responsible for our q care hospital st joseph of st john's wood and also responsible for healthy food transportation and so it's good to have you here this morning like i said we've been doing this for ten years and our goal for the for this time together has been to do a couple things one to share with you provide information about recent health care issues recently health care alludes but also to share with you some of the things that have been going on and what i'd like described as your community hospital st johns in new york your community health system healthy food we are very committed to the east metro that's where all of our programs and services will lie and this is an opportunity once a year to share with you some of the exciting things we have going to finish and a lot of it is just giving you an update on what's going on in health here believe me there's a lot talk about this morning but i always enjoy being here and i look out and i see a lot of wonderful people who are doing a lot of wonderful things as our neighbors and we give you prayer lord god there are the places of conflict and violence in the world and we ask for your spirit to bring understanding and peace there are many places of illness and hardship we ask your spirit to bring healing there are many places where harm is being done to your creation and me ask for your spirit to bring insight and it will in this to change there are many people in need right next door and we ask for your spirit to bring compassion there are many places of opportunity where we can see imagine and do good things and we ask for your spirit to bring guidance and success to our caring as we gather today to share in our common cause to serve those of our communities we ask for your spirit to bring accomplishment and gratitude and joy  partnerships in collaboration bless this time together today and our work together in the com that impact is needed vigils today we're going to talk a little bit about what that means to the community and some of the work that we're going to do and will be doing or doing and then we will have some time at the end with a little bit of oh so low highlights and some of the what has happened since our our last time together a year ago you know we talked last year and we continued to really be going through this health care transforming much of that is being driven by the affordable care act and we can debate the the successes and whether that's a highlight or not but certainly the impact of the for significant number of people who are now have insurance that was a goal and that was that has been accomplished we do know another goal is to prove quality and we as a care provider here and healthy there are number of quality metrics that we report out and c m s medicare is looking at our improvement work around quality and they're actually tying some of our reimbursement to that and we have seen not only here in our community but nationwide with the quality of care has improved again some of that is related to the affordable care act so those are two of the big goals of that particular last year it was really supporting our our belief in strategy around the importance of clinical integration more we talked about clinical integration it's really more dating the payer your work here throughout the continue in our case healthy so whether you're being cared for and seen and want to or clinics or outpatient or hospitals it's critically important that the wheat is providers share information about we're seeing you know receiving and that everyone is in the know and even beyond that we want we believe it's important for you to be able to access your own patient information  you know one common platform for all of our care centers so this past june all of our hospitals transition to a new platform in december all of our clinics will transition to the same information system platforms more on one with our help patient center so by the end of this calendar year all of the points of care within healthy school be on the same platform to year another highlight over the last year is is our commitment to peace organization around process improvement and we have a lot of processes in our hospitals and clinics outpatient centers and we feel real responsibility to improve those processes and by doing so will prove the quality of care that we provide and we do it in a more efficient manner and so even marked on the journey from lean journey where we have adopted new principles and practices within all of our businesses something healthy we are absolutely committed to that we are seeing significant improvement in our patients in their view and processes that are working and they're also dealing with processes that are working so well and so we're really involving them in our improvement work and just to give you a perspective this last year or so the last twelve us health systems in the country by an independent organization called truth we're very proud of that that's been a phone quality metrics and performance also or for three acute care hospital st doing a better job of providing care for patients but that is real the real finally in just over the last year we've provided care for thirty five thousand five hundred patients that are possible we've provided cure for three hundred to do and has to do communities which we're going to be talking about today and ourselves which means that we can't help others well if we're not we'll ourselves so it's a  we really think that we have a lot sweat equity a lot of goodwill and a way of arranging our resources so that we can work with you in partnership to things like educate we would be moving upstream and then what if we could take some of those assets and then they aren't the issue then we would really talk about a thriving community we have so many of those aspects today in what comes to your mind what does that mean to you i know that you had said when we went around that we introduced ourselves for her particular organization she wanted a connection with healthy foods that served his part of our goal catherine had mentioned that from a partnership and great employer great careers and healthy safety some on one other comment ok well we hope this is a little bit more of a dialogue than a formal presentation but i think on the good neighbor we really are hopeful that we're going to number of different meetings of the individual meetings or to the collective you get back and input and i want to just summarize i don't think it's probably a surprise to you but i want to summarize what we're learning and weird and that lack of apartment allows us not to connect with our community members and provide the very best care possible we've also heard from the community not only think about the short term but think about the long term what is the health  live in a household where somebody doesn't pull up and you are the caregiver exposed to the bottom of the fluids it's seventy percent i have to tell you i thought it was one hundred percent from the very start but i think that it and he wasn't trying to downplay it and i worked with him was not trying to downplay the seriousness of this but also trying to give them understand what you need to do and how to prepare and i think that's important information for people because it's you're i would add it's one in four at the poverty level if you look at two hundred percent which i think is not a living wage it's more like three and four i mean it's the number increases it's to mentally for people who are at the at the two hundred percent poverty level which is it's not it's not a living wage so we can see from this conversation that we're all passionate about this work and just think we have maybe sixty people in this particular group think about if we came together to really help address some of these particular issues maybe a different way we've all been working help these houses over one hundred thirty years in our local community in different contexts we are already working in the local community we have concern a couple of them and this is our early thinking on it we want to make sure that any of our work relates to this informed by the community perspective we want to make sure that it's clear to stick with the current health strategies and we're using our best partnering with local social service organizations to try and find a solution for the other thing would be the korean population you know i think you're going to talk a little bit about where they really needed some immunization we're using  information thank you so much for the statistics are great counting to a former were and make the decision and most importantly we want to live it into more of really optimizing health and wellbeing for our communities and so some of that in addition to some of the day to day operations and just showing up when someone needs help we also are constantly comparing other potential issues that we want because all of that includes workplace violence and this is just a good example i think when you  you illness that's related to addiction there's a continuum of care that needs to continue most times people get treatment and then they go back to the same environment some people have more recovery capital than others so how do we build the recovery capital for those folks that  that we need to be prepared six months from now or a year from now or possibly more with international travel the risk probably will continue for some time so we need we need to act very quickly but we need to put in place systems that are also sustainable for some what i'm going to do is give you a little checklist of some of the work that's going on and we want to leave time for question so we and local metro area work that's going on board made all the planning that's going on within our hospitals we put in place an identification system so every patient that comes into the hospital is asked a series care for them the personal protective equipment has been a big issue here that's evolving the c d c is changing their recommendations and we're following those guidelines as they change we have ample supplies of personal protective equipment for our staff but the most important part of that is the training to know how to use that appropriately and the riskiest part is actually taking it that's where i stand there it a ll there but they're pretty good but i mean taken are there's a risk there so we have very detailed instructions for how they do that and we're now actually having to nap with a partner with a trained person goes through step by step and observes them watches to make sure they don't make mistakes and then we're working with the whole community around identifying potential locations central locations for where those patients might be what you need to do and how to prepare and i think that's important information for people because it's you're not going to do you know it's it's not  here and as far as people traveling or people going out i think probably the best source for that is the c d c and the minnesota department they have you know they have not put travel restrictions on they have not only moved to public activities at this time but they are obviously very closely monitoring the situation these are people who well again i want to thank you for spending time with us this morning and and sharing this tenth anniversary of the community leaders coming together you are all very much