1 00:00:00,240 --> 00:00:03,220 Imagine this, you're at the Hyatt Regency Chicago 2 00:00:03,520 --> 00:00:05,859 surrounded by the top minds in the ambulatory 3 00:00:06,160 --> 00:00:07,540 surgery center industry. 4 00:00:07,919 --> 00:00:10,960 Welcome to the Becker's 30th annual meeting, the 5 00:00:10,960 --> 00:00:14,259 business and operations of ASCs from October 30th 6 00:00:14,355 --> 00:00:16,214 to November 2, 2024. 7 00:00:16,994 --> 00:00:19,554 Picture the excitement as you collect business cards 8 00:00:19,554 --> 00:00:22,855 from over a 1000 executive level attendees forging 9 00:00:22,914 --> 00:00:23,974 priceless connections. 10 00:00:24,434 --> 00:00:27,094 Feel the buzz of conversations as you participate 11 00:00:27,234 --> 00:00:29,969 in more than 60 sessions led by over 12 00:00:30,849 --> 00:00:33,030 225 elite ASC speakers. 13 00:00:33,649 --> 00:00:37,090 Envision yourself gaining actionable insights on topics like 14 00:00:37,090 --> 00:00:38,390 private equity strategies, 15 00:00:38,929 --> 00:00:43,030 ASC business growth, and innovations in spine, orthopedics, 16 00:00:43,635 --> 00:00:45,734 GI, ophthalmology, and cardiology. 17 00:00:46,354 --> 00:00:49,954 Now imagine yourself listening to inspiring keynotes from 18 00:00:49,954 --> 00:00:53,094 hall of fame boxing world champion, Lila Ali, 19 00:00:53,155 --> 00:00:56,879 and professional basketball player, Caitlin Clark. Their stories 20 00:00:56,879 --> 00:00:59,199 will motivate you to take your business to 21 00:00:59,199 --> 00:01:01,600 new heights. You'll leave with a wealth of 22 00:01:01,600 --> 00:01:03,920 knowledge and a network of connections to help 23 00:01:03,920 --> 00:01:06,719 lead your ASC into the next year. Don't 24 00:01:06,719 --> 00:01:09,700 miss out. Get registered today. Visit beckershospitalreviewdot 25 00:01:10,954 --> 00:01:12,715 com and click on the events page to 26 00:01:12,715 --> 00:01:15,135 find the conference website. That's the beckershospitalreview.com 27 00:01:17,034 --> 00:01:19,135 events page. See you in Chicago. 28 00:01:19,995 --> 00:01:22,495 This is Alan Congdon with the Becker's podcast, 29 00:01:22,795 --> 00:01:24,795 and I am thrilled to be joined today 30 00:01:24,795 --> 00:01:27,459 by doctor Swanny Jeff, who is the CEO 31 00:01:27,920 --> 00:01:31,459 at Park Duvall Community Health Center in Louisville, 32 00:01:31,760 --> 00:01:32,260 Kentucky. 33 00:01:32,640 --> 00:01:33,540 Doctor Jess, 34 00:01:34,239 --> 00:01:36,959 25 plus experience, I believe, in health care 35 00:01:36,959 --> 00:01:39,280 and public health. A real pleasure to have 36 00:01:39,280 --> 00:01:41,344 you on the podcast with us today. Before 37 00:01:41,344 --> 00:01:43,265 we dive into some questions, I'd love to 38 00:01:43,265 --> 00:01:44,744 turn the floor over to you to hear 39 00:01:44,744 --> 00:01:46,145 a little bit more about your role and 40 00:01:46,145 --> 00:01:46,805 your background. 41 00:01:48,224 --> 00:01:50,145 Yes. Well, thank you. Thanks for having me 42 00:01:50,145 --> 00:01:52,224 first. It is definitely a pleasure to be 43 00:01:52,224 --> 00:01:52,724 on. 44 00:01:53,025 --> 00:01:56,939 So I have the pleasure of running 3 45 00:01:56,939 --> 00:01:59,280 health departments in my past being health commissioner. 46 00:01:59,900 --> 00:02:00,719 I started 47 00:02:01,099 --> 00:02:03,500 running health departments. I've been a leader back 48 00:02:03,500 --> 00:02:06,560 in 2008, 2009 in Bullitt County, 49 00:02:07,204 --> 00:02:09,604 Kentucky, and then I moved to Simney County, 50 00:02:09,604 --> 00:02:12,104 Florida, which is in Sanford and then Brookline, 51 00:02:12,165 --> 00:02:12,665 Massachusetts, 52 00:02:13,604 --> 00:02:15,604 actually, where I was living when the COVID 53 00:02:15,604 --> 00:02:18,745 outbreak happened. My background is actually in epidemiology, 54 00:02:19,044 --> 00:02:19,944 public health, 55 00:02:20,659 --> 00:02:21,400 and biosystems 56 00:02:21,939 --> 00:02:23,959 engineering, so quite diverse background. 57 00:02:24,659 --> 00:02:25,800 I've been in Louisville 58 00:02:26,500 --> 00:02:28,900 off and on since 1995, so this is 59 00:02:28,900 --> 00:02:30,739 my 3rd stint in coming back to work 60 00:02:30,739 --> 00:02:31,400 in Louisville. 61 00:02:31,860 --> 00:02:32,360 And 62 00:02:32,659 --> 00:02:34,840 Community Health Center is the oldest 63 00:02:35,185 --> 00:02:37,185 federal qualified health center actually in the state 64 00:02:37,185 --> 00:02:37,764 of Kentucky. 65 00:02:38,465 --> 00:02:39,685 It opened in 1968, 66 00:02:40,224 --> 00:02:41,905 so it's it's one of the oldest also 67 00:02:41,905 --> 00:02:42,724 in the nation. 68 00:02:44,465 --> 00:02:46,144 Fantastic. Yeah. Thank you so much for the 69 00:02:46,144 --> 00:02:49,710 brief intro there. Really, really fascinating background. Like 70 00:02:49,710 --> 00:02:52,110 you said, it ran 3 health departments in 71 00:02:52,110 --> 00:02:52,610 Kentucky, 72 00:02:52,909 --> 00:02:54,050 Florida, Massachusetts. 73 00:02:54,590 --> 00:02:56,669 Now, of course, the leader at Park Duval 74 00:02:56,669 --> 00:02:58,830 Community Health Center. I believe you said the 75 00:02:58,830 --> 00:03:01,710 oldest federally qualified health center in the state 76 00:03:01,710 --> 00:03:02,449 of Kentucky. 77 00:03:03,075 --> 00:03:05,555 Doctor Jet, would love to follow, what are 78 00:03:05,555 --> 00:03:07,254 2 or 3 trends 79 00:03:07,635 --> 00:03:09,875 that you're really following in the health care 80 00:03:09,875 --> 00:03:11,415 space today and why? 81 00:03:12,995 --> 00:03:13,495 Well, 82 00:03:13,875 --> 00:03:16,275 the the first trend I'm following is the 83 00:03:16,275 --> 00:03:17,655 emergence of AI. 84 00:03:18,189 --> 00:03:19,709 And and I know that's at the top 85 00:03:19,709 --> 00:03:21,009 of everybody's list, 86 00:03:21,310 --> 00:03:21,810 but, 87 00:03:22,110 --> 00:03:24,030 you know, one of the concerns I like 88 00:03:24,030 --> 00:03:26,509 the technology and how people can use it 89 00:03:26,509 --> 00:03:27,009 to 90 00:03:27,550 --> 00:03:28,849 actually do dictation 91 00:03:29,229 --> 00:03:30,849 for a physician standpoint. 92 00:03:31,415 --> 00:03:33,735 The other aspect is people started using it 93 00:03:33,735 --> 00:03:34,715 in the billing, 94 00:03:35,175 --> 00:03:38,635 but I'm I'm curious into how the manipulation 95 00:03:38,855 --> 00:03:40,875 might happen in terms of PII 96 00:03:41,895 --> 00:03:44,795 and protection of the information and potential breaches. 97 00:03:45,530 --> 00:03:47,870 You know, that's probably my biggest concern. 98 00:03:48,569 --> 00:03:50,489 And then, you know, how much would we 99 00:03:50,489 --> 00:03:53,310 be able to use AI to replace people? 100 00:03:53,689 --> 00:03:56,669 Because we're moving to a fast standing society 101 00:03:56,729 --> 00:03:57,229 now 102 00:03:57,530 --> 00:03:59,069 where we're using robotics 103 00:03:59,610 --> 00:04:00,110 and 104 00:04:00,814 --> 00:04:02,834 technology to replace people, 105 00:04:03,375 --> 00:04:04,114 but also 106 00:04:04,495 --> 00:04:05,474 would that be 107 00:04:06,014 --> 00:04:06,754 any issues 108 00:04:07,055 --> 00:04:08,194 in terms of 109 00:04:09,935 --> 00:04:11,715 if technology goes down 110 00:04:12,254 --> 00:04:14,174 now that we've replaced it with people, where 111 00:04:14,174 --> 00:04:15,235 does that leave us? 112 00:04:16,040 --> 00:04:18,519 And then the other interesting trends that I'm 113 00:04:18,519 --> 00:04:19,019 following 114 00:04:19,319 --> 00:04:21,019 has a lot to do with reimbursements. 115 00:04:21,560 --> 00:04:22,060 And 116 00:04:22,759 --> 00:04:26,199 not only from Medicaid, Medicare, but private insurance, 117 00:04:26,199 --> 00:04:26,939 but also 118 00:04:27,480 --> 00:04:29,319 where are we going in terms of ward 119 00:04:29,319 --> 00:04:30,459 340 b? 120 00:04:30,904 --> 00:04:32,904 I mean, I know a lot of hospitals 121 00:04:32,904 --> 00:04:33,725 and pharmacies, 122 00:04:34,345 --> 00:04:36,025 there's been a lot of pushback from that 123 00:04:36,025 --> 00:04:38,345 from the 340 b, but that's at the 124 00:04:38,345 --> 00:04:39,944 top of my list to keep a watch 125 00:04:39,944 --> 00:04:40,764 for IR. 126 00:04:42,105 --> 00:04:44,665 Yeah. It's certainly interesting. 2 interesting trends, you 127 00:04:44,665 --> 00:04:46,199 know, that a lot of leaders are focused 128 00:04:46,199 --> 00:04:47,800 on at the moment in terms of, like 129 00:04:47,800 --> 00:04:48,699 you said, reimbursement, 130 00:04:49,080 --> 00:04:51,819 3.40 b in particular for hospitals and pharmacy. 131 00:04:52,040 --> 00:04:53,800 But wanted to to go back to the 132 00:04:53,800 --> 00:04:55,639 first point you'd mentioned in terms of that 133 00:04:55,639 --> 00:04:56,860 emergence of AI. 134 00:04:57,319 --> 00:04:59,319 You you talked about some of the benefits 135 00:04:59,319 --> 00:05:01,340 there and the potential in terms of dictating 136 00:05:01,694 --> 00:05:02,914 positions, billing. 137 00:05:03,694 --> 00:05:05,615 But maybe do you feel like there's not 138 00:05:05,615 --> 00:05:08,414 enough people talking about some of those concerns 139 00:05:08,414 --> 00:05:10,735 about a AI like you've mentioned in terms 140 00:05:10,735 --> 00:05:14,175 of patient privacy and, potentially really impacting the 141 00:05:14,175 --> 00:05:14,675 workforce? 142 00:05:16,259 --> 00:05:18,519 No. A lot of people are fascinated 143 00:05:18,819 --> 00:05:19,720 about what 144 00:05:20,100 --> 00:05:22,100 the potential is and what it can do. 145 00:05:22,100 --> 00:05:23,720 And sometimes when you 146 00:05:24,100 --> 00:05:27,480 you move into spaces too fast, you actually 147 00:05:27,699 --> 00:05:29,160 find out later on 148 00:05:29,855 --> 00:05:31,455 all the benefits you thought you were gonna 149 00:05:31,455 --> 00:05:33,154 get us now. See, say for instance, 150 00:05:34,014 --> 00:05:34,675 in 2,009, 151 00:05:36,014 --> 00:05:37,955 I introduced a tobacco 152 00:05:38,415 --> 00:05:40,595 a smoking ban on tobacco. 153 00:05:41,055 --> 00:05:43,475 In that smoking ban in 2,009, 154 00:05:44,410 --> 00:05:45,790 I included ecigarettes. 155 00:05:46,970 --> 00:05:49,930 And people questioned why I include that, but 156 00:05:49,930 --> 00:05:51,230 the scientific research 157 00:05:51,610 --> 00:05:53,550 wasn't out. But I 158 00:05:54,089 --> 00:05:54,589 assumed 159 00:05:55,050 --> 00:05:55,550 that 160 00:05:56,170 --> 00:05:58,589 the data would catch up in terms of 161 00:05:59,064 --> 00:06:00,045 what was in 162 00:06:00,745 --> 00:06:02,444 of being placed into ecigarettes 163 00:06:02,985 --> 00:06:04,764 and how it's gonna impact people. 164 00:06:05,064 --> 00:06:06,365 Now fast forward, 165 00:06:06,745 --> 00:06:09,544 you know, 15, 16 years later, we're starting 166 00:06:09,544 --> 00:06:10,125 to see 167 00:06:10,504 --> 00:06:13,250 the scientific evidence is starting to come out 168 00:06:13,250 --> 00:06:15,889 about the harmful chemicals that can be put 169 00:06:15,889 --> 00:06:17,029 into e cigarettes. 170 00:06:17,970 --> 00:06:20,290 So I think, you know, it's the shiny 171 00:06:20,290 --> 00:06:22,370 new toy. It's like buying a brand new 172 00:06:22,370 --> 00:06:22,870 Corvette. 173 00:06:23,250 --> 00:06:25,189 But when you buy that brand new Corvette, 174 00:06:25,414 --> 00:06:27,014 once you get to drive it, you might 175 00:06:27,014 --> 00:06:28,854 end up finding out that there's glitches down 176 00:06:28,854 --> 00:06:31,254 the road. And if you wait too long 177 00:06:31,254 --> 00:06:33,495 to diagnose the issues that could occur and 178 00:06:33,495 --> 00:06:35,194 don't put in the safety measures, 179 00:06:35,735 --> 00:06:37,035 it would be too late. 180 00:06:37,830 --> 00:06:41,430 Yeah. Really, really interesting point. Fantastic remarks there. 181 00:06:41,430 --> 00:06:42,970 Just to in that 2009 182 00:06:43,350 --> 00:06:45,029 smoking ban you had mentioned, was that in 183 00:06:45,029 --> 00:06:46,389 the state of Florida? Or 184 00:06:47,670 --> 00:06:50,089 It actually was in the state of Kentucky. 185 00:06:50,774 --> 00:06:52,214 State of Kentucky. And it was in Bullitt 186 00:06:52,214 --> 00:06:55,175 County. So in 2010, the the Board of 187 00:06:55,175 --> 00:06:55,675 Health 188 00:06:56,214 --> 00:06:58,535 we did pass it. We ended up being 189 00:06:58,535 --> 00:07:01,254 sued by the the county commissioners, and the 190 00:07:01,254 --> 00:07:03,115 case went all the way to the Kentucky 191 00:07:03,175 --> 00:07:05,735 Supreme Court. And we actually lost by one 192 00:07:05,735 --> 00:07:06,235 vote, 193 00:07:06,589 --> 00:07:09,089 But the entire town was smoke free anyway. 194 00:07:10,509 --> 00:07:12,770 Mhmm. Yeah. At least all the restaurants did. 195 00:07:13,550 --> 00:07:16,110 Yeah. Yeah. Yeah. I I wanted to go 196 00:07:16,189 --> 00:07:18,589 exciting things in the in the pipeline. You 197 00:07:18,589 --> 00:07:20,774 talk about obviously, there's a lot of concern 198 00:07:20,774 --> 00:07:22,774 around AI, but a lot of excitement as 199 00:07:22,774 --> 00:07:25,495 well, like you'd mentioned. But is there anything 200 00:07:25,495 --> 00:07:27,974 you're particularly excited about when you think about 201 00:07:27,974 --> 00:07:29,654 the future of health care, whether it's on 202 00:07:29,654 --> 00:07:32,615 the technology side, the hospital side? Anything that 203 00:07:32,615 --> 00:07:34,375 you're really excited about when you think about 204 00:07:34,375 --> 00:07:35,035 the future? 205 00:07:36,600 --> 00:07:38,439 One of the things I I am excited 206 00:07:38,439 --> 00:07:41,000 about, and I hope this continues to come 207 00:07:41,000 --> 00:07:41,740 to the forefront, 208 00:07:42,680 --> 00:07:43,180 is 209 00:07:43,879 --> 00:07:46,540 most of the CEOs are starting to understand 210 00:07:47,474 --> 00:07:48,375 community benefit 211 00:07:49,154 --> 00:07:50,854 and social determinants of health. 212 00:07:51,394 --> 00:07:54,034 You know, for centuries, for decades, I would 213 00:07:54,034 --> 00:07:55,735 say, because I've been in the field 214 00:07:56,594 --> 00:07:57,414 30 years. 215 00:07:58,354 --> 00:07:58,854 Usually, 216 00:07:59,314 --> 00:08:01,894 social determinants of health over the last 20 217 00:08:02,839 --> 00:08:05,319 may be the health department or the community 218 00:08:05,319 --> 00:08:06,699 health center focused 219 00:08:07,000 --> 00:08:07,500 on 220 00:08:08,759 --> 00:08:09,259 policies 221 00:08:10,120 --> 00:08:11,819 and the overall community 222 00:08:12,439 --> 00:08:15,579 because they understood that that impacts health. 223 00:08:16,404 --> 00:08:18,264 Now you're seeing more CEOs 224 00:08:19,524 --> 00:08:22,084 becoming aware that I can't just focus on 225 00:08:22,084 --> 00:08:24,245 membership and the patient coming in the door 226 00:08:24,245 --> 00:08:25,225 because, actually, 227 00:08:26,084 --> 00:08:27,464 where a patient lives 228 00:08:28,500 --> 00:08:31,460 impacts their health. So if you don't focus 229 00:08:31,460 --> 00:08:33,399 in on the education 230 00:08:34,179 --> 00:08:36,100 and the school system, or if you don't 231 00:08:36,100 --> 00:08:38,179 focus on the busing, or if you don't 232 00:08:38,179 --> 00:08:39,080 focus on 233 00:08:39,540 --> 00:08:40,600 food insecurity, 234 00:08:41,315 --> 00:08:43,475 you don't focus on if they have good 235 00:08:43,475 --> 00:08:44,375 running water. 236 00:08:45,075 --> 00:08:47,554 Those things impact the patient coming in the 237 00:08:47,554 --> 00:08:48,615 door, and understanding 238 00:08:48,995 --> 00:08:49,975 where they live 239 00:08:50,754 --> 00:08:54,195 is gives you ideal on when they might 240 00:08:54,195 --> 00:08:56,360 die, how can we walk them back to 241 00:08:56,360 --> 00:08:57,500 improve the life 242 00:08:58,120 --> 00:08:59,879 so that we don't have a lot of 243 00:08:59,879 --> 00:09:00,379 people 244 00:09:00,680 --> 00:09:02,620 in the ER. Now as far as preventive 245 00:09:02,840 --> 00:09:03,340 care, 246 00:09:03,960 --> 00:09:06,920 but we don't want ER school unless, of 247 00:09:06,920 --> 00:09:08,680 course, it's it's COVID and it's something we 248 00:09:08,680 --> 00:09:09,660 have to deal with. 249 00:09:10,625 --> 00:09:12,945 Mhmm. Yeah. Like you said, you've been an 250 00:09:12,945 --> 00:09:14,784 expert and really in this field in terms 251 00:09:14,784 --> 00:09:16,705 of social determinants of health for such a 252 00:09:16,705 --> 00:09:18,865 long time. You know, you talked about how 253 00:09:18,865 --> 00:09:22,804 important education is, housing, transport, food insecurities. 254 00:09:23,509 --> 00:09:25,190 What do you think it was that really 255 00:09:25,190 --> 00:09:28,149 helped hammer this point home for CEOs? Like 256 00:09:28,149 --> 00:09:30,649 you said, more hospital, more health system CEOs, 257 00:09:30,950 --> 00:09:32,870 really taking a more harder look at social 258 00:09:32,870 --> 00:09:34,549 in terms of health. Is there anything you 259 00:09:34,549 --> 00:09:37,129 can pinpoint that was, the turning factor here? 260 00:09:38,375 --> 00:09:40,375 Well, I think some of it had to 261 00:09:40,375 --> 00:09:41,995 do with the economic benefit 262 00:09:42,455 --> 00:09:43,595 as well. And, 263 00:09:44,615 --> 00:09:47,254 you know, hospitals can't work on a island 264 00:09:47,254 --> 00:09:50,215 by themselves. It's part of the overall public 265 00:09:50,215 --> 00:09:51,034 health system. 266 00:09:52,029 --> 00:09:54,429 And so if if you really wanna focus 267 00:09:54,429 --> 00:09:57,950 on improving patient care, you have to begin 268 00:09:57,950 --> 00:10:00,350 to address all the issues that's impacting them. 269 00:10:00,350 --> 00:10:01,089 So I think 270 00:10:01,470 --> 00:10:03,789 by the mere fact of them working side 271 00:10:03,789 --> 00:10:04,529 by side 272 00:10:04,934 --> 00:10:07,095 with the primary care sector, with the public 273 00:10:07,095 --> 00:10:10,215 health sector, with public health practitioners bring to 274 00:10:10,215 --> 00:10:10,875 the forefront. 275 00:10:11,495 --> 00:10:13,414 Because one of the things that, you know, 276 00:10:13,414 --> 00:10:15,335 a lot of doctors get burned out over 277 00:10:15,335 --> 00:10:17,174 time is they constantly see in the same 278 00:10:17,174 --> 00:10:17,914 sick patient. 279 00:10:18,740 --> 00:10:20,500 And, you know, there's been a lot of 280 00:10:20,500 --> 00:10:22,980 talk, over the years of running a sick 281 00:10:22,980 --> 00:10:23,639 care system. 282 00:10:24,339 --> 00:10:26,980 And by the the issues that we are 283 00:10:26,980 --> 00:10:28,759 spending more money on health care 284 00:10:29,299 --> 00:10:32,100 than other countries that have the same amount 285 00:10:32,100 --> 00:10:33,320 of work do we do, 286 00:10:33,684 --> 00:10:36,325 those statistics have become more alarming. So just 287 00:10:36,325 --> 00:10:38,184 the education of the CEOs 288 00:10:38,644 --> 00:10:40,665 but also of the c suite 289 00:10:41,045 --> 00:10:44,165 has actually started to penetrate down to the 290 00:10:44,165 --> 00:10:46,404 lower levels, and now you start to see 291 00:10:46,404 --> 00:10:48,504 certain hospital systems make the change. 292 00:10:49,889 --> 00:10:52,449 Fantastic. So really, really finally penetrated. Like you 293 00:10:52,449 --> 00:10:54,209 said, the c suite are really coming from 294 00:10:54,209 --> 00:10:56,449 the top down, trickling down throughout these health 295 00:10:56,449 --> 00:10:59,089 systems, which is finally no thanks to all 296 00:10:59,089 --> 00:11:01,089 that, hard work over the years, but great 297 00:11:01,089 --> 00:11:03,829 to see that that corner finally being turned. 298 00:11:04,394 --> 00:11:06,235 Doctor Chet, last thing I wanted to ask 299 00:11:06,235 --> 00:11:08,154 you before I let you go. When we 300 00:11:08,154 --> 00:11:11,435 think about Parc Duval Community Health Center or 301 00:11:11,435 --> 00:11:14,394 federally qualified health centers in general, where where 302 00:11:14,394 --> 00:11:16,875 are the biggest opportunities for growth in your 303 00:11:16,875 --> 00:11:18,735 eyes over the next 1 to 2 years? 304 00:11:20,169 --> 00:11:20,669 So, 305 00:11:21,210 --> 00:11:23,149 you know, to me, one of the biggest 306 00:11:23,210 --> 00:11:25,290 areas to grow, they if they're not focused 307 00:11:25,290 --> 00:11:26,750 on 3 four to be the pharmacy, 308 00:11:27,529 --> 00:11:28,269 they should. 309 00:11:28,889 --> 00:11:32,429 Community health centers are uniquely positioned in communities 310 00:11:32,809 --> 00:11:34,269 that have issues, 311 00:11:35,335 --> 00:11:36,634 surrounding food insecurity. 312 00:11:37,654 --> 00:11:40,394 So, you know, I encourage everybody to 313 00:11:40,934 --> 00:11:43,195 focus on how you improve 314 00:11:43,654 --> 00:11:45,595 that in your area such as 315 00:11:46,134 --> 00:11:48,455 right now, I'm focused on I purchased the 316 00:11:48,455 --> 00:11:48,955 building, 317 00:11:49,519 --> 00:11:52,019 and I'm moving toward an indoor farmer's market. 318 00:11:52,320 --> 00:11:54,720 In inside this farmer's market, we'd not only 319 00:11:54,720 --> 00:11:57,279 have fresh foods coming from farmers. It will 320 00:11:57,279 --> 00:11:59,279 be open year round, but I'm also operating 321 00:11:59,279 --> 00:12:00,179 a food pantry 322 00:12:00,720 --> 00:12:02,500 and also a training kitchen 323 00:12:03,004 --> 00:12:04,865 that would help people how 324 00:12:05,325 --> 00:12:05,985 to cook 325 00:12:06,365 --> 00:12:07,584 appropriately healthy, 326 00:12:08,044 --> 00:12:10,605 but also I'm moving to the area. We're 327 00:12:10,605 --> 00:12:12,225 not just doing it for the community, 328 00:12:12,684 --> 00:12:15,485 but for my patients, I'm gonna prescribe to 329 00:12:15,485 --> 00:12:17,584 them foods they can go eat 330 00:12:18,170 --> 00:12:19,629 at the farmer's market 331 00:12:20,410 --> 00:12:21,790 at a reduced cost. 332 00:12:22,730 --> 00:12:25,769 So I'm gonna help reduce their cost by 333 00:12:25,769 --> 00:12:26,269 20%, 334 00:12:27,129 --> 00:12:29,370 but, also, I'm gonna be able to provide 335 00:12:29,370 --> 00:12:30,110 free food. 336 00:12:30,575 --> 00:12:32,575 And so that's the area that I'm moving 337 00:12:32,575 --> 00:12:34,894 to because, you know, the the reason why 338 00:12:34,894 --> 00:12:36,434 community health centers exist 339 00:12:37,455 --> 00:12:39,294 is because we're taking care of people that 340 00:12:39,294 --> 00:12:41,534 don't have insurance, but, also, people that do 341 00:12:41,534 --> 00:12:42,274 have insurance. 342 00:12:42,590 --> 00:12:45,410 But we know the food is very expensive 343 00:12:45,470 --> 00:12:47,470 these days, so I can't I cannot very 344 00:12:47,470 --> 00:12:50,129 well tell a person in my conscious mind 345 00:12:50,509 --> 00:12:51,570 to eat healthy 346 00:12:52,190 --> 00:12:54,269 that there's no healthy places for them to 347 00:12:54,269 --> 00:12:56,429 go, nor do I provide the foods to 348 00:12:56,429 --> 00:12:59,404 them. So I'm gonna prescribe to my patients 349 00:12:59,544 --> 00:13:01,004 that have chronic diseases. 350 00:13:01,544 --> 00:13:04,424 Here's the diet that would help you reduce 351 00:13:04,424 --> 00:13:06,745 the amount of medication so you don't have 352 00:13:06,745 --> 00:13:08,125 to use 3 40 b. 353 00:13:08,584 --> 00:13:09,964 If I can get that 354 00:13:10,600 --> 00:13:13,080 in at the forefront into their hands, I'm 355 00:13:13,080 --> 00:13:15,240 hoping that we can have greater success. And 356 00:13:15,240 --> 00:13:16,220 I'm hoping that 357 00:13:16,679 --> 00:13:19,259 every FQC, every hospital sector 358 00:13:20,039 --> 00:13:22,039 start to look at how to improve the 359 00:13:22,039 --> 00:13:23,500 patient's long term health. 360 00:13:24,235 --> 00:13:27,514 Mhmm. Yeah. Fascinating to to hear about your 361 00:13:27,514 --> 00:13:29,434 initiatives and all the great work you're doing 362 00:13:29,434 --> 00:13:30,174 in Kentucky. 363 00:13:30,794 --> 00:13:32,715 Doctor Jazz, a real pleasure to have you 364 00:13:32,715 --> 00:13:34,715 on the podcast with us today. Thank you 365 00:13:34,715 --> 00:13:35,915 so much for taking the time out of 366 00:13:35,915 --> 00:13:37,514 your schedule. I look forward to visiting with 367 00:13:37,514 --> 00:13:38,654 you again down the line. 368 00:13:39,307 --> 00:13:41,067 Thank you. I definitely appreciate it. It's been 369 00:13:41,067 --> 00:13:41,647 a pleasure.