Until It's Fixed

Until It's Fixed

By Optum

Managing health extends beyond hospital doors. In an age where technology innovations are king, providers and patients are all asking the same question, "Why is this so hard!?". Until it's Fixed tackles the current problems, tough questions and highlights how health care technology is reshaping the health care system.


Understanding Our Care

HighlightsIntroduction | Callie Chamberlain kicks off the episode with some background on health literacy – the ability of patients to access, understand and use medical information to make health care decisions.1:57 Interview: Lambert van der Walde | Lambert van der Walde, who lead the publication of the UnitedHealth Group health literacy research brief, discusses the difference between individual and organizational health literacy, and how organizations and providers can communicate more effectively. 17:40 Interview: Dr. Dean Schillinger | Dr. Dean Schillinger covers the idea of health literacy at a population, rather than individual or organizational, level. The discussion then moves to his advocacy work in programs like Youth Speaks and The Bigger Picture. 40:44 Conclusion| Callie summarizes key learnings and concludes the episode. ResourcesJust Plain Clear glossaryUnitedHealth Group health literacy research briefUCSF Center for Vulnerable PopulationsCDC health literacy website Guests: Lambert van der Walde, SVP & Executive Director, Center for Health Care Research at UnitedHealth GroupDr. Dean Schillinger, Director, UCSF Health Communications Research Program, Center for Vulnerable Populations, San Francisco General Hospital  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.  
28/09/2142m 10s

Health Care on Wheels

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. 
21/09/2145m 2s

Supporting Our Kids

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. 
31/08/2147m 58s

Bridging the Gap

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.
24/08/2140m 37s

Fully Seen

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 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. 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 GroupDr. 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.
10/08/2149m 40s

Equitable From the Beginning

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.
27/07/2126m 48s

Changing at the Speed of Trust

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.
13/07/2124m 6s

Introducing Season 2 of Until It's Fixed

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.
30/06/212m 50s

The Catalyst

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.
15/12/2016m 45s

The Art of the Possible

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.
08/12/2022m 36s

Artificial Intelligence: A Recipe for Better Health Care

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.
03/12/2023m 19s

A New Model for an Unchanging Mission

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.
01/12/2013m 58s

Health Care Data: Can’t We All Just Get Along?

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.
17/11/2014m 59s

Health Care Without Walls?

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?
10/11/2015m 54s

Choice Paralysis

We all want the same thing: a health care system that has the best outcomes for the patient. But across the country, multiple health care providers and payers all have different ideas and expectations about what that means, and the sheer amount of patient variables makes it hard to actually achieve that goal. It’s a challenge - so how do stakeholders create usable information to actually help patients get well? Join us as Susan Dentzer discusses with Optum and Frost & Sullivan experts.
27/10/2016m 33s

Behind the Curtain: Administrative Burdens in Health Care

The behind-the-scenes, administrative business of health care is an enormously complex -- and enormously expensive -- part of our health care system. Why do these processes form such a large portion of the cost of our system? How can we make this part of the system simpler, more cost-effective, and frictionless for providers, health plans, and the everyday public?  
20/10/2013m 16s

Determining Your Health

In this episode Optum explains how data is gathered, how it’s used to offer insight and how it fits into health care work flows to drive change in a consumer’s health outcome.Additionally, Optum illustrates how they creates a complete picture of health using SDoH criteria when employing data analytic solutions. 
13/10/2018m 50s

Data, Disruption and Innovation

Managing health extends beyond hospital doors. In an age where technology innovations are king, providers and patients are all asking the same question, "Why is this so hard!?". Until it's Fixed tackles the current problems, tough questions and highlights how health care technology is reshaping the health care system.
06/10/2028m 18s

Introducing Until It's Fixed

Introducing "Until It's Fixed". A podcast about innovation in health care. Join us for this 10-part series hosted by acclaimed author of 'Health Care Without Walls: A Roadmap for Reinventing U.S. Health Care', Susan Dentzer. Coming fall 2020.
04/09/202m 25s
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