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    Health & Fitness

    Until It’s Fixed

    Health care in the United States is complex, hard to navigate and doesn’t always work the way it should. The good news: So much has changed over the last few years. Leaders inside and outside of the health industry are rethinking how to deliver care and support to meet all people where they’re at.

    When it comes to your health, everything is connected. So, taking better care of it needs to go beyond the physical to include mental, emotional, social and spiritual health. And to look at the full picture, health care needs to give more consideration to where you are born, live, learn and work, too.

    In Season 3 of “Until It’s Fixed,” we’ll talk with thought leaders and advocates working to solve the health industry’s biggest challenges — as well as personal stories from people who live with these issues every day.

    We’ll have deep conversations about opportunities to make the current system work better for everyone, including talking more openly about the role that gender, sexual orientation, race, income and other areas of your life play in accessing and receiving health care.

    This is where change starts. Join us on the inspiring journey to create a healthier world — and make health care simpler and more effective for everyone.

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    Copyright: © 2020 Until it's Fixed by Optum

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    Latest Episodes:
    Fully Seen Aug 10, 2021
    Show notes

    Highlights

    • Introduction | Callie and Stacey open the episode with a bit of orientation on the subject and a definition of terms.
    • 02:45 A personal story from Dr. Wilson | Dr. Wilson shares a story of her own experience with the prejudices faced by LGBTQ+ patients and their families when seeking care.
    • 07:12 Interview: Dr. Wilson | Dr. Wilson discusses the health data on the LGBTQ+ community as a whole and how we need to look at the bigger picture of a person's identity when it comes to understanding their health. The conversation continues with a discussion of how training can help equip health care providers to improve access for underserved groups like LGBTQ+ patients. Finally, Dr. Wilson's interview concludes with a look at the things that are giving her hope and what she keeps in mind every day.
    • 24:12 Interview: Dr. Nowaskie | This interview begins with an introduction to OutCare Health, an organization that provides information and resources to LGBTQ+ patients seeking health care, and its history. It then continues on to discussions of the work OutCare is doing, especially related to training on what Dr. Nowaskie calls "cultural competence." Dr. Nowaskie concludes with a reflection on the human connection that is central to the connection between all people, and the importance of honoring that.
    • 47:16 Trainings and conclusion | Stacey and Callie discuss the trainings that Drs. Wilson and Nowaskie mentioned, resources for providers, and tools for individuals on how to be an ally.

    Resources

    • OutCare Health and OutList
    • Provider training: Caring for the LGBTQ+ Community: An introduction
    • Terminology, pronouns and resources from Pride365+
    • CDC resources: Lesbian, gay, bisexual, and transgender health
    • Article: Bias may affect providers' knowledge of transgender health
    • National suicide prevention lifeline

    Guests:

    • Dr. Margaret-Mary Wilson, Associate Chief Medical Officer, UnitedHealth Group
    • Dr. Dustin Nowaskie, founder and president, OutCare Health | dustin@outcarehealth.org

    The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of Optum.


    Equitable From the Beginning Jul 27, 2021
    Show notes

    Highlights

    • Introduction: The data on maternal health | Callie and Stacey continue the focus on equity and our health with a look into the state of maternal health care, including reports from the CDC on pregnancy-related deaths.
    • 04:21 Roundtable: Redefining maternal care | Dr. Natalie Hernandez of the Morehouse School of Medicine and Ryan Adcock of Cradle Cincinnati talk about public health, the history of maternal care, and what changes they're seeing make a difference.
    • 16:47 Cradle Cincinnati | Callie and Ryan dig deeper into the work that Cradle Cincinnati is doing—and how it illustrates the idea that maternal health needs to be considered in the context of a person's identity and broader social context.
    • 23:15 Conclusion | To wrap up the episode, Callie and Stacey reflect on what their guests shared. Of particular note is the idea of diverse and inclusive care practices, which we’ll take a closer look at in Episode 3.

    Resources mentioned

    • CDC research: Pregnancy complications
    • The challenge to improve U.S. maternal health
    • Cradle Cincinnati
    • Press release: Optum Awards $1.4 Million in Maternal Health Grants to Five Community Organizations

    Guests

    Dr. Hernandez’s current research and research interests include transdisciplinary approaches to improving women’s health, reproductive health, sexually transmitted infections, health disparities, community-based participatory research, and reproductive social justice. Dr. Hernandez’s research and interests stem from her commitment to health equity and improving health in underserved communities. During her doctoral program, she worked on multiple projects including behavioral and psychosocial health issues related to women’s health, HPV, and sexuality education. Dr. Hernandez was a HRSA maternal and child health leadership trainee and epidemiology trainee. In addition, she is a lead investigator on a study focusing on psychosocial and socio-cultural correlates of Human Papillomavirus (HPV) vaccine intentions and uptake among minority college students and her dissertation focused on examining multiple factors that contribute to the meaning and perceived consequences and management of an unintended pregnancy among Latinas. As a result of her work, she has received a number of awards and published a variety of articles in peer-reviewed journals.

    Ryan Adcock is the executive director and co-founder of Cradle Cincinnati, a network built with the express purpose of reducing the high infant mortality rate in Hamilton County. In the eight years since its founding, Cradle Cincinnati has raised more than $25 million for its cause and built dozens of partnerships within the community to save lives. His work for Cradle Cincinnati has included community engagement, strategic planning and evaluation, and communications and media strategy. The result to date—among many other positive outcomes—has been a 15% decline in Hamilton County infant deaths.

    The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of Optum.


    Changing at the Speed of Trust Jul 13, 2021
    Show notes

    Highlights

    • Meet the hosts | Stacey and Callie introduce themselves and discuss challenges and innovations highlighted by the COVID-19 pandemic.

    • 01:41 Health care in the time of COVID-19 | Stacey and Kristi Henderson discuss the state of the health care industry—the boom of telehealth appointments during the pandemic, and how providers are balancing digital and in-person care options as things start to open back up.

    • 13:43 Health equity | In light of the focus on social responsibility and equity in our lives, Kristi dives into its implications in health care, and the role it plays beyond our interactions in hospitals and clinics.

    • 21:06 Conclusion | This episode ends with a reflection from Callie and Stacey, plus a clip from UnitedHealth Group Senior Vice President and Chief Health Equity Officer, Michael Currie, on addressing health inequity.

    Resources mentioned

    • Recent blog from Kristi Henderson: Accelerating a future where health care is closer to home

    • Videos: Peeling back the layers around health equity

    • Further reading: Treating the whole person

    Guest

    Kristi Henderson is a health care change agent and clinician with more than 25 years of experience. She has designed, implemented and optimized the health care delivery system using digital health tools and technology throughout her career.

    In her current role, Henderson focuses on modernizing the Optum care delivery organization using digital health tools and telehealth.

    A few of her other leadership roles include service as an executive board member for the American Telemedicine Association; AAMC Telehealth Committee member; ANA co-chair for Committee on Connected Health; and member of the NQF Telehealth Committee. She is a Fellow in the American Academy of Nursing and the Emergency Nurses Association.


    Introducing Season 2 of Until It's Fixed Jun 30, 2021
    Show notes

    Welcome to season 2 of "Until It's Fixed.” Join new hosts Stacey Dove and Callie Chamberlain for a fresh set of conversations on health care innovation. Hear from advocates and experts tackling the issues and working to create a healthier world by rethinking how we deliver care and manage health.


    The Catalyst Dec 15, 2020
    Show notes

    We all realize that the pandemic has become a catalyst for real change in health care. In the final episode of our first season, we discuss how data is used to evaluate the effectiveness of new drugs and vaccines. And how organizations are using massive amounts of real-world data to boost the safety of clinical trials and vaccine development to help to bring the pandemic to an end. But after the pandemic, what innovations that 2020 brought to the health care system will remain? Join us as Susan Dentzer discusses with Optum and Sanofi Pasteur experts.


    The Art of the Possible Dec 08, 2020
    Show notes

    In this episode, we discuss how the opportunities created by a new era of computing will shape the future of health care. Thanks to advances in artificial intelligence, our world—and likewise our health experiences—will soon be influenced by things like ambient computing, advanced predictions and voice-enabled virtual assistants. But to get there, we need to understand current limitations, protect privacy and be willing to embrace change.


    Artificial Intelligence: A Recipe for Better Health Care Dec 03, 2020
    Show notes

    Artificial intelligence (AI) is being used more and more in the health care sector. As with any new technology or innovation, users and developers are still working through potential issues. So what’s being done to ensure AI is being developed and used in the right way for health care? In this episode, we explore the importance human judgment and oversight plays in developing and applying AI. With proper use, AI holds the potential to vastly improve how business and clinical professionals work across the health care system—and the experiences for all of us as the end consumer.


    A New Model for an Unchanging Mission Dec 01, 2020
    Show notes

    Hospitals’ financial pressures have only increased during the pandemic, and to thrive, organizations may need to think differently to ensure financial sustainability. It’s increasingly difficult for provider organizations to cost-cut their way to profitability. To continue funding their mission, they must take more aggressive measures. In this episode, we’ll take a deeper look at the organizations providing our care. We’ll discuss how the hospitals and health systems most likely to be successful will be those that can assess and streamline how they operate. They will have the agility and innovation to embrace a new model that can help make them financially stronger and allow them to put more focus back into local care delivery.


    Health Care Data: Can’t We All Just Get Along? Nov 17, 2020
    Show notes

    Your health history is valuable to you and to your various care providers. In a perfect world all your health records would live together and be easily accessible. Thankfully, we’re moving closer toward that goal. Today health care industry leaders are creating the digital structure and environments where your health records can live and be pulled whenever needed. In this episode find out what’s happening behind the scenes to make this interoperability a reality, and how it can benefit both individuals and the health care system as a whole.


    Health Care Without Walls? Nov 10, 2020
    Show notes

    Getting care where and when you want it is a lot easier said than done, especially if you live in a rural or chronically underserved area. This year, we’ve learned out of necessity that telehealth solutions—technologies that enable virtual care—can help consumers access care outside of the doctor’s office or hospital. These capabilities predated the pandemic, but they weren’t widely used. Why is telehealth being embraced now, and what role will it play in the future of health care?


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