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JOINING US ON "AT ISSUE." I AM H. WAYNE WILSON.
I AM H. WAYNE WILSON. WE ARE GLAD YOU HAVE JOINED US
WE ARE GLAD YOU HAVE JOINED US FOR A CONVERSATION ABOUT THE
FOR A CONVERSATION ABOUT THE FUTURE OF MEDICAL CARE IN
FUTURE OF MEDICAL CARE IN CENTRAL ILLINOIS.
CENTRAL ILLINOIS. YES, WE ARE GOING TO TALK ABOUT
YES, WE ARE GOING TO TALK ABOUT THE AFFORDABLE CARE ACT.
THE AFFORDABLE CARE ACT. SOME OF YOU KNOW IT AS OBAMA
SOME OF YOU KNOW IT AS OBAMA CARE.
CARE. WE WILL TALK ABOUT THE STATE OF
WE WILL TALK ABOUT THE STATE OF ILLINOIS' REQUIREMENTS AND WHERE
ILLINOIS' REQUIREMENTS AND WHERE MEDICINE, SPECIFICALLY WHERE
MEDICINE, SPECIFICALLY WHERE HOSPITALS ARE CHANGING TO
HOSPITALS ARE CHANGING TO PROVIDE CARE IN THE FUTURE.
PROVIDE CARE IN THE FUTURE. TO HAVE THAT CONVERSATION, WE
TO HAVE THAT CONVERSATION, WE HAVE LEADERS FROM THE THREE
HAVE LEADERS FROM THE THREE HOSPITALS.
HOSPITALS. WE HAVE FROM METHODIST MEDICAL
WE HAVE FROM METHODIST MEDICAL CENTER, DR. KEITH KNEPP.
CENTER, DR. KEITH KNEPP. DR. KNEPP IS VICE PRESIDENT AND
DR. KNEPP IS VICE PRESIDENT AND CHIEF INFORMATION OFFICER AT
CHIEF INFORMATION OFFICER AT METHODIST.
METHODIST. ACROSS THE WAY IS DR. STEVE
ACROSS THE WAY IS DR. STEVE HIPPLER, VICE PRESIDENT OF
HIPPLER, VICE PRESIDENT OF QUALITY OF MEDICAL PROGRAMS AT
QUALITY OF MEDICAL PROGRAMS AT OSF MEDICAL CENTER.
OSF MEDICAL CENTER. THANK YOU FOR JOINING US.
THANK YOU FOR JOINING US. THE PRESIDENT OF ADVOCATE
THE PRESIDENT OF ADVOCATE BROMENN MEDICAL CENTER IN
BROMENN MEDICAL CENTER IN BLOOMINGTON NORMAL, COLLEEN
BLOOMINGTON NORMAL, COLLEEN KANNADAY IS ALSO HERE.
KANNADAY IS ALSO HERE. WE ARE GOING TO GO TO THE TOP IN
WE ARE GOING TO GO TO THE TOP IN MANAGEMENT TO FIND OUT WHERE
MANAGEMENT TO FIND OUT WHERE THEY THINK MEDICAL CARE IS
THEY THINK MEDICAL CARE IS GOING.
GOING. IN TALKING ABOUT THIS PRIOR TO
IN TALKING ABOUT THIS PRIOR TO THE TAPING, WE ARE NOT QUITE
THE TAPING, WE ARE NOT QUITE SURE, ARE WE?
SURE, ARE WE? LET'S START WITH CAN YOU DEFINE
LET'S START WITH CAN YOU DEFINE THE OVER ALL IMPACT THAT THE
THE OVER ALL IMPACT THAT THE AFFORDABLE CARE ACT WILL HAVE ON
AFFORDABLE CARE ACT WILL HAVE ON DELIVERY OF SERVICES BY A
DELIVERY OF SERVICES BY A HOSPITAL?
HOSPITAL? IS THERE ANYWAY TO DO THAT IN
IS THERE ANYWAY TO DO THAT IN SHORT FORM?
SHORT FORM? OR AN EXAMPLE OF WHAT IT MIGHT
OR AN EXAMPLE OF WHAT IT MIGHT DO, ANY GUESSES?
DO, ANY GUESSES? I THINK THAT'S WHAT WE ARE
I THINK THAT'S WHAT WE ARE TALKING ABOUT.
TALKING ABOUT. >>IN TALL ORDER, VERY BROAD.
>>IN TALL ORDER, VERY BROAD. AS WE TALKED ABOUT BEFORE, ONE
AS WE TALKED ABOUT BEFORE, ONE OF THE CHANGES THAT WILL COME
OF THE CHANGES THAT WILL COME WITH AFFORDABLE CARE ACT WILL BE
WITH AFFORDABLE CARE ACT WILL BE A REQUIREMENT AND AN OPPORTUNITY
A REQUIREMENT AND AN OPPORTUNITY FOR HOSPITALS AND HEALTH SYSTEMS
FOR HOSPITALS AND HEALTH SYSTEMS TO FOCUS BEYOND A CUTE CARE
TO FOCUS BEYOND A CUTE CARE SETTING AND TO REALLY START EN
SETTING AND TO REALLY START EN CAGING AND MANAGING POPULATIONS
CAGING AND MANAGING POPULATIONS AND FOCUSING ON WELLNESS AND
AND FOCUSING ON WELLNESS AND PREVENTION AND DISEASE CARE IN
PREVENTION AND DISEASE CARE IN WAYS THAT WE HAVEN'T BEEN ABLE
WAYS THAT WE HAVEN'T BEEN ABLE TO IN THE PAST.
TO IN THE PAST. SO IT BROADENS THE WORK THAT WE
SO IT BROADENS THE WORK THAT WE DO OUTSIDE OF JUST THE HOSPITAL
DO OUTSIDE OF JUST THE HOSPITAL SETTING.
SETTING. >> I WOULD AGREE.
>> I WOULD AGREE. HOSPITALS ARE GOING TO REMAIN
HOSPITALS ARE GOING TO REMAIN ACUTE CARE FACILITIES, TAKING
ACUTE CARE FACILITIES, TAKING CARE OF ALL THE ACUTE CARE NEEDS
CARE OF ALL THE ACUTE CARE NEEDS IN OUR COMMUNITIES, STROKE CARE,
IN OUR COMMUNITIES, STROKE CARE, HEART ATTACK CARE, BUT WITH THE
HEART ATTACK CARE, BUT WITH THE AFFORDABLE CARE ACT REALLY DOES
AFFORDABLE CARE ACT REALLY DOES IS BROADEN THE RESPONSIBILITY OF
IS BROADEN THE RESPONSIBILITY OF INTEGRATED HEALTH DELIVERY
INTEGRATED HEALTH DELIVERY SYSTEMS SO THAT HOSPITALS WON'T
SYSTEMS SO THAT HOSPITALS WON'T JUST TAKE CARE OF ACUTE CARE.
JUST TAKE CARE OF ACUTE CARE. WE NEED BROADER SYSTEMS,
WE NEED BROADER SYSTEMS, INCLUDING PHYSICIANS IN THEIR
INCLUDING PHYSICIANS IN THEIR OFFICES AND COMMUNITY PARTNERS
OFFICES AND COMMUNITY PARTNERS TO REALLY FOCUS MORE SO ON THE
TO REALLY FOCUS MORE SO ON THE HEALTH OF OUR COMMUNITY, THE
HEALTH OF OUR COMMUNITY, THE HEALTH OF OUR PATIENTS, AND THE
HEALTH OF OUR PATIENTS, AND THE WELLNESS OF OF THE PATIENTS THAT
WELLNESS OF OF THE PATIENTS THAT WE SEE.
WE SEE. HOSPITALS, H, YOU WILL SEE
HOSPITALS, H, YOU WILL SEE PERFORMING THE SAME CRITICAL
PERFORMING THE SAME CRITICAL FUNCTION THAT THEY PERFORM IN
FUNCTION THAT THEY PERFORM IN THEIR COMMUNITIES, BUT WITH A
THEIR COMMUNITIES, BUT WITH A GREATER EMPHASIS AROUND THEM ON
GREATER EMPHASIS AROUND THEM ON PROVIDING BETTER HEALTH, BETTER
PROVIDING BETTER HEALTH, BETTER CARE AND PREVENTATIVE CARE.
CARE AND PREVENTATIVE CARE. I WOULD AGREE WITH THAT.
I WOULD AGREE WITH THAT. I WOULD ALSO ADD, LIKE THE NAME,
I WOULD ALSO ADD, LIKE THE NAME, WE BECOME ACCOUNTABLE, AND IT IS
WE BECOME ACCOUNTABLE, AND IT IS REALLY FOCUSING ON CARE ACROSS
REALLY FOCUSING ON CARE ACROSS THE CONTINUUM, AND MANAGING THE
THE CONTINUUM, AND MANAGING THE CARE OF A POPULATION.
CARE OF A POPULATION. WITH THAT, I THINK COMES SOME
WITH THAT, I THINK COMES SOME EXCITING OPPORTUNITIES IN REALLY
EXCITING OPPORTUNITIES IN REALLY LOOKING AT NEW PARTNERSHIPS, NOT
LOOKING AT NEW PARTNERSHIPS, NOT ONLY WITH THE PHYSICIAN, BUT
ONLY WITH THE PHYSICIAN, BUT WITH YOUR POST ACUTE PROVIDER,
WITH YOUR POST ACUTE PROVIDER, SO HOW WE PARTNER WITH HOME
SO HOW WE PARTNER WITH HOME HEALTH, HOW WE PARTNER WITH
HEALTH, HOW WE PARTNER WITH SKILLED NURSING FACILITIES,
SKILLED NURSING FACILITIES, LOOKING TO MANAGE THE CARE OF
LOOKING TO MANAGE THE CARE OF THE PATIENT ACROSS THE FULL
THE PATIENT ACROSS THE FULL CONTINUUM.
CONTINUUM. >>I AM GOING TO EXPAND ON THAT A
>>I AM GOING TO EXPAND ON THAT A LITTLE BIT FURTHER.
LITTLE BIT FURTHER. I THINK IT IS ALSO HOW DO WE
I THINK IT IS ALSO HOW DO WE PARTNER WITH OUR COMMUNITIES,
PARTNER WITH OUR COMMUNITIES, AND OUR COMMUNITY AGENCIES THAT,
AND OUR COMMUNITY AGENCIES THAT, YOU KNOW, A LOT OF WHAT WE SEE
YOU KNOW, A LOT OF WHAT WE SEE IN OUR HOSPITALS AND EMERGENCY
IN OUR HOSPITALS AND EMERGENCY ROOMS AROUND HEALTH ISSUES
ROOMS AROUND HEALTH ISSUES REALLY ARE MORE PSYCHO-SOCIAL
REALLY ARE MORE PSYCHO-SOCIAL ISSUES, ISSUES OF POVERTY, POOR
ISSUES, ISSUES OF POVERTY, POOR EDUCATION, POOR HEALTH
EDUCATION, POOR HEALTH NAVIGATION.
NAVIGATION. SO I THINK WHAT IS GOING TO HAVE
SO I THINK WHAT IS GOING TO HAVE TO HAPPEN IN THE FUTURE, H, WE
TO HAPPEN IN THE FUTURE, H, WE NEED TO PARTNER WITH OUR
NEED TO PARTNER WITH OUR SCHOOLS, PARTNER WITH OUR
SCHOOLS, PARTNER WITH OUR CHURCHES, PARTNER WITH OTHER
CHURCHES, PARTNER WITH OTHER HEALTH CARE PROVIDERS IN OUR
HEALTH CARE PROVIDERS IN OUR COMMUNITIES, OUR BUSINESSES
COMMUNITIES, OUR BUSINESSES AROUND HOW DO WE ADDRESS THE
AROUND HOW DO WE ADDRESS THE REALLY COMMON SOCIETAL PROBLEMS
REALLY COMMON SOCIETAL PROBLEMS THAT WE ARE FACING AROUND
THAT WE ARE FACING AROUND OBESITY, SMOKING R, POOR DIET,
OBESITY, SMOKING R, POOR DIET, LACK OF EXERCISE.
LACK OF EXERCISE. I THINK WHAT THE AFFORDABLE CARE
I THINK WHAT THE AFFORDABLE CARE ABILITY DOES, AS COLLEEN
ABILITY DOES, AS COLLEEN MENTIONED, MAKES US MORE
MENTIONED, MAKES US MORE ACCOUNTABLE FOR THE HEALTH AND
ACCOUNTABLE FOR THE HEALTH AND WELL-BEING OF OUR COMMUNITIES
WELL-BEING OF OUR COMMUNITIES WHICH I THINK IS GOING TO DRIVE
WHICH I THINK IS GOING TO DRIVE A COMPLETELY DIFFERENT STRATEGY
A COMPLETELY DIFFERENT STRATEGY AROUND PARTNERING WITH OUR
AROUND PARTNERING WITH OUR COMMUNITIES.
COMMUNITIES. DR. KNEPP CAN YOU GUESS, AND I
DR. KNEPP CAN YOU GUESS, AND I USE THAT TERM SPECIFICALLY, CAN
USE THAT TERM SPECIFICALLY, CAN YOU GUESS WHAT THAT MIGHT MEAN
YOU GUESS WHAT THAT MIGHT MEAN FOR YOU WHEN YOU GO OUT AND
FOR YOU WHEN YOU GO OUT AND PARTNER AND TRY TO ADDRESS AREAS
PARTNER AND TRY TO ADDRESS AREAS YOU REALLY HAVEN'T HAD TO
YOU REALLY HAVEN'T HAD TO ADDRESS IN THE PAST SUCH AS HOW
ADDRESS IN THE PAST SUCH AS HOW DO YOU PREVENT, PREVENT OBESITY
DO YOU PREVENT, PREVENT OBESITY OR HOW DO YOU STOP PEOPLE FROM
OR HOW DO YOU STOP PEOPLE FROM SMOKING?
SMOKING? >> I THINK DR. HIPPLER MADE A
>> I THINK DR. HIPPLER MADE A GREAT POINT ON WHICH IS WE HAVE
GREAT POINT ON WHICH IS WE HAVE BEEN WORKING ON THIS FOR A LONG
BEEN WORKING ON THIS FOR A LONG TIME, BOTH OF US BEING PRIMARY
TIME, BOTH OF US BEING PRIMARY CARE PHYSICIANS, IT HAS BEEN THE
CARE PHYSICIANS, IT HAS BEEN THE FOCUS OF OUR WORK TO WORK WITH
FOCUS OF OUR WORK TO WORK WITH OUR PATIENTS, TO IMPROVE
OUR PATIENTS, TO IMPROVE NUTRITION, EXERCISE LEVELS, HELP
NUTRITION, EXERCISE LEVELS, HELP THEM STOP SMOKING.
THEM STOP SMOKING. THE TIME WE HAVE WITH A PATIENT
THE TIME WE HAVE WITH A PATIENT IN THE COURSE OF THEIR HOURS AND
IN THE COURSE OF THEIR HOURS AND DAYS THIS A TYPICAL YEAR IS SO
DAYS THIS A TYPICAL YEAR IS SO LIMITED THAT WE CAN ONLY
LIMITED THAT WE CAN ONLY INFLUENCE A SMALL PART OF THAT.
INFLUENCE A SMALL PART OF THAT. IT DOES REQUIRE PARTNERSHIPS AND
IT DOES REQUIRE PARTNERSHIPS AND WORKING AS A COMMUNITY TO
WORKING AS A COMMUNITY TO ADDRESS SOME OF THOSE THINGS,
ADDRESS SOME OF THOSE THINGS, MAYBE THAT'S WORKING WITH
MAYBE THAT'S WORKING WITH EMPLOYERS, HELPING THIS EM TO
EMPLOYERS, HELPING THIS EM TO CHANGE BENEFIT STRUCTURES ON
CHANGE BENEFIT STRUCTURES ON THEIR INSURANCE PLANS, TO
THEIR INSURANCE PLANS, TO INCENTIVIZE PEOPLE TO STOP
INCENTIVIZE PEOPLE TO STOP SMOKING AND TO PARTICIPATE IN
SMOKING AND TO PARTICIPATE IN WELLNESS PROGRAMS, MAYBE IT IS
WELLNESS PROGRAMS, MAYBE IT IS PARTNERING WITH SCHOOLS, MAYBE
PARTNERING WITH SCHOOLS, MAYBE IT IS PARTNERING WITH CHURCHES
IT IS PARTNERING WITH CHURCHES TO HELP PROVIDE A SAFETY NET
TO HELP PROVIDE A SAFETY NET THAT WE JUST CAN'T DO ON OUR
THAT WE JUST CAN'T DO ON OUR OWN.
OWN. >>BUT I THINK THAT IS PART --
>>BUT I THINK THAT IS PART -- THAT IS A PORTION OF WHAT IS
THAT IS A PORTION OF WHAT IS OVERWHELMING AS YOU LOOK AT THE
OVERWHELMING AS YOU LOOK AT THE RESPONSIBILITY OF WHERE WE ARE
RESPONSIBILITY OF WHERE WE ARE IN HEALTH CARE AND ON THE
IN HEALTH CARE AND ON THE PROVIDER SIDE, THE HOSPITAL
PROVIDER SIDE, THE HOSPITAL SIDE, IT IS KIND OF LIKE
SIDE, IT IS KIND OF LIKE THINKING HOW DO YOU SOLVE WORLD
THINKING HOW DO YOU SOLVE WORLD HUNGER.
HUNGER. IT GETS BACK TO THE COMMUNITY
IT GETS BACK TO THE COMMUNITY PARTNERSHIPS, HOW DO YOU BREAK
PARTNERSHIPS, HOW DO YOU BREAK IT DOWN INTO COMPONENTS OR
IT DOWN INTO COMPONENTS OR SEGMENTS OR OPPORTUNITIES TO
SEGMENTS OR OPPORTUNITIES TO IMPACT PORTIONS OF YOUR
IMPACT PORTIONS OF YOUR COMMUNITY BY COMING TOGETHER IN
COMMUNITY BY COMING TOGETHER IN BROADER PARTNERSHIPS. THAT'S
BROADER PARTNERSHIPS. THAT'S THE PART THAT IS REALLY EXCITING
THE PART THAT IS REALLY EXCITING WHEN YOU LOOK AT WHERE WE CAN GO
WHEN YOU LOOK AT WHERE WE CAN GO IN WORKING TOGETHER, AND WE ARE
IN WORKING TOGETHER, AND WE ARE STRONGER COMING TOGETHER RATHER
STRONGER COMING TOGETHER RATHER THAN NECESSARILY JUST COMPETING
THAN NECESSARILY JUST COMPETING OR FOCUSING ON JUST PATIENTS
OR FOCUSING ON JUST PATIENTS WHEN THEY ARE SICK.
WHEN THEY ARE SICK. >> I THINK IN OUR ACUTE CARE
>> I THINK IN OUR ACUTE CARE FACILITIES AND OUR HOSPITALS HAD
FACILITIES AND OUR HOSPITALS HAD WHAT I WILL CALL SUBJECT MATTER
WHAT I WILL CALL SUBJECT MATTER EXPERTS.
EXPERTS. WE HAVE HAD THE EXPERTISE IN A
WE HAVE HAD THE EXPERTISE IN A LOT OF THESE AREAS, BUT WE HAVE
LOT OF THESE AREAS, BUT WE HAVE NOT HAD, AS DR. KNEPP MENTIONED,
NOT HAD, AS DR. KNEPP MENTIONED, THE ABILITY TO REALLY TOUCH
THE ABILITY TO REALLY TOUCH PATIENTS, OUR COMMUNITIES IN
PATIENTS, OUR COMMUNITIES IN MULTIPLE DIFFERENT AREAS.
MULTIPLE DIFFERENT AREAS. SO I THINK THE STRATEGY HAS TO
SO I THINK THE STRATEGY HAS TO BE HOW DO WE LEND OUR EXPERTISE
BE HOW DO WE LEND OUR EXPERTISE TO COMMUNITY EFFORTS AROUND
TO COMMUNITY EFFORTS AROUND FINDING THE FOOD DESSERTS IN OUR
FINDING THE FOOD DESSERTS IN OUR COMMUNITIES, FINDING WHERE THE
COMMUNITIES, FINDING WHERE THE PSYCHO-SOCIAL ISSUES ARE THE
PSYCHO-SOCIAL ISSUES ARE THE GREATEST IN OUR COMMUNITIES, AND
GREATEST IN OUR COMMUNITIES, AND PARTNERING WITH OTHERS WHO CAN
PARTNERING WITH OTHERS WHO CAN HELP DELIVER THAT WITH US.
HELP DELIVER THAT WITH US. >> CAN YOU GIVE ME SOME EXAMPLES
>> CAN YOU GIVE ME SOME EXAMPLES OF HOW YOU ARE REACHING OUT?
OF HOW YOU ARE REACHING OUT? I KNOW METHODIST, THE
I KNOW METHODIST, THE OPPORTUNITY TO ACTUALLY BE
OPPORTUNITY TO ACTUALLY BE INVOLVED IN THE COMMUNITY
INVOLVED IN THE COMMUNITY LEARNING CENTERS, THE NEW
LEARNING CENTERS, THE NEW SCHOOLS THAT HAVE BEEN BUILT IN
SCHOOLS THAT HAVE BEEN BUILT IN PEORIA, THAT'S BEYOND STUDENTS,
PEORIA, THAT'S BEYOND STUDENTS, ISN'T IT?
ISN'T IT? >> IT IS.
>> IT IS. IT IS PRIMARILY FOCUSED ON
IT IS PRIMARILY FOCUSED ON STUDENTS AND IT IS AN
STUDENTS AND IT IS AN OPPORTUNITY IN TWO WAYS, WAY TO
OPPORTUNITY IN TWO WAYS, WAY TO DELIVER APPROPRIATE CARE FOR
DELIVER APPROPRIATE CARE FOR ACUTE ILLNESS, AND GIVE ACCESS
ACUTE ILLNESS, AND GIVE ACCESS TO STUDENTS, AND THEN THERE IS
TO STUDENTS, AND THEN THERE IS THE FOCUS ON OBESITY, NUTRITION
THE FOCUS ON OBESITY, NUTRITION CHOICE, EXERCISE, OTHER THINGS
CHOICE, EXERCISE, OTHER THINGS THAT SCHOOL PROGRAM GIVES US AN
THAT SCHOOL PROGRAM GIVES US AN OPPORTUNITY TO REACH OUT INTO
OPPORTUNITY TO REACH OUT INTO THE COMMUNITY IN WAYS WE
THE COMMUNITY IN WAYS WE COULDN'T BEFORE.
COULDN'T BEFORE. YOU ARE SHAKING YOUR HEAD.
YOU ARE SHAKING YOUR HEAD. YOU HAVE EXAMPLES?
YOU HAVE EXAMPLES? >> ADVOCATE BROMENN PARTNERED
>> ADVOCATE BROMENN PARTNERED WITH THE HEART ASSOCIATION,
WITH THE HEART ASSOCIATION, FOCUSED ON, ONE, STARTING
FOCUSED ON, ONE, STARTING WALKING PATHS IN THE COMMUNITY
WALKING PATHS IN THE COMMUNITY TO ENCOURAGE PEOPLE TO GET OUT
TO ENCOURAGE PEOPLE TO GET OUT AND GET WALKING.
AND GET WALKING. OTHER PART WAS PARTNERING WITH
OTHER PART WAS PARTNERING WITH ONE OF OUR ELEMENTARY SCHOOLS IN
ONE OF OUR ELEMENTARY SCHOOLS IN THE COMMUNITY TO START A
THE COMMUNITY TO START A TEACHING GARDEN, WHERE THE
TEACHING GARDEN, WHERE THE STUDENTS ACTUALLY PLANTED FRUITS
STUDENTS ACTUALLY PLANTED FRUITS AND VEGETABLES IN A GARDEN, HAD
AND VEGETABLES IN A GARDEN, HAD THE OPPORTUNITY TO LEARN ABOUT
THE OPPORTUNITY TO LEARN ABOUT NUTRITION.
NUTRITION. AT THE END, THEY WERE ABLE TO
AT THE END, THEY WERE ABLE TO HARVEST THOSE VEGETABLES AND THE
HARVEST THOSE VEGETABLES AND THE FRUITS AND BE ABLE TO EAT THEM
FRUITS AND BE ABLE TO EAT THEM AND TAKE THEM HOME WITH VERY
AND TAKE THEM HOME WITH VERY HEALTHY RECIPES.
HEALTHY RECIPES. >>GREAT.
>>GREAT. WE HAVE ALSO, FOR YEARS, HAD A
WE HAVE ALSO, FOR YEARS, HAD A PERISH NURSE PROGRAM.
PERISH NURSE PROGRAM. WE HAVE NURSES IN MULTIPLE
WE HAVE NURSES IN MULTIPLE PARISHES, DOING WELLNESS DAYS,
PARISHES, DOING WELLNESS DAYS, HEALTH CARE SCREENINGS, AND
HEALTH CARE SCREENINGS, AND PROVIDING A RESOURCE FOR MEMBERS
PROVIDING A RESOURCE FOR MEMBERS OF THE PERISH.
OF THE PERISH. WE HAVE ALSO TAKEN UPON AN
WE HAVE ALSO TAKEN UPON AN EFFORT TO DO ADVANCED CARE
EFFORT TO DO ADVANCED CARE PLANNING, AND DEVELOPING
PLANNING, AND DEVELOPING MULTIPLE FACILITATORS IN OUR
MULTIPLE FACILITATORS IN OUR COMMUNITY, PATTERNED AFTER WHAT
COMMUNITY, PATTERNED AFTER WHAT HAS BEEN DONE IN LACROSSE,
HAS BEEN DONE IN LACROSSE, WISCONSIN, TO START HAVING SOME
WISCONSIN, TO START HAVING SOME OF THOSE CRITICAL CONVERSATIONS
OF THOSE CRITICAL CONVERSATIONS WITH PATIENTS ABOUT WITH A THEIR
WITH PATIENTS ABOUT WITH A THEIR WISHES ARE, AND WHAT THEY WANT,
WISHES ARE, AND WHAT THEY WANT, WHAT TYPE OF HEALTH CARE THEY
WHAT TYPE OF HEALTH CARE THEY WANT AS THEY GET OLDER AND MAY
WANT AS THEY GET OLDER AND MAY NOT BE ABLE TO SPEAK FOR
NOT BE ABLE TO SPEAK FOR THEMSELVES.
THEMSELVES. >>SO FAR, WE HAVE BEEN TALKING
>>SO FAR, WE HAVE BEEN TALKING ABOUT SOME POSITIVE THINGS THAT
ABOUT SOME POSITIVE THINGS THAT THE AFFORDABLE CARE ACT MAY NOT
THE AFFORDABLE CARE ACT MAY NOT EVEN HAVE BEEN NECESSARY.
EVEN HAVE BEEN NECESSARY. YOU WANT TO REACH OUT TO THE
YOU WANT TO REACH OUT TO THE COMMUNITY.
COMMUNITY. YOU WANT TO HAVE PARTNERSHIPS.
YOU WANT TO HAVE PARTNERSHIPS. YOU WANT TO PROVIDE PREVENTATIVE
YOU WANT TO PROVIDE PREVENTATIVE AS WELL AS REACTIVE CARE.
AS WELL AS REACTIVE CARE. LET'S TALK ABOUT THE DIFFICULT
LET'S TALK ABOUT THE DIFFICULT PART, AND THAT IS THE FINANCING
PART, AND THAT IS THE FINANCING OF ALL OF THIS.
OF ALL OF THIS. HOW DOES A HOSPITAL, A MEDICAL
HOW DOES A HOSPITAL, A MEDICAL CENTER GO ABOUT BALANCING, AND
CENTER GO ABOUT BALANCING, AND LET'S START WITH, FOR INSTANCE,
LET'S START WITH, FOR INSTANCE, WE KNOW THAT MEDICARE AND
WE KNOW THAT MEDICARE AND MEDICAID PAYS LESS THAN THE COST
MEDICAID PAYS LESS THAN THE COST OF DELIVERY OF CARE.
OF DELIVERY OF CARE. WE KNOW THAT'S MADE UP, IN PART,
WE KNOW THAT'S MADE UP, IN PART, BY COMMERCIAL INSURANCE THAT
BY COMMERCIAL INSURANCE THAT COMMERCIAL INSURANCE IS PAYING A
COMMERCIAL INSURANCE IS PAYING A LITTLE BIT MORE THAN THE
LITTLE BIT MORE THAN THE DELIVERY OF CARE. AS WE LOOK AT
DELIVERY OF CARE. AS WE LOOK AT THE OVER ALL REQUIREMENTS OF THE
THE OVER ALL REQUIREMENTS OF THE STATE OF ILLINOIS AND THE
STATE OF ILLINOIS AND THE AFFORDABLE CARE ACT, IT IS GOING
AFFORDABLE CARE ACT, IT IS GOING TO BE MORE AND MORE DIFFICULT
TO BE MORE AND MORE DIFFICULT FOR MEDICAL CENTERS TO MAINTAIN
FOR MEDICAL CENTERS TO MAINTAIN THAT BALANCE.
THAT BALANCE. HOW DOES BROMENN GO ABOUT
HOW DOES BROMENN GO ABOUT HANDLING THIS?
HANDLING THIS? >> I THINK IT IS NOT JUST A
>> I THINK IT IS NOT JUST A LOCAL ISSUE.
LOCAL ISSUE. THIS IS A NATIONAL ISSUE THAT
THIS IS A NATIONAL ISSUE THAT EVERY HEALTH CARE DELIVERY
EVERY HEALTH CARE DELIVERY SYSTEM IS LOOKING AT AS WE
SYSTEM IS LOOKING AT AS WE CONTINUE TO SEE WIDESPREAD
CONTINUE TO SEE WIDESPREAD REDUCTIONS IN TERMS OF MEDICAID,
REDUCTIONS IN TERMS OF MEDICAID, MEDICARE THAT WE ARE ALL LOOKING
MEDICARE THAT WE ARE ALL LOOKING AT WAYS TO BE ABLE TO DO MORE
AT WAYS TO BE ABLE TO DO MORE WITH LESS.
WITH LESS. AND I THINK, YOU KNOW, A NUMBER
AND I THINK, YOU KNOW, A NUMBER OF THINGS.
OF THINGS. WE ARE ALL FOCUSING ON
WE ARE ALL FOCUSING ON INNOVATION, LEAN, SICSIGMA,
INNOVATION, LEAN, SICSIGMA, ANOTHER AREA YOU ARE SEEING TO
ANOTHER AREA YOU ARE SEEING TO BRING THE COST OUT OF THE
BRING THE COST OUT OF THE DELIVERY SYSTEM, YOU ARE
DELIVERY SYSTEM, YOU ARE CONTINUING TO SEE CONSOLIDATION,
CONTINUING TO SEE CONSOLIDATION, AND SMALLER INDEPENDENT
AND SMALLER INDEPENDENT HOSPITALS BECOMING PARTS OF
HOSPITALS BECOMING PARTS OF LARGER SYSTEMS IN ORDER TO TAKE
LARGER SYSTEMS IN ORDER TO TAKE ADVANTAGE OF THOSE ECONOMIES OF
ADVANTAGE OF THOSE ECONOMIES OF SCALE BECAUSE THAT IS GOING TO
SCALE BECAUSE THAT IS GOING TO BE -- THAT'S AN IMPORTANT
BE -- THAT'S AN IMPORTANT ELEMENT GOING FORWARD AND REALLY
ELEMENT GOING FORWARD AND REALLY AN OPPORTUNITY TO BE ABLE TO
AN OPPORTUNITY TO BE ABLE TO CAPITALIZE ON SIZE.
CAPITALIZE ON SIZE. >>I THINK ANOTHER OPPORTUNITY WE
>>I THINK ANOTHER OPPORTUNITY WE HAVE TODAY THAT WE DIDN'T HAVE
HAVE TODAY THAT WE DIDN'T HAVE IN THE HMO ERA OF THE PAST IS WE
IN THE HMO ERA OF THE PAST IS WE NOW HAVE GOOD INFORMATION ABOUT
NOW HAVE GOOD INFORMATION ABOUT A LOT OF OUR PATIENTS.
A LOT OF OUR PATIENTS. WE KNOW THAT SOMEWHERE BETWEEN
WE KNOW THAT SOMEWHERE BETWEEN FIFE 35 AND 10% OF PATIENTS
FIFE 35 AND 10% OF PATIENTS CONSUME 50 TO 60% OF HEALTH CARE
CONSUME 50 TO 60% OF HEALTH CARE RESOURCES.
RESOURCES. SO NOW --
SO NOW -- >>SAY THAT NUMBER AGAIN.
>>SAY THAT NUMBER AGAIN. >>IF YOU LOOK AT A MEDICARE
>>IF YOU LOOK AT A MEDICARE POPULATION, ABOUT ONLY 10% OF
POPULATION, ABOUT ONLY 10% OF THAT POPULATION CONSUMES ABOUT
THAT POPULATION CONSUMES ABOUT 50 TO 60% OF HEALTH CARE
50 TO 60% OF HEALTH CARE RESOURCES.
RESOURCES. SO PART OF THE WORK WE ARE DOING
SO PART OF THE WORK WE ARE DOING AROUND THE PIONEER ACCOUNTABLE
AROUND THE PIONEER ACCOUNTABLE CARE PROGRAM IS TO IDENTIFY
CARE PROGRAM IS TO IDENTIFY THOSE PATIENTS AND UNDERSTAND
THOSE PATIENTS AND UNDERSTAND WHO THEY ARE AND GIVE THEM MORE
WHO THEY ARE AND GIVE THEM MORE CARE, GIVE THEM EXTRA CARE, GIVE
CARE, GIVE THEM EXTRA CARE, GIVE THEM THE SERVICES OF A DEDICATED
THEM THE SERVICES OF A DEDICATED CARE MANAGER AND CARE
CARE MANAGER AND CARE COORDINATOR TO REALLY UNDERSTAND
COORDINATOR TO REALLY UNDERSTAND WHAT ARE THEIR BARRIERS TO CARE.
WHAT ARE THEIR BARRIERS TO CARE. IS IT AFFORDING MEDICATION?
IS IT AFFORDING MEDICATION? IS IT PSYCHO-SOCIAL ISSUES?
IS IT PSYCHO-SOCIAL ISSUES? WE HAVE FOUND A LOT OF
WE HAVE FOUND A LOT OF NON-MEDICAL REASONS THAT NEEDED
NON-MEDICAL REASONS THAT NEEDED TO BE ADDRESSED IN ORDER TO
TO BE ADDRESSED IN ORDER TO HELP, HONESTLY, HELP THESE
HELP, HONESTLY, HELP THESE PATIENTS AND HELP THEIR FAMILIES
PATIENTS AND HELP THEIR FAMILIES AND PREVENT THEIR EMERGENCY ROOM
AND PREVENT THEIR EMERGENCY ROOM VISITS AND PREVENT THEIR
VISITS AND PREVENT THEIR HOSPITALIZATIONS.
HOSPITALIZATIONS. I THINK, H, ONE OF THE PROMISES
I THINK, H, ONE OF THE PROMISES I AM HOPING THAT WILL BE
I AM HOPING THAT WILL BE REALIZED IN THE FUTURE BY REALLY
REALIZED IN THE FUTURE BY REALLY BEING ABLE NOW TO FOCUS ON
BEING ABLE NOW TO FOCUS ON PEOPLE WHO ARE AT HIGHER RISK,
PEOPLE WHO ARE AT HIGHER RISK, IN ADDITION TO THE WHOLE
IN ADDITION TO THE WHOLE COMMUNITY, WE CAN KEEP THESE
COMMUNITY, WE CAN KEEP THESE PEOPLE HEALTHY AND LOWER THE
PEOPLE HEALTHY AND LOWER THE COST OF CARE, AS WE AS A NATION
COST OF CARE, AS WE AS A NATION ARE FACED WITH DEALING WITH.
ARE FACED WITH DEALING WITH. >>LET ME TALK ABOUT ONE ASPECT
>>LET ME TALK ABOUT ONE ASPECT THAT I AM UNDER THE IMPRESSION
THAT I AM UNDER THE IMPRESSION IT IS GOING TO HELP IN DELIVERY
IT IS GOING TO HELP IN DELIVERY OF CARE, AND THAT'S ELECTRONIC
OF CARE, AND THAT'S ELECTRONIC RECORDS OF QUALITY QUEST FOR
RECORDS OF QUALITY QUEST FOR HEALTH HAS THE CENTRAL ILLINOIS
HEALTH HAS THE CENTRAL ILLINOIS HEALTH INFORMATION EXCHANGE
HEALTH INFORMATION EXCHANGE WHICH WILL BE PART OF ALL OF
WHICH WILL BE PART OF ALL OF THIS, BUT IF SOMEONE HAS
THIS, BUT IF SOMEONE HAS SERVICES AT EITHER OSF OR
SERVICES AT EITHER OSF OR METHODIST, AND ENDS UP AT
METHODIST, AND ENDS UP AT BROMENN, FOR INSTANCE, YOU WANT
BROMENN, FOR INSTANCE, YOU WANT YOUR DOCTORS AND NURSES TO HAVE
YOUR DOCTORS AND NURSES TO HAVE IMMEDIATE ACCESS TO THAT
IMMEDIATE ACCESS TO THAT INFORMATION.
INFORMATION. THAT'S A GOOD THING, RIGHT?
THAT'S A GOOD THING, RIGHT? >> THAT'S EXCELLENT.
>> THAT'S EXCELLENT. >> THAT BUILDS ON WHAT DR.
>> THAT BUILDS ON WHAT DR. HIPPLER MENTIONED ABOUT
HIPPLER MENTIONED ABOUT INFORMATION.
INFORMATION. HE MENTIONED WE HAVE MORE
HE MENTIONED WE HAVE MORE INFORMATION ABOUT OUR PATIENTS,
INFORMATION ABOUT OUR PATIENTS, AND THAT MEANS WE ARE STORING
AND THAT MEANS WE ARE STORING OUR INFORMATION WITH OUR PAIRS
OUR INFORMATION WITH OUR PAIRS TO WORK BETTER AND TAKE CARE OF
TO WORK BETTER AND TAKE CARE OF THEM. WE HAVE INFORMATION IN
THEM. WE HAVE INFORMATION IN OUR RECORD AND INFORMATION IN
OUR RECORD AND INFORMATION IN THE RECORDS WE CAN ALL SHARE SO
THE RECORDS WE CAN ALL SHARE SO THAT THE SILOS, I AM SEEN IN THE
THAT THE SILOS, I AM SEEN IN THE OFFICE VERSUS SEEN IN THE
OFFICE VERSUS SEEN IN THE HOSPITAL CAN GO AWAY, AND WE CAN
HOSPITAL CAN GO AWAY, AND WE CAN WORK TOGETHER BETTER.
WORK TOGETHER BETTER. IT HELPS US REDUCE WASTE.
IT HELPS US REDUCE WASTE. SO IF SOMEBODY HAD AN MRI SCAN
SO IF SOMEBODY HAD AN MRI SCAN LAST WEEK, IT IS NOT REPEAT,
LAST WEEK, IT IS NOT REPEAT, JUST BECAUSE INFORMATION IS
JUST BECAUSE INFORMATION IS PARTITIONED AND SILOED IN
PARTITIONED AND SILOED IN DIFFERENT HEALTH SYSTEMS.
DIFFERENT HEALTH SYSTEMS. IT WILL HELP US REDUCE SOME OF
IT WILL HELP US REDUCE SOME OF THOSE COSTS IN OUR HEALTH CARE
THOSE COSTS IN OUR HEALTH CARE SYSTEM AS WELL.
SYSTEM AS WELL. >>IS THERE A COST ASSOCIATED
>>IS THERE A COST ASSOCIATED WITH MAKING THIS TRANSITION?
WITH MAKING THIS TRANSITION? THERE HAS TO BE.
THERE HAS TO BE. >>ABSOLUTELY.
>>ABSOLUTELY. >>SURE.
>>SURE. >>ONE YOU WILL HAVE TO ABSORB?
>>ONE YOU WILL HAVE TO ABSORB? >> THAT'S TRUE.
>> THAT'S TRUE. WE ARE GETTING SOME
WE ARE GETTING SOME REIMBURSEMENT THROUGH THE
REIMBURSEMENT THROUGH THE STIMULUS BILL THAT WAS PASSED
STIMULUS BILL THAT WAS PASSED ACTUALLY BEFORE THE AFFORDABLE
ACTUALLY BEFORE THE AFFORDABLE CARE ACT WHICH GIVES SOME
CARE ACT WHICH GIVES SOME REIMBURSEMENT TO HOSPITALS AND
REIMBURSEMENT TO HOSPITALS AND PHYSICIANS FOR USE OF ELECTRONIC
PHYSICIANS FOR USE OF ELECTRONIC HEALTH RECORDS, AND IT HAS BEEN
HEALTH RECORDS, AND IT HAS BEEN A MIXED BLESSING.
A MIXED BLESSING. IT HAS BROUGHT REVENUE TO HELP
IT HAS BROUGHT REVENUE TO HELP RE-COUP SOME OF THE INVESTMENT
RE-COUP SOME OF THE INVESTMENT IN ELECTRONIC HEALTH RECORDS AND
IN ELECTRONIC HEALTH RECORDS AND IT ADDED NEW REQUIREMENTS WHICH
IT ADDED NEW REQUIREMENTS WHICH ARE SOMETIMES HURDLES TO JUMP.
ARE SOMETIMES HURDLES TO JUMP. IT HAS BEEN A MIXED BLESSING FOR
IT HAS BEEN A MIXED BLESSING FOR US.
US. IT IS A SIGNIFICANT INVESTMENT.
IT IS A SIGNIFICANT INVESTMENT. >>I WAS GOING TO ADD I THINK
>>I WAS GOING TO ADD I THINK THERE ARE COMPONENTS OF THIS WE
THERE ARE COMPONENTS OF THIS WE HAVE BEEN TALKING ABOUT THAT
HAVE BEEN TALKING ABOUT THAT REALLY CREATE FOR A BETTER
REALLY CREATE FOR A BETTER SYSTEM AT THE END OF THE DAY FOR
SYSTEM AT THE END OF THE DAY FOR THE PATIENT.
THE PATIENT. AND I THINK THE ANOTHER
AND I THINK THE ANOTHER COMPONENT OF IT IS WE ARE NOW
COMPONENT OF IT IS WE ARE NOW ALIGNING IN MANY WAYS THE
ALIGNING IN MANY WAYS THE INCENTIVES OF THE PHYSICIANS,
INCENTIVES OF THE PHYSICIANS, THE HOSPITALS, EVEN THE PAY ORS
THE HOSPITALS, EVEN THE PAY ORS TO COME TOGETHER TO REALLY FOCUS
TO COME TOGETHER TO REALLY FOCUS ON HEALTH, WELLNESS, AND CARE
ON HEALTH, WELLNESS, AND CARE ACROSS THE CONTINUUM VERSUS JUST
ACROSS THE CONTINUUM VERSUS JUST FRAG MANIED CARE, AND THAT
FRAG MANIED CARE, AND THAT INCLUDES INCORPORATING
INCLUDES INCORPORATING INFORMATION SYSTEMS WHERE WE CAN
INFORMATION SYSTEMS WHERE WE CAN SHARE THE CARE OF THE PATIENT
SHARE THE CARE OF THE PATIENT AND WHAT IS TAKING PLACE.
AND WHAT IS TAKING PLACE. >>ANOTHER IMPORTANT ASPECT OF
>>ANOTHER IMPORTANT ASPECT OF ELECTRONIC HEALTH RECORDS WE
ELECTRONIC HEALTH RECORDS WE HAVE NOT MENTIONED IS OUR
HAVE NOT MENTIONED IS OUR PATIENT PORE TALS.
PATIENT PORE TALS. I BELIEVE WE ALL, AS PART OF
I BELIEVE WE ALL, AS PART OF ELECTRONIC HEALTH RECORD, HAVE
ELECTRONIC HEALTH RECORD, HAVE PATIENT PORE TALS WHERE PATIENTS
PATIENT PORE TALS WHERE PATIENTS NOW HAVE THE ABILITY TO SIGN ON
NOW HAVE THE ABILITY TO SIGN ON THROUGH COMMUN COMPUTER OR
THROUGH COMMUN COMPUTER OR IPHONE OR iPAD TO GET
IPHONE OR iPAD TO GET INFORMATION FROM THEIR HEALTH
INFORMATION FROM THEIR HEALTH RECORD, TO HELP REALLY ENGAGE
RECORD, TO HELP REALLY ENGAGE THEM MORE IN THEIR CARE TO WHERE
THEM MORE IN THEIR CARE TO WHERE PATIENTS CAN MAKE AN APPOINTMENT
PATIENTS CAN MAKE AN APPOINTMENT ON THE INTERNET.
ON THE INTERNET. I MEAN IT HAS BEEN A LONG TIME
I MEAN IT HAS BEEN A LONG TIME SINCE I BET A LOT OF US CALLED A
SINCE I BET A LOT OF US CALLED A TRAVEL AGENT OR CALLED AN
TRAVEL AGENT OR CALLED AN AIRLINE TO GET A RESERVATION FOR
AIRLINE TO GET A RESERVATION FOR AN AIRLINE.
AN AIRLINE. PART OF THE MOVEMENT TO
PART OF THE MOVEMENT TO ELECTRONIC HEALTH RECORDS IS TO
ELECTRONIC HEALTH RECORDS IS TO GET US UP TO SPEED WITH MORE
GET US UP TO SPEED WITH MORE CONSUMER FRIENDLY ELECTRONIC
CONSUMER FRIENDLY ELECTRONIC ABILITY FOR PATIENTS TO ACCESS
ABILITY FOR PATIENTS TO ACCESS THEIR HEALTH RECORD, TO MAKE AN
THEIR HEALTH RECORD, TO MAKE AN APPOINTMENT, TO SEND E-MAILS TO
APPOINTMENT, TO SEND E-MAILS TO THEIR PROVIDERS, TO REALLY
THEIR PROVIDERS, TO REALLY ENGAGE THEM MORE BECAUSE THE
ENGAGE THEM MORE BECAUSE THE CHANGES THAT ARE OCCURRING, H,
CHANGES THAT ARE OCCURRING, H, ARE MORE THAN JUST WHAT HAS TO
ARE MORE THAN JUST WHAT HAS TO OCCUR ON A HEALTH CARE DELIVERY
OCCUR ON A HEALTH CARE DELIVERY SIDE.
SIDE. IT REALLY IS ENGAGING OUR
IT REALLY IS ENGAGING OUR PATIENTS AND COMMUNITY MORE INTO
PATIENTS AND COMMUNITY MORE INTO THE CARE.
THE CARE. >>WHAT I AM HEARING THROUGHOUT
>>WHAT I AM HEARING THROUGHOUT THIS CONVERSATION SO FAR, IT ALL
THIS CONVERSATION SO FAR, IT ALL SEEMS TO COME BACK TO HOSPITALS
SEEMS TO COME BACK TO HOSPITALS CANNOT DO THIS ALONE.
CANNOT DO THIS ALONE. YOU ARE GOING TO HAVE TO
YOU ARE GOING TO HAVE TO SOMEHOW, AND I WILL USE YOUR
SOMEHOW, AND I WILL USE YOUR WORD "ENGAGE "MIMI, THE PATIENT,
WORD "ENGAGE "MIMI, THE PATIENT, AND MAYBE "PATIENT" ISN'T THE
AND MAYBE "PATIENT" ISN'T THE RIGHT WORD ANY MORE.
RIGHT WORD ANY MORE. HOW DO YOU GO ABOUT THAT?
HOW DO YOU GO ABOUT THAT? HOW DO YOU SAY "H, YOU NEED TO
HOW DO YOU SAY "H, YOU NEED TO GO OUT AND BICYCLE OR WALK OR
GO OUT AND BICYCLE OR WALK OR WHATEVER IT IS, AND YOU NEED TO
WHATEVER IT IS, AND YOU NEED TO LOSE WEIGHT."
LOSE WEIGHT." I DON'T.
I DON'T. BUT "YOU NEED TO LOSE WEIGHT OR
BUT "YOU NEED TO LOSE WEIGHT OR QUIT SMOKING."
QUIT SMOKING." DIFFERENT PARTNERSHIPS WITH
DIFFERENT PARTNERSHIPS WITH DIFFERENT ORGANIZATIONS BUT,
DIFFERENT ORGANIZATIONS BUT, STILL, WE ARE INDIVIDUALS, AND
STILL, WE ARE INDIVIDUALS, AND YOU CAN ONLY DO SO MUCH, AND
YOU CAN ONLY DO SO MUCH, AND THEN WHEN I, BEING OVER WEIGHT
THEN WHEN I, BEING OVER WEIGHT HAVE DIABETES, I COME TO YOU AND
HAVE DIABETES, I COME TO YOU AND SAY,DOC, FIX ME.
SAY,DOC, FIX ME. I HAVE MESSED AROUND MY WHOLE
I HAVE MESSED AROUND MY WHOLE LIFE, NOW FIX ME.
LIFE, NOW FIX ME. >> THIS IS HAPPENING WITH
>> THIS IS HAPPENING WITH EMPLOYERS AS THEY LOOK AT RISE
EMPLOYERS AS THEY LOOK AT RISE OF COST FOR COVERAGE FOR THEIR
OF COST FOR COVERAGE FOR THEIR EMPLOYEES.
EMPLOYEES. YOU MENTIONED SMOKING CESSATION,
YOU MENTIONED SMOKING CESSATION, THEY ARE DOING AS EMPLOYERS, TO
THEY ARE DOING AS EMPLOYERS, TO INCENTIVIZE TO BECOME HEALTHIER.
INCENTIVIZE TO BECOME HEALTHIER. THAT'S INCREASINGLY IMPORTANT
THAT'S INCREASINGLY IMPORTANT COMPONENT.
COMPONENT. THE OTHER THING IS AS WE LOOK AT
THE OTHER THING IS AS WE LOOK AT THE MODEL OF HEALTH CARE AND
THE MODEL OF HEALTH CARE AND REALLY FOCUSING ON PRIMARY CARE
REALLY FOCUSING ON PRIMARY CARE PHYSICIAN, YOU MENTIONED CASE
PHYSICIAN, YOU MENTIONED CASE MANAGERS IN THE PRIMARY
MANAGERS IN THE PRIMARY PHYSICIAN PRACTICE, THEY ARE
PHYSICIAN PRACTICE, THEY ARE PROACTIVELY REACHING OUT TO THE
PROACTIVELY REACHING OUT TO THE PATIENTS TO ENCOURAGE THEM TO
PATIENTS TO ENCOURAGE THEM TO MONITOR THEIR HEALTH, TO STAY
MONITOR THEIR HEALTH, TO STAY HEALTHY, TO INCORPORATE, ARE
HEALTHY, TO INCORPORATE, ARE THEY TAKING THEIR MEDICATION?
THEY TAKING THEIR MEDICATION? ARE THEY MONITORING THEIR BLOOD
ARE THEY MONITORING THEIR BLOOD PRESSURE?
PRESSURE? THOSE KINDS OF THINGS, IT IS
THOSE KINDS OF THINGS, IT IS CONNECTING WITH THE PATIENT
CONNECTING WITH THE PATIENT WHERE THEY NEED TO BE REACHED IN
WHERE THEY NEED TO BE REACHED IN ORDER TO MAKE SURE THEY ARE
ORDER TO MAKE SURE THEY ARE DOING WHAT THEY NEED TO DO TO
DOING WHAT THEY NEED TO DO TO STAY HEALTHY.
STAY HEALTHY. >>A LARGE PART OF THE AFFORDABLE
>>A LARGE PART OF THE AFFORDABLE CARE ACT IS PROVIDING THE
CARE ACT IS PROVIDING THE OPPORTUNITY TO HAVE INSURANCE TO
OPPORTUNITY TO HAVE INSURANCE TO THE UNINSURED.
THE UNINSURED. SO I THINK WE WILL SEE A LOT OF
SO I THINK WE WILL SEE A LOT OF BENEFIT COME FROM HAVING
BENEFIT COME FROM HAVING PATIENTS WHO HAD NOT PREVIOUSLY
PATIENTS WHO HAD NOT PREVIOUSLY HAD INSURANCE OR HAD A
HAD INSURANCE OR HAD A RELATIONSHIP WITH A PRIMARY CARE
RELATIONSHIP WITH A PRIMARY CARE PROVIDER.
PROVIDER. NOW HAVING ACCESS TO A WIDER,
NOW HAVING ACCESS TO A WIDER, MORE EXPANDED PRIMARY CARE BASE
MORE EXPANDED PRIMARY CARE BASE IN ALL OF OUR COMMUNITIES, WITH
IN ALL OF OUR COMMUNITIES, WITH ALL THESE SERVICES AVAILABLE
ALL THESE SERVICES AVAILABLE BEHIND A PRIMARY CARE PRACTICE.
BEHIND A PRIMARY CARE PRACTICE. >>WILL THAT REDUCE THE LOAD ON
>>WILL THAT REDUCE THE LOAD ON EMERGENCY DEPARTMENTS?
EMERGENCY DEPARTMENTS? >> IT COULD POTENTIALLY.
>> IT COULD POTENTIALLY. I THINK THAT'S TO BE DETERMINED
I THINK THAT'S TO BE DETERMINED AND THIS EXPANSION OF ACCESS
AND THIS EXPANSION OF ACCESS WILL ONLY REDUCE THE EMERGENCY
WILL ONLY REDUCE THE EMERGENCY DEPARTMENT LOAD IF WE HAVE THE
DEPARTMENT LOAD IF WE HAVE THE CAPACITY TO TAKE ON THOSE
CAPACITY TO TAKE ON THOSE PATIENTS AND MANAGE THEM WELL IN
PATIENTS AND MANAGE THEM WELL IN OUR PRIMARY CARE PRACTICES.
OUR PRIMARY CARE PRACTICES. SO THAT'S THE GOAL GOING
SO THAT'S THE GOAL GOING FORWARD.
FORWARD. >>I THINK WHAT YOU SEE NOW IN
>>I THINK WHAT YOU SEE NOW IN EMERGENCY ROOMS IS A LOT OF
EMERGENCY ROOMS IS A LOT OF THINGS THAT ARE IN THE EMERGENCY
THINGS THAT ARE IN THE EMERGENCY ROOM AREN'T REALLY TRULY
ROOM AREN'T REALLY TRULY EMERGENCIES.
EMERGENCIES. IT HAS BECOME JUST THE PRACTICE
IT HAS BECOME JUST THE PRACTICE LOCATION OF DEFAULT ALMOST FOR
LOCATION OF DEFAULT ALMOST FOR PEOPLE WHO HAVE NO INSURANCE OR
PEOPLE WHO HAVE NO INSURANCE OR CAN'T GET CARE TODAY ANYWHERE
CAN'T GET CARE TODAY ANYWHERE ELSE OR WHO MAY HAVE
ELSE OR WHO MAY HAVE PSYCHO-SOCIAL ISSUES OR OTHER
PSYCHO-SOCIAL ISSUES OR OTHER ISSUES PREVENTING THEM FROM
ISSUES PREVENTING THEM FROM GETTING CARE.
GETTING CARE. THE EMERGENCY ROOM NOW IS MORE
THE EMERGENCY ROOM NOW IS MORE THAN JUST EMERGENCY ISSUES. SO
THAN JUST EMERGENCY ISSUES. SO WE REALLY NEED TO FIND OTHER
WE REALLY NEED TO FIND OTHER WAYS TO CARE FOR PRIMARY CARE
WAYS TO CARE FOR PRIMARY CARE ISSUES OUTSIDE OF THE EMERGENCY
ISSUES OUTSIDE OF THE EMERGENCY ROOM SETTING.
ROOM SETTING. I THINK YOU ARE SEEING MANY OF
I THINK YOU ARE SEEING MANY OF THE PRIMARY CARE PHYSICIANS, AND
THE PRIMARY CARE PHYSICIANS, AND THE PRACTICES RESPOND TO THAT.
THE PRACTICES RESPOND TO THAT. IT IS ABOUT INCREASED ACCESS.
IT IS ABOUT INCREASED ACCESS. SO WE ARE LOOKING AT -- THE
SO WE ARE LOOKING AT -- THE PHYSICIANS ARE LOOKING AT HOW DO
PHYSICIANS ARE LOOKING AT HOW DO I HAVE EARLY MORNING
I HAVE EARLY MORNING APPOINTMENTS BEFORE WORK?
APPOINTMENTS BEFORE WORK? HOW DO I STAY OPEN LATER IN THE
HOW DO I STAY OPEN LATER IN THE EVENING?
EVENING? SATURDAY APPOINTMENT, AND ALSO
SATURDAY APPOINTMENT, AND ALSO REALLY GOING TOWARDS SAME DAY
REALLY GOING TOWARDS SAME DAY APPOINTMENTS.
APPOINTMENTS. IF YOU CALL AND NEED TO GET IN
IF YOU CALL AND NEED TO GET IN THAT DAY, WE -- THE PHYSICIANS
THAT DAY, WE -- THE PHYSICIANS NEED TO FIND A WAY TO
NEED TO FIND A WAY TO ACCOMMODATE THAT, OR THEY DO END
ACCOMMODATE THAT, OR THEY DO END UP IN THE EMERGENCY DEPARTMENT.
UP IN THE EMERGENCY DEPARTMENT. ONE OF THE THINGS WE HAVEN'T
ONE OF THE THINGS WE HAVEN'T TALKED ABOUT WHICH IS CRITICAL
TALKED ABOUT WHICH IS CRITICAL TO MENTION.
TO MENTION. PEOPLE ASK WHAT IS DIFFERENT
PEOPLE ASK WHAT IS DIFFERENT ABOUT THIS ROUND OF HEALTH CARE
ABOUT THIS ROUND OF HEALTH CARE REFORM THAN HMO'S.
REFORM THAN HMO'S. WE HAVE DONE THIS BEFORE.
WE HAVE DONE THIS BEFORE. WE HAVE GONE DOWN THIS PATH OF
WE HAVE GONE DOWN THIS PATH OF MANAGING CARE AND IT DEPARTMENT
MANAGING CARE AND IT DEPARTMENT WORK OUT SO WELL.
WORK OUT SO WELL. AND THERE IS PROBABLY SEVERAL.
AND THERE IS PROBABLY SEVERAL. ONE OF THE BIG ONES IN PRIMARY
ONE OF THE BIG ONES IN PRIMARY CARE PERSPECTIVE, FIRST TIME
CARE PERSPECTIVE, FIRST TIME AROUND WE REALLY DID NOT INVEST
AROUND WE REALLY DID NOT INVEST IN THE INFRASTRUCTURE THAT IT
IN THE INFRASTRUCTURE THAT IT TAKES TO PROVIDE WHAT PATIENTS
TAKES TO PROVIDE WHAT PATIENTS NEED IN THEIR GENERAL INTERNAL
NEED IN THEIR GENERAL INTERNAL MEDICAL PRACTICE, FAMILY
MEDICAL PRACTICE, FAMILY MEDICINE PRACTICE OR
MEDICINE PRACTICE OR PEDIATRICIAN'S OFFICE. WE MADE
PEDIATRICIAN'S OFFICE. WE MADE THOSE PHYSICIANS RESPONSIBLE FOR
THOSE PHYSICIANS RESPONSIBLE FOR MANAGING UTILIZATION AND
MANAGING UTILIZATION AND DECREASING REFERRALS.
DECREASING REFERRALS. BUT WE DIDN'T GIVE THEM ANY MORE
BUT WE DIDN'T GIVE THEM ANY MORE RESOURCES TO DO THAT.
RESOURCES TO DO THAT. NOW THIS IDEA OF PUTTING CASE
NOW THIS IDEA OF PUTTING CASE MANAGERS IN A PRACTICE TO HELP
MANAGERS IN A PRACTICE TO HELP THOSE PATIENTS THAT HAVE EXTRA
THOSE PATIENTS THAT HAVE EXTRA NEEDS, INVESTING MORE UP FRONT
NEEDS, INVESTING MORE UP FRONT SO PHYSICIANS HAVE TIME TO GET
SO PHYSICIANS HAVE TIME TO GET THOSE PATIENTS IN WHEN THEY ARE
THOSE PATIENTS IN WHEN THEY ARE SICK AND DON'T HAVE TO GO TO THE
SICK AND DON'T HAVE TO GO TO THE EMERGENCY DEPARTMENT, THAT
EMERGENCY DEPARTMENT, THAT INVESTMENT AND THAT UPFRONT
INVESTMENT AND THAT UPFRONT PIECE HAS TO COME FOR THIS TO
PIECE HAS TO COME FOR THIS TO WORK.
WORK. AND I THINK IT IS, BUT THAT'S A
AND I THINK IT IS, BUT THAT'S A BIG PIECE OF THIS WE CAN'T LOSE
BIG PIECE OF THIS WE CAN'T LOSE TRACK OF.
TRACK OF. LET'S BRING THE STATE OF
LET'S BRING THE STATE OF ILLINOIS INTO THIS CONVERSATION.
ILLINOIS INTO THIS CONVERSATION. THE STATE OBVIOUSLY UNDER
THE STATE OBVIOUSLY UNDER FINANCIAL CONSTRAINTS HAS
FINANCIAL CONSTRAINTS HAS LIMITED DENTAL OFFERINGS, HAS
LIMITED DENTAL OFFERINGS, HAS ELIMINATED ILLINOIS CARES RX.
ELIMINATED ILLINOIS CARES RX. HAS, IN COME CASE LIMITED THE
HAS, IN COME CASE LIMITED THE NUMBER OF PRESCRIPTION DRUGS TO
NUMBER OF PRESCRIPTION DRUGS TO FOUR.
FOUR. WHAT IS THE IMPACT ON HOSPITALS
WHAT IS THE IMPACT ON HOSPITALS WITH ALL THAT?
WITH ALL THAT? I HAVEN'T EVEN TOUCHED LATE
I HAVEN'T EVEN TOUCHED LATE PAYMENT.
PAYMENT. >>I AM REALLY WORRIED ABOUT SOME
>>I AM REALLY WORRIED ABOUT SOME OF THESE LIMITS, NOT JUST ON
OF THESE LIMITS, NOT JUST ON HOSPITALS, BUT THE HOSPITAL
HOSPITALS, BUT THE HOSPITAL SYSTEM AND REALLY THE STATE OF
SYSTEM AND REALLY THE STATE OF ILLINOIS AS A WHOLE.
ILLINOIS AS A WHOLE. I THINK I READ THE SYSTEM, ONLY
I THINK I READ THE SYSTEM, ONLY 18% OF PATIENTS IN ILLINOIS WHO
18% OF PATIENTS IN ILLINOIS WHO HAD FOUR OR MORE PRESCRIPTION
HAD FOUR OR MORE PRESCRIPTION DRUGS, YET, THESE REPRESENT
DRUGS, YET, THESE REPRESENT TYPICALLY THE SICKEST PATIENTS.
TYPICALLY THE SICKEST PATIENTS. THE BIG ISSUE IN ANY POPULATION
THE BIG ISSUE IN ANY POPULATION IS PATIENTS GETTING THEIR
IS PATIENTS GETTING THEIR MEDICINES AND TAKING IT
MEDICINES AND TAKING IT CORRECTLY.
CORRECTLY. AS WE START LIMITING THE NUMBER
AS WE START LIMITING THE NUMBER OF PRESCRIPTIONS THAT PATIENTS
OF PRESCRIPTIONS THAT PATIENTS CAN HAVE, ESPECIALLY THOSE THAT
CAN HAVE, ESPECIALLY THOSE THAT MAY NOT HAVE THE ABILITY TO PAY
MAY NOT HAVE THE ABILITY TO PAY OUT OF POCKET, I REALLY WORRY
OUT OF POCKET, I REALLY WORRY THAT WHAT WE ARE GOING TO SEE,
THAT WHAT WE ARE GOING TO SEE, H, IS PATIENTS NOT TAKING
H, IS PATIENTS NOT TAKING MEDICINES THEY SHOULD, AND
MEDICINES THEY SHOULD, AND SHOWING UP IN OUR EMERGENCY
SHOWING UP IN OUR EMERGENCY ROOMS AND HOSPITALS LEADING TO
ROOMS AND HOSPITALS LEADING TO POOR HEALTH OUTCOMES, AND
POOR HEALTH OUTCOMES, AND GREATER COST FOR THE STATE OF
GREATER COST FOR THE STATE OF ILLINOIS AS A WHOLE.
ILLINOIS AS A WHOLE. I WORRY ABOUT THAT INITIATIVE IN
I WORRY ABOUT THAT INITIATIVE IN PARTICULAR.
PARTICULAR. >>THE BOTTOM LINE AT ADVOCATE
>>THE BOTTOM LINE AT ADVOCATE BROMENN, THEY ARE NOT
BROMENN, THEY ARE NOT REIMBURSING AS MUCH AS THEY USED
REIMBURSING AS MUCH AS THEY USED TO?
TO? >> NO, THAT'S AN ISSUE, AND I
>> NO, THAT'S AN ISSUE, AND I THINK THE OTHER PART THAW
THINK THE OTHER PART THAW MENTIONED IS THE PAYMENT DELAYS
MENTIONED IS THE PAYMENT DELAYS THAT THE STATE IS OUT ABOUT 360
THAT THE STATE IS OUT ABOUT 360 DAYS PLUS IN TERMS OF PAYMENT
DAYS PLUS IN TERMS OF PAYMENT AND ACCOUNTS RECEIVABLE AND
AND ACCOUNTS RECEIVABLE AND THAT'S PUTTING A REAL STRAIN ON
THAT'S PUTTING A REAL STRAIN ON HOSPITALS IN TERMS OF CASH FLOW.
HOSPITALS IN TERMS OF CASH FLOW. IT GOES BACK TO ONE OF THE
IT GOES BACK TO ONE OF THE BENEFITS BEING PART OF A SYSTEM,
BENEFITS BEING PART OF A SYSTEM, YOU CAN WEATHER THAT.
YOU CAN WEATHER THAT. THE OTHER PART I WANTED TO JUST
THE OTHER PART I WANTED TO JUST HIGHLIGHT GOING BACK TO THE
HIGHLIGHT GOING BACK TO THE STATE OF ILLINOIS AND ONE OF
STATE OF ILLINOIS AND ONE OF CHALLENGES WE FACE IS REALLY THE
CHALLENGES WE FACE IS REALLY THE ISSUE OF MENTAL ILLNESS.
ISSUE OF MENTAL ILLNESS. WHEN YOU LOOK AT THE FACT THAT,
WHEN YOU LOOK AT THE FACT THAT, AS A STATE, DURING ALL OF THE
AS A STATE, DURING ALL OF THE CUTS THAT HAVE TAKE EP PLACE THE
CUTS THAT HAVE TAKE EP PLACE THE LAST SEVERAL YEARS SO MUCH OF
LAST SEVERAL YEARS SO MUCH OF WHAT HAS BEEN CUT HAS BEEN CARE
WHAT HAS BEEN CUT HAS BEEN CARE FOR THE MENTALLY ILL, ESPECIALLY
FOR THE MENTALLY ILL, ESPECIALLY THE OUTPATIENT SETTING.
THE OUTPATIENT SETTING. WE ARE CONTINUING TO SEE
WE ARE CONTINUING TO SEE INCREASED BURDEN IN OUR SOCIETY
INCREASED BURDEN IN OUR SOCIETY BEING PLACED ON HOSPITALS.
BEING PLACED ON HOSPITALS. THOSE PATIENTS SHOWING UP IN THE
THOSE PATIENTS SHOWING UP IN THE EMERGENCY ROOM, AND FIRST
EMERGENCY ROOM, AND FIRST RESPONDERS, POLICE, STRUGGLING
RESPONDERS, POLICE, STRUGGLING WITH HOW DO WE DEAL WITH THIS
WITH HOW DO WE DEAL WITH THIS ISSUE IN OUR COMMUNITY.
ISSUE IN OUR COMMUNITY. PRETTY MUCH LIVE THAT EVERY DAY.
PRETTY MUCH LIVE THAT EVERY DAY. SO GLAD YOU BROUGHT THAT UP. IT
SO GLAD YOU BROUGHT THAT UP. IT IS REALLY A SYSTEM THAT WAS
IS REALLY A SYSTEM THAT WAS STRAINED BEFORE, AND CRITICAL
STRAINED BEFORE, AND CRITICAL POINT NOW, JUST IN TERMS OF
POINT NOW, JUST IN TERMS OF ACCESS FOR HIGHER LEVEL SERVICES
ACCESS FOR HIGHER LEVEL SERVICES THAT MENTAL HEALTH PATIENTS
THAT MENTAL HEALTH PATIENTS NEED.
NEED. >>METHODIST DID DID TOOK THE
>>METHODIST DID DID TOOK THE BATON WHEN ZELLAR WAS CLOSED AND
BATON WHEN ZELLAR WAS CLOSED AND SAID WE WILL PROVIDE TO THE BEST
SAID WE WILL PROVIDE TO THE BEST OF YOUR ABILITY MENTAL HEALTH
OF YOUR ABILITY MENTAL HEALTH SERVICES FOR BOTH ADOLESCENTS
SERVICES FOR BOTH ADOLESCENTS AND ADULTS.
AND ADULTS. THAT IS UNIQUE IN THIS AREA.
THAT IS UNIQUE IN THIS AREA. ARE WE GOING TO SEE MORE OF THAT
ARE WE GOING TO SEE MORE OF THAT KIND OF WHERE WE DON'T SEE
KIND OF WHERE WE DON'T SEE COMPETITION?
COMPETITION? RIGHT NOW METHODIST HAS THOMO
RIGHT NOW METHODIST HAS THOMO THERAPY, AND TRILOGY, AND YOU
THERAPY, AND TRILOGY, AND YOU ARE ALL COMPETING WITH ONE
ARE ALL COMPETING WITH ONE ANOTHER.
ANOTHER. HEY, WE HAVE GOT THIS.
HEY, WE HAVE GOT THIS. ARE WE GOING TO SEE, BECAUSE OF
ARE WE GOING TO SEE, BECAUSE OF THESE FINANCIAL CONSTRAINTS,
THESE FINANCIAL CONSTRAINTS, THAT OSF IS THE HOSPITAL CHOICE
THAT OSF IS THE HOSPITAL CHOICE FOR THIS PARTICULAR SERVICE?
FOR THIS PARTICULAR SERVICE? METHODIST FOR THIS PARTICULAR
METHODIST FOR THIS PARTICULAR SERVICE?
SERVICE? ADVOCATE FOR THIS PARTICULAR
ADVOCATE FOR THIS PARTICULAR SERVICE.
SERVICE. SO YOU WON'T BE PROVIDING
SO YOU WON'T BE PROVIDING CERTAIN ARENAS, AND YOU WILL SAY
CERTAIN ARENAS, AND YOU WILL SAY "GO TO OSF."
"GO TO OSF." >>ON THE PSYCHIATRIC SIDE, I
>>ON THE PSYCHIATRIC SIDE, I THINK THAT'S A BLOTTER, JUST
THINK THAT'S A BLOTTER, JUST CLOSE THE LOOP ON THAT.
CLOSE THE LOOP ON THAT. THAT'S A BROADER SOCIETY ISSUE
THAT'S A BROADER SOCIETY ISSUE THAT WE HAVE GOT TO FIND A WAY
THAT WE HAVE GOT TO FIND A WAY AS A NATION AND AS A STATE TO BE
AS A NATION AND AS A STATE TO BE ABLE TO DEAL WITH.
ABLE TO DEAL WITH. SO MANY OF THE PATIENTS THAT END
SO MANY OF THE PATIENTS THAT END UP IN THE EMERGENCY DEPARTMENT
UP IN THE EMERGENCY DEPARTMENT ADMITTED THEY HAVE OTHER NEEDS
ADMITTED THEY HAVE OTHER NEEDS OUTSIDE OF TRUE HEALTH CARE
OUTSIDE OF TRUE HEALTH CARE NEEDS.
NEEDS. BUT TO YOUR POINT, I THINK, AS
BUT TO YOUR POINT, I THINK, AS WE LOOK AT WHERE WE ARE GOING
WE LOOK AT WHERE WE ARE GOING WITH HEALTH CARE REFORM, IN MANY
WITH HEALTH CARE REFORM, IN MANY WAYS, AS WE BECOME ACCOUNTABLE
WAYS, AS WE BECOME ACCOUNTABLE FOR KEEPING PATIENTS HEALTHY,
FOR KEEPING PATIENTS HEALTHY, WELL, OUT OF THE HOSPITAL, THOSE
WELL, OUT OF THE HOSPITAL, THOSE SERVICES YOU HAVE JUST DESCRIBED
SERVICES YOU HAVE JUST DESCRIBED ACTUALLY BECOME COST CENTERS TO
ACTUALLY BECOME COST CENTERS TO THE HOSPITALS AS WE REALLY LOOK
THE HOSPITALS AS WE REALLY LOOK TO FOCUS ON WELLNESS AND
TO FOCUS ON WELLNESS AND PREVENTION. I THINK THE
PREVENTION. I THINK THE DIALOGUE IS DEFINITELY CHANGING.
DIALOGUE IS DEFINITELY CHANGING. >>H, CAN I GO BACK TO COLLEEN'S
>>H, CAN I GO BACK TO COLLEEN'S LAST COMMENT ON BEHAVIORAL
LAST COMMENT ON BEHAVIORAL HEALTH?
HEALTH? >> IN 30 SECONDS OR LESS.
>> IN 30 SECONDS OR LESS. >>BECAUSE IT IS MORE THAN JUST
>>BECAUSE IT IS MORE THAN JUST MENTAL HEALTH AS SOME PEOPLE
MENTAL HEALTH AS SOME PEOPLE DEFINE IT.
DEFINE IT. IT IS REALLY THE ENTIRE SOCIAL
IT IS REALLY THE ENTIRE SOCIAL SAFETY NET FOR THE MOST
SAFETY NET FOR THE MOST VULNERABLE PEOPLE IN OUR
VULNERABLE PEOPLE IN OUR POPULATION.
POPULATION. AROUND FUNDING FOR THINGS LIKE
AROUND FUNDING FOR THINGS LIKE JUST BASIC CARE SERVICES, MEALS
JUST BASIC CARE SERVICES, MEALS ON WHEELS, PRESCRIPTION DRUG
ON WHEELS, PRESCRIPTION DRUG ASSISTANCE, CARE FOR THE
ASSISTANCE, CARE FOR THE ELDERLY, IT IS MORE THAN JUST I
ELDERLY, IT IS MORE THAN JUST I THINK WHAT PEOPLE TRADITIONALLY
THINK WHAT PEOPLE TRADITIONALLY CALL "MENTAL HEALTH."
CALL "MENTAL HEALTH." >>WITH THAT, THIS ONE COULD GO
>>WITH THAT, THIS ONE COULD GO THREE HOURS.
THREE HOURS. DO YOU WANT TO STAY!
DO YOU WANT TO STAY! (LAUGHING) I HAVE TO SAY FOR AIR
(LAUGHING) I HAVE TO SAY FOR AIR PURPOSES, I HAVE TO SAY THANK
PURPOSES, I HAVE TO SAY THANK YOU TO DR. KEITH KNEPP, VICE
YOU TO DR. KEITH KNEPP, VICE PRESIDENT AT METHODIST CENTER,
PRESIDENT AT METHODIST CENTER, TO COLLEEN KANNADAY, PRESIDENT
TO COLLEEN KANNADAY, PRESIDENT OF ADVOCATE BROMENN IN
OF ADVOCATE BROMENN IN BLOOMINGTON NORMAL, AND TO
BLOOMINGTON NORMAL, AND TO DR. STEVE HIPPLER, VICE
DR. STEVE HIPPLER, VICE PRESIDENT AT OSF ST. FRANCIS
PRESIDENT AT OSF ST. FRANCIS MEDICAL CENTER.
MEDICAL CENTER. THANK YOU VERY MUCH FOR THIS
THANK YOU VERY MUCH FOR THIS CONVERSATION.
CONVERSATION. IT WAS VERY GOOD.
IT WAS VERY GOOD. IT IS THE HOLIDAY SEASON.
IT IS THE HOLIDAY SEASON. WE WISH YOU THE BEST OF
WE WISH YOU THE BEST OF CHRISTMAS AND THE NEW YEAR'S.
CHRISTMAS AND THE NEW YEAR'S. WE WILL BE BACK IN ONE WEEK WITH
WE WILL BE BACK IN ONE WEEK WITH SOMEWHAT RELATED TOPIC.
SOMEWHAT RELATED TOPIC. WE WILL BE TALKING ABOUT
WE WILL BE TALKING ABOUT COMPASSION NEXT WEEK ON "AT
COMPASSION NEXT WEEK ON "AT ISSUE" THE SMALL ORGANIZATIONS
ISSUE" THE SMALL ORGANIZATIONS DR. HIPPLER SAY WE NEED TO
DR. HIPPLER SAY WE NEED TO PARTNER WITH THAT ARE MAKING A
PARTNER WITH THAT ARE MAKING A DIFFERENCE TO PROVIDING SERVICES
DIFFERENCE TO PROVIDING SERVICES TO THOSE IN NEED.
TO THOSE IN NEED. HAVE A NICE HOLIDAY.
HAVE A NICE HOLIDAY. >>