our talk begins in Johnstown New York where I have relocated to with my
where I have relocated to with my
where I have relocated to with my husband about three years ago at the
husband about three years ago at the
husband about three years ago at the time we had about two and a half
time we had about two and a half
time we had about two and a half children and as a general irresponsible
children and as a general irresponsible
children and as a general irresponsible mildly pregnant individual my first
mildly pregnant individual my first
mildly pregnant individual my first inclination was to contact the local
inclination was to contact the local
inclination was to contact the local medical practice in order to find a
medical practice in order to find a
medical practice in order to find a family doctor and pediatrician at our
family doctor and pediatrician at our
family doctor and pediatrician at our new county of residence much to my
new county of residence much to my
new county of residence much to my surprise every doctor was not accepting
surprise every doctor was not accepting
surprise every doctor was not accepting new patients and that happened to be the
new patients and that happened to be the
new patients and that happened to be the common response until I was finally able
common response until I was finally able
common response until I was finally able to find an appointment months away this
to find an appointment months away this
to find an appointment months away this is the family my husband our two lovely
is the family my husband our two lovely
is the family my husband our two lovely daughters and baby Michael much like any
daughters and baby Michael much like any
daughters and baby Michael much like any other family in Fulton County
other family in Fulton County
other family in Fulton County the fact is residents in rural areas
the fact is residents in rural areas
the fact is residents in rural areas have a decreased access to care
have a decreased access to care
have a decreased access to care resulting in poor health outcomes
resulting in poor health outcomes
resulting in poor health outcomes what is our area all about statistically
what is our area all about statistically
what is our area all about statistically we have over 1,200 businesses one
we have over 1,200 businesses one
we have over 1,200 businesses one Airport our population vacillates at
Airport our population vacillates at
Airport our population vacillates at around 55,000 with half residing in
around 55,000 with half residing in
around 55,000 with half residing in rural and the rest in cities in town
rural and the rest in cities in town
rural and the rest in cities in town 15.9%
15.9%
15.9% are 65 and over with 21.2%
are 65 and over with 21.2%
are 65 and over with 21.2% being 17 and younger poverty rates and
being 17 and younger poverty rates and
being 17 and younger poverty rates and level of educational attainment strongly
level of educational attainment strongly
level of educational attainment strongly influence community health our County is
influence community health our County is
influence community health our County is disproportionately affected by poverty
disproportionately affected by poverty
disproportionately affected by poverty 16.2% reside under the federal poverty
16.2% reside under the federal poverty
16.2% reside under the federal poverty level as compared to 11.8% in upstate
level as compared to 11.8% in upstate
level as compared to 11.8% in upstate New York and 15.6 percent New York
New York and 15.6 percent New York
New York and 15.6 percent New York statewide 18.6% live in single-parent
statewide 18.6% live in single-parent
statewide 18.6% live in single-parent households as compared to 16.6% in
households as compared to 16.6% in
households as compared to 16.6% in upstate New York and 19.8% New York
upstate New York and 19.8% New York
upstate New York and 19.8% New York statewide 21.9% received Medicaid and
statewide 21.9% received Medicaid and
statewide 21.9% received Medicaid and forty seven point six percent of
forty seven point six percent of
forty seven point six percent of children were eligible for free or
children were eligible for free or
children were eligible for free or reduced lunch
reduced lunch
reduced lunch our health care landscape we have one
our health care landscape we have one
our health care landscape we have one hospital one urgent care center
hospital one urgent care center
hospital one urgent care center 13 primary care clinics 92 primary care
13 primary care clinics 92 primary care
13 primary care clinics 92 primary care physicians 19th registered physician
physicians 19th registered physician
physicians 19th registered physician assistants and 20 nurse practitioners
assistants and 20 nurse practitioners
assistants and 20 nurse practitioners there are 155 registered physicians in
there are 155 registered physicians in
there are 155 registered physicians in Fulton County as compared to 215 in the
Fulton County as compared to 215 in the
Fulton County as compared to 215 in the rest of that are under Perl Health
rest of that are under Perl Health
rest of that are under Perl Health Network and 285 New York statewide
Network and 285 New York statewide
Network and 285 New York statewide health outcomes and these are out of 62
health outcomes and these are out of 62
health outcomes and these are out of 62 counties in New York State overall
counties in New York State overall
counties in New York State overall health
health
health 47 length of life 48 quality of life 49
47 length of life 48 quality of life 49
47 length of life 48 quality of life 49 health factors 56 health behaviors 50
health factors 56 health behaviors 50
health factors 56 health behaviors 50 clinical care 53 social-economic 58 and
clinical care 53 social-economic 58 and
clinical care 53 social-economic 58 and physical environment 32 we do enjoy our
physical environment 32 we do enjoy our
physical environment 32 we do enjoy our great outdoors and the many lakes that
great outdoors and the many lakes that
great outdoors and the many lakes that we have here in many respects were much
we have here in many respects were much
we have here in many respects were much like any other rural county in the
like any other rural county in the
like any other rural county in the country working for the local public
country working for the local public
country working for the local public health department we thought what can we
health department we thought what can we
health department we thought what can we do telehealth initiatives may provide a
do telehealth initiatives may provide a
do telehealth initiatives may provide a viable solution to the increased need
viable solution to the increased need
viable solution to the increased need for remote access to care telehealth
for remote access to care telehealth
for remote access to care telehealth being the overall concept of
being the overall concept of
being the overall concept of telemedicine and telemetry components
telemedicine and telemetry components
telemedicine and telemetry components encompassing remote consultations with
encompassing remote consultations with
encompassing remote consultations with doctors as well as vital statistic
doctors as well as vital statistic
doctors as well as vital statistic equipment the benefit of telehealth
equipment the benefit of telehealth
equipment the benefit of telehealth includes evidence-based costs and time
includes evidence-based costs and time
includes evidence-based costs and time effectiveness and may have a major
effectiveness and may have a major
effectiveness and may have a major impact on overall health outcomes
impact on overall health outcomes
impact on overall health outcomes believe it or not today we are on the
believe it or not today we are on the
believe it or not today we are on the cusp of healthcare innovation the
cusp of healthcare innovation the
cusp of healthcare innovation the location of this talk to Fulton
location of this talk to Fulton
location of this talk to Fulton Montgomery Community College happens to
Montgomery Community College happens to
Montgomery Community College happens to be the epicenter of our pilot telehealth
be the epicenter of our pilot telehealth
be the epicenter of our pilot telehealth initiative in collaboration with our
initiative in collaboration with our
initiative in collaboration with our community stakeholders and with the
community stakeholders and with the
community stakeholders and with the approval of our County Board of
approval of our County Board of
approval of our County Board of Supervisors we have received funding
Supervisors we have received funding
Supervisors we have received funding from the Medicaid restructuring
from the Medicaid restructuring
from the Medicaid restructuring initiative in order to set up telehealth
initiative in order to set up telehealth
initiative in order to set up telehealth stations at the Fulton Montgomery
stations at the Fulton Montgomery
stations at the Fulton Montgomery Community College Office for the aging
Community College Office for the aging
Community College Office for the aging in News and the local Fulton County
in News and the local Fulton County
in News and the local Fulton County Public Health Department as a matter of
Public Health Department as a matter of
Public Health Department as a matter of fact our first health station is right
fact our first health station is right
fact our first health station is right across this wall here
across this wall here
across this wall here basically we’re taking over closets all
basically we’re taking over closets all
basically we’re taking over closets all across the county because there are no
across the county because there are no
across the county because there are no windows and privacy is a major
windows and privacy is a major
windows and privacy is a major consideration and incurred that
consideration and incurred that
consideration and incurred that hipaa-compliant platform will be
hipaa-compliant platform will be
hipaa-compliant platform will be utilized to connect our county residents
utilized to connect our county residents
utilized to connect our county residents in real time not as store-and-forward
in real time not as store-and-forward
in real time not as store-and-forward technology to a doctor at that Nathan
technology to a doctor at that Nathan
technology to a doctor at that Nathan what our and st. Mary’s hospitals or any
what our and st. Mary’s hospitals or any
what our and st. Mary’s hospitals or any other provider of their choice the
other provider of their choice the
other provider of their choice the server will be housed with the Fulton
server will be housed with the Fulton
server will be housed with the Fulton County IT department for neutrality
County IT department for neutrality
County IT department for neutrality getting back to what the statistics
getting back to what the statistics
getting back to what the statistics dictate the leading causes of death in
dictate the leading causes of death in
dictate the leading causes of death in Fulton County are heart disease cancer
Fulton County are heart disease cancer
Fulton County are heart disease cancer chronic lower respiratory disease stroke
chronic lower respiratory disease stroke
chronic lower respiratory disease stroke and unintentional injury often alcohol
and unintentional injury often alcohol
and unintentional injury often alcohol and substance abuse related premature
and substance abuse related premature
and substance abuse related premature deaths are due to cancer heart disease
deaths are due to cancer heart disease
deaths are due to cancer heart disease chronic lower respiratory disease
chronic lower respiratory disease
chronic lower respiratory disease unintentional injury and stroke in that
unintentional injury and stroke in that
unintentional injury and stroke in that order obesity and smoking rates in
order obesity and smoking rates in
order obesity and smoking rates in Fulton County are high contributing to
Fulton County are high contributing to
Fulton County are high contributing to increased incidence of hypertension
increased incidence of hypertension
increased incidence of hypertension cardiovascular disease cancer and Stroke
cardiovascular disease cancer and Stroke
cardiovascular disease cancer and Stroke 30 point nine percent of adults in
30 point nine percent of adults in
30 point nine percent of adults in Fulton County are obese as compared to
Fulton County are obese as compared to
Fulton County are obese as compared to 27 percent in upstate New York as well
27 percent in upstate New York as well
27 percent in upstate New York as well as nineteen point five percent of public
as nineteen point five percent of public
as nineteen point five percent of public school children as compared to 16 point
school children as compared to 16 point
school children as compared to 16 point seven percent of their upstate New York
seven percent of their upstate New York
seven percent of their upstate New York counterparts the smoking rate of Fulton
counterparts the smoking rate of Fulton
counterparts the smoking rate of Fulton County adults has continued to rise from
County adults has continued to rise from
County adults has continued to rise from 25 percent in 2013 to the 29 percent of
25 percent in 2013 to the 29 percent of
25 percent in 2013 to the 29 percent of adults that you see depicted here as
adults that you see depicted here as
adults that you see depicted here as compared to seventeen point three
compared to seventeen point three
compared to seventeen point three percent in the rest of upstate New York
percent in the rest of upstate New York
percent in the rest of upstate New York resulting in increased hospitalizations
resulting in increased hospitalizations
resulting in increased hospitalizations edie visits due to asthma COPD and other
edie visits due to asthma COPD and other
edie visits due to asthma COPD and other respiratory conditions cancer continues
respiratory conditions cancer continues
respiratory conditions cancer continues to be a local public health priority
to be a local public health priority
to be a local public health priority with ovarian colorectal and prostate
with ovarian colorectal and prostate
with ovarian colorectal and prostate topping the charts according to the US
topping the charts according to the US
topping the charts according to the US Department of Health and Human Services
Department of Health and Human Services
Department of Health and Human Services Fulton County’s considered to be a
Fulton County’s considered to be a
Fulton County’s considered to be a health professional shortage area for
health professional shortage area for
health professional shortage area for primary care mental health and dental
primary care mental health and dental
primary care mental health and dental care
care
care there is hope according to a recent
there is hope according to a recent
there is hope according to a recent survey approximately 70 to 75 percent of
survey approximately 70 to 75 percent of
survey approximately 70 to 75 percent of residents of Fulton County have a
residents of Fulton County have a
residents of Fulton County have a smartphone a larger percentage use other
smartphone a larger percentage use other
smartphone a larger percentage use other technology such as a laptop tablet or
technology such as a laptop tablet or
technology such as a laptop tablet or personal computer let us pause here and
personal computer let us pause here and
personal computer let us pause here and think about that for a moment that
think about that for a moment that
think about that for a moment that statistic is astonishing think of its
statistic is astonishing think of its
statistic is astonishing think of its implications this common thread that
implications this common thread that
implications this common thread that unites many indicators and most
unites many indicators and most
unites many indicators and most demographics may potentially have a
demographics may potentially have a
demographics may potentially have a positive impact on our health outcomes
positive impact on our health outcomes
positive impact on our health outcomes for the remaining residents that are now
for the remaining residents that are now
for the remaining residents that are now unable to do so in lieu of socio
unable to do so in lieu of socio
unable to do so in lieu of socio economic educational connectivity or
economic educational connectivity or
economic educational connectivity or other barriers we are hoping to set up
other barriers we are hoping to set up
other barriers we are hoping to set up health stations across the county to
health stations across the county to
health stations across the county to improve remote access to care for all
improve remote access to care for all
improve remote access to care for all residents what we are hoping to achieve
residents what we are hoping to achieve
residents what we are hoping to achieve here in Fulton County New York falls
here in Fulton County New York falls
here in Fulton County New York falls under the spectrum of true prevention
under the spectrum of true prevention
under the spectrum of true prevention health education and improved access
health education and improved access
health education and improved access that may positively impact our health
that may positively impact our health
that may positively impact our health outcomes this is quintessential
outcomes this is quintessential
outcomes this is quintessential population health this initiative has
population health this initiative has
population health this initiative has the potential to impact all residents of
the potential to impact all residents of
the potential to impact all residents of Fulton County New York and is at the
Fulton County New York and is at the
Fulton County New York and is at the forefront of health care innovation here
forefront of health care innovation here
forefront of health care innovation here you may say well telehealth initiatives
you may say well telehealth initiatives
you may say well telehealth initiatives are not new there are plenty of
are not new there are plenty of
are not new there are plenty of evidence-based publications with regard
evidence-based publications with regard
evidence-based publications with regard to their utility and efficacy all over
to their utility and efficacy all over
to their utility and efficacy all over so what is the innovation to that I
so what is the innovation to that I
so what is the innovation to that I would respond this is a viable
would respond this is a viable
would respond this is a viable sustainable initiative that has the
sustainable initiative that has the
sustainable initiative that has the potential to improve remote access to
potential to improve remote access to
potential to improve remote access to care and have a profound impact on
care and have a profound impact on
care and have a profound impact on health outcomes while reducing the
health outcomes while reducing the
health outcomes while reducing the burden of chronic disease that within
burden of chronic disease that within
burden of chronic disease that within the confines of our given infrastructure
the confines of our given infrastructure
the confines of our given infrastructure our local Public Health Department may
our local Public Health Department may
our local Public Health Department may leverage existing resources and act as a
leverage existing resources and act as a
leverage existing resources and act as a lynchpin to facilitate the connections
lynchpin to facilitate the connections
lynchpin to facilitate the connections between stakeholders culminating in
between stakeholders culminating in
between stakeholders culminating in improved care ideally Fulton County
improved care ideally Fulton County
improved care ideally Fulton County residents will utilize their own
residents will utilize their own
residents will utilize their own smartphones or other technology devices
smartphones or other technology devices
smartphones or other technology devices in their homes and throughout the
in their homes and throughout the
in their homes and throughout the community health stations will be
community health stations will be
community health stations will be available as a supplement
available as a supplement
available as a supplement alternate means of access are not
alternate means of access are not
alternate means of access are not available connecting to a local health
available connecting to a local health
available connecting to a local health care provider ensures continuity of care
care provider ensures continuity of care
care provider ensures continuity of care from remote access to in-person visits
from remote access to in-person visits
from remote access to in-person visits while optimizing the local provider
while optimizing the local provider
while optimizing the local provider panel and reducing burden on physicians
panel and reducing burden on physicians
panel and reducing burden on physicians the budget for this project is minimal
the budget for this project is minimal
the budget for this project is minimal as compared to other health initiatives
as compared to other health initiatives
as compared to other health initiatives while the correlating impact is vast the
while the correlating impact is vast the
while the correlating impact is vast the funding is provided by the regional and
funding is provided by the regional and
funding is provided by the regional and medicaid restructuring plans as well as
medicaid restructuring plans as well as
medicaid restructuring plans as well as other grant monies geared towards
other grant monies geared towards
other grant monies geared towards towards health improvement and
towards health improvement and
towards health improvement and population health Fulton County New York
population health Fulton County New York
population health Fulton County New York is the fifth most populous region in the
is the fifth most populous region in the
is the fifth most populous region in the Adirondack oral health network as you
Adirondack oral health network as you
Adirondack oral health network as you now know it is a rural area with
now know it is a rural area with
now know it is a rural area with restricted access to care due to a
restricted access to care due to a
restricted access to care due to a limited provider panel remote location
limited provider panel remote location
limited provider panel remote location and over overall low population density
and over overall low population density
and over overall low population density the future according to Clem bezel chair
the future according to Clem bezel chair
the future according to Clem bezel chair and futurist of the institute for
and futurist of the institute for
and futurist of the institute for alternative futures in his brilliant
alternative futures in his brilliant
alternative futures in his brilliant vision for public health 2030 for a nice
vision for public health 2030 for a nice
vision for public health 2030 for a nice h/o scenario for community driven health
h/o scenario for community driven health
h/o scenario for community driven health and equity that includes a positive
and equity that includes a positive
and equity that includes a positive public health movement communities
public health movement communities
public health movement communities promoting population health widespread
promoting population health widespread
promoting population health widespread health consciousness and a value shift
health consciousness and a value shift
health consciousness and a value shift to equity
to equity
to equity he’s even included telemedicine my
he’s even included telemedicine my
he’s even included telemedicine my personal favorite he highlights the
personal favorite he highlights the
personal favorite he highlights the necessity for political leaders to
necessity for political leaders to
necessity for political leaders to include public health on their agenda
include public health on their agenda
include public health on their agenda the population health initiative
the population health initiative
the population health initiative discussed today is viable capable of
discussed today is viable capable of
discussed today is viable capable of being sustained long-term and provides a
being sustained long-term and provides a
being sustained long-term and provides a positive health impact in this region
positive health impact in this region
positive health impact in this region healthy people 2020 is committed to the
healthy people 2020 is committed to the
healthy people 2020 is committed to the vision of a society in which all people
vision of a society in which all people
vision of a society in which all people live long healthy lives and the outlined
live long healthy lives and the outlined
live long healthy lives and the outlined initiative may take us one step closer
initiative may take us one step closer
initiative may take us one step closer to making this a reality I will leave
to making this a reality I will leave
to making this a reality I will leave you with one final thought prevention
you with one final thought prevention
you with one final thought prevention education and access equals population
education and access equals population
education and access equals population health thank you
health thank you
health thank you [Applause]
”
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