WEBVTT 00:00:01.282 --> 00:00:08.413 - Good afternoon, everyone, and welcome to Rotary's weekly celebration of service. I always want to say 00:00:08.413 --> 00:00:15.405 - service of celebration, whichever it works. My name's Tracy Yovanovich, and I'm honored to serve as 00:00:15.405 --> 00:00:22.536 - your president this year. Again, yes, Mike, I'm back. So let's start off with our We're in the World. 00:00:22.536 --> 00:00:29.527 - Oh, look at that, it worked. So Fairbanks Alaska, the club in Fairbanks Alaska is 84 years old, has 00:00:29.527 --> 00:00:30.366 - 95 members, 00:00:30.498 --> 00:00:36.966 - now this is going to come as shock. Who do you think their partner club is with? It is with San Ignacio 00:00:36.966 --> 00:00:43.372 - Cayo Belize. Now I wonder why that is. Anybody? Because you got Alaska up here that's freezing and you 00:00:43.372 --> 00:00:49.653 - got Belize down here. What better place to go and do cross pollination, right? So I thought that was 00:00:49.653 --> 00:00:53.758 - pretty interesting. But what I thought also was fascinating, they 00:00:53.922 --> 00:01:01.079 - They do long-term plans, projects, if you will, and they invested $500,000 into a large playground for 00:01:01.079 --> 00:01:08.236 - the community in addition to the partnership work that they do on sanitation locations down in Belize. 00:01:08.236 --> 00:01:15.324 - So again, in the spirit of understanding what all the different clubs out in this wonderful world do, 00:01:15.324 --> 00:01:21.022 - that's a look at Fairbanks, Alaska. And next, I would like to invite Mike Wade up 00:01:21.474 --> 00:01:29.894 - And if you could go ahead and take that down. Mike Wade, if you could come up and give the reflection. 00:01:29.894 --> 00:01:38.150 - And I apologize for the crampness of this. We're working through State Room East. Good afternoon. We 00:01:38.150 --> 00:01:46.652 - spent about a week or so ago. We went and visited our granddaughter for her first birthday, our family, 00:01:46.652 --> 00:01:50.494 - with our daughter as the mother of their grand 00:01:50.658 --> 00:01:57.845 - child, and then her husband's family, who were a hearing family, they're a non hearing family. And so 00:01:57.845 --> 00:02:05.031 - there was a lot of communication between the two families to get everybody's needs met, get everybody 00:02:05.031 --> 00:02:12.077 - on the same page. That kind of reminded me of the first part of the four way test. Is it the truth? 00:02:12.077 --> 00:02:16.798 - I mean, you've got to put your needs and so on right on the table. 00:02:18.754 --> 00:02:26.154 - Consideration of everybody's feelings and needs. When are we going to eat? When are we going to sleep? 00:02:26.154 --> 00:02:33.555 - How soon is the baby going to be up? Who takes care of this or that? Kind of reminded me of the second 00:02:33.555 --> 00:02:41.027 - principle. Is it fair at all concerned? And the focus on nurturing, celebrating, and understanding what 00:02:41.027 --> 00:02:47.134 - everybody was trying to do from the littlest, who was one, up to the oldest, who was 00:02:47.426 --> 00:02:58.083 - 77, let's say, will it build goodwill and better friendship? All of these activities did. And all parties 00:02:58.083 --> 00:03:08.339 - contributed efforts all in their own capacity to making the young family feel supported and valued by 00:03:08.339 --> 00:03:17.086 - both sides of this. And so it was definitely beneficial to all concerned. And although 00:03:17.602 --> 00:03:24.073 - It was difficult at times, trying to get up at certain times, trying to take a nap at certain times. 00:03:24.073 --> 00:03:30.543 - You weren't able to eat what you felt like you weren't able to. But it was definitely fun, and we're 00:03:30.543 --> 00:03:37.142 - still sharing pictures, and we're still talking about it. Thank you. It's amazing the way the four-way 00:03:37.142 --> 00:03:43.741 - test comes into play in everyday life. So thank you for sharing that, Mike. Andrea, if you would share 00:03:43.741 --> 00:03:44.510 - our guests. 00:03:56.738 --> 00:04:07.221 - Tracy. I'm Andrea Murray, and I am announcing our guest here today. Brianna Shalala. Is that correct? 00:04:07.221 --> 00:04:17.703 - Okay. And she's the guest of our speaker, Denzel Ross. Are there? Oh, yes. We usually ask folks to if 00:04:17.703 --> 00:04:25.822 - you're able to stand so people can recognize you. Are there any guests online? 00:04:27.330 --> 00:04:33.848 - Andrea, there are no guests online today. All right. All right. And in the spirit of no, there are no 00:04:33.848 --> 00:04:40.302 - birthdays. And Tyler, if you could go ahead and put the screen back up. And there's no anniversaries 00:04:40.302 --> 00:04:46.820 - this week. So I think back to school week, there's a lot of people out and getting that last vacation 00:04:46.820 --> 00:04:50.718 - in must have been a tradition for many, many years, I guess. 00:04:50.882 --> 00:04:57.587 - All right, so we have lots of announcements. First of all, global scholar Megan Gerhart sent an update 00:04:57.587 --> 00:05:04.162 - to Mr. Rotary, Jim Bright, and she is in Prague working on a CELTA certification to teach English to 00:05:04.162 --> 00:05:10.736 - foreign learners around the world, and she's doing great. Jim Bright, who, okay, I just have to say, 00:05:10.736 --> 00:05:17.246 - I pulled into the parking lot today and I saw this fluorescent orange Maverick truck, and I'm like, 00:05:17.410 --> 00:05:23.153 - My goodness, that looks like Jim Bright's because nobody else is driving that thing from Ford. That 00:05:23.153 --> 00:05:29.069 - looks like Jim Bright's truck. Don't tell me he's here. You had prostate surgery last week and you are 00:05:29.069 --> 00:05:34.869 - here, which is amazing. So let's give it up for Jim and glad to have you here. But maybe Anne should 00:05:34.869 --> 00:05:40.670 - be on you more because I don't know if you should be here, but we're happy to have you all the time. 00:05:40.962 --> 00:05:46.764 - And a big thank you to Alon and Marilyn. I don't know how much you all, actually I know you don't see 00:05:46.764 --> 00:05:52.793 - all the sausage making that happens behind the scenes, but they have been working a lot on the roundabout 00:05:52.793 --> 00:05:58.481 - to improve the technology, to minimize the amount of work that the reporters are doing. We're still 00:05:58.481 --> 00:06:04.226 - working through that, but I just want to share with everyone that there has been a lot of work and a 00:06:04.226 --> 00:06:08.094 - big thank you to both of them for those efforts that are out there. 00:06:08.290 --> 00:06:14.258 - And I just also wanted to share, because you know I'm plugging Ignite, I used the Ignite to find Mike 00:06:14.258 --> 00:06:20.109 - Wade's address to make sure I got it out. It took two seconds, because Mike, you have a J after the 00:06:20.109 --> 00:06:26.018 - M, just to throw me. And I couldn't find it, so I had to look it up. So I used my handy-dandy Ignite 00:06:26.018 --> 00:06:31.518 - app. So it is very worthwhile. And then not up on there, because we have last-minute add-ons. 00:06:31.682 --> 00:06:39.379 - Next week, the community service committee will be meeting here after the team club meeting. And then 00:06:39.379 --> 00:06:47.077 - we have today, the Bloomington Rotary Foundation will be meeting directly after our meeting. And then 00:06:47.077 --> 00:06:54.699 - I wanna announce our new member from DSI, Lindsay, if you would stand, she has joined us with DSI as 00:06:54.699 --> 00:07:01.566 - our organizational member. And then lastly, what's next week? We may have to find parking. 00:07:01.666 --> 00:07:08.221 - at Henderson and one of the other lots. So just be aware, students will be back in full force next week. 00:07:08.221 --> 00:07:14.527 - So I can see the smile on Hank's face as I brought that up. So the union's going to be full. OK, and 00:07:14.527 --> 00:07:20.770 - back to what I said earlier, we'll put this in the roundabout. But if you don't have the Ignite app 00:07:20.770 --> 00:07:24.766 - on your phone, it's very simple. Martha and I did it last week. 00:07:25.922 --> 00:07:32.627 - And then Martha messed it up and we're gonna fix it again because it's easy. So this is a way for you 00:07:32.627 --> 00:07:39.529 - to get on and become really, really hip with an app and impress your family. And then finally, hopefully 00:07:39.529 --> 00:07:46.233 - everyone has submitted some recipes. Our district governor, Matt Milley, who's gonna be visiting with 00:07:46.233 --> 00:07:52.412 - us on October 6th is collecting recipes. So if you have favorite recipes, please share those. 00:07:52.412 --> 00:07:54.910 - And on that, I think we can take the, 00:07:56.066 --> 00:08:02.107 - On that, we have the best time, a new member induction. If we could, I'd like to ask Ron Barnes, 00:08:02.107 --> 00:08:08.645 - Jim Bright, and Shane Gibson to come forward, please. And as they're coming forward, I will read Shane's 00:08:08.645 --> 00:08:14.998 - bio. Shane Gibson is an entrepreneur, poet, songwriter, and educator. He is the broker owner of Sweet 00:08:14.998 --> 00:08:21.287 - Maple Realty and co-author of Wake Up Woods and the forthcoming Wake Up Wetlands. From an early age, 00:08:21.287 --> 00:08:25.086 - Shane's dad immersed him in nature through fishing, hunting, 00:08:25.250 --> 00:08:30.810 - searching for more morale mushrooms, walking farm fields for historical artifacts, and simply playing 00:08:30.810 --> 00:08:36.480 - outside. Those experiences grew into a lifelong passion for the outdoors. With degrees in environmental 00:08:36.480 --> 00:08:42.313 - science and elementary education from my youth, Shane has spent much of his career helping others discover 00:08:42.313 --> 00:08:48.091 - the natural world as a teacher, naturalist, and an environmental educator. His past roles include serving 00:08:48.091 --> 00:08:52.670 - as environmental education director at both Bradford Woods and Sycamore Land Trust. 00:08:52.866 --> 00:08:59.842 - He enjoys blending his love and nature with education, literature, and writing. Shane lives in Monroe 00:08:59.842 --> 00:09:06.956 - County, Indiana with his wife, Taji, and enjoys watching his sons, Tanner and Sawyer, pursue adventures 00:09:06.956 --> 00:09:14.274 - of their own. And with that, Ron will read the induction. I want to hear more about those morel mushrooms. 00:09:14.274 --> 00:09:21.182 - Shane Gibson, on behalf of the board and members of the Bloomington Rotary Club, it's great pleasure 00:09:21.602 --> 00:09:28.715 - to welcome you as the newest member of our club. We look forward to fellowship that we will share, as 00:09:28.715 --> 00:09:35.898 - well as your participation in club projects that make our club, community, and country a better place. 00:09:35.898 --> 00:09:43.151 - Though Rotary is not a political organization, Rotarians are virtually concerned with good citizenship, 00:09:43.151 --> 00:09:50.334 - with the election of effective leaders to public office. While Rotary is not a religious organization, 00:09:50.722 --> 00:09:57.809 - It is built on those highest principles that have served as a moral compass for people throughout the 00:09:57.809 --> 00:10:04.966 - ages. Rotary is an organization of business, professional, and community leaders pledged to uphold the 00:10:04.966 --> 00:10:11.984 - highest ethical standards and moral standards. Rotarians believe that worldwide fellowship and peace 00:10:11.984 --> 00:10:18.238 - can be achieved when people work together to uphold the Rotary motto, service above self. 00:10:19.394 --> 00:10:26.981 - Rotary activities exemplify the partnership, respect, and generosity that one would expect from people 00:10:26.981 --> 00:10:34.863 - who believe we are responsible to help others. Shane, you've been chosen for membership in the Bloomington 00:10:34.863 --> 00:10:42.671 - Club because your fellow members believe that you to be a leader in our community and because you possess 00:10:42.671 --> 00:10:49.374 - the qualities to champion the messages and principles of Rotary. You are a representative. 00:10:49.570 --> 00:10:57.540 - of our vocation, talent, with our club and community, of your vocation, talent, with our club and community. 00:10:57.540 --> 00:11:04.852 - You have become an ambassador of Bloomington Rotary, carrying the ideals of service to whom all are 00:11:04.852 --> 00:11:12.530 - within your sphere of influence. Our community will know and judge Rotary by your character and service. 00:11:12.530 --> 00:11:18.526 - We will also look to you for inspiration as we strive to become better Rotarians. 00:11:19.586 --> 00:11:28.233 - We will now pin you with a distinguishing badge of a Rotarian, your rotary pin. We ask that you wear 00:11:28.233 --> 00:11:36.879 - this rotary pin with pride in many endeavors and as a symbol of our recognition of your contribution 00:11:36.879 --> 00:11:45.440 - towards a better world through your rotary membership. Fellow Rotarians, please rise if you're able 00:11:45.440 --> 00:11:48.094 - and welcome our newest member. 00:11:50.178 --> 00:12:03.236 - Welcome. That's always one of my favorite parts of the sort of a club meeting. So welcome aboard, Shane. 00:12:03.236 --> 00:12:11.070 - And with that, Jim Sims, if you'd like to introduce our guest. 00:12:20.386 --> 00:12:30.385 - Hello, everyone. Hello, everyone. All right. Before I introduce our speaker, is Jim Shea in the house? 00:12:30.385 --> 00:12:40.383 - No. Jim is one of my really good golfing buddies. And I think most people know how much I really enjoy 00:12:40.383 --> 00:12:48.926 - a good round of golf. And our speaker today, I've had the pleasure of playing with him. 00:12:49.410 --> 00:12:56.345 - And he's one of the few, well, not the few, he's one of the other people that I could say that is a 00:12:56.345 --> 00:13:03.280 - better person than he is a golfer. But before he left, he's a darn good golfer. So I just wanted to 00:13:03.280 --> 00:13:10.284 - make that. I also want to thank Alon Barker for sharing a quote with us, most of us on the board and 00:13:10.284 --> 00:13:17.358 - those sorts of things. And it's from Winston Churchill. And I think it's apropos for today's, for our 00:13:17.358 --> 00:13:18.398 - speaker today. 00:13:18.754 --> 00:13:26.958 - And that quote is, we make a living by what we get. We make a life by what we give. So thank you, Alon. 00:13:26.958 --> 00:13:35.003 - And that was from Sir Winston Churchill, the quote. And I just thought it was very appropriate today. 00:13:35.003 --> 00:13:42.892 - Now, our speaker today, Denzel Ross. He is the president of IU Health South Region, and he became a 00:13:42.892 --> 00:13:47.230 - member of IU Health in February of 2024. In this role, 00:13:47.554 --> 00:13:55.421 - He leads strategic and operational avenues for IU Health Bloomington, IU Health Bedford Hospital, IU 00:13:55.421 --> 00:14:03.522 - Health Morgan, IU Health Paoli Hospital, and over 60 ambulatory clinics and joint ventures encompassing 00:14:03.522 --> 00:14:11.857 - more than 5,000 team members in seven counties. Before joining IU Health, Ross served as a chief executive 00:14:11.857 --> 00:14:15.518 - officer for Northwest Medical Center Haughton, 00:14:16.066 --> 00:14:23.882 - a 145 bed facility he helped open during the COVID-19 pandemic. His previous leadership roles have included 00:14:23.882 --> 00:14:31.626 - Chief Operating Officer and Lead Administrator for Lovelace Medical Center, did I get that right? Lovelace 00:14:31.626 --> 00:14:39.009 - Medical Center and Heart Hospital in New Mexico and Chief Operating Officer and Ethics and Compliance 00:14:39.009 --> 00:14:43.134 - Officer at Metropolitan Methodist in San Antonio, Texas. 00:14:43.906 --> 00:14:50.785 - Ross is a board certified and a fellow of the American College of Healthcare Executives, as well as 00:14:50.785 --> 00:14:58.076 - a member and co-founder of the Kansas City Regional Chapter of the National Association of Health Service 00:14:58.076 --> 00:15:05.505 - Executives. At Park University, Ross earned his master's in business administration degree with an emphasis 00:15:05.505 --> 00:15:12.521 - in healthcare and health services management. He was cum laude when he graduated with his bachelor of 00:15:12.521 --> 00:15:13.278 - science in 00:15:14.754 --> 00:15:25.935 - with his Bachelor of Science in Computer Science. I'm sorry, those two sciences together. With an emphasis 00:15:25.935 --> 00:15:36.803 - in system analysis. He is also or was also on the American's Essential Hospitals Fellow, formerly NAPH. 00:15:36.803 --> 00:15:44.222 - Without further ado, may I introduce my friend, President Denzel Ross. 00:15:44.546 --> 00:15:53.532 - I'll check. Can you all hear me okay? All right, perfect. Well, thank you so much for those kind words. 00:15:53.532 --> 00:16:02.260 - I'll tell you that Jim has quickly become a sound counsel for me. I often pick up the phone and say, 00:16:02.260 --> 00:16:11.678 - hey, what's going on here? Tell me what you think. Tell me who I should be talking to. And also someone that 00:16:12.706 --> 00:16:19.576 - I feel comfortable taking some golf tips from. So I enjoy your time, enjoy your counsel. And Tracy, 00:16:19.576 --> 00:16:26.446 - thank you so much for having me. Thank you for your leadership here. Greatly appreciated. Can those 00:16:26.446 --> 00:16:33.315 - online maybe give a thumbs up? We're okay there? Okay, awesome, great. So my name is Denzel Ross. I 00:16:33.315 --> 00:16:40.254 - serve as the president here for the South region, as you have heard. Sort of my thoughts here today. 00:16:40.514 --> 00:16:48.153 - is to go through this presentation, talk a little bit about who we are as IU Health, what we do, the 00:16:48.153 --> 00:16:55.792 - spaces we cover. I also want to touch base on the landscape of healthcare that we see here, not only 00:16:55.792 --> 00:17:03.431 - in Indiana, but nationally, some of the things that we're combating, and then end with some positive 00:17:03.431 --> 00:17:06.910 - notes of what we're doing here in the region. 00:17:07.234 --> 00:17:14.684 - Before I go on to that, I've had a few of you in the room that I've had the honor of meeting and talking 00:17:14.684 --> 00:17:21.993 - to here just today who shared about your journey and interaction with our facilities and our providers 00:17:21.993 --> 00:17:28.734 - and our staff here most recently. I know, Jim, you just shared. And thank you all for sharing. 00:17:28.930 --> 00:17:37.027 - because it's the feedback like that that I always feel so honored to hear and represent this badge wherever 00:17:37.027 --> 00:17:44.748 - I go. But we don't always get it right, but we strive to every time, every patient, every time, ma'am. 00:17:44.748 --> 00:17:52.395 - So your feedback and your thoughts about how that interaction went is always well appreciated. So I'm 00:17:52.395 --> 00:17:57.118 - glad all is well with those of you who shared. Moving forward, 00:17:57.730 --> 00:18:05.310 - This is a snapshot, three pillars here essentially of what we talk about at IU Health internally all 00:18:05.310 --> 00:18:12.815 - the time. So our vision, who are we and what are we destined? There in red, we say it all the time, 00:18:12.815 --> 00:18:20.395 - we are here to make Indiana one of the nation's healthiest states. And how do we do that? We do that 00:18:20.395 --> 00:18:26.174 - by our values in the middle. It's excellence, purpose, team, and compassion. 00:18:26.498 --> 00:18:33.579 - And through those four things, we talk about it all the time. This is posted all throughout the organization. 00:18:33.579 --> 00:18:40.209 - And again, your stories that you shared, I hope that you were able to see and feel this throughout the 00:18:40.209 --> 00:18:46.646 - organization. And then the promise that we make to the communities that we serve is we want to have 00:18:46.646 --> 00:18:53.598 - the best care designed with you in mind. So this is not just us as an organization dictating how things go. 00:18:53.698 --> 00:19:01.452 - But we want to constantly hear that feedback. We don't want to be a know-it-all organization. We want 00:19:01.452 --> 00:19:09.283 - to be a learn-it-all organization. So we're constantly gathering that feedback. So when we think about 00:19:09.283 --> 00:19:17.189 - who we are and the path that we're going, we have identified it as these three buckets. Excellent care, 00:19:17.189 --> 00:19:20.382 - exceptional people, and expanding impact. 00:19:20.802 --> 00:19:28.145 - So those are the three core principles by which we decide and operate throughout our organization. This 00:19:28.145 --> 00:19:35.418 - slide I'm not gonna talk a lot about, but just wanted to give you a point out that when we think about 00:19:35.418 --> 00:19:42.550 - IU Health as a statewide entity, because we are, we have 15 hospitals across Indiana. If you give us 00:19:42.550 --> 00:19:45.374 - two years, that number will then be 17. 00:19:45.666 --> 00:19:53.763 - Since we are adding, you probably heard of a big project in downtown Indianapolis. We have a new facility 00:19:53.763 --> 00:20:01.555 - that is going up in Fort Wayne and another facility that's happening in West Lafayette. So constantly 00:20:01.555 --> 00:20:09.346 - growing because we believe that we play a big part in making Indiana that healthier state. I also try 00:20:09.346 --> 00:20:12.478 - to incorporate into my presentation some 00:20:12.642 --> 00:20:21.235 - through some conversations and things that I hear in the community of questions that sometimes come 00:20:21.235 --> 00:20:29.914 - up. And one of those questions is, we are not ran out of New York from a private equity firm. We are 00:20:29.914 --> 00:20:32.062 - a nonprofit organization 00:20:32.290 --> 00:20:41.171 - We have a local board of directors who help support and have oversight of the organization as a whole. 00:20:41.171 --> 00:20:49.879 - And so when decisions are made, they are coming from a local body who are part of the community, who 00:20:49.879 --> 00:20:57.811 - support the community, want to see the community grow. And so we are very much local to the 00:20:57.811 --> 00:21:01.950 - state. Particularly for the South region and my 00:21:02.050 --> 00:21:11.441 - our oversight. You'll see here, we have an 11 county focus, but we do have physical assets in seven 00:21:11.441 --> 00:21:21.020 - counties. And whether that be through all four hospitals as listed previously, or 61, now 62 sites of 00:21:21.020 --> 00:21:29.566 - care, urgent cares across Monroe County and other present assets, we have a growing number 00:21:29.698 --> 00:21:38.548 - That number of 470,000 residents that we are serving is now very much closer and exceeding half a million 00:21:38.548 --> 00:21:41.470 - Hoosiers here in the South region. 00:21:43.170 --> 00:21:51.555 - So when we always talk about how we give back to the community, this is a moving number. But as of so 00:21:51.555 --> 00:22:00.105 - far for 2025, because it's a little bit of a lag, we have recorded about $60 million worth of community 00:22:00.105 --> 00:22:08.572 - support. To the right side of that, it lists all the various areas that we give back to the community, 00:22:08.572 --> 00:22:11.038 - where in many cases, the cost 00:22:11.138 --> 00:22:17.615 - of care does not always match what we're reimbursed. And we have said, even though that is the case, 00:22:17.615 --> 00:22:24.156 - we will continue to serve the communities because that's who we are. That's who we said we'll be. And 00:22:24.156 --> 00:22:30.762 - at the end of the day, it's the reason why we're here. So we're very proud of this number. This number 00:22:30.762 --> 00:22:37.431 - is a little bit down from the previous year because of a shift in how we report that number. Previously 00:22:37.431 --> 00:22:40.894 - in 2024, this number was closer to $80 million worth. 00:22:41.250 --> 00:22:48.937 - of benefit back to the communities that we're so very proud about that. Now, I know this is a little 00:22:48.937 --> 00:22:56.547 - bit of an eyesore, but I know this is what healthcare feels like. Would you agree? Yeah, sometimes, 00:22:56.547 --> 00:23:04.386 - right? It's all these moving parts, some that you don't even know or want to know and understand, some 00:23:04.386 --> 00:23:09.790 - that are painstakingly trying to map where it goes. This is a problem. 00:23:10.722 --> 00:23:17.901 - And I say we because I'm part of the system, but we here in healthcare, this is what we're trying to 00:23:17.901 --> 00:23:25.150 - solve. We want to have as linear a path as we possibly can for the people seeking care. Because trust 00:23:25.150 --> 00:23:32.471 - me, when you are not feeling your best, because that's what we deal with, right? I guarantee that none 00:23:32.471 --> 00:23:40.574 - of you have ever said, hey, it's beautiful outside, I got the day off, let's go hang out at Bloomington Hospital. 00:23:41.730 --> 00:23:49.290 - Probably not. We see people at their worst. And when you're at the worst, you don't want to feel like 00:23:49.290 --> 00:23:56.999 - just another ball on this map. And so this is what we're working to solve, is how we can eliminate this 00:23:56.999 --> 00:24:04.411 - field and get to a linear outcome. Well, we have all challenges that are set forth before us, or at 00:24:04.411 --> 00:24:11.230 - least trends that we're monitoring through how we get there. We've got workforce shortages. 00:24:11.554 --> 00:24:20.067 - that are impacted. Five years ago, we spent a lot of time focusing on COVID, of how we get out of COVID. 00:24:20.067 --> 00:24:28.579 - And then once we were out of COVID, we had the opportunity to look back and say, well, how has our world 00:24:28.579 --> 00:24:36.849 - changed? How has it changed for us and how we provide care and how we reach the people who need care? 00:24:36.849 --> 00:24:41.470 - You see there projected growth in nurse demand from 2020 00:24:41.698 --> 00:24:50.453 - to 2030, there's a 16.3% increase for ambulatory services. There's about a 7.5% increase in inpatient 00:24:50.453 --> 00:24:59.380 - hospitals needing nurses. We see residential care facilities about a 5% increase in need. To the bottom 00:24:59.380 --> 00:25:08.479 - left, you see the inadequate amount of surgeons, the cost of going to medical school. People are thinking 00:25:08.479 --> 00:25:10.110 - about other paths. 00:25:11.554 --> 00:25:20.269 - All of those lines that you see trending down, that's vascular surgery, thoracic surgery, plastic surgeons, 00:25:20.269 --> 00:25:28.419 - the only one that's trending up, it's general surgery. All the others are going down. We have a risk 00:25:28.419 --> 00:25:36.570 - of future OB providers. You may have heard that earlier this year, they have two facilities that are 00:25:36.570 --> 00:25:40.766 - in our general region that have closed OB services. 00:25:41.282 --> 00:25:49.756 - That's Greene County and Johnson Memorial Hospital. They no longer deliver babies. And that is a growing 00:25:49.756 --> 00:25:57.987 - trend across the country. I think to date, I understand that the number last time that I heard it was 00:25:57.987 --> 00:26:06.138 - about 37 hospitals have either closed birthing units or closed birthing hospitals. So it's a growing 00:26:06.138 --> 00:26:08.478 - trend. The change in demand. 00:26:09.314 --> 00:26:18.315 - You'll see here particularly where you see where it says South Central, you see a decline in population. 00:26:18.315 --> 00:26:26.972 - So minimal growth across the state of Indiana. But while we see a decline in population, we also see 00:26:26.972 --> 00:26:35.544 - an increased need for services. So how are we matching that? Particularly to Monroe County, you see 00:26:35.544 --> 00:26:36.830 - that top line. 00:26:37.826 --> 00:26:47.246 - is the age 0 to 24. You see that slowly trending down. We see a lot of people who come particularly 00:26:47.246 --> 00:26:56.761 - to IU or come to Indiana for different needs, and they leave. How are we combating that? You see the 00:26:56.761 --> 00:27:04.862 - red line there is 65 and older. We see that increasing. So a lot of the conversations 00:27:04.962 --> 00:27:14.229 - my team and I are having today, are how are we fitting the need for that aging population? Here you 00:27:14.229 --> 00:27:23.588 - see it in a different view. From 2020 to 2025, that purple line there has grown from 19.8% to 20.7%. 00:27:23.588 --> 00:27:33.689 - And that's older adults from 45 to 64. And then 65 and above is that green top line. That's going from 14.1% 00:27:33.689 --> 00:27:34.430 - in 2020 00:27:35.106 --> 00:27:45.156 - to 20.5% in 2025. So as we continue to think about how we continue to serve, there's a lot of things 00:27:45.156 --> 00:27:55.404 - happening that you all need to be very mindful of. We talk about Medicaid cuts across the country. How 00:27:55.404 --> 00:28:01.374 - does that affect services, enrollment, reimbursement rates, 00:28:03.394 --> 00:28:11.367 - The 340B overall, 340B is a program by which we work directly with the medication and manufacturers 00:28:11.367 --> 00:28:19.500 - to provide medications to patients who do not have the ability to pay for them. They're talking about 00:28:19.500 --> 00:28:28.112 - reducing that program. Sites of services, where can we deliver care? Insurance companies are overwhelmingly 00:28:28.112 --> 00:28:33.374 - continuing to dictate where that happens. The cost of healthcare. 00:28:33.762 --> 00:28:41.377 - One of the things you probably heard as well, I have heard it, and so I'll talk about it. IU Health 00:28:41.377 --> 00:28:49.296 - as an organization said five years ago that we are not going to increase the cost of care for Hoosiers. 00:28:49.296 --> 00:28:56.910 - And for the last five years, we have kept our costs stagnant. Guess what has not been stagnant? All 00:28:56.910 --> 00:29:01.022 - the other costs involved, workforce, supplies, labor, 00:29:01.538 --> 00:29:09.260 - have all continued to increase since COVID, but we said we are going to make a sacrifice for the sake 00:29:09.260 --> 00:29:17.057 - of Hoosiers to keep all costs stagnant. So we have not increased in the last five years. Charity care, 00:29:17.057 --> 00:29:24.703 - medical debt, one of the things that we are now pressed to do that if we don't lower our costs below 00:29:24.703 --> 00:29:30.078 - a certain threshold, we stand a chance of losing our nonprofit status. 00:29:32.130 --> 00:29:41.145 - that 60 million that I talked about community benefit, we are able to do that because of our nonprofit 00:29:41.145 --> 00:29:49.985 - status. That possibly goes away if this was enacted. So you'll see here, Indiana Medicaid, through a 00:29:49.985 --> 00:29:57.950 - lot of communication, a lot of conversation with our local teams, spending days and nights 00:29:58.082 --> 00:30:06.353 - at downtown Indianapolis with the local legislature. Through FSA, we were able to support the return 00:30:06.353 --> 00:30:14.707 - of about $310 million to the state general fund. That would allow us to continue to work for Medicaid 00:30:14.707 --> 00:30:23.469 - and Medicare patients. And just so that you are aware, when you think about the population in Bloomington, 00:30:23.469 --> 00:30:27.646 - anyone want to take a guess of that half a million 00:30:27.970 --> 00:30:38.247 - Hoosiers that we see and provide care for, what percent of that population is Medicaid and Medicare? 00:30:38.247 --> 00:30:48.932 - Anyone want to go on a guess? 40, 50, 60%. It's closer to about 63%. 63% of Hoosiers in the South region 00:30:48.932 --> 00:30:57.886 - on Medicaid and Medicare. So that is a big part of how we operate. So you could imagine 00:30:58.114 --> 00:31:07.835 - It worries me the way Medicaid and Medicare is being talked about today in terms of reducing that support. 00:31:07.835 --> 00:31:17.102 - We continue to reinforce the importance of protecting across all regions the support for transitions, 00:31:17.102 --> 00:31:26.278 - especially given that Medicare role in serving many of that population. So we continue to be a front 00:31:26.278 --> 00:31:27.550 - runner there. 00:31:28.514 --> 00:31:37.041 - This is sort of all priorities as it comes to legislative impact. So we wanna be the leader in low in 00:31:37.041 --> 00:31:45.569 - healthcare costs, which we continue to do. The most recent RAND 2.0 report shows that over the course 00:31:45.569 --> 00:31:54.180 - of the last four to five years, we have drastically, or IU Health specifically, has been a key partner 00:31:54.180 --> 00:31:57.022 - in drastically reducing the costs 00:31:57.666 --> 00:32:05.865 - down from national trends. And we're very proud of that. Indiana's most pressing health care needs, 00:32:05.865 --> 00:32:14.229 - we continue to be the leader in that field. Over the course of the last eight to 10 months, IU Health 00:32:14.229 --> 00:32:22.428 - in Bloomington has started four cardiovascular medical procedures that weren't done in Bloomington, 00:32:22.428 --> 00:32:27.102 - one of which is first in the state, robotic aortic valve 00:32:27.202 --> 00:32:33.538 - replacement. These are services that, number one, if you needed it, you had to go to Indianapolis. And 00:32:33.538 --> 00:32:40.058 - for some others, if you needed it, you had to go out of state. We are now doing them here in Bloomington, 00:32:40.058 --> 00:32:46.333 - and we're very proud of that. We're advancing health care through innovation, as I talk about robotic 00:32:46.333 --> 00:32:52.730 - surgeries, robotic care, and we're looking at how do we get more involved in research, clinical trials, 00:32:52.730 --> 00:32:55.806 - that we could bring more services to Bloomington. 00:32:56.322 --> 00:33:04.128 - And then the health, economic, and workforce leadership, we are taking a really big step towards that. 00:33:04.128 --> 00:33:11.858 - I have another slide that I'll touch base on that here very quickly. So I talk about IU health prices 00:33:11.858 --> 00:33:20.574 - and the price benchmark set by the Indiana General Assembly. There towards the left, the blue bar, you'll see 247. 00:33:21.954 --> 00:33:31.313 - That's the number of percentage points in terms of increase to the state benchmark of growth. The middle 00:33:31.313 --> 00:33:40.226 - is IU Holt in 2023 and on the right IU Holt in 2024. So you see we have constantly been driving the 00:33:40.226 --> 00:33:49.406 - cost of healthcare down over the last couple of years. So how are we doing from a healthcare facility? 00:33:49.570 --> 00:33:56.751 - How are we making decisions to ensure that we continue to be here and care for our patients? You'll 00:33:56.751 --> 00:34:03.931 - see Bloomington BLM, that is our facility here in town. SR is the South region, so we do look at it 00:34:03.931 --> 00:34:11.112 - separately. But if you look at just Bloomington, over the course of 2025, the aspect of metric that 00:34:11.112 --> 00:34:17.790 - we track for our success has been up. Emergency departments, number of ambulance transports, 00:34:18.210 --> 00:34:24.519 - The number of Hoosiers born, right? I just talked about how many OB units are closing across the country 00:34:24.519 --> 00:34:30.527 - and particularly in the South region. We are seeing the effects of that. Unique patients, those are 00:34:30.527 --> 00:34:36.595 - patients who have not interacted with our system in two years. And we are able to do that because we 00:34:36.595 --> 00:34:41.822 - have drastically increased the number of doctors and nurse practitioners here in town. 00:34:42.562 --> 00:34:48.803 - to some degree driving access points from about 65 days. It will take you from when you need to see 00:34:48.803 --> 00:34:55.043 - a doctor to when you would get in closer to 30. And we're still working because we want to get that 00:34:55.043 --> 00:35:01.159 - closer to 14 days where appropriate. Surgical and end-all cases up over time and then admissions. 00:35:01.159 --> 00:35:07.462 - So we are, I believe, doing all the right things to improve access, increase access for Hoosiers who 00:35:07.462 --> 00:35:11.518 - are looking for care. Some of the things that we're proud about. 00:35:13.986 --> 00:35:20.569 - U.S. News and World Report have identified us for some key opportunities or key recognitions. 00:35:20.569 --> 00:35:27.782 - Number one, infant and maternal health. We are top of the line in how we provide care for our moms and 00:35:27.782 --> 00:35:35.205 - babies. High-performing and heart attack care from the American Heart Association and stroke care, stroke 00:35:35.205 --> 00:35:42.207 - honor roll elite status. We started our first residency programs. I'll talk a little bit about that 00:35:42.207 --> 00:35:43.678 - and what that means. 00:35:44.418 --> 00:35:51.753 - First robotic heart surgery ever done in Bloomington was done October of last year, and we continue 00:35:51.753 --> 00:35:59.309 - to expand and do those. We had a drastic increase in this specific surgical procedure. It's a watchman 00:35:59.309 --> 00:36:06.938 - device. We hit all 500 implantation here in Bloomington, something again we're very proud about. Magnet 00:36:06.938 --> 00:36:13.246 - recognition, that is a nursing standard. 10% of hospitals across the country have it. 00:36:13.634 --> 00:36:20.752 - we have it here in Bloomington. So when you are receiving care from our doctors and our nurses, you 00:36:20.752 --> 00:36:27.870 - are receiving care from some of the top professionals in the country. So I will skip this here. And 00:36:27.870 --> 00:36:35.059 - so some patient highlights. Again, we continue to grow. Over 350 visits since that first half of the 00:36:35.059 --> 00:36:42.462 - year, we mentioned seeing about the growth of about half a million of Hoosiers interact with IU Health. 00:36:42.626 --> 00:36:50.950 - across the region. Significant impact there in 61 adult primary care providers who have been joined 00:36:50.950 --> 00:36:59.524 - our system within the last year. Now we offer same day and next day appointments in almost half of all 00:36:59.524 --> 00:37:07.932 - clinic spaces. Two urgent cares that access points that you have available to you to use. One of the 00:37:07.932 --> 00:37:11.678 - documents that you have on your table is how 00:37:11.874 --> 00:37:20.306 - and where to receive care. So I will bring your attention to that as well. OB-GYN care. We have 31 total 00:37:20.306 --> 00:37:28.497 - OB-GYNs providers here in Bloomington. And so we continue to meet the need of moms and babies here in 00:37:28.497 --> 00:37:36.928 - Bloomington. So I wanted to, as I get towards the end, I wanted to touch base here on some of the really 00:37:36.928 --> 00:37:40.542 - key things, the fun things that we get to do 00:37:40.642 --> 00:37:50.493 - in how we create access. On the left side, you see two pictures. The first one, we were able to partner 00:37:50.493 --> 00:38:00.154 - with a name who many of you may be well in the know of, Stephen Conny Ferguson, in alignment with Ivy 00:38:00.154 --> 00:38:06.974 - Tech, with a supporting gift from IU Health to the tune of $10 million. 00:38:07.266 --> 00:38:14.372 - We are now working with Ivy Tech to expand their nursing program. So they will then go from a nursing 00:38:14.372 --> 00:38:21.548 - class of about 20 students at any given time in the next three years to 60. So when we think about the 00:38:21.548 --> 00:38:28.585 - workforce shortage from a nurse perspective, we said we are not going to sit back and wait for it to 00:38:28.585 --> 00:38:36.318 - take care of itself or come around. We are going to actively do something about it. So we will continually see 00:38:36.706 --> 00:38:44.160 - a growth over the next two years, particularly when those students start graduating, and they are insured 00:38:44.160 --> 00:38:51.191 - a two-year job at IU Health anywhere within the South region. So in partnership with Ivy Tech, they 00:38:51.191 --> 00:38:58.645 - are kicking off the application process has gone live already. They are starting that new cohort starting 00:38:58.645 --> 00:39:01.950 - here within, I believe, the next coming weeks. 00:39:02.242 --> 00:39:10.182 - And so we're very proud about that, very honored to partner with the Ferguson's and their support with 00:39:10.182 --> 00:39:18.663 - a matching gift from IU Health. Then the second picture shows our team of onboarding surgeons and physicians, 00:39:18.663 --> 00:39:26.449 - because as of July 1, we started two new residency programs at Bloomington, never had it before. And 00:39:26.449 --> 00:39:31.614 - what that means, research tells us that physicians are more likely 00:39:31.842 --> 00:39:39.413 - to stay and practice where they train. So we said, let's train them. We have eight emergency medicine 00:39:39.413 --> 00:39:46.984 - physicians who are in training right now, and six internal medicine physicians in training as of July 00:39:46.984 --> 00:39:54.555 - 1. And we're hopeful that as they go through their three-year residency program, that when they train 00:39:54.555 --> 00:39:57.598 - here, they are more likely to stay here. 00:39:57.762 --> 00:40:04.386 - with the physician shortage that we see across the country. We said we're not going to wait for it to 00:40:04.386 --> 00:40:10.880 - resolve itself. We're doing something about it to grow our own pipeline. Then increase in access to 00:40:10.880 --> 00:40:17.503 - specialty care. Some of the things that I talked about. In 2026, we did the first mitral clip and the 00:40:17.503 --> 00:40:24.062 - first robotic aortic repair in the state. That's a cardiovascular program that has been in the works 00:40:24.194 --> 00:40:31.540 - for the last two years. And now we are so excited to bring that care here to Bloomington and to be able 00:40:31.540 --> 00:40:38.675 - to do it at a high level. Because of that, our cardiovascular program has increased over by 25% year 00:40:38.675 --> 00:40:45.810 - over year. What that means is if you are in need of cardiovascular care, you are in the right place. 00:40:45.810 --> 00:40:51.390 - We are now focusing on oncology services to be able to grow that the same way. 00:40:51.746 --> 00:41:00.448 - and also looking at other services that we can support as well. So this is just a picture of the team 00:41:00.448 --> 00:41:09.151 - showing one of our procedures that we did. It was the first with all vascular team of the transcardia 00:41:09.151 --> 00:41:13.502 - artery revascularization done here at Bloomington. 00:41:14.786 --> 00:41:22.925 - And then this is a really cool patient story of a Farapulse ablation system that we were trialing. This 00:41:22.925 --> 00:41:30.751 - is the first patient that was able to go through this with our electrophysiologist, Dr. Strobel, to 00:41:30.751 --> 00:41:39.047 - implant this saving a life of this young man here. And we are able to now trial that across other spaces, 00:41:39.047 --> 00:41:42.334 - report out on that and grow that program. 00:41:43.810 --> 00:41:50.781 - Robotic surgery, we are looking at how we could utilize this across other places in the region as well. 00:41:50.781 --> 00:41:57.550 - It is a mainstay for us. It's also a great recruiting tool. Now that we have surgeons who are coming 00:41:57.550 --> 00:42:04.253 - out of training doing robotic surgery, they're asking us in the interview, do you have a robot? And 00:42:04.253 --> 00:42:11.156 - now we could say, yeah, we got more than one. We got four. And looking at other areas that we can grow 00:42:11.156 --> 00:42:13.502 - that as well to support that care. 00:42:14.562 --> 00:42:25.877 - This is a very interesting story. This patient developed lung cancer and initially was treated with 00:42:25.877 --> 00:42:37.531 - surgery and radiation and the cancer returned. We now have a specially trained ENT surgeon as nose and 00:42:37.531 --> 00:42:44.094 - throat who was able after 12 hours to create a new tongue 00:42:45.442 --> 00:42:54.348 - for this patient, reconstructing it from tissue from his arm. You don't hear those things every day. 00:42:54.348 --> 00:43:03.342 - We're doing it here in Bloomington. Because of this procedure, this patient was able to get back part 00:43:03.342 --> 00:43:12.336 - of their speech and go back living some sort of normal life, which there was no hope that he could do 00:43:12.336 --> 00:43:15.070 - so. The future of neurosurgery 00:43:15.586 --> 00:43:24.485 - As we talk about an aging population, we're looking at how we can use technology to our best abilities. 00:43:24.485 --> 00:43:33.043 - We have some specially trained neurologists as well, more who are going to be trained, how we could 00:43:33.043 --> 00:43:37.150 - use that to get you back after surgery quicker. 00:43:37.698 --> 00:43:45.239 - and why I continue to talk about technology and robots. If any of you had surgery 10, 15 years ago that 00:43:45.239 --> 00:43:52.708 - wasn't done robotically, let's say a general surgery, appendectomy, for example, you would have a four 00:43:52.708 --> 00:43:59.960 - to eight day stay in the hospital after surgery. Now with robotics, we're getting you home the next 00:43:59.960 --> 00:44:07.646 - day. If any of you have had a total joint replacement, a hip, a knee, not asking you to raise your hands, 00:44:08.194 --> 00:44:15.982 - But if you have, you were probably up and walking and moving within four hours of that surgery. Probably 00:44:15.982 --> 00:44:23.399 - was going home that very same day. Compared to many years before, you would have a two or three day 00:44:23.399 --> 00:44:30.964 - stay in the hospital. That's due to our technology and our robotics. So it's getting you back to life 00:44:30.964 --> 00:44:32.670 - quicker than you have. 00:44:33.154 --> 00:44:41.157 - Research shows that the longer you stay in the hospital, the higher the percentage chance for an infection. 00:44:41.157 --> 00:44:48.642 - So we want to get you out appropriately, and these tools and special training allow for us to do so. 00:44:48.642 --> 00:44:56.571 - And then this is a big deal. We have made a very big investment to say, how are we monitoring, monitoring, 00:44:56.571 --> 00:45:01.758 - monitoring, documenting, documenting, documenting our patient's care? 00:45:02.434 --> 00:45:10.146 - And for many years, we have had Cerner as our electronic medical record. So it's the way that you all 00:45:10.146 --> 00:45:17.707 - interact with us. So right now, we have a portal that if you want to send a message to your doctor, 00:45:17.707 --> 00:45:25.344 - you go on. You send a message. And you hope somebody sees it. Or you pick up the phone. You dial any 00:45:25.344 --> 00:45:29.502 - one of our 37 numbers. You hope that somebody pick up. 00:45:30.082 --> 00:45:36.200 - Or if you leave a message, you hope that someone returns your call. All of that has been part of CERN. 00:45:36.200 --> 00:45:42.378 - Well, as of May of 2027, all of our facilities will be going live with Epic. It's a significant change. 00:45:42.378 --> 00:45:48.675 - We have been on this journey for two years. What this means for you is how you interact with your doctor, 00:45:48.675 --> 00:45:54.853 - how you interact with your nurse or nurse practitioner, how you interact with us as a facility changes. 00:45:54.853 --> 00:45:59.486 - And we put that back into your hands. You want an appointment? Go on the app. 00:45:59.650 --> 00:46:06.006 - and schedule it. You need a refill for your medication, go on the app and you can request that and it's 00:46:06.006 --> 00:46:12.179 - somewhat automated. You need to see your doctor. Your doctor could walk away and have a conversation 00:46:12.179 --> 00:46:18.475 - directing with you versus does this look familiar? When you're stalking to your doctor because they're 00:46:18.475 --> 00:46:24.892 - trying to chart on the other side of the room, now we could pay attention to you and capture what you're 00:46:24.892 --> 00:46:28.926 - saying. And when you walk out that room, everything is completed. 00:46:29.634 --> 00:46:37.236 - So we are totally leaning into this as a regional academic health center. We want to be able to provide 00:46:37.236 --> 00:46:44.618 - you with the best possible care, provide you with great access to our system, and also maintain that 00:46:44.618 --> 00:46:52.001 - feedback levels that have been a big part in creating how we change how you interact with our health 00:46:52.001 --> 00:46:56.094 - system. I am going to stop there. I could talk forever. 00:46:56.866 --> 00:47:04.203 - But a big part of this that I'm looking forward to is the interaction, the questions that you may have, 00:47:04.203 --> 00:47:11.469 - whether it be on anything that I mentioned that you would like for me to articulate better or clarify, 00:47:11.469 --> 00:47:18.523 - or is there something that I didn't touch on, didn't talk about that continues to be out there that 00:47:18.523 --> 00:47:26.142 - you would like for me to answer. So at this time, I'll give the table. Yes. I'm going to go first since I'm 00:47:26.306 --> 00:47:34.304 - right by the camera. First of all, thank you for everything you and IU Health does. I've been around 00:47:34.304 --> 00:47:41.511 - ERs more than I would like to at my age, both for myself and for friends. I have never had 00:47:41.511 --> 00:47:49.509 - a more consistently excellent ER experience than going to the hospital here in Bloomington. Also, my 00:47:49.509 --> 00:47:53.310 - primary position through IU Health is fabulous. 00:47:55.362 --> 00:48:03.936 - With you talking about the shortage of doctors, are you concerned about how the elimination of the graduate 00:48:03.936 --> 00:48:12.589 - plus loan is going to possibly exacerbate that? And then in addition to that, with IU Health being nonprofit 00:48:12.589 --> 00:48:20.607 - and not run out of a hedge fund in New York, how does that work with public service loan forgiveness 00:48:20.607 --> 00:48:24.894 - for physicians, nurses, pharmacists that come to work 00:48:25.026 --> 00:48:32.416 - through IU Health? Yeah, very good question. We have been on the forefront in trying to message how 00:48:32.416 --> 00:48:39.806 - best we could attack some of those things. Outside of what you asked, I'll get to it. First of all, 00:48:39.806 --> 00:48:47.196 - thank you for your comments and your feedback. So the emergency department is the front door to the 00:48:47.196 --> 00:48:54.142 - organization. And so if we can create a good experience there, I think we're in a good place. 00:48:55.010 --> 00:49:03.341 - Some of the things that have come up lately has also been the costs for medical school. We continue 00:49:03.341 --> 00:49:11.921 - to address that. With loans going away, we have been on the forefront to remind all legislators of the 00:49:11.921 --> 00:49:20.335 - importance for us to be able to recruit and create opportunities for those physicians who want to go 00:49:20.335 --> 00:49:21.918 - to medical school. 00:49:22.338 --> 00:49:29.818 - As many of you all know, we are heavily partnered. We're not the same entity, but we are heavily partnered 00:49:29.818 --> 00:49:37.298 - with the university, IU, with the School of Medicine, which is the largest producer of doctors nationally. 00:49:37.298 --> 00:49:44.848 - The School of Medicine at IU produces more doctors every year than any other medical school in the country. 00:49:44.848 --> 00:49:49.182 - So we have a platform to say, we cannot do this by ourselves. 00:49:49.666 --> 00:49:58.102 - We cannot step back because now more than ever, we need more doctors. So what can we do about it? Going 00:49:58.102 --> 00:50:06.376 - back to our vision of making Indiana one of the healthiest states, that alignment falls directly with 00:50:06.376 --> 00:50:14.487 - our doctors. So we have continued to say that we will figure out ways to fill the gap where we can. 00:50:14.487 --> 00:50:18.462 - And sometimes that means providing reimbursement 00:50:18.754 --> 00:50:25.217 - or providing loan forgiveness when we can for these medical students. We've championed that the cost 00:50:25.217 --> 00:50:31.680 - of medical school is too high, right? Because that is a deterrent from somebody making a decision on 00:50:31.680 --> 00:50:38.079 - whether they go to medical school or not. So we've championed that work as well. And we continue to 00:50:38.079 --> 00:50:44.735 - have that be front-facing for us because we cannot do it without the doctor. So I think we've been able 00:50:44.735 --> 00:50:48.510 - to make good strides simply by the fact that as of July 1, 00:50:48.770 --> 00:50:55.612 - we now have 14 new learning positions that we've never been able to have before here in Blument. Yeah. 00:50:55.612 --> 00:51:02.786 - Thank you for the presentation, Denzel. And it's exciting to hear the progress that we've made innovatively 00:51:02.786 --> 00:51:09.961 - over the last couple of years that you all have made. One of the things that excites me is our relationship 00:51:09.961 --> 00:51:16.670 - with IU Health, and I mean the Monroe County NAACP Health Committee. Yes. And one of the initiatives 00:51:17.026 --> 00:51:24.238 - that you are championing and brought to us is the Food Nutrition as Medicine Initiative. I think it's 00:51:24.238 --> 00:51:31.379 - better that if we could take care of some things here, we may not need the robots later as much. Can 00:51:31.379 --> 00:51:38.449 - you speak on that just a bit? Yeah, definitely. So what Jim is referring to is a program that we're 00:51:38.449 --> 00:51:46.014 - championing called Food as Medicine. We're not all the way towards the end, but you all know that diet can 00:51:46.146 --> 00:51:53.396 - or in some cases solve a lot of medical problems. So we're saying, and this is interesting coming from 00:51:53.396 --> 00:52:00.576 - a hospital administrator, we're saying, stay away from the hospital. How can we help keep you healthy 00:52:00.576 --> 00:52:08.107 - at home, right? Because we want you to use us when there's the need. And if we could help you stay healthy 00:52:08.107 --> 00:52:10.782 - at home, that would be our best wish. 00:52:11.042 --> 00:52:18.780 - And so as part of that, we're working actually with the university to start a research project in its 00:52:18.780 --> 00:52:26.518 - very early stages of how we can support, track, and monitor how food impacts your care. And can it be 00:52:26.518 --> 00:52:34.180 - used as medicine to then keep you off of medication, keep you out of the hospital, reduce the number 00:52:34.180 --> 00:52:37.214 - of visits that you have to your doctor, 00:52:38.338 --> 00:52:45.519 - reduce the number of visits that you may have to the emergency department. Because one of the things 00:52:45.519 --> 00:52:52.700 - that I saw during COVID with a lot of people scared to come to the hospital was that we had a lot of 00:52:52.700 --> 00:52:59.810 - patients who ended up at the hospital too late because we weren't solving for things early. Through 00:52:59.810 --> 00:53:05.854 - this program, I'm hopeful that we could drive some of the simpler medical conditions 00:53:07.074 --> 00:53:14.149 - decrease the prevalence of those in communities that need the help the most, and overall improve the 00:53:14.149 --> 00:53:21.435 - health of Hoosiers here in the South region. So I'm hopeful. I am all in. I've told my team we're going 00:53:21.435 --> 00:53:28.440 - to lean into this this year. We're hopeful to have a research product that will kick off before the 00:53:28.440 --> 00:53:33.694 - end of the year. And then through all of that, supporting Food is Medicine 00:53:33.826 --> 00:53:40.723 - with different things like blood pressure checks, making sure that you know your numbers, making sure 00:53:40.723 --> 00:53:47.484 - that you have access to these seemingly simple tools that could help you live a better life. So I'm 00:53:47.484 --> 00:53:54.380 - hopeful that here in another couple of months, we're able to roll that out, but a lot of that work is 00:53:54.380 --> 00:54:01.277 - in progress. Yeah, thank you. Do we have any questions online? Yes, we do. And thank you, Denzel, for 00:54:01.277 --> 00:54:02.494 - speaking with our 00:54:02.914 --> 00:54:10.929 - club today. Leslie Conceco asks, as rural hospitals are closing, how has that impacted the traffic at 00:54:10.929 --> 00:54:19.337 - the Bloomington Hospital? Yeah, I think you saw that particularly around why all the amongst other things, 00:54:19.337 --> 00:54:26.174 - why we continue to trend up in a number of different ways with all those green arrows. 00:54:26.434 --> 00:54:33.955 - We're happy to see that because we think we are best fitted to care for the patients here in the South 00:54:33.955 --> 00:54:41.404 - region through our expertise or collaboration or use of technology. But we have seen an impact there. 00:54:41.404 --> 00:54:48.779 - When Green County closed, I had a conversation with their CEO said, hey, how can we help? How can we 00:54:48.779 --> 00:54:54.110 - support your patients? Because at the very least, I cannot imagine a mom 00:54:55.106 --> 00:55:01.406 - who is about to deliver, having to think about getting in a car and traveling an hour to deliver a baby. 00:55:01.406 --> 00:55:07.766 - That's scary. And so through some work, we have been able to support them to some degree. The unfortunate 00:55:07.766 --> 00:55:13.826 - thing is that we can't do that everywhere. So to some degree, we're going to have to think about how 00:55:13.826 --> 00:55:20.006 - we support our community as a region. That is something that we've talked about a lot. We are not just 00:55:20.006 --> 00:55:24.446 - Bloomington, we're just not Bedford, we're not Peole, but we're a region. 00:55:24.802 --> 00:55:31.597 - And in some cases, it may be better positioned for you as a patient if you show up at Bloomington to 00:55:31.597 --> 00:55:38.459 - say, we could get you care, the appropriate high quality care, access to that care faster if you were 00:55:38.459 --> 00:55:45.254 - in Bedford, or depending on what you're showing up for, Morgan. And so utilizing ourself as a system 00:55:45.254 --> 00:55:49.694 - is our solution to do that. But we have seen an uptick in access. 00:55:49.794 --> 00:55:57.066 - And we're a little bit behind the eight ball from a position perspective, like I mentioned, 65 position 00:55:57.066 --> 00:56:04.199 - positions that have been placed so far for 2026 with many others come in towards the end of the year. 00:56:04.199 --> 00:56:11.541 - We've already have about eight positions signed for 2027 that were constantly growing to meet that need. 00:56:11.541 --> 00:56:19.582 - As we see more and more patients come to us with other rural facility, either closing services or closing overall. 00:56:21.250 --> 00:56:29.499 - I believe Raj Hadami has a question. Yes, may I step in? Thank you so much for coming and talking to 00:56:29.499 --> 00:56:37.667 - us. It's very exciting to see the progress at the Bloomington Hospital. I am glad you share it with 00:56:37.667 --> 00:56:45.917 - all of us, but I'm going to take you the different side. As I said, you side stepped it. We have, as 00:56:45.917 --> 00:56:50.654 - far as I recall, statistic-wise, between 18 to 22 percent 00:56:51.202 --> 00:57:01.077 - of Monroe and Owen County who are uninsured. And as you know, and everyone probably members of the club 00:57:01.077 --> 00:57:10.858 - knows this, the Medicaid program in Indiana is as brutal as you could get anywhere in the country. And 00:57:10.858 --> 00:57:20.638 - the time I'm referring to, which is about 15 years ago, you are not qualified to be a Medicaid patient 00:57:21.378 --> 00:57:34.438 - with maximum $5,500 a year, I repeat, a year. So what happened? Could you give us an update on this 00:57:34.438 --> 00:57:48.542 - segment of about 20% of the people who live between us? How is IU Health facing this issue? And if you have 00:57:48.866 --> 00:57:56.449 - update the statistic beyond what I said, I love to hear it. And thank you again for sharing with us 00:57:56.449 --> 00:58:04.259 - your progress. Yeah. Well, thank you. And I'll try to be quick. So what we're trying to solve for here 00:58:04.259 --> 00:58:11.994 - is the eligibility requirements for Medicaid and Medicare. We have been frontline with the IHA, which 00:58:11.994 --> 00:58:17.150 - is the Indiana Hospital Association. We have locked arms with them. 00:58:17.282 --> 00:58:28.237 - and continue to try to tell our story of why the new eligibility requirements is bad, right? We have 00:58:28.237 --> 00:58:37.022 - changes in ages or at least as a conversation, work requirements that are coming 00:58:37.218 --> 00:58:46.534 - There are some restrictions around what happens in your home, even if it's not directly affecting you. 00:58:46.534 --> 00:58:55.850 - If there's some things happen in the home, the home or people tied to that address lose SNAP benefits. 00:58:55.850 --> 00:59:02.814 - All of those things, we are battling, I would say. We are a direct recipient 00:59:02.978 --> 00:59:09.548 - of those Medicaid patients, Medicare patients to us, and we wanna be able to create the access. So we're 00:59:09.548 --> 00:59:15.992 - taking that front where from a legislative perspective, we are front and center and trying to tell the 00:59:15.992 --> 00:59:22.374 - story and why we believe these things will drastically reduce access. On the flip side, we have said, 00:59:22.374 --> 00:59:28.756 - you need care, come see us. We'll figure out the details of how we get paid after, because at the end 00:59:28.756 --> 00:59:32.510 - of the day, we're here to represent Hoosiers, all Hoosiers, 00:59:32.866 --> 00:59:39.483 - and give access to care across the region, across the state. And if you need care, come see us. So we 00:59:39.483 --> 00:59:46.100 - do not consider that a barrier to access. We'll continue to see everyone if they need care. Now, part 00:59:46.100 --> 00:59:52.847 - of that means, which is a tough decision that we have to make, we have to figure out how we cover those 00:59:52.847 --> 00:59:59.529 - services. Now, does that push us to, if I'm being completely honest, now does that push us to increase 00:59:59.529 --> 01:00:01.086 - rates in certain areas? 01:00:01.378 --> 01:00:08.736 - Yes, we will have to have that discussion when that time comes. But if it's one thing that we have said 01:00:08.736 --> 01:00:16.024 - is that we will not restrict access to care based on your ability to pay. So with that, one thing that 01:00:16.024 --> 01:00:23.524 - I do wanna touch on very quickly is that as that commitment continues to grow and we see access continues 01:00:23.524 --> 01:00:27.486 - to grow, we are in the process right now of adding beds 01:00:27.714 --> 01:00:35.621 - Last year, we were able to reshift and add access to 17 beds in the hospital. We just started our designing 01:00:35.621 --> 01:00:43.089 - construction process to add an additional 12 that would come online next year, next summer. And so as 01:00:43.089 --> 01:00:50.703 - we're looking at the growth and we're looking at the access and growing with the community, we're doing 01:00:50.703 --> 01:00:51.582 - so with our 01:00:51.746 --> 01:01:02.302 - financial investments there into the facility and always looking at areas of access that we can attack 01:01:02.302 --> 01:01:12.756 - as well. Thank you. Thank you all for having me. Thank you. Appreciate it. Thank you so much, Denzil. 01:01:12.756 --> 01:01:16.958 - In honor of your program today, we'll be 01:01:17.122 --> 01:01:23.363 - donating $100 to C-Jam for the quarter. I just want to tag out. I know we're at time, but I know everybody's 01:01:23.363 --> 01:01:29.202 - very interested in this particular topic. I just want to give a testimony, Raj, to your question and, 01:01:29.202 --> 01:01:34.928 - Denzel, your answer. Having worked on the Beacon project, as I think you all are aware, I have seen 01:01:34.928 --> 01:01:38.878 - Dr. Kevin Moore is very involved with Beacon. He's on the board now. 01:01:39.042 --> 01:01:45.012 - This is indicative. They work closely with Health Net. So there is that communication happening. It's 01:01:45.012 --> 01:01:50.982 - improving. Are we 100% where we need to be? Absolutely not. I don't think anyone in the room is going 01:01:50.982 --> 01:01:56.894 - to tell you that. But you are seeing that networking happen. And it's got to start somewhere. And it 01:01:56.894 --> 01:02:03.273 - has started. So we appreciate that. I know Forrest and Amy certainly appreciate that. Your clients certainly 01:02:03.273 --> 01:02:08.190 - appreciate that. We'll get there. We'll get there, God willing, someday. All right. 01:02:08.546 --> 01:02:14.105 - Wanted to thank everybody who helped bring today's program together. Winston Schindel, AKA Dad, thank 01:02:14.105 --> 01:02:19.665 - you for the greeting. Andrea, thank you for the guest introductions and good job on getting Brianna's 01:02:19.665 --> 01:02:25.606 - name right. Jim Simms, thank you for the speaker introduction and suggestion of a speaker, because obviously 01:02:25.606 --> 01:02:31.111 - it was very well received and excited. Joy Harder, thank you as always for Zoom host. And Mike Wade, 01:02:31.111 --> 01:02:36.834 - thank you for the wonderful reflection integrating the four-way test into everyday life. Judy Schroeder, 01:02:36.834 --> 01:02:38.142 - thank you for doing the 01:02:38.370 --> 01:02:43.987 - the writing, the hardest, the reporting, the hardest job there is. Hank, thank you for stepping in and 01:02:43.987 --> 01:02:49.714 - doing. See, other people besides Mike Shermas can do the camera and microphone. So good job, Hank. Katie 01:02:49.714 --> 01:02:55.386 - Cerniak, thank you for taking the photos. And Jill, thank you for our executive assistant and the door, 01:02:55.386 --> 01:03:00.894 - using the big door at the back. That was much better. And Tyler, as always, thank you for the audio. 01:03:00.994 --> 01:03:07.201 - that you've done. Our next meeting will be in the Franchipani room, so we get to go from cramped to 01:03:07.201 --> 01:03:13.718 - spacious. On August 22nd, Emily Pike will be our special guest informing us about New Hope for Families, 01:03:13.718 --> 01:03:19.925 - so please join us if you can. And with that, if you could put the four-way test up and stand if you 01:03:19.925 --> 01:03:26.566 - are able. Of the things we think, say, or do, first, is it the truth? Second, is it fair to all concerned? 01:03:26.566 --> 01:03:29.918 - Third, will it build goodwill and better friendships? 01:03:30.338 --> 01:03:34.654 - Fourth, will it be beneficial to all concerned? And fifth, is it fun?