Until It’s Fixed

HighlightsIntroduction | Callie and Stacey open up the topic of physical access to medical care and provide background information on the state of health care access challenges in the U.S.01:28 Roundtable: Overview of local access | Dr. Cooper, Megan Callahan and Callie dig into transportation as a social determinant of our health and the role Lyft Healthcare is playing to improve health care access.17:17 Roundtable: Follow-up conversation | The discussion continues with  an overview of the relation between transportation challenges and other health equity concerns. 29:55 Optum Mobile Clinic, Utah | Shelly Martin joins Stacey to talk about the Optum mobile clinic in Utah, and the difference it’s making in the community.42:46 Conclusion | Stacey and Callie reflect on the interviews, summarize key learnings, and conclude the episode.ResourcesU.S. National Library of Medicine report: Scope and impact of mobile health clinics in the U.S.Mobile health mapHealth equity guidebook Guests: Megan Callahan, President, Lyft HealthcareDr. Nicole Cooper, Sr. Vice President of Corporate Affairs, UnitedHealth GroupShelly Martin, Optum Medical Network Market President, Utah The views, opinions, and content expressed in this podcast do not necessarily reflect the views, opinions, or policies of Optum.Visit optum.com for more information about how Optum is helping to create a healthier world. 

HighlightsIntroduction | Stacey Dove sets the groundwork with an overview of the challenges facing teenagers when it comes to mental health and getting support.02:54 Roundtable introduction | Drs. Potter, Stevens and Benhalim introduce themselves and share their background in adolescent mental health and their perspectives from working with children, teenagers and families.27:39 Treatment and care options | Beginning with a discussion on how to approach children and teenagers who may be reluctant to receive help, the guests talk through different ways to meet them where they are, plus their advice for parents and other caregivers. Help and ResourcesIf your child or teen is taking steps to manage stress and anxiety and they don’t seem to be helping, here are some additional resources.Mental health screeningFree, private and anonymous mental health screening at: http://mhascreening.org/. Based on the results, MHA will provide information and resources to help.Crisis hotlines and text linesCrisis counselors are available every day, all day:Call 1-800-985-5990Text TalkWithUs to 66746If in crisis or thinking about suicide, get in touch with someone immediately:Call 1-800-273-8255 (TALK) Text MHA to 741741 Additional InformationFor more information on behavioral health solutions, visit: optum.com/behavioralhealthVisit optum.com/behavioralhealth to see how Optum is working to support mental health needs. U.S. News and World Report: Fixing the mental health crisis: It takes a community GuestsDr. Mona PotterChief Medical Officer, InStride HealthAssistant professor of psychiatry, Harvard Medical School, part timeDr. Jonathan StevensMedical Director, Outpatient Services and Admissions, The Menninger ClinicAssociate Professor of Psychiatry and Behavioral Sciences, Baylor College of MedicineDr. Yusra BenhalimSenior National Medical Director, Optum Behavioral Health The views, opinions, and content expressed in this podcast do not necessarily reflect the views, opinions, or policies of Optum.Visit optum.com for more information about how Optum is helping to create a healthier world. 

Highlights• Introduction | Stacey and Callie welcome listeners back and tee up the return to a topic from Episode 1—digital access to health care services.• 05:06 Roundtable part 1 | Ty and Rae from Advisory Board join the hosts to discuss the scope of digital inequity: much more than just internet access, the term encompasses digital literacy, connection speed and stability, and more.• 15:09 Roundtable part 2 | From defining digital inequity and how it impacts health, the conversation turns to solutions. Both guests share examples of success stories of health care organizations taking new steps to accommodate different levels of connectivity.• 20:21 Roundtable part 3 | Looking to the future, Rae and Ty talk about public initiatives that are making a difference and pitfalls to be wary of on the road ahead.• 28:01 Interview: Dr. Turner Lee | Callie talks with Dr. Turner Lee of the Brookings Institution and author of the forthcoming book Digitally Invisible: How the Internet is Creating the New Underclass. They discuss her research on the topic, current government efforts to invest in infrastructure and her hopes for a more equitable future.• 38:48 Conclusion | Stacey and Callie leave us with their closing thoughts and a preview of what's coming next on Until It's Fixed. Resources• Advisory Board blog: The digital divide• Pew Research Center: Mobile technology and home broadband in 2021• Brookings Institution: Can Biden’s broadband infrastructure plan close the digital divide? Guests Rachel (Rae) Woods has been leading and advising on research studies at Advisory Board since 2014, and she brings deep health care knowledge, strategic insight and operational expertise to her hands-on work with executives and frontline providers. Rae is also the host of Advisory Board’s five star-rated podcast, Radio Advisory.Ty Aderhold is the Director of Digital Health Research at Advisory Board, where he leads research on artificial intelligence, digital strategy, telehealth and digital health equity.Dr. Nicol Turner Lee is a senior fellow in Governance Studies, the director of the Center for Technology Innovation, and serves as Co-Editor-In-Chief of TechTank. Dr. Turner Lee researches public policy designed to enable equitable access to technology across the U.S. and to harness its power to create change in communities across the world. The views, opinions, and content expressed in this podcast do not necessarily reflect the views, opinions, or policies of Optum.

HighlightsIntroduction | 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 LGTBQ+ 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.  ResourcesOutCare Health and OutListProvider training: Caring for the LGBTQ+ Community: An introductionTerminology, pronouns and resources from Pride365+CDC resources: Lesbian, gay, bisexual, and transgender healthArticle: Bias may affect providers' knowledge of transgender healthNational suicide prevention lifeline Guests: Dr. Margaret-Mary Wilson, Associate Chief Medical Officer, UnitedHealth Group Dr. Dustin Nowaskie, founder and president, OutCare Health | [email protected] The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of Optum.

HighlightsIntroduction: 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 mentionedCDC research: Pregnancy complicationsThe challenge to improve U.S. maternal healthCradle CincinnatiPress release: Optum Awards $1.4 Million in Maternal Health Grants to Five Community Organizations GuestsDr. 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.

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 GuestKristi 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.