Prognosis Ohio Prognosis Ohio

On the first episode of the Fall 2023 season, things get wonky with the good people at Yuvo Health and My Community Health Center about how creative approaches to value-based care can improve care delivery at Ohio’s community health centers. Specifically, Yuvo is doing some really exciting work with My Community Health Center in Canton.
Dan talks with Dr. Lora Council, Chief Medical Officer at Yuvo Health; Dr. Sarah Hoehnen, Chief Medical Officer at My Community Health Center; and Loren Anthes, who is Head of External Affairs at Yuvo Health.
For more on Yuvo Health see their website. Connect with Yuvo on LinkedIn. 
For those new to value-based health care, the role of risk in health care, and other topics discussed on the show, the Commonwealth Fund also has a nice overview of value-based health care. Check it out here.
Some shoutouts on the show:
-      Congrats to Julie DiRossi-King on becoming president and CEO of the Ohio Association of Community Health Centers. 
-      Learn more about the Health Policy Institute of Ohio’s Health Value Dashboard.
Hosted and produced by Dan Skinner. Prognosis Ohio is a member of the WCBE Podcast Experience and the Health Podcast Network. Prognosis Ohio is a production of Prognosis Ohio, LLC.

On episode 130, Dan talks with Danielle Bessett of the Ohio Policy Evaluation Network and Morgan Mitchell of the Abortion Fund of Ohio about the state of changing abortion access in Ohio, and especially medication abortion. The conversation includes pending legal cases that stand to increase health disparities throughout Ohio, two consequential elections--in August and November--designed by their architects to ignore the will of a majority of Ohioans who support basic abortion rights, and the reaction of the medical community to this incursion into patient-provider decision-making. Show notes at prognosisohio.com/episodes/medicationabortion.

On episode 129, Dan talks with Dr. Ean Bett, a family medicine physician in Columbus, about Medicare for All, single-payer healthcare, and national healthcare insurance. 
Dan mentions a Youtube video of Dr. Bett in conversation with Greg Moody, “Is Medicare for All the Answer.” USA Healthcare, an organization Dr. Bett is a founding member of, has a different approach from Medicare for All by educating around social values and has a slogan of “Universal. Simple. Affordable.” 
Dr. Bett references a 2018 Ohio Medicaid study that showed employment rates of people on Medicaid increased. Dr. Bett also shares information about Direct Primary Care, an innovative option to get around private insurance. 
Learn more about Dr. Ean Bett.
Hosted and produced by Dan Skinner. Copywriting and production support by Angela Lin. Engineering support by Mike Foley. Prognosis Ohio is a member of the WCBE Podcast Experience and the Health Podcast Network. Prognosis Ohio is a production of Prognosis Ohio, LLC.

On episode 128, Dan talks with Randy Leite and Patrick Caniglia from the Appalachian Children Coalition about the behavioral health workforce and mental health needs of children in Appalachian Ohio. Show notes and streams at prognosisohio.com/episodes/acc. Hosted and produced by Dan Skinner. Editorial and production support by Angela Lin and Mike Foley.
TIMESTAMPS
2:30: Stereotypes and misconceptions about Appalachia
10:00 Behavioral health outcomes in Appalachia
16:45 Workforce issues, continued
23:00 Politics undermining LGBTQ behavioral health and beyond
26:54 Politics and Ohio’s healthcare workforce

On episode 127, Dan talks with Sherri Kovach and Jodi Keller with COTS Ohio about mass casualty preparedness in Ohio.

Timestamps:

1:26 Assessment of Ohio’s state of preparation and scenario planning 
7:30 Learning from the response to the East Palestine train derailment
15:08 The challenges of operating in the background 
19:36 Fostering collaborating in cultures of competition
21:30 - COTS and national emergency preparedness
23:30 - The 2024 Eclipse 

Jodi and Sherri talk about planning for the worst case scenarios, coordinating the EMS response, and training with hospitals for such events. The thing that really keeps COTS up at night are “no-notice” incidents during a time when hospitals may already be overwhelmed and understaffed. They mention the shootings in Dayton, Columbine, Florida, and Las Vegas, as examples.
COTS coordinates two healthcare coalitions, the Central Region Coalition with 15 counties and Southeast/Southeast Central Coalition. The coalitions are made up of hundreds of members that may be part of the healthcare response: hospitals, EMS, EMA, public health, long term care, dialysis centers, etc.
Funding for COTS comes from the federal government’s Assistant Secretary for Preparedness and Response (ASPR) through the Ohio Department of Health.
Sherri gives a special shoutout to Red, White, and Boom and the security and emergency response preparation for that event.
They mention the stabbing at the Ohio State University in 2016 and how they learned some processes that they now have in place, including a notification process and communicating to get blood in. In response to the blood shortage at trauma centers during the COVID pandemic, COTS helped develop a shared plan among hospitals to conserve blood. COTS is already preparing for the eclipse on April 8, 2024. 
Learn more about COTS on their website.
NAME CHECKS/RELATED EPISODES

Dan mentions the current budget season, which he talks about with Tara Britton and Kelsey Bergfeld on episode 121.

Dan brings up the train derailment in East Palestine. Listen to the Prognosis Ohio episode with River Valley Organizing and the Ohio Environmental Council discussing this disaster.

One of Dan’s public health heroes, Franklin County Health Commissioner Joe Mazzola, praised COTS and the work they do.


Hosted and produced by Dan Skinner. Copywriting and production support by Angela Lin. Engineering support by Mike Foley, curator of the WCBE Podcast Experience. Prognosis Ohio is a member of the WCBE Podcast Experience and the Health Podcast Network. Prognosis Ohio is a production of Prognosis Ohio, LLC.

On episode 126, Dan talks with OSU professor and clinician Dr. Rosie Bauder about suicide and suicide prevention, as well as the findings of her latest paper, published with OSU’s Dr. Austin Starkey, Examining Suicidal Thoughts and Behaviors Among Ohio Youth with Oppressed Identities Using the 2019 Ohio Youth Risk Behavior Survey, published in the Ohio Journal of Public Health.
Timestamps:
3:22: Rosie’s paper and intersectionality
6:32: On being a clinician
8:21: Firearms as a method of suicide
13:50: What’s unique about Ohio when it comes to our approach to suicide
17:05: What is Rosie most excited about with her position
In their study, Bauder and Starkey confirm that there are real disparities in suicidal thoughts and behaviors among youth with oppressed sexual, racial, and ethnic identities. Rosie and Dan define intersectionality and explore the important dynamics in suicidal thoughts and behaviors at the intersections of race, gender, and sexuality.
When discussing firearms as a method of suicide, Rosie notes that, 9 times out of 10, when people attempt suicide with a firearm, it proves to be lethal compared to other means. But, she praises Ohio’s strategic plan from the Ohio Suicide Prevention Foundation that addresses unique considerations around firearm suicide prevention. In the conversation Dr. Bauder expresses a sentiment that we don’t often hear in Ohio: hope!
Read more about Rosie Bauder in her bio. Please check out ADAMH of Franklin County’s suicide prevention resources. 
If you or a loved one needs help, please call the North Central 24-Hour Suicide Prevention Hotline at 614-221-5445 or the National Suicide Prevention Lifeline by dialing 988.