access to care

In recognition of Mental Health Awareness Month, in this episode Vic and his guest, Dr. Christine Yu Moutier, Chief Medical Officer at American Foundation for Suicide Prevention, discuss the state of mental health in America including strategies for creating more equitable access to care.

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Strong Talk is a podcast dedicated to the discussion of equity, diversity, and family as it relates to mental health and addictions. We started this podcast because we believe that we are at a pivotal point, as it pertains to access to mental health services for historically marginalized communities. We wanted to create a space, not only to talk about challenges, but to explore and to create space for solutions. https://strongtalkpod.buzzsprout.com/

Artificial intelligence (AI) has been an emerging hot topic over the last several months with the rise of Open AI’s ChatGPT, Microsoft’s integration of ChatGPT technology into its Bing search engine, and Google’s announcement of its own chatbot, known as Bard. And while there are concerns about the more “general AI” technologies built to improve neural network capabilities so they are comparable to those of humans, health care systems are able to expand their services by leveraging the more familiar “narrow” or single-task AI tools, such as virtual chat assistance. Deploying this kind of AI technology can lead to an enhanced self-service experience for patients. 

We welcome Matt White, Director of Innovation at Contra Costa Health Services (CCHS), who shares how they’ve begun to thoughtfully integrate AI technology in order to better understand their patient engagement, with the ultimate aim to provide a consistent experience across all digital channels.

Learn more about the people, places, and ideas in this episode: 

• Matt White, Director of Innovation at Contra Costa County Health Services
• Hyro.ai
• Technology Hub, a CCI program that helps organizations vet, pilot, evaluate, and spread innovative digital health solutions targeting Medicaid markets and historically underinvested communities

👉🏽 Register today for CCI's upcoming  webinar, “Set up for Success: Supporting Patients and Providers Through Video Visits,” on April 5, 2023 at 12pm PT.

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🎙Podcast production services by Wayfare Recording Company.

© 2023 Center for Care Innovations. All Rights Reserved.

Imagine having children with CF and living in another country.  In your country they don't have any CF medications, and maybe only a handful of people have been diagnosed with the disease.  Even testing equipment is difficult to come by. Doctors in your country don't have a lot of knowledge about CF, and basic medications aren't accessible.  The Bonnell Foundation and others have worked tirelessly to raise awareness, and to make change in many middle eastern countries, but it's a slow process.

This is why we're excited to tell you about the non-profit Dr. Golnar Raissi and her husband created to help them at their CF clinic in Stanford, Connecticut.  They put together the CF Bridge of Hope to extend the same treatment people are getting in the U.S. to people living in other counties with limited resources.

Doing great work with Dr. Raissi and her husband, is Bean Corcoran.  Bean helps with the entire program, getting applications complete and another part of the program. They also can send unexpired meds to people in need, and the organization pays for shipping. So if you have CF meds you don't need, email the Bridge of Hope.  Beans adult son Will has CF. CF Bridge of Hope is currently helping people in Romania, Guatemala, Ukraine and Pakistan. 

The Bonnell Foundation podcast page: https://thebonnellfoundation.org/audio-podcasts/

Email us at:  thebonnellfoundation@gmail.com 

CF Bridge of Hope email: cfbridgeofhope@gmail.com

CF Bridge of Hope: https://www.cfbridgeofhope.org

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Please consider making a donation: https://thebonnellfoundation.org/donate/

The Bonnell Foundation website:https://thebonnellfoundation.org

Email us at: thebonnellfoundation@gmail.com 

Thanks to our sponsors:

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Welcome to Perinatal Wellbeing episode #21, our first episode of season 2! Today we’re going to talk about the Impact of Racism on Reproductive Health with Rochelle Maurice.

Content Warning: This is an in-depth discussion about racism and the impacts on reproductive health and can feel very heavy, especially for those who are impacted by these topics. We discuss things such as forced sterilization, interactions with CAS. Take care of yourself while listening.

Rochelle Maurice, MSW, MHSc in Bioethics is a clinical and organizational ethicist based in Toronto, Ontario. Her work in ethics was strongly influenced by her professional background in social work, the most significant of which was in the Neonatal Intensive Care Unit and Paediatrics department in a community hospital in Toronto. As a result of her experiences in both social work and ethics, Rochelle has an interest in and passion for addressing issues that affect pregnant, birthing, and postpartum people at the intersection of health and social care. She is currently pursuing doctoral studies in social work that focuses on Black women’s experiences in maternal-child care. 

Highlights:

4:15 - Pinkification of pot does not include black women

5:58 - Obstetrical racism – women of colour not being believed when in pain or something is wrong, symptoms do not align with cultural biases 

9:01 - We don’t collect race-based data in Canada and the impacts of this

13:47 - Typical bodies and the impacts of that

18:15 - Reproductive justice – intersection of systemic inequality and the impacts on decision making about childbearing and parenting

20:57 - Forced Sterilization

28:38 – Lack of access to nutritious food, the right to raise your family in a safe and supportive environment

32:06 - Ideal motherhood and not enough support to achieve this

33:05 – How does racism and scrutiny of mothers intersect with Children’s Aid Society?  

37:38 - How do we repair? 

39:41 – Institutional memory and generational trauma and the impacts on accessing care

47:18 - Seeking support in community and access to care

Resources: You can find Rochelle on Instagram @_rochellemaurice_

 You can find us at www.perinatalwellbeing.ca on Instagram @perinatalwellbeing_ontario or by email info@perinatalwellbeing.ca

 If you are experiencing any of the symptoms discussed in this or any episode please reach out to me at info@perinatalwellbeing.ca and I can help you find support in your area or online. 

Check out Postpartum Support International at www.postpartum.net for more information about Perinatal Mood and Anxiety Disorders as well as free online support groups and a provider directory. 

You can look for an individual therapist on www.psychologytoday.com . 

UnitedHealth Group is committed to a future where every person has access to high-quality, affordable health care and a modern, high-performing health system that reduces disparities, improves outcomes and lessens the burden of disease.

This is the first episode in a three-part deep dive into A Path Forward, UnitedHealth Group's policy solutions that offer a refreshed perspective for how to modernize the health system to:

• Achieve universal coverage by building on and strengthening the current system.
• Make health care affordable by accelerating value-based care, using high-value sites of service, reforming prescription drug pricing and eliminating wasteful spending.
• Transform the health care experience by focusing on equity and addressing disparities, expanding and diversifying the health care workforce and empowering consumers and clinicians with actionable information.

The first episode in our three-part series features Brian Thompson, CEO of UnitedHealthcare, and Kristi Henderson, CEO of Optum Everycare, who discuss how to expand access to coverage and care in the U.S., including through innovative coverage and virtual capabilities.

Click here for more information on A Path Forward. 

A patient portal is a great innovation, but busy clinic staff don’t have time to help every patient get set up on them and answer all their questions about it. In addition, patients often need ongoing support on how to communicate with their provider on the website, get updates, and access their health records.

Enter the Health Tech Navigators — people serving in a role that is for the community, by the community.  These Navigators, hired directly from the community, work closely with patients to support not only enrollment, but to increase portal use and to bridge gaps in healthcare accessibility that have long existed with language, culture, trust, and tech literacy. Listen to how the Los Angeles Department of Health Services (LADHS) created and supports its Health Tech Navigator program to surface a growing practice of cultural humility and competency in patient engagement.

Here’s where you can learn more about the people, places, and ideas in this episode: 

• Anshu Abhat MD, MPH, Director of Patient Engagement in the Office of Patient Access at LADHS
• Mayra Ramirez, MSW, ASW, Staff Analyst, Program Manager with the Patient Engagement Program at LADHS
• LA Health Portal App
• Technology Hub, a CCI program that helps organizations vet, pilot, evaluate, and spread innovative digital health solutions targeting Medicaid markets and historically underinvested communities.

© 2022 Center for Care Innovations. All Rights Reserved.

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In this episode, Ruth Katz hosts health information technology expert Edna Boone and Dr. Charlene Dewey, a professor at Vanderbilt University Medical Center to understand the role of stigma in the U.S. opioid epidemic. They dive into how the disease of substance use disorder became stigmatized, the ways in which stigma presents itself in the treatment and recovery journey, and what can be done to move past stigma, so individuals can seek accessible and effective health care without judgment. Edna shares the toll stigma can take on an individual, after seeing first-hand how family members were treated while seeking help for opioid use disorder (OUD). And Charlene offers insight into how the health care community is attempting to reduce the harm caused by stigma in both health education and clinical settings. Listen to learn more about how addressing stigma reduces barriers to treatment and recovery and improves quality of care for individuals with OUD.

Interested in learning more about stigma and opioid use disorder? 

Register for the Stigma of Addiction Summit on June 10

.

Learn more about academic opportunities in Health Policy and Law at UCSF and UC Law San Francisco.

To say the role of private equity investment in the health care system is growing would be an understatement. In 2018, the valuation of private equity deals in the US health care sector surpassed $100 billion, a 20-fold increase from 2000 when it was less than $5 billion.
 
Now, many are concerned that the incentive structures built into private equity financing have exacerbated trends such as surprise medical billing and contribute to increasing health care prices.

Despite the increased presence of private equity in health care, there's been little systematic examination of its scope and its effect on health care access and spending.

Published in the May 2021 edition of Health Affairs, Dr. Anaeze Offodile II from the University of Texas MD Anderson Cancer Center and colleagues reviewed private equity acquisitions of hospitals from 2003 to 2017. They found that private equity acquisitions occurred mostly in the Mid-Atlantic and Southern US regions and were more likely to be for-profit hospitals in urban areas.

In addition, they found that private equity-acquired hospitals also had higher charge-to-cost ratios and operating margins.

Listen to Health Affairs Editor-in-Chief Alan Weil interview Dr. Anaeze Offodile II to discuss this foundational piece of research on the role of private equity investments in health care.

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The COVID-19 pandemic has compounded and intensified the barriers many people experience when trying to access treatment and harm reduction services for substance use disorders due to physical distancing protocols and fear of infection. However, the pandemic has also created an environment in which clinicians have been given more flexibility in providing care to patients. During this episode, Kelly Clark, an addiction medicine expert, and Daniel Sledge, a first responder, will discuss how providing care to patients, access to treatment, and caring for those in urgent need of assistance has been impacted by the COVID-19 pandemic.

Kelly and Daniel share experience-based advice on the tools, policies, and multi-sector collaboration needed to combat the U.S. opioid crisis. They discuss the barriers and opportunities at the individual, first-responder, clinician, and systems level while shedding insight into changes in the national response, resources, and tools since the onset of the pandemic. 

Listen for more on how treatment providers evaluate the response to the opioid epidemic within the COVID-19 pandemic.

In today’s so often divisive times I wanted to find commonalities and solutions we can share.  Sadly, rape,, childhood sexual violence, and incest crosses all economic and racial lines, but the differences is often defined by access to care.

I am fortunate to have friends who work in both urban and rural communities.  To compare access of care I spoke with Special Education teacher and MFT who work in rural Colorado.  
Of the two, each has long generational family ties,  family who were Homesteaders, and are proud of the communities.  

The discussion was amazing, we all shared the same concerns but we learned the major differences was not in violence but unlike urban communities where behavioral health folks often do not look like or share the same cultures of the communities they serve.