Question: Zubin Damania, MD is the Founder of Turntable Health, a direct primary care clinic in Downtown Las Vegas that was funded by who, the CEO of Zappos, an online shoe and clothing shop based in Las Vegas, Nevada? 

Context paragraphs:
Direct primary care: In the United States, direct primary care (DPC) is a type of primary care billing and payment arrangement made between patients and providers, without sending claims to insurance providers.  It is an umbrella term, incorporating various health care delivery systems that involve direct financial relationships between patients and health care providers.

Downtown Las Vegas: Downtown Las Vegas (commonly abbreviated as DTLV) is the central business district and historic center of Las Vegas, Nevada.  It is the original townsite and was the gambling district of Las Vegas prior to the Strip, and the area still incorporates downtown gaming.  As the urban core of the Las Vegas Valley, it features a variety of hotel and business highrises, cultural centers, historical buildings and government institutions, as well as residential and retail developments.  Downtown is located in the center of the Las Vegas Valley and just north of the Las Vegas Strip, centered on Fremont Street, the Fremont Street Experience and Fremont East.  The city defines the area as bounded by I-15 on the west, Washington Avenue on the north, Maryland Parkway on the east and Sahara Avenue on the south.

Turntable Health: Turntable Health was a direct primary care clinic in Downtown Las Vegas, Nevada.  It began as part of Zappos CEO Tony Hsieh’s $350 million economic revitalization project in Downtown Las Vegas.  The clinic was founded by Zubin Damania, known by his YouTube screen name as ZDoggMD, who Hsieh recruited from the Bay Area in 2012.  The clinic was made in partnership with Iora Health.

Sister Maura Brannick Health Center: The Sister Maura Brannick Health Center is a primary care clinic located in South Bend, Indiana that is dedicated to the medically under-served of St. Joseph County.  Also known as the Chapin Street Clinic, the Health Center provides health and dental care to those who do not have access to Medicare or Medicaid and cannot afford private health insurance.  The Health Center employs one physician, two nurses, one medical assistant, one medical receptionist, one full-time Spanish interpreter, and two dental hygienists to serve approximately 1,000 patients.  The Health Center is unique among indigent clinics in that it relies largely on the assistance of around 40 volunteer physicians and around 40 student and community volunteers to meet the needs of its patients.

Lahey Health Primary Care: Lahey Health Primary Care is a health center in Amesbury, Massachusetts.  It was originally a hospital but is now used as a primary care clinic.  It is part of the Lahey Health medical group.

Tony Hsieh: Tony Hsieh ( ; born December 12, 1973) is an American internet entrepreneur and venture capitalist.  He is the CEO of the online shoe and clothing shop Zappos.  Prior to joining Zappos, Hsieh co-founded the internet advertising network LinkExchange, which he sold to Microsoft in 1999 for $265 million.

Primary Care Behavioral health: Primary Care Behavioral Health Consultation model (PCBH) is a psychological approach to population-based clinical health care that is simultaneously co-located, collaborative, and integrated within the primary care clinic.  The goal of PCBH is to improve and promote overall health within the general population.  This approach is important because approximately half of all patients in primary care present with psychiatric comorbidities, and 60% of psychiatric illness is treated in primary care.  Primary Care practice has traditionally adopted a generalist approach whereby physicians are trained in the medical model and solutions to problems typically involve medications, procedures, and advice.  Appointment times are short, with the goal of seeing a large number of patients in a day.  Many patients present with mental health care needs whose symptomology may overlap with medical disorders and which may exacerbate, complicate, or masquerade as physical symptoms.  In addition, many medical problems present with associated psychological sequelae (e.g. stress, emotional reactions, dysfunctional lifestyle behaviors), that are amenable to change, through behavioral intervention, that can improve outcomes for these health problems.  Over 50% of medical visits to primary care clinics today are related to chronic medical conditions (e.g. chronic pain, diabetes, COPD, hypertension, obesity).  As we learn more and more about the contributing factors to the development and maintenance of these medical problems, there is growing evidence that the PCBH model affords us the opportunity for early identification and behavioral/medical intervention that can prevent some acute problems from becoming chronic health care problems.  Behavioral Health Consultants (BHCs) work side-by-side with all members of the clinical care team (including primary care providers (PCPs) and nursing staff) to enhance preventive and clinical care for mental health problems that have traditionally been treated solely by physicians.  The role of the BHC is to facilitate systemic change within primary care that facilitates a multidisciplinary approach both from a treatment and reimbursement standpoint.  BHCs typically collaborate with physicians to develop treatment plans, monitor patient progress, and flexibly provide care to meet patients’ changing needs In this review the terms Primary Care Behavioral Health Consultation and Behavioral Health Consultation will be used interchangeably.

Zubin Damania: Zubin Damania, MD is the Founder of Turntable Health, a direct primary care clinic in Downtown Las Vegas that was funded by Zappos CEO Tony Hsieh.  Before moving to Las Vegas, Dr. Damania was a practicing hospitalist (internal medicine doctor specializing in patients admitted to the hospital) at Stanford University for 10 years.  He also has been writing and performing comedic raps as ZDoggMD, an internet celebrity known for his music videos, parodies, and comedy sketches about medical issues as well as systemic issues with healthcare.

Primary care service area: Primary Care Service Areas are geographic areas that are self-sufficient markets of primary care.  These areas are designed in a manner such that the majority of patients living in these areas use primary care services form within the area.  This ensures that any geographic targeting of policies and resources reach the patients they are meant for.  These geographies have been created in Australia, United States and Switzerland using big data and Geographic information systems.  In Australia, while they have been developed for the state of New South Wales, they have not found application among policymakers, where, as of 2016 much larger geographies called Primary Health Networks are used for primary care management.  However, they have found an especially wide audience amongst policymakers and researchers in the United States, where they were first developed.  Thus for example the Health Resources and Services Administration uses them to designate areas of workforce shortage.  Primary Care Service Areas are thus for example an appropriate geography for measuring primary care physician supply or geographic access to General practitioners.

Zappos: Zappos.com is an online shoe and clothing shop based in Las Vegas, Nevada.

Supporting paragraphs: Zubin Damania Zappos
Answer: Tony Hsieh