS A LOT OF RESEARCH THAT
DEMONSTRATES THE DISPARITIES AND THERE IS A LOT OF RESEARCH THAT
DEMONSTRATES THE DISPARITIES AND
DEMONSTRATES THE EFFECT OF DEMONSTRATES THE DISPARITIES AND
DEMONSTRATES THE EFFECT OF
SOCIOECONOMIC STATUS ON HEALTH DEMONSTRATES THE EFFECT OF
SOCIOECONOMIC STATUS ON HEALTH
CARE DISPARITIES. SOCIOECONOMIC STATUS ON HEALTH
CARE DISPARITIES.
BUT THIS WAS A VERY WELL DONE CARE DISPARITIES.
BUT THIS WAS A VERY WELL DONE
LARGE STUDY THAT REALLY SHOWED BUT THIS WAS A VERY WELL DONE
LARGE STUDY THAT REALLY SHOWED
THAT A MEDICAL HOME CAN MAKE A LARGE STUDY THAT REALLY SHOWED
THAT A MEDICAL HOME CAN MAKE A
SUBSTANTIAL DIFFERENCE IN THAT A MEDICAL HOME CAN MAKE A
SUBSTANTIAL DIFFERENCE IN
VIRTUALLY ELIMINATE HEALTH CARE SUBSTANTIAL DIFFERENCE IN
VIRTUALLY ELIMINATE HEALTH CARE
DISPARITIES. VIRTUALLY ELIMINATE HEALTH CARE
DISPARITIES.
>>IT ALSO TENDS TO LOWER COSTS. DISPARITIES.
>>IT ALSO TENDS TO LOWER COSTS.
I THINK IT IS A — IF I COULD>>IT ALSO TENDS TO LOWER COSTS.
I THINK IT IS A — IF I COULD
ADD TO THIS, IT IS A LITTLE I THINK IT IS A — IF I COULD
ADD TO THIS, IT IS A LITTLE
COMPLICATED, BUT ACCESS TO CARE, ADD TO THIS, IT IS A LITTLE
COMPLICATED, BUT ACCESS TO CARE,
LOR SOMEONE HAS COVERAGE OR NOT COMPLICATED, BUT ACCESS TO CARE,
LOR SOMEONE HAS COVERAGE OR NOT
AND THE MEDICAL HOME ARE LOR SOMEONE HAS COVERAGE OR NOT
AND THE MEDICAL HOME ARE
RELATED, BUT SLIGHTLY DIFFERENT. AND THE MEDICAL HOME ARE
RELATED, BUT SLIGHTLY DIFFERENT.
THE MEDICAL HOME, JUST FOR RELATED, BUT SLIGHTLY DIFFERENT.
THE MEDICAL HOME, JUST FOR
PEOPLE HOW THAT MIGHT ACTUALLY THE MEDICAL HOME, JUST FOR
PEOPLE HOW THAT MIGHT ACTUALLY
BE DIFFERENT IN A PRACTICE, AND PEOPLE HOW THAT MIGHT ACTUALLY
BE DIFFERENT IN A PRACTICE, AND
WHAT PATIENTS MIGHT SEE BE DIFFERENT IN A PRACTICE, AND
WHAT PATIENTS MIGHT SEE
DIFFERENT IN THAT IS, IS THAT WHAT PATIENTS MIGHT SEE
DIFFERENT IN THAT IS, IS THAT
CONCEPT INVOLVES REALLY MANAGING DIFFERENT IN THAT IS, IS THAT
CONCEPT INVOLVES REALLY MANAGING
A WHOLE POPULATION OF PATIENTS CONCEPT INVOLVES REALLY MANAGING
A WHOLE POPULATION OF PATIENTS
AND KNOWING WHO THEY ALL ARE. A WHOLE POPULATION OF PATIENTS
AND KNOWING WHO THEY ALL ARE.
THE WAY WE USUALLY PRACTICE AND KNOWING WHO THEY ALL ARE.
THE WAY WE USUALLY PRACTICE
MEDICINE IS ONE AT A TIME. THE WAY WE USUALLY PRACTICE
MEDICINE IS ONE AT A TIME.
AND THE WAY PHYSICIANS GET PAID MEDICINE IS ONE AT A TIME.
AND THE WAY PHYSICIANS GET PAID
TODAY IS THEY GET PAID TO DO AND THE WAY PHYSICIANS GET PAID
TODAY IS THEY GET PAID TO DO
THOSE VISITS. TODAY IS THEY GET PAID TO DO
THOSE VISITS.
SO ALL OF THE OTHER STUFF, YOU THOSE VISITS.
SO ALL OF THE OTHER STUFF, YOU
KNOW, CONNECTING WITH COMMUNITY SO ALL OF THE OTHER STUFF, YOU
KNOW, CONNECTING WITH COMMUNITY
RESOURCES AND CALLING BETWEEN KNOW, CONNECTING WITH COMMUNITY
RESOURCES AND CALLING BETWEEN
VISITS AND MAYBE GETTING IN RESOURCES AND CALLING BETWEEN
VISITS AND MAYBE GETTING IN
TOUCH ON LINE, THOSE THINGS VISITS AND MAYBE GETTING IN
TOUCH ON LINE, THOSE THINGS
AREN’T PART OF IT. TOUCH ON LINE, THOSE THINGS
AREN’T PART OF IT.
SO WHAT HAPPENS IS PEOPLE ARE AREN’T PART OF IT.
SO WHAT HAPPENS IS PEOPLE ARE
REALLY BUSY SEEING PATIENTS ONE SO WHAT HAPPENS IS PEOPLE ARE
REALLY BUSY SEEING PATIENTS ONE
AT A TIME. REALLY BUSY SEEING PATIENTS ONE
AT A TIME.
IN SOME WAYS WE HAVE TAKEN OUR AT A TIME.
IN SOME WAYS WE HAVE TAKEN OUR
AMBULATORY CLINIC PRACTICE AND IN SOME WAYS WE HAVE TAKEN OUR
AMBULATORY CLINIC PRACTICE AND
MADE IT A LITTLE BIT LIKE AN ER. AMBULATORY CLINIC PRACTICE AND
MADE IT A LITTLE BIT LIKE AN ER.
SO THE MEDICAL HOME IS REALLY A MADE IT A LITTLE BIT LIKE AN ER.
SO THE MEDICAL HOME IS REALLY A
WAY TO DESIGN BACK INTO IT THE SO THE MEDICAL HOME IS REALLY A
WAY TO DESIGN BACK INTO IT THE
ABILITY TO TAKE CARE OF PATIENTS WAY TO DESIGN BACK INTO IT THE
ABILITY TO TAKE CARE OF PATIENTS
OVERTIME IN A MUCH, MUCH BETTER ABILITY TO TAKE CARE OF PATIENTS
OVERTIME IN A MUCH, MUCH BETTER
WAY DR. JOE SUGAR HERE SEVERAL OVERTIME IN A MUCH, MUCH BETTER
WAY DR. JOE SUGAR HERE SEVERAL
MONTHS AGO AS A KEYNOTE SPEAKER WAY DR. JOE SUGAR HERE SEVERAL
MONTHS AGO AS A KEYNOTE SPEAKER
FOR THE SYMPOSIUM THAT GAIL AND MONTHS AGO AS A KEYNOTE SPEAKER
FOR THE SYMPOSIUM THAT GAIL AND
QUALITY QUEST SPONSORED CALLED FOR THE SYMPOSIUM THAT GAIL AND
QUALITY QUEST SPONSORED CALLED
THAT HAMSTER CARE, WHERE THE QUALITY QUEST SPONSORED CALLED
THAT HAMSTER CARE, WHERE THE
PHYSICIAN IS LIKE THE HAMSTER IN THAT HAMSTER CARE, WHERE THE
PHYSICIAN IS LIKE THE HAMSTER IN
THE WHEEL. PHYSICIAN IS LIKE THE HAMSTER IN
THE WHEEL.
IT JUST KEEPS RUNNING FASTER AND THE WHEEL.
IT JUST KEEPS RUNNING FASTER AND
FASTER AND FASTER TO TRY TO KEEP IT JUST KEEPS RUNNING FASTER AND
FASTER AND FASTER TO TRY TO KEEP
UP. FASTER AND FASTER TO TRY TO KEEP
UP.
WHAT THE MEDICAL HOME DOES IS UP.
WHAT THE MEDICAL HOME DOES IS
ACTUALLY, AND NOT ONLY DOES IT WHAT THE MEDICAL HOME DOES IS
ACTUALLY, AND NOT ONLY DOES IT
APPLY — PROVIDE A PLACE FOR ACTUALLY, AND NOT ONLY DOES IT
APPLY — PROVIDE A PLACE FOR
PATIENTS TO GO, BUT AS GAIL APPLY — PROVIDE A PLACE FOR
PATIENTS TO GO, BUT AS GAIL
MENTIONED, IT TOTALLY REDESIGNS PATIENTS TO GO, BUT AS GAIL
MENTIONED, IT TOTALLY REDESIGNS
HOW WE DELIVER CARE. MENTIONED, IT TOTALLY REDESIGNS
HOW WE DELIVER CARE.
TEAM BASED CARE IS A CRITICAL HOW WE DELIVER CARE.
TEAM BASED CARE IS A CRITICAL
COMPONENT OF THE MEDICAL HOME. TEAM BASED CARE IS A CRITICAL
COMPONENT OF THE MEDICAL HOME.
SO THAT WOULD MEAN THAT IT IS COMPONENT OF THE MEDICAL HOME.
SO THAT WOULD MEAN THAT IT IS
NOT JUST THE DOCTOR THAT HAS TO SO THAT WOULD MEAN THAT IT IS
NOT JUST THE DOCTOR THAT HAS TO
PROVIDE THE CARE, BUT YOU MAY NOT JUST THE DOCTOR THAT HAS TO
PROVIDE THE CARE, BUT YOU MAY
HAVE A NUMBER OF OTHER PROVIDERS PROVIDE THE CARE, BUT YOU MAY
HAVE A NUMBER OF OTHER PROVIDERS
WITHIN THAT CLINIC THAT WILL BE HAVE A NUMBER OF OTHER PROVIDERS
WITHIN THAT CLINIC THAT WILL BE
IMPORTANT IN THE CARE THAT IS WITHIN THAT CLINIC THAT WILL BE
IMPORTANT IN THE CARE THAT IS
PROVIDED. IMPORTANT IN THE CARE THAT IS
PROVIDED.
WE MAY START DELIVERING A NUMBER PROVIDED.
WE MAY START DELIVERING A NUMBER
OF VISITS, PARTICULARLY HEALTH WE MAY START DELIVERING A NUMBER
OF VISITS, PARTICULARLY HEALTH
EDUCATION, PREVENTATIVE HEALTH OF VISITS, PARTICULARLY HEALTH
EDUCATION, PREVENTATIVE HEALTH
VISITS IN GROUP MODELS RATHER EDUCATION, PREVENTATIVE HEALTH
VISITS IN GROUP MODELS RATHER
THAN INDIVIDUAL MODELS. VISITS IN GROUP MODELS RATHER
THAN INDIVIDUAL MODELS.
AND WHAT THAT DOES THEN IT DE THAN INDIVIDUAL MODELS.
AND WHAT THAT DOES THEN IT DE
COMPRESSES THE PHYSICIAN TO BE AND WHAT THAT DOES THEN IT DE
COMPRESSES THE PHYSICIAN TO BE
ABLE TO THEN SPEND MORE TIME COMPRESSES THE PHYSICIAN TO BE
ABLE TO THEN SPEND MORE TIME
DEALING WITH PATIENTS WITH ABLE TO THEN SPEND MORE TIME
DEALING WITH PATIENTS WITH
MULTIPLE DISEASES, WITH CRON DEALING WITH PATIENTS WITH
MULTIPLE DISEASES, WITH CRON
IONIC DISEASES. MULTIPLE DISEASES, WITH CRON
IONIC DISEASES.
WITH MORE DIFFICULT ISSUES THAT IONIC DISEASES.
WITH MORE DIFFICULT ISSUES THAT
NEED TO BE ADDRESSED. WITH MORE DIFFICULT ISSUES THAT
NEED TO BE ADDRESSED.
AS IT TURNS OUT, PHYSICIANS IN NEED TO BE ADDRESSED.
AS IT TURNS OUT, PHYSICIANS IN
THAT KIND OF PRACTICE ARE MUCH AS IT TURNS OUT, PHYSICIANS IN
THAT KIND OF PRACTICE ARE MUCH
MORE HAPPY. THAT KIND OF PRACTICE ARE MUCH
MORE HAPPY.
THEY FEEL LIKE THEY WERE DOING MORE HAPPY.
THEY FEEL LIKE THEY WERE DOING
THE THINGS THEY WERE REALLY THEY FEEL LIKE THEY WERE DOING
THE THINGS THEY WERE REALLY
TRAINED TO DO, AND THEIR THE THINGS THEY WERE REALLY
TRAINED TO DO, AND THEIR
PROFESSION REALLY DEMANDS OF TRAINED TO DO, AND THEIR
PROFESSION REALLY DEMANDS OF
THEM. PROFESSION REALLY DEMANDS OF
THEM.
AND PATIENTS ARE HAPPIER TOO, THEM.
AND PATIENTS ARE HAPPIER TOO,
THEY ARE GETTING MORE ATTENTION, AND PATIENTS ARE HAPPIER TOO,
THEY ARE GETTING MORE ATTENTION,
AND GETTING THEIR NEEDS MET. THEY ARE GETTING MORE ATTENTION,
AND GETTING THEIR NEEDS MET.
>>I WOULD AGREE WITH JOHN. AND GETTING THEIR NEEDS MET.
>>I WOULD AGREE WITH JOHN.
THEY ARE GETTING BETTER CARE. I>>I WOULD AGREE WITH JOHN.
THEY ARE GETTING BETTER CARE. I
THINK JUST FOR VIEWERS THINKING THEY ARE GETTING BETTER CARE. I
THINK JUST FOR VIEWERS THINKING
ABOUT WHAT ARE WE SAYING WHICH THINK JUST FOR VIEWERS THINKING
ABOUT WHAT ARE WE SAYING WHICH
DISPARITIES ARE GOING TO GO ABOUT WHAT ARE WE SAYING WHICH
DISPARITIES ARE GOING TO GO
AWAY, THE LIKELIHOOD OF HAVING DISPARITIES ARE GOING TO GO
AWAY, THE LIKELIHOOD OF HAVING
HEART ATTACKS AND STROKE, PEOPLE AWAY, THE LIKELIHOOD OF HAVING
HEART ATTACKS AND STROKE, PEOPLE
WITH DIABETES, DEVELOPING HEART ATTACKS AND STROKE, PEOPLE
WITH DIABETES, DEVELOPING
BLINDNESS OR LOSING A LEG, THE WITH DIABETES, DEVELOPING
BLINDNESS OR LOSING A LEG, THE
LIKELIHOOD OF A CANCER BEING BLINDNESS OR LOSING A LEG, THE
LIKELIHOOD OF A CANCER BEING
MISSED BECAUSE OF PREVENTATIVE LIKELIHOOD OF A CANCER BEING
MISSED BECAUSE OF PREVENTATIVE
CARE. MISSED BECAUSE OF PREVENTATIVE
CARE.
THOSE ARE THE KIND OF CARE.
THOSE ARE THE KIND OF
DISPARITIES, I THINK GREG YOU THOSE ARE THE KIND OF
DISPARITIES, I THINK GREG YOU
WERE TALKING ABOUT GOING AWAY IN DISPARITIES, I THINK GREG YOU
WERE TALKING ABOUT GOING AWAY IN
A GOOD WELL FUNCTIONING MEDICAL WERE TALKING ABOUT GOING AWAY IN
A GOOD WELL FUNCTIONING MEDICAL
HOME MODEL. A GOOD WELL FUNCTIONING MEDICAL
HOME MODEL.
IT IS REALLY THE REDESIGN. HOME MODEL.
IT IS REALLY THE REDESIGN.
IF YOU LOOK AT THE CAUSES OF IT IS REALLY THE REDESIGN.
IF YOU LOOK AT THE CAUSES OF
DEATH, LEADING CAUSES OF DEATH IF YOU LOOK AT THE CAUSES OF
DEATH, LEADING CAUSES OF DEATH
OR EVEN THE MAJOR MORBIDITY DEATH, LEADING CAUSES OF DEATH
OR EVEN THE MAJOR MORBIDITY
FACTORS IN THIS COUNTRY, THINGS OR EVEN THE MAJOR MORBIDITY
FACTORS IN THIS COUNTRY, THINGS
LIKE GAIL MENTIONED, CANCERS AT FACTORS IN THIS COUNTRY, THINGS
LIKE GAIL MENTIONED, CANCERS AT
THE TOP, CARDIOVASCULAR DISEASE LIKE GAIL MENTIONED, CANCERS AT
THE TOP, CARDIOVASCULAR DISEASE
IS NEXT, STROKE COMES IN THERE. THE TOP, CARDIOVASCULAR DISEASE
IS NEXT, STROKE COMES IN THERE.
IN MANY OF THESE — WE ALSO KNOW IS NEXT, STROKE COMES IN THERE.
IN MANY OF THESE — WE ALSO KNOW
IN THAT TOP TEN ARE INADEQUATE IN MANY OF THESE — WE ALSO KNOW
IN THAT TOP TEN ARE INADEQUATE
IMMUNIZATIONS. IN THAT TOP TEN ARE INADEQUATE
IMMUNIZATIONS.
CHRONIC LUNG DISEASE, CHRONIC IMMUNIZATIONS.
CHRONIC LUNG DISEASE, CHRONIC
LUNG DISEASE IS IN THE TOP FOUR CHRONIC LUNG DISEASE, CHRONIC
LUNG DISEASE IS IN THE TOP FOUR
SOMEWHERE, TOO. LUNG DISEASE IS IN THE TOP FOUR
SOMEWHERE, TOO.
AND ALL OF THESE ISSUES ARE SOMEWHERE, TOO.
AND ALL OF THESE ISSUES ARE
THINGS THAT YOU CAN ADDRESS. AND ALL OF THESE ISSUES ARE
THINGS THAT YOU CAN ADDRESS.
CAN YOU DO SOMETHING ABOUT. THINGS THAT YOU CAN ADDRESS.
CAN YOU DO SOMETHING ABOUT.
>>DIABETES IS IN THERE. CAN YOU DO SOMETHING ABOUT.
>>DIABETES IS IN THERE.
OVER WEIGHT, AND OBESITY IS IN>>DIABETES IS IN THERE.
OVER WEIGHT, AND OBESITY IS IN
THERE. OVER WEIGHT, AND OBESITY IS IN
THERE.
THESE ARE ALL THINGS THAT WE CAN THERE.
THESE ARE ALL THINGS THAT WE CAN
TAKE CARE OF WHEN YOU HAVE A THESE ARE ALL THINGS THAT WE CAN
TAKE CARE OF WHEN YOU HAVE A
CHANCE TO ACCESS PEOPLE, AND YOU TAKE CARE OF WHEN YOU HAVE A
CHANCE TO ACCESS PEOPLE, AND YOU
CAN ACTUALLY — THE OTHER CHANCE TO ACCESS PEOPLE, AND YOU
CAN ACTUALLY — THE OTHER
IMPORTANT PIECE IS GET THEM TO CAN ACTUALLY — THE OTHER
IMPORTANT PIECE IS GET THEM TO
BECOME PARTNERS IN THE CARE. IMPORTANT PIECE IS GET THEM TO
BECOME PARTNERS IN THE CARE.
IF YOU ARE NOT USED TO BEING A BECOME PARTNERS IN THE CARE.
IF YOU ARE NOT USED TO BEING A
PARTNER, IT TAKES A LITTLE IF YOU ARE NOT USED TO BEING A
PARTNER, IT TAKES A LITTLE
LEARNING HOW TO MAKE THAT PARTNER, IT TAKES A LITTLE
LEARNING HOW TO MAKE THAT
HAPPEN. LEARNING HOW TO MAKE THAT
HAPPEN.
BUT THAT’S A CRITICAL COMPONENT HAPPEN.
BUT THAT’S A CRITICAL COMPONENT
OF THE MEDICAL HOME MODEL. BUT THAT’S A CRITICAL COMPONENT
OF THE MEDICAL HOME MODEL.
>>IT SOUNDS LIKE WE NEED TO HAVE OF THE MEDICAL HOME MODEL.
>>IT SOUNDS LIKE WE NEED TO HAVE
A CHANGE — I DON’T KNOW IF MIND>>IT SOUNDS LIKE WE NEED TO HAVE
A CHANGE — I DON’T KNOW IF MIND
SET IS THE RIGHT WORD, BUT NOT A CHANGE — I DON’T KNOW IF MIND
SET IS THE RIGHT WORD, BUT NOT
ONLY FROM THE PROVIDER’S POINT SET IS THE RIGHT WORD, BUT NOT
ONLY FROM THE PROVIDER’S POINT
OF VIEW. ONLY FROM THE PROVIDER’S POINT
OF VIEW.
YOU MENTIONED THAT DOCTORS AND OF VIEW.
YOU MENTIONED THAT DOCTORS AND
NURSES ARE GOING TO HAVE TO YOU MENTIONED THAT DOCTORS AND
NURSES ARE GOING TO HAVE TO
CHANGE THE WAY THEY DELIVER NURSES ARE GOING TO HAVE TO
CHANGE THE WAY THEY DELIVER
MEDICINE A LITTLE BIT, BUT ALSO CHANGE THE WAY THEY DELIVER
MEDICINE A LITTLE BIT, BUT ALSO
FROM THE PATIENT’S POINT OF MEDICINE A LITTLE BIT, BUT ALSO
FROM THE PATIENT’S POINT OF
VIEW. FROM THE PATIENT’S POINT OF
VIEW.
TOO OFTEN WE DO WHAT OUR PARENTS VIEW.
TOO OFTEN WE DO WHAT OUR PARENTS
DID. TOO OFTEN WE DO WHAT OUR PARENTS
DID.
IF OUR PARENTS TOOK US TO THE DID.
IF OUR PARENTS TOOK US TO THE
EMERGENCY ROOM, THEN THAT’S WHAT IF OUR PARENTS TOOK US TO THE
EMERGENCY ROOM, THEN THAT’S WHAT
WE DO WITH OUR CHILDREN. EMERGENCY ROOM, THEN THAT’S WHAT
WE DO WITH OUR CHILDREN.
THAT’S WHAT WE LEARNED. WE DO WITH OUR CHILDREN.
THAT’S WHAT WE LEARNED.
AND FOR MANY PEOPLE, THEY ARE THAT’S WHAT WE LEARNED.
AND FOR MANY PEOPLE, THEY ARE
GOING TO HAVE TO CHANGE. AND FOR MANY PEOPLE, THEY ARE
GOING TO HAVE TO CHANGE.
HOW DO YOU GO ABOUT DOING THAT? GOING TO HAVE TO CHANGE.
HOW DO YOU GO ABOUT DOING THAT?
>>WELL, I WOULD DEFER THE HOW DO YOU GO ABOUT DOING THAT?
>>WELL, I WOULD DEFER THE
QUESTION ON GETTING PEOPLE TO GO>>WELL, I WOULD DEFER THE
QUESTION ON GETTING PEOPLE TO GO
(LAUGHING) TO THE CLINIC TO THE QUESTION ON GETTING PEOPLE TO GO
(LAUGHING) TO THE CLINIC TO THE
ER. (LAUGHING) TO THE CLINIC TO THE
ER.
GREG ACTUALLY HAS MORE ER.
GREG ACTUALLY HAS MORE
EXPERIENCE WITH THAT. GREG ACTUALLY HAS MORE
EXPERIENCE WITH THAT.
MY EXPERIENCE IS THAT SOME OF EXPERIENCE WITH THAT.
MY EXPERIENCE IS THAT SOME OF
THE OF THE PATTERNS ARE BECAUSE MY EXPERIENCE IS THAT SOME OF
THE OF THE PATTERNS ARE BECAUSE
IT IS EASIER TO GO TO THE ER. THE OF THE PATTERNS ARE BECAUSE
IT IS EASIER TO GO TO THE ER.
I KNOW WHERE I HAVE BEEN IT IS EASIER TO GO TO THE ER.
I KNOW WHERE I HAVE BEEN
PRACTICING UNTIL RECENTLY WAS IN I KNOW WHERE I HAVE BEEN
PRACTICING UNTIL RECENTLY WAS IN
MINNESOTA IN THE TWIN CITIES. PRACTICING UNTIL RECENTLY WAS IN
MINNESOTA IN THE TWIN CITIES.
THE BUS ROUTES RAN TO THE ER. MINNESOTA IN THE TWIN CITIES.
THE BUS ROUTES RAN TO THE ER.
THEY DON’T RUN TO THE CLINICS. THE BUS ROUTES RAN TO THE ER.
THEY DON’T RUN TO THE CLINICS.
AND SO — AT LEAST NOT AS OFTEN, THEY DON’T RUN TO THE CLINICS.
AND SO — AT LEAST NOT AS OFTEN,
AND SO IT WAS — A LOT OF THINGS AND SO — AT LEAST NOT AS OFTEN,
AND SO IT WAS — A LOT OF THINGS
ABOUT PEOPLE’S LIVES THAT MAKE AND SO IT WAS — A LOT OF THINGS
ABOUT PEOPLE’S LIVES THAT MAKE
CERTAIN BEHAVIORS EASIER TO DO. ABOUT PEOPLE’S LIVES THAT MAKE
CERTAIN BEHAVIORS EASIER TO DO.
SO WE WOULDN’T DO THE HARING. CERTAIN BEHAVIORS EASIER TO DO.
SO WE WOULDN’T DO THE HARING.
>>IT IS A MATTER OF CHANGING SO WE WOULDN’T DO THE HARING.
>>IT IS A MATTER OF CHANGING
CULTURE.>>IT IS A MATTER OF CHANGING
CULTURE.
IT IS SOMETHING THAT HAS GONE ON CULTURE.
IT IS SOMETHING THAT HAS GONE ON
OH NOW FOR A COUPLE OF IT IS SOMETHING THAT HAS GONE ON
OH NOW FOR A COUPLE OF
GENERATIONS WHERE PARENTS HAVE OH NOW FOR A COUPLE OF
GENERATIONS WHERE PARENTS HAVE
TAKEN KIDS TO THE EMERGENCY GENERATIONS WHERE PARENTS HAVE
TAKEN KIDS TO THE EMERGENCY
DEPARTMENT FOR THEIR ACUTE CARE. TAKEN KIDS TO THE EMERGENCY
DEPARTMENT FOR THEIR ACUTE CARE.
AND CHANGING THAT CULTURE DEPARTMENT FOR THEIR ACUTE CARE.
AND CHANGING THAT CULTURE
REQUIRES A LOT OF EDUCATION. AND CHANGING THAT CULTURE
REQUIRES A LOT OF EDUCATION.
IT PROBABLY REQUIRES SOME SORT REQUIRES A LOT OF EDUCATION.
IT PROBABLY REQUIRES SOME SORT
OF A SYSTEM THAT INCENTIVIZE S IT PROBABLY REQUIRES SOME SORT
OF A SYSTEM THAT INCENTIVIZE S
THEM TO DO THAT. OF A SYSTEM THAT INCENTIVIZE S
THEM TO DO THAT.
THAT ILLINOIS HEALTH CONNECT THEM TO DO THAT.
THAT ILLINOIS HEALTH CONNECT
PROGRAM WILL HELP WITH THAT. THAT ILLINOIS HEALTH CONNECT
PROGRAM WILL HELP WITH THAT.
THAT’S ONE OF THE THEIR ULTIMATE PROGRAM WILL HELP WITH THAT.
THAT’S ONE OF THE THEIR ULTIMATE
GOALS KEEP PEOPLE OUT OF THE THAT’S ONE OF THE THEIR ULTIMATE
GOALS KEEP PEOPLE OUT OF THE
EMERGENCY ROOMS AND KEEP THEM IN GOALS KEEP PEOPLE OUT OF THE
EMERGENCY ROOMS AND KEEP THEM IN
OFFICES. THAT’S WHAT WE THINK EMERGENCY ROOMS AND KEEP THEM IN
OFFICES. THAT’S WHAT WE THINK
IS BETTER FOR PROVIDING THAT OFFICES. THAT’S WHAT WE THINK
IS BETTER FOR PROVIDING THAT
TYPE OF PREVENTATIVE CARE. IS BETTER FOR PROVIDING THAT
TYPE OF PREVENTATIVE CARE.
BUT IT IS EDUCATION, AND IT IS TYPE OF PREVENTATIVE CARE.
BUT IT IS EDUCATION, AND IT IS
CHANGING THE CULTURE, AND IT BUT IT IS EDUCATION, AND IT IS
CHANGING THE CULTURE, AND IT
WILL BE A VERY DIFFICULT THING. CHANGING THE CULTURE, AND IT
WILL BE A VERY DIFFICULT THING.
ACTUALLY OUR EMERGENCY ROOMS ARE WILL BE A VERY DIFFICULT THING.
ACTUALLY OUR EMERGENCY ROOMS ARE
HELPING US, TOO. ACTUALLY OUR EMERGENCY ROOMS ARE
HELPING US, TOO.
>>THEY ARE HELPING, BUT ALSO THE HELPING US, TOO.
>>THEY ARE HELPING, BUT ALSO THE
SYSTEM THAT HAS BEEN IN PLACE>>THEY ARE HELPING, BUT ALSO THE
SYSTEM THAT HAS BEEN IN PLACE
HAS ACTUALLY BEEN HURTING. SYSTEM THAT HAS BEEN IN PLACE
HAS ACTUALLY BEEN HURTING.
AND THROUGH NO FAULT OF THEIR HAS ACTUALLY BEEN HURTING.
AND THROUGH NO FAULT OF THEIR
OWN, BUT BECAUSE THESE PATIENTS, AND THROUGH NO FAULT OF THEIR
OWN, BUT BECAUSE THESE PATIENTS,
BECAUSE MANY PRACTICES IN TOWN OWN, BUT BECAUSE THESE PATIENTS,
BECAUSE MANY PRACTICES IN TOWN
PRIMARY CARE PRACTICES ARE FULL, BECAUSE MANY PRACTICES IN TOWN
PRIMARY CARE PRACTICES ARE FULL,
AND THEY ARE NOT REALLY LOOKING PRIMARY CARE PRACTICES ARE FULL,
AND THEY ARE NOT REALLY LOOKING
TO TAKE NEW PATIENTS. AND THEY ARE NOT REALLY LOOKING
TO TAKE NEW PATIENTS.
BECAUSE THE REIMBURSEMENT FOR TO TAKE NEW PATIENTS.
BECAUSE THE REIMBURSEMENT FOR
MEDICAID PATIENTS PARTICULARLY BECAUSE THE REIMBURSEMENT FOR
MEDICAID PATIENTS PARTICULARLY
IS SO LOW AND THESE PATIENTS MEDICAID PATIENTS PARTICULARLY
IS SO LOW AND THESE PATIENTS
OFTEN TIMES DON’T SHOW UP FOR IS SO LOW AND THESE PATIENTS
OFTEN TIMES DON’T SHOW UP FOR
FOLLOW UP VISITS FROM THE OFTEN TIMES DON’T SHOW UP FOR
FOLLOW UP VISITS FROM THE
EMERGENCY DEPARTMENT. FOLLOW UP VISITS FROM THE
EMERGENCY DEPARTMENT.
THEY ARE PATIENTS THAT GO TO THE EMERGENCY DEPARTMENT.
THEY ARE PATIENTS THAT GO TO THE
EMERGENCY ROOM ARE ASSIGNED OH A THEY ARE PATIENTS THAT GO TO THE
EMERGENCY ROOM ARE ASSIGNED OH A
DOCTOR TO SEE THEM FOR A FOLLOW EMERGENCY ROOM ARE ASSIGNED OH A
DOCTOR TO SEE THEM FOR A FOLLOW
UP. DOCTOR TO SEE THEM FOR A FOLLOW
UP.
THEY ARE USUALLY TOLD GO SEE UP.
THEY ARE USUALLY TOLD GO SEE
THIS DOCTOR IN TWO OR THREE THEY ARE USUALLY TOLD GO SEE
THIS DOCTOR IN TWO OR THREE
DAYS. THIS DOCTOR IN TWO OR THREE
DAYS.
THEY ARE GIVEN A CARD AND DAYS.
THEY ARE GIVEN A CARD AND
EVERYTHING, AND THAT DOCTOR HAS THEY ARE GIVEN A CARD AND
EVERYTHING, AND THAT DOCTOR HAS
AGREED TO SEE THAT PATIENT ONCE EVERYTHING, AND THAT DOCTOR HAS
AGREED TO SEE THAT PATIENT ONCE
BECAUSE HIS PRACTICE MAY BE FULL AGREED TO SEE THAT PATIENT ONCE
BECAUSE HIS PRACTICE MAY BE FULL
AND MAY NOT TRY TO GROW THE BECAUSE HIS PRACTICE MAY BE FULL
AND MAY NOT TRY TO GROW THE
PRACTICE PARTICULARLY WITH THAT AND MAY NOT TRY TO GROW THE
PRACTICE PARTICULARLY WITH THAT
PATIENT POPULATION. PRACTICE PARTICULARLY WITH THAT
PATIENT POPULATION.
AND IT JUST CONTINUES THAT CYCLE PATIENT POPULATION.
AND IT JUST CONTINUES THAT CYCLE
THEY ARE SEEN ONCE FOR THAT AND IT JUST CONTINUES THAT CYCLE
THEY ARE SEEN ONCE FOR THAT
FOLLOW UP, AND THEN THEY HAVE NO THEY ARE SEEN ONCE FOR THAT
FOLLOW UP, AND THEN THEY HAVE NO
PLACE TO KEEP GOING. FOLLOW UP, AND THEN THEY HAVE NO
PLACE TO KEEP GOING.
>>ACTUALLY WHAT I WAS REFERRING PLACE TO KEEP GOING.
>>ACTUALLY WHAT I WAS REFERRING
TO, GREG, WAS THE AT LEAST>>ACTUALLY WHAT I WAS REFERRING
TO, GREG, WAS THE AT LEAST
METHODIST WHICH I AM MORE TO, GREG, WAS THE AT LEAST
METHODIST WHICH I AM MORE
FAMILIAR WITH BECAUSE THAT’S METHODIST WHICH I AM MORE
FAMILIAR WITH BECAUSE THAT’S
WHERE OUR FAMILY MEDICINE FAMILIAR WITH BECAUSE THAT’S
WHERE OUR FAMILY MEDICINE
RESIDENCY IS LOCATED. WHERE OUR FAMILY MEDICINE
RESIDENCY IS LOCATED.
THEY ARE START TO GO DO SOME RESIDENCY IS LOCATED.
THEY ARE START TO GO DO SOME
TRIAGE IN THE EMERGENCY ROOM. THEY ARE START TO GO DO SOME
TRIAGE IN THE EMERGENCY ROOM.
WHEN SOMEBODY COMES IN, TRY TO TRIAGE IN THE EMERGENCY ROOM.
WHEN SOMEBODY COMES IN, TRY TO
IDENTIFY WHAT THE PROBLEM IS. WHEN SOMEBODY COMES IN, TRY TO
IDENTIFY WHAT THE PROBLEM IS.
AND IF IT IS NOT A PROBLEM THAT IDENTIFY WHAT THE PROBLEM IS.
AND IF IT IS NOT A PROBLEM THAT
SHOULD BE CARED FOR IN THE AND IF IT IS NOT A PROBLEM THAT
SHOULD BE CARED FOR IN THE
EMERGENCY ROOM, BUT SHOULD BE SHOULD BE CARED FOR IN THE
EMERGENCY ROOM, BUT SHOULD BE
CARED FOR BY LINKING THEM INTO A EMERGENCY ROOM, BUT SHOULD BE
CARED FOR BY LINKING THEM INTO A
MEDICAL HOME, IF THEY DON’T HAVE CARED FOR BY LINKING THEM INTO A
MEDICAL HOME, IF THEY DON’T HAVE
ONE, THEN THEY ARE AGGRESSIVELY MEDICAL HOME, IF THEY DON’T HAVE
ONE, THEN THEY ARE AGGRESSIVELY
TRYING TO MAKE THAT CONNECTION ONE, THEN THEY ARE AGGRESSIVELY
TRYING TO MAKE THAT CONNECTION
FOR THEM. TRYING TO MAKE THAT CONNECTION
FOR THEM.
NOW, AGAIN, AS GREG SAID, IT CAN FOR THEM.
NOW, AGAIN, AS GREG SAID, IT CAN
BE PROBLEMATIC IF THEY NEVER GO NOW, AGAIN, AS GREG SAID, IT CAN
BE PROBLEMATIC IF THEY NEVER GO
THERE OR IF THEY ONLY MAKE A BE PROBLEMATIC IF THEY NEVER GO
THERE OR IF THEY ONLY MAKE A
SINGLE VISIT AND NEVER SHOW UP THERE OR IF THEY ONLY MAKE A
SINGLE VISIT AND NEVER SHOW UP
AGAIN. SINGLE VISIT AND NEVER SHOW UP
AGAIN.
BUT AT LEAST, I THINK, THERE IS AGAIN.
BUT AT LEAST, I THINK, THERE IS
SOME RECOGNITION ON THE PART OF BUT AT LEAST, I THINK, THERE IS
SOME RECOGNITION ON THE PART OF
THE EMERGENCY ROOMS IN OUR SOME RECOGNITION ON THE PART OF
THE EMERGENCY ROOMS IN OUR
COMMUNITY TO HELP TRY TO GET THE EMERGENCY ROOMS IN OUR
COMMUNITY TO HELP TRY TO GET
PEOPLE REDIRECTED INTO A PLACE COMMUNITY TO HELP TRY TO GET
PEOPLE REDIRECTED INTO A PLACE
WHERE THEY CAN CALL THEIR PEOPLE REDIRECTED INTO A PLACE
WHERE THEY CAN CALL THEIR
MEDICAL HOME. WHERE THEY CAN CALL THEIR
MEDICAL HOME.
>>THERE ARE SOME THINGS THAT ARE MEDICAL HOME.
>>THERE ARE SOME THINGS THAT ARE
OUTSIDE OF — FOR THE MOST PART>>THERE ARE SOME THINGS THAT ARE
OUTSIDE OF — FOR THE MOST PART
OUTSIDE OF YOUR CONTROL. OUTSIDE OF — FOR THE MOST PART
OUTSIDE OF YOUR CONTROL.
I WANT TO BRING ONE UP. OUTSIDE OF YOUR CONTROL.
I WANT TO BRING ONE UP.
COMMERCIALS. I WANT TO BRING ONE UP.
COMMERCIALS.
TO MY KNOWLEDGE, I HAVE NEVER COMMERCIALS.
TO MY KNOWLEDGE, I HAVE NEVER
SEEN A TELEVISION COMMERCIAL OR TO MY KNOWLEDGE, I HAVE NEVER
SEEN A TELEVISION COMMERCIAL OR
HEARD A RADIO COMMERCIAL SAYING SEEN A TELEVISION COMMERCIAL OR
HEARD A RADIO COMMERCIAL SAYING
“COME ON DOWN. WE HAVE GREAT HEARD A RADIO COMMERCIAL SAYING
“COME ON DOWN. WE HAVE GREAT
PRICES OR LETTUCE OR CARROTS OR “COME ON DOWN. WE HAVE GREAT
PRICES OR LETTUCE OR CARROTS OR
APPLES.” PRICES OR LETTUCE OR CARROTS OR
APPLES.”
SOMETIMES IN THE NEWSPAPER YOU APPLES.”
SOMETIMES IN THE NEWSPAPER YOU
MIGHT SEE APPLES, AND YET, WE SOMETIMES IN THE NEWSPAPER YOU
MIGHT SEE APPLES, AND YET, WE
ARE INUNDATED WITH THE FAST FOOD MIGHT SEE APPLES, AND YET, WE
ARE INUNDATED WITH THE FAST FOOD
COMMERCIALS. ARE INUNDATED WITH THE FAST FOOD
COMMERCIALS.
THAT HAS TO BE DIFFICULT IN — COMMERCIALS.
THAT HAS TO BE DIFFICULT IN —
IT INTERFERES WITH YOUR EFFORTS THAT HAS TO BE DIFFICULT IN —
IT INTERFERES WITH YOUR EFFORTS
TO TRY TO GET THEM DIRECTED IT INTERFERES WITH YOUR EFFORTS
TO TRY TO GET THEM DIRECTED
TOWARD THE HEALTHY LIFESTYLE TO TRY TO GET THEM DIRECTED
TOWARD THE HEALTHY LIFESTYLE
WHICH WOULD BE PART OF THIS TOWARD THE HEALTHY LIFESTYLE
WHICH WOULD BE PART OF THIS
MEDICAL CARE, THIS FAMILY. WHICH WOULD BE PART OF THIS
MEDICAL CARE, THIS FAMILY.
>>ABSOLUTELY. MEDICAL CARE, THIS FAMILY.
>>ABSOLUTELY.
IN FACT OUR VISION IS THAT THE>>ABSOLUTELY.
IN FACT OUR VISION IS THAT THE
REGION WILL BE THE REGION WITH IN FACT OUR VISION IS THAT THE
REGION WILL BE THE REGION WITH
THE HEALTHIEST PEOPLE AND REGION WILL BE THE REGION WITH
THE HEALTHIEST PEOPLE AND
HIGHEST VALUE OF HEALTH CARE. THE HEALTHIEST PEOPLE AND
HIGHEST VALUE OF HEALTH CARE.
FITS RIGHT IN THERE WHAT WE ARE HIGHEST VALUE OF HEALTH CARE.
FITS RIGHT IN THERE WHAT WE ARE
LOOKING AT AND WORKING TOWARD. FITS RIGHT IN THERE WHAT WE ARE
LOOKING AT AND WORKING TOWARD.
YOU ARE ABSOLUTELY RIGHT. LOOKING AT AND WORKING TOWARD.
YOU ARE ABSOLUTELY RIGHT.
THE ENVIRONMENT IN WHICH WE LIVE YOU ARE ABSOLUTELY RIGHT.
THE ENVIRONMENT IN WHICH WE LIVE
IS REALLY TOXIC. THE ENVIRONMENT IN WHICH WE LIVE
IS REALLY TOXIC.
WE SEE THAT — PEOPLE TALK ABOUT IS REALLY TOXIC.
WE SEE THAT — PEOPLE TALK ABOUT
THE OBESITY EPIDEMIC. WE SEE THAT — PEOPLE TALK ABOUT
THE OBESITY EPIDEMIC.
SLIDES FROM THE CDC, IT HAS THE OBESITY EPIDEMIC.
SLIDES FROM THE CDC, IT HAS
DOUBLED IN THE LAST TWELVE SLIDES FROM THE CDC, IT HAS
DOUBLED IN THE LAST TWELVE
YEARS. DOUBLED IN THE LAST TWELVE
YEARS.
SO MANY OF OUR CHILDREN AND THEY YEARS.
SO MANY OF OUR CHILDREN AND THEY
ARE MARKETED DIRECTLY AND IN SO MANY OF OUR CHILDREN AND THEY
ARE MARKETED DIRECTLY AND IN
PARTICULARLY IN THE COMMUNITIES ARE MARKETED DIRECTLY AND IN
PARTICULARLY IN THE COMMUNITIES
WITH LOWER INCOME LEVELS, THE PARTICULARLY IN THE COMMUNITIES
WITH LOWER INCOME LEVELS, THE
AVAIL ABILITY OF HEALTHY FOOD IS WITH LOWER INCOME LEVELS, THE
AVAIL ABILITY OF HEALTHY FOOD IS
REALLY LIMITED. AVAIL ABILITY OF HEALTHY FOOD IS
REALLY LIMITED.
I CRINGE WHEN I SEE A BIG BOTTLE REALLY LIMITED.
I CRINGE WHEN I SEE A BIG BOTTLE
OF SODA THIS BIG BECAUSE I KNOW I CRINGE WHEN I SEE A BIG BOTTLE
OF SODA THIS BIG BECAUSE I KNOW
THAT’S A WHOLE DAY’S WORTH OF OF SODA THIS BIG BECAUSE I KNOW
THAT’S A WHOLE DAY’S WORTH OF
CALORIES IN THAT BOTTLE OF SODA. THAT’S A WHOLE DAY’S WORTH OF
CALORIES IN THAT BOTTLE OF SODA.
IT IS BEING CONSUMED AS IF IT IS CALORIES IN THAT BOTTLE OF SODA.
IT IS BEING CONSUMED AS IF IT IS
WATER. IT IS BEING CONSUMED AS IF IT IS
WATER.
>>A SMALL IS 20 OUNCES TODAY. WATER.
>>A SMALL IS 20 OUNCES TODAY.
>>YEAH!>>A SMALL IS 20 OUNCES TODAY.
>>YEAH!
>>GOES UP FROM THERE! (LAUGHING)>>YEAH!
>>GOES UP FROM THERE! (LAUGHING)
>>WE YEAH.>>GOES UP FROM THERE! (LAUGHING)
>>WE YEAH.
WE HAVE GOT TO CHANGE THAT.>>WE YEAH.
WE HAVE GOT TO CHANGE THAT.
THAT’S A HUGE PROBLEM FOR US. WE HAVE GOT TO CHANGE THAT.
THAT’S A HUGE PROBLEM FOR US.
>>THE AVAILABILITY ISSUE IS — THAT’S A HUGE PROBLEM FOR US.
>>THE AVAILABILITY ISSUE IS —
IF YOU TAKE A LOOK AT A OUT OF>>THE AVAILABILITY ISSUE IS —
IF YOU TAKE A LOOK AT A OUT OF
OUR COMMUNITIES, IT IS PROBABLY IF YOU TAKE A LOOK AT A OUT OF
OUR COMMUNITIES, IT IS PROBABLY
EVEN TRUE OF PEORIA IF YOU LOOK OUR COMMUNITIES, IT IS PROBABLY
EVEN TRUE OF PEORIA IF YOU LOOK
AT THE AREAS OF OUR COMMUNITY EVEN TRUE OF PEORIA IF YOU LOOK
AT THE AREAS OF OUR COMMUNITY
THAT HAVE THE LOWER AT THE AREAS OF OUR COMMUNITY
THAT HAVE THE LOWER
SOCIOECONOMIC STATUS IN TERMS OF THAT HAVE THE LOWER
SOCIOECONOMIC STATUS IN TERMS OF
INCOME AND EDUCATION, PROBABLY SOCIOECONOMIC STATUS IN TERMS OF
INCOME AND EDUCATION, PROBABLY
HAVE THE LEAST AVAILABILITY OF INCOME AND EDUCATION, PROBABLY
HAVE THE LEAST AVAILABILITY OF
ACCESS TO A GOOD SUPER MARKET. HAVE THE LEAST AVAILABILITY OF
ACCESS TO A GOOD SUPER MARKET.
THERE IS NO FARMER’S MARKET IN ACCESS TO A GOOD SUPER MARKET.
THERE IS NO FARMER’S MARKET IN
THE SOUTH SIDE OF PEORIA THAT I THERE IS NO FARMER’S MARKET IN
THE SOUTH SIDE OF PEORIA THAT I
AM AWARE OF. THE SOUTH SIDE OF PEORIA THAT I
AM AWARE OF.
WHAT PERCENTAGE OF THAT AM AWARE OF.
WHAT PERCENTAGE OF THAT
POPULATION THAT LIVES THERE WHAT PERCENTAGE OF THAT
POPULATION THAT LIVES THERE
ACTUALLY COULD WALK TEN MINUTES POPULATION THAT LIVES THERE
ACTUALLY COULD WALK TEN MINUTES
OR LESS TO A PLACE WHERE THEY ACTUALLY COULD WALK TEN MINUTES
OR LESS TO A PLACE WHERE THEY
COULD BUY FOOD, GOOD FOOD? OR LESS TO A PLACE WHERE THEY
COULD BUY FOOD, GOOD FOOD?
AND IF ARE YOU GOING TO CHANGE COULD BUY FOOD, GOOD FOOD?
AND IF ARE YOU GOING TO CHANGE
DIET, YOU HAVE TO PROVIDE IT. AND IF ARE YOU GOING TO CHANGE
DIET, YOU HAVE TO PROVIDE IT.
YOU HAVE TO HAVE ACCESS TO IT. DIET, YOU HAVE TO PROVIDE IT.
YOU HAVE TO HAVE ACCESS TO IT.
AS WE KNOW, DIET IS CRITICALLY YOU HAVE TO HAVE ACCESS TO IT.
AS WE KNOW, DIET IS CRITICALLY
IMPORTANT TO ALL THE THINGS WE AS WE KNOW, DIET IS CRITICALLY
IMPORTANT TO ALL THE THINGS WE
TALKED ABOUT IN TERMS OF NOT IMPORTANT TO ALL THE THINGS WE
TALKED ABOUT IN TERMS OF NOT
ONLY IN TERMS OF CARDIOVASCULAR TALKED ABOUT IN TERMS OF NOT
ONLY IN TERMS OF CARDIOVASCULAR
DISEASE AND DIABETES, BUT ALSO ONLY IN TERMS OF CARDIOVASCULAR
DISEASE AND DIABETES, BUT ALSO
TO A LOT OF OVERTIME TO A LOT OF DISEASE AND DIABETES, BUT ALSO
TO A LOT OF OVERTIME TO A LOT OF
MALIGNA SIS, TOO. TO A LOT OF OVERTIME TO A LOT OF
MALIGNA SIS, TOO.
THAT’S A MAJOR ISSUE. MALIGNA SIS, TOO.
THAT’S A MAJOR ISSUE.
>>THOSE PEOPLE WITH MODEST MEANS THAT’S A MAJOR ISSUE.
>>THOSE PEOPLE WITH MODEST MEANS
PROBABLY BANG FOR THE DOLLAR>>THOSE PEOPLE WITH MODEST MEANS
PROBABLY BANG FOR THE DOLLAR
PROBABLY DO GO TO THE FAST FOOD PROBABLY BANG FOR THE DOLLAR
PROBABLY DO GO TO THE FAST FOOD
PLACES. PROBABLY DO GO TO THE FAST FOOD
PLACES.
>>THAT’S RIGHT. PLACES.
>>THAT’S RIGHT.
CALORIES ARE CHEAP, BUT GOOD>>THAT’S RIGHT.
CALORIES ARE CHEAP, BUT GOOD
NUTRITION IS EXPENSIVE. CALORIES ARE CHEAP, BUT GOOD
NUTRITION IS EXPENSIVE.
THAT’S WHAT IT BOILS DOWN TO. NUTRITION IS EXPENSIVE.
THAT’S WHAT IT BOILS DOWN TO.
>>A LOST MARKETING, INEXPENSIVE. THAT’S WHAT IT BOILS DOWN TO.
>>A LOST MARKETING, INEXPENSIVE.
SOMEONE POINTED OUT ONCE, AND I>>A LOST MARKETING, INEXPENSIVE.
SOMEONE POINTED OUT ONCE, AND I
DON’T RECALL WHO SAID THIS, THAT SOMEONE POINTED OUT ONCE, AND I
DON’T RECALL WHO SAID THIS, THAT
A TWINKIE COST LESS THAN A DON’T RECALL WHO SAID THIS, THAT
A TWINKIE COST LESS THAN A
CARROT, AND I DON’T KNOW IF A TWINKIE COST LESS THAN A
CARROT, AND I DON’T KNOW IF
THAT’S TRUE EVERY WHERE, BUT CARROT, AND I DON’T KNOW IF
THAT’S TRUE EVERY WHERE, BUT
JUST THINK ABOUT THAT. THAT’S TRUE EVERY WHERE, BUT
JUST THINK ABOUT THAT.
IF THE FOOD THAT IS REALLY, REAL JUST THINK ABOUT THAT.
IF THE FOOD THAT IS REALLY, REAL
IT NOT HEALTHY COSTS LESS THAN A IF THE FOOD THAT IS REALLY, REAL
IT NOT HEALTHY COSTS LESS THAN A
SIMPLE THING, NO PROCESSING, IT NOT HEALTHY COSTS LESS THAN A
SIMPLE THING, NO PROCESSING,
WHAT THE DYNAMICS OF THAT ARE. SIMPLE THING, NO PROCESSING,
WHAT THE DYNAMICS OF THAT ARE.
>>SO FROM LISTENING TO THE THREE WHAT THE DYNAMICS OF THAT ARE.
>>SO FROM LISTENING TO THE THREE
OF YOU, YOU ARE IN THIS FOR THE>>SO FROM LISTENING TO THE THREE
OF YOU, YOU ARE IN THIS FOR THE
LONG HAUL AND IT MAY TAKE A LONG OF YOU, YOU ARE IN THIS FOR THE
LONG HAUL AND IT MAY TAKE A LONG
TIME TO GET — THE GOAL OF YOUR LONG HAUL AND IT MAY TAKE A LONG
TIME TO GET — THE GOAL OF YOUR
ORGANIZATION TO GET IT TURNED TIME TO GET — THE GOAL OF YOUR
ORGANIZATION TO GET IT TURNED
AROUND SO WE ALL THINK A LITTLE ORGANIZATION TO GET IT TURNED
AROUND SO WE ALL THINK A LITTLE
BIT DIFFERENTLY THAN WE DO AROUND SO WE ALL THINK A LITTLE
BIT DIFFERENTLY THAN WE DO
TODAY. BIT DIFFERENTLY THAN WE DO
TODAY.
>>UH-HUH. TODAY.
>>UH-HUH.
>>YEAH.>>UH-HUH.
>>YEAH.
THE OTHER THING I’D LIKE TO>>YEAH.
THE OTHER THING I’D LIKE TO
LEAVE PEOPLE THINKING ABOUT THE OTHER THING I’D LIKE TO
LEAVE PEOPLE THINKING ABOUT
ACTUALLY IS THE WHOLE ISSUE OF LEAVE PEOPLE THINKING ABOUT
ACTUALLY IS THE WHOLE ISSUE OF
WHO IS RESPONSIBLE FOR ACTUALLY IS THE WHOLE ISSUE OF
WHO IS RESPONSIBLE FOR
CORRECTING THESE HEALTH WHO IS RESPONSIBLE FOR
CORRECTING THESE HEALTH
DISPARITIES? CORRECTING THESE HEALTH
DISPARITIES?
IT IS MY BELIEF THAT IT IS NOT DISPARITIES?
IT IS MY BELIEF THAT IT IS NOT
JUST THE HEALTH SYSTEM THAT IT IS MY BELIEF THAT IT IS NOT
JUST THE HEALTH SYSTEM THAT
NEEDS TO CORRECT IT. JUST THE HEALTH SYSTEM THAT
NEEDS TO CORRECT IT.
BUT IT IS A COMMUNITY PROBLEM. NEEDS TO CORRECT IT.
BUT IT IS A COMMUNITY PROBLEM.
IF WE SAY THERE IS AN EDUCATION BUT IT IS A COMMUNITY PROBLEM.
IF WE SAY THERE IS AN EDUCATION
COMPONENT TO THIS, THAT’S A IF WE SAY THERE IS AN EDUCATION
COMPONENT TO THIS, THAT’S A
COMMUNITY PROBLEM F WE SAY IT IS COMPONENT TO THIS, THAT’S A
COMMUNITY PROBLEM F WE SAY IT IS
INCOME COMPONENT TO THIS, THAT’S COMMUNITY PROBLEM F WE SAY IT IS
INCOME COMPONENT TO THIS, THAT’S
A COMMUNITY PROBLEM F WE SAY INCOME COMPONENT TO THIS, THAT’S
A COMMUNITY PROBLEM F WE SAY
THAT PEOPLE NEED TO BE ABLE TO A COMMUNITY PROBLEM F WE SAY
THAT PEOPLE NEED TO BE ABLE TO
BE MORE ACTIVE TO EXERCISE TO THAT PEOPLE NEED TO BE ABLE TO
BE MORE ACTIVE TO EXERCISE TO
GET OUT AND WALK, RUN, BIKE, BE MORE ACTIVE TO EXERCISE TO
GET OUT AND WALK, RUN, BIKE,
THEY HAVE GOT TO HAVE SAFE GET OUT AND WALK, RUN, BIKE,
THEY HAVE GOT TO HAVE SAFE
NEIGHBORHOODS IN WHICH TO DO THEY HAVE GOT TO HAVE SAFE
NEIGHBORHOODS IN WHICH TO DO
THAT. NEIGHBORHOODS IN WHICH TO DO
THAT.
IF WE SAY THAT VIOLENCE AND THAT.
IF WE SAY THAT VIOLENCE AND
CRIME, HOMICIDE, SUICIDE, IF WE SAY THAT VIOLENCE AND
CRIME, HOMICIDE, SUICIDE,
ACCIDENTS ARE CRITICAL RISK CRIME, HOMICIDE, SUICIDE,
ACCIDENTS ARE CRITICAL RISK
FACTOR, THAT’S A SAFETY ISSUE ACCIDENTS ARE CRITICAL RISK
FACTOR, THAT’S A SAFETY ISSUE
THAT NEEDS TO BE ADDRESSED. FACTOR, THAT’S A SAFETY ISSUE
THAT NEEDS TO BE ADDRESSED.
>>AND WITH THOSE THOUGHTS, AND THAT NEEDS TO BE ADDRESSED.
>>AND WITH THOSE THOUGHTS, AND
THAT WRAPS UP FAIRLY WELL THE>>AND WITH THOSE THOUGHTS, AND
THAT WRAPS UP FAIRLY WELL THE
HALF-HOUR DISCUSSION. THAT WRAPS UP FAIRLY WELL THE
HALF-HOUR DISCUSSION.
THANK YOU SO MUCH TO DR. GREGG HALF-HOUR DISCUSSION.
THANK YOU SO MUCH TO DR. GREGG
STONER, DR. GAIL AMUNDSON WITH THANK YOU SO MUCH TO DR. GREGG
STONER, DR. GAIL AMUNDSON WITH
QUALITY QUEST FOR HEALTH, AND TO STONER, DR. GAIL AMUNDSON WITH
QUALITY QUEST FOR HEALTH, AND TO
DR. JON WITH THE UNIVERSITY OF QUALITY QUEST FOR HEALTH, AND TO
DR. JON WITH THE UNIVERSITY OF
ILLINOIS COLLEGE OF MEDICINE IN DR. JON WITH THE UNIVERSITY OF
ILLINOIS COLLEGE OF MEDICINE IN
PEORIA. ILLINOIS COLLEGE OF MEDICINE IN
PEORIA.
>>THANK YOU. PEORIA.
>>THANK YOU.
THANK YOU FOR JOINING US ON AT>>THANK YOU.
THANK YOU FOR JOINING US ON AT
ISSUE. THANK YOU FOR JOINING US ON AT
ISSUE.
WE WILL BE BACK IN THREE WEEKS. ISSUE.
WE WILL BE BACK IN THREE WEEKS.
NEXT WEEK WE MAKE WAY FOR THE WE WILL BE BACK IN THREE WEEKS.
NEXT WEEK WE MAKE WAY FOR THE
CHANNEL 47 AUCTION. NEXT WEEK WE MAKE WAY FOR THE
CHANNEL 47 AUCTION.
TUNE IN NEXT WEEK AND BID HIGH CHANNEL 47 AUCTION.
TUNE IN NEXT WEEK AND BID HIGH
ON THOSE ITEMS! THANKS FOR BEING TUNE IN NEXT WEEK AND BID HIGH
ON THOSE ITEMS! THANKS FOR BEING
WITH US.

Author: Kennedi Daugherty

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