In this Health Pilots x In the Arena with NOW crossover episode, members of the BLOOM Clinic team at UCSF Benioff Children’s Hospital Oakland share how reflective supervision is helping them show up stronger for themselves, for each other, and for the families they serve. Hear as they discuss the emotional weight of pediatric primary care, the healing potential of reflective spaces, and how this trauma-informed, team-based model is helping to restore trust in healthcare, especially for Black families. Their story is one of mutual care, vulnerability, and collective strength.

In this special crossover episode with "In the Arena with NOW " from Vital Village Networks, we explore how the Petaluma Health Center team in Point Reyes and Bolinas is reshaping healthcare with a dignity-centered approach. We're joined by guests, Judith Bravo and Christina Gomez-Mira, as they share their journey of fostering equity, trust, and connection within their clinic and community through their work in CCI’s Resilient Beginnings Network.

Embrace change and maintain openness in the journey towards trauma-informed care. -It's through this wisdom and guidance that we're excited to bring you a revealing and heartfelt interview featuring the Highland Hospital pediatrics team. Delving into understanding adverse childhood experiences (ACEs) and trauma's impact on health, you'll hear each care team member offer insights on implementing ACEs screening and supportive measures, reflecting on hurdles overcome and collective milestones achieved. As one of the exemplary teams that are part of the Resilient Beginnings Network (RBN), Highland Hospital Pediatrics invited Health Pilots to host this conversation with them in-person at their facility in Oakland, California – gathered around the table to openly share and unpack their journey through this program with their coach and medical director of RBN, Dr. Dayna Long. Take in the valuable lessons they learned individually and as a care team - and the unique, transformative impact of the Resilient Beginnings model on patient care.

Explore the profound shift from viewing trauma-informed care as a logistical process to embracing it as a transformative philosophy. Join the dedicated pediatric care team from Petaluma Health Center's West Marin Clinics as they share insights from their Resilient Beginnings journey. This episode delves into understanding trauma's community-level impact on marginalized groups. The care team emphasizes authentic patient interactions, acknowledging the inherent resilience in individuals, families, and communities. They advocate for redesigning care environments to confront racial disparities within teams and communities, recognizing historical injustices. The team navigates the need to address racial inequities despite the complexities existing within organizational structures, essential for both internal healing and addressing external disparities. Tune in as the Petaluma Health Center's West Marin Clinic pediatric care team advocates for collective responsibility to sustain racial equity, resilience, and healing in healthcare - envisioning a future that champions inclusivity and a commitment to redefine patient care beyond clinic walls.

Understanding trauma and resilience in children and families begins with supporting the care team and staff. In this episode, primary care pediatrician Niyi Omotoso and licensed clinical social worker Gillian Fynn from LifeLong Medical Care within the Resilient Beginnings Network unveil the profound impact of trauma-informed care in pediatric medicine. Discover LifeLong Medical Care's journey through this transformative cultural shift and its influence on staff, providers, and leadership. Learn about their efforts to establish foundational trauma-informed approaches, laying the groundwork for enhancing care delivery by centering collective resilience, staff/provider wellness, and fostering meaningful engagement with families.

Health Pilots presents our next Resilient Beginnings feature, shining a light on the care team at Children's Health Center (CHC) at Zuckerberg San Francisco General Hospital. CHC's Kathryn Hallinan Aguilar, Maite Garcia, and Dannielle McBride take us inside the clinic's distinctive environment where a varying range of patient experiences, needs, and challenges converge. They discuss with us the intricate coordination required in operating within a complex hospital system. Tune in to discover how their collective expertise and collaborative drive work toward bringing forth inclusive, holistic care for all - striving for comprehensive and equitable access to healthcare.

Health Pilots continues with our next feature from the Resilient Beginnings Network! We welcome pediatrician Dr. Sheshashree "Shesh" Seshadri and pediatric care coordinator Melissa Pereda from Bay Area Community Health (BACH), discussing their comprehensive approach to pediatric care, specifically in administering screenings to identify adverse childhood experiences (ACEs). Beyond sharing insights into workflows and processes, they discuss navigating the complexities that arise post-identification of ACEs and underscore the significance of establishing trust and rapport between providers and families. Tune in to hear about BACH's collaborative efforts to compile a network of community-based organizations and their innovative use of technology to swiftly connect families with essential social and economic resources, ranging from housing needs to early intervention programs.

Discover how Community Medical Centers (CMC) in California's Central Valley transformed healthcare over the past decade with trauma-informed practices. Partnering with Resilient Beginnings Network at the Center for Care Innovations, they deepened their commitment, hiring community health worker Victoria Franco and social worker case manager Maria Moreno. Together, they administer ACEs screenings, conduct follow-ups, and support care teams, empowering providers to prioritize quality medical care. Join Victoria, Maria, and CMC's Chief Behavioral Health Officer, Alfonso Apu, as they discuss providing guidance in trauma-informed care and the evolving focus on cultural sensitivity and patient-centered approaches.

In this episode, we explore the world of Alternative Payment Models (APMs) in healthcare. APMs offer a revolutionary approach to incentivizing high-quality, cost-efficient care delivery. CCI's own, Jessica Ortiz, is joined by Amit Pabla of Valley Community Healthcare in Los Angeles, in this engaging conversation around the changing landscape of healthcare payments. From his unique operational perspective, Amit offers practical insights for healthcare organizations considering a transition to this model, and discusses the diverse applications of APMs as it pertains to social drivers of health. He also unveils essential elements of this cultural shift in healthcare and the journey towards a value-driven and quality-centric approach.

There are two sides of referral management to handle – inbound and outbound. In light of the growing need to adopt a low-touch approach that taps into technology while also leveraging workforce skills, Altura Centers for Health sought to make the referral management process as self-sustaining and automated as possible. To better tackle their large volume of referrals, they’ve begun to implement a new referral system that manages most of the inputs, thereby freeing up more staff from the inbound referral processes. We hear from Arnie Reynoso, chief information officer at Altura Centers for Health, as he talks about their efforts to minimize the need for staff involvement in referral management, from referral to specialist review, scheduling, and ultimately, patient care.

What is equity-centered community design? This transformative concept focuses on centering the voices and decision-making power of individuals with lived experience, who Creative Reaction Lab refers to as “living experts.” It also calls on human-centered design experts and others to use their leverage, access, and influence to support and amplify community voices. In this session, CCI’s Chris Conley chats with Hilary Sedovic, a systems thinker and former learning & education director at Creative Reaction Lab. Sedovic, who calls herself a “redesigner for justice,” sheds light onto the key role that design allies have in empowering living experts. Creative Reaction Lab emphasizes building quality relationships, humility, and embracing a collective investment in community well-being in order to move towards greater equity and inclusivity in design. Learn how this type of civic engagement and the redesigning for justice movement can move us to reshape the narrative -- creating a just world through authentic collaboration and community-centered approaches in the design process.

What does "community" mean to you? We chat with Anna Radoff, a diversity, equity, and inclusion (DEI) lead strategist at Justice Informed, a social impact consulting firm. Anna helps us unpack what it means to engage stakeholders, invest in relationships, share power, create intergenerational change, and more!

Resolving care gaps requires more than simply introducing technological platforms and helping patients get familiar with digital processes. Despite the rise of video visits to help patients expand their access to numerous services, health centers are finding that a robust virtual care team experience may not necessarily be what all patients are looking for. This learning has helped Petaluma Health Center to focus more resources on patient navigation support as well as accommodations for in-person visits. The goal is not that every patient has a video visit, but that every patient gets the kind of visit that's most appropriate for them.

For many health centers and clinics, educating a diverse patient population about digital tracking tools to monitor blood pressure is a challenge. However, learning to adapt based on patient needs is vital to ensure both continuity of care and staff bandwidth. Asian Health Services (AHS) in Oakland, California, leverages health coaches and digital health advocates to support these evolving needs. They work closely with community members with varying levels of digital literacy as well as hypertension requiring different levels of management. For the care team, this allows them to move from a labor-intensive and sometimes inconsistent approach to hypertension, to the lighter-touch practice of remote blood pressure monitoring. In our conversation with George Lee, he shares Asian Health Services' multi-phase journey in patient education for remote care and where they've had to pivot along the way in order to better integrate IT into their existing operations.

Artificial intelligence (AI) has been an emerging hot topic over the last several months with the rise of Open AI’s ChatGPT, Microsoft’s integration of ChatGPT technology into its Bing search engine, and Google’s announcement of its own chatbot, known as Bard. And while there are concerns about the more “general AI” technologies built to improve neural network capabilities so they are comparable to those of humans, health care systems are able to expand their services by leveraging the more familiar “narrow” or single-task AI tools, such as virtual chat assistance. Deploying this kind of AI technology can lead to an enhanced self-service experience for patients. We welcome Matt White, Director of Innovation at Contra Costa Health Services (CCHS), who shares how they’ve begun to thoughtfully integrate AI technology in order to better understand their patient engagement, with the ultimate aim to provide a consistent experience across all digital channels.

Health Pilots returns in 2023 and we’re kicking off this year with an “in-case-you-missed-it” episode from 2022, featuring one of our top, most popular episodes in this "Best of Health Pilots." Enjoy! Scheduling appointments is one of the biggest challenges facing community health centers. Patients often lose those self-addressed postcard reminders, and manually calling patients to book a recall appointment is a major slog for clinic staff. The flurry of activity around COVID-19 tests and vaccines has only compounded that problem, as patients encounter jammed phone lines and long wait times. But starting in 2021, Tiburcio Vasquez Health Center began piloting an automated patient recall system — one that offers easier, more efficient outreach, as well as the personalized text message nudge patients need.

Video visits – a component of telehealth, hold both great promise and great responsibility. For health system leaders, it's an opportunity to deliver high quality care to more people. At the same time, if we're not intentional about implementing this service, we risk exacerbating the existing health disparities in our communities. With us for this episode are Jason Cunningham of West County Health Centers (WCHC) and Jeffrey Glenn of Neighborhood Healthcare. Both have successfully implemented telehealth video at their respective organizations through the strategy of aligning their leadership and providers to make video visits a priority. This is our final episode for 2022! Thank you for subscribing to Health Pilots and for being with us all year.

Health centers can integrate new technology to improve their patients’ experiences before they even reach the front door. In this episode, we follow Altura Centers for Health throughout the COVID-19 pandemic in their campaign to enhance their digital check-in process. By working with two technology partners to develop an API – a software interface that allows different computer programs to communicate with each other – Altura Centers not only made their patient intake experience more efficient, but modeled how the health care safety net can leverage successful partnerships with technology vendors.

We're bringing you a special crossover episode with Coleman Associates Innovation Podcast! Host Adrienne Mann is joined by CEO of Coleman Associates, Melissa Stratman, and CCI's own Sofi Bergkvist, as they share their thoughts on rebounding from the COVID-19 pandemic and launching into the future of health care. Hear about how they're dealing with staff burnout, tackling health disparities, facing the impacts of climate change, and personalizing health care for underserved populations.

Assessing patients on a one-to-one basis for social determinants of health (SDOH) is an important, yet often high-touch process conducted by health center staff. So what might a lower touch approach to these vital screenings look like? Northeast Valley Health Corporation (NEVHC) explored innovative solutions to assess the specific needs of its 80,000+ patients throughout Los Angeles County. Today we hear from Debra Rosen and Alejandra Mata of NEVHC about their exciting and ongoing journey in digitizing the patient screening process. They share how integrating different tools on a familiar platform can better identify specific patient population needs. It also allows them to offer pertinent community resources more widely, while improving their quality of service at the point of care.