1 00:00:00,240 --> 00:00:02,720 Imagine this. You're at the Swiss Hotel in 2 00:00:02,720 --> 00:00:06,399 Chicago surrounded by top executives from leading insurance 3 00:00:06,399 --> 00:00:07,754 companies and health 4 00:00:08,214 --> 00:00:11,355 systems. Welcome to Becker's fall Parishes Roundtable, 5 00:00:11,654 --> 00:00:13,834 November 4th through 6, 2020 6 00:00:14,509 --> 00:00:16,989 4. Picture the excitement as you gather business 7 00:00:16,989 --> 00:00:20,050 cards from over 500 executive level attendees, 8 00:00:20,429 --> 00:00:21,975 building invaluable connections. 9 00:00:22,695 --> 00:00:25,335 Feel the energy as you participate in over 10 00:00:25,335 --> 00:00:29,274 26 educational sessions led by 90 elite speakers. 11 00:00:29,629 --> 00:00:32,989 Envision yourself engaging in lively discussions about new 12 00:00:32,989 --> 00:00:36,350 health plans, hospital at home models, behavioral health, 13 00:00:36,350 --> 00:00:37,445 and price transparency. 14 00:00:38,244 --> 00:00:41,765 Now imagine being inspired by keynotes from boxing 15 00:00:41,765 --> 00:00:45,064 legend, Sugar Ray Leonard, and 4 time NBA 16 00:00:45,125 --> 00:00:47,829 All Star, Chris Webber. Their stories will leave 17 00:00:47,829 --> 00:00:50,010 you motivated and ready to innovate. 18 00:00:50,469 --> 00:00:53,030 Don't miss out on this unique opportunity. Get 19 00:00:53,030 --> 00:00:55,130 registered today. Visit beckershospital 20 00:01:03,545 --> 00:01:05,500 events page. See See you in 21 00:01:05,959 --> 00:01:06,459 Chicago. 22 00:01:07,079 --> 00:01:09,560 Hello, everyone. This is Jacob Emerson with the 23 00:01:09,560 --> 00:01:11,340 Becker's Payer Issues podcast. 24 00:01:11,799 --> 00:01:14,280 Thrilled today to be joined by 2 special 25 00:01:14,280 --> 00:01:17,784 guests. Doctor. Joanna Vadalfalan is the chief medical 26 00:01:17,784 --> 00:01:21,145 officer of Quality and Pediatrics at UPMC Health 27 00:01:21,145 --> 00:01:23,439 Plan. And Rebecca Nagel is the director of 28 00:01:23,439 --> 00:01:25,459 Medicaid and CHIP Quality Programs 29 00:01:25,760 --> 00:01:27,780 also at UPMC Health Plan. 30 00:01:28,159 --> 00:01:30,155 Thank you both so much for taking the 31 00:01:30,155 --> 00:01:32,814 time to join us on the podcast today. 32 00:01:34,075 --> 00:01:35,935 Thank you so much for having us. 33 00:01:37,439 --> 00:01:38,719 So I'd love to hear a little bit 34 00:01:38,719 --> 00:01:40,400 more about you both. If we could talk 35 00:01:40,400 --> 00:01:41,939 about professional backgrounds 36 00:01:42,240 --> 00:01:43,840 and what it is that you both are 37 00:01:43,840 --> 00:01:47,694 doing today at UPMC Health Plan. Doctor Vadafalan, 38 00:01:47,755 --> 00:01:48,814 I'll go to you first. 39 00:01:49,594 --> 00:01:50,974 Thank you so much, Jacob. 40 00:01:51,435 --> 00:01:53,120 I am the chief medical officer, as you 41 00:01:53,120 --> 00:01:55,280 just said, of quality and pediatrics. A lot 42 00:01:55,280 --> 00:01:57,200 of the work I do is across different 43 00:01:57,200 --> 00:01:59,219 lines of business here at the health plan, 44 00:01:59,814 --> 00:02:02,635 collaborating in really with that focus of clinical 45 00:02:02,775 --> 00:02:03,834 quality improvement. 46 00:02:04,534 --> 00:02:07,754 I'm also a clinical assistant professor of pediatrics. 47 00:02:08,810 --> 00:02:11,050 And in that opportunity, I work as a 48 00:02:11,050 --> 00:02:11,550 pediatrician, 49 00:02:12,090 --> 00:02:14,270 still on a part time basis seeing patients 50 00:02:14,729 --> 00:02:17,025 and in collaboration also with the University of 51 00:02:17,025 --> 00:02:18,325 Pittsburgh School of Medicine. 52 00:02:19,344 --> 00:02:21,205 Fantastic. And, Rebecca, how about you? 53 00:02:22,520 --> 00:02:25,319 Hi, Jacob. Thanks. I'm a registered nurse by 54 00:02:25,319 --> 00:02:25,819 background. 55 00:02:26,360 --> 00:02:29,159 I joined UPMC Health Plan about 2 years 56 00:02:29,159 --> 00:02:31,240 ago as the director of Medicaid and CHIP 57 00:02:31,240 --> 00:02:31,740 Quality. 58 00:02:32,334 --> 00:02:34,014 Prior to that, I was with the National 59 00:02:34,014 --> 00:02:35,394 Managed Care Organization, 60 00:02:36,414 --> 00:02:38,574 and I'm a certified professional in health care 61 00:02:38,574 --> 00:02:39,074 quality. 62 00:02:40,180 --> 00:02:42,019 Wonderful. Well, like I said, we really appreciate 63 00:02:42,019 --> 00:02:43,780 you both taking the time to sit down 64 00:02:43,780 --> 00:02:45,479 with us and share your insights 65 00:02:45,939 --> 00:02:48,519 on what is a very important topic today. 66 00:02:48,835 --> 00:02:50,194 So Joanna, I want to come to you 67 00:02:50,194 --> 00:02:51,814 first to get your perspective 68 00:02:52,275 --> 00:02:53,254 as a pediatrician, 69 00:02:54,514 --> 00:02:57,254 and to dive into the topic of vaccines 70 00:02:57,849 --> 00:02:59,389 and really vaccine hesitancy. 71 00:03:00,250 --> 00:03:00,750 To 72 00:03:01,050 --> 00:03:02,569 to to zoom out a bit more, Joanna, 73 00:03:02,569 --> 00:03:04,490 can you talk a little bit about the 74 00:03:04,490 --> 00:03:07,564 main reasons you're seeing today on why parents 75 00:03:07,564 --> 00:03:08,224 and caregivers 76 00:03:08,685 --> 00:03:09,504 might be hesitant 77 00:03:09,805 --> 00:03:12,625 about vaccines and how you as a caregiver 78 00:03:12,685 --> 00:03:15,919 are approaching conversations with with young patients and 79 00:03:15,919 --> 00:03:18,580 and their parents who might have these concerns. 80 00:03:19,599 --> 00:03:21,680 Well, thank you so much, Jacob, for asking 81 00:03:21,680 --> 00:03:22,340 that question. 82 00:03:22,639 --> 00:03:25,604 As a pediatrician in clinical practice, I directly 83 00:03:25,745 --> 00:03:28,465 interact with parents and caregivers as part of 84 00:03:28,465 --> 00:03:31,412 routine well child care and adolescent care. Unfortunately, 85 00:03:31,412 --> 00:03:34,219 in Unfortunately, my over 20 years of experience, 86 00:03:34,599 --> 00:03:37,159 I have seen an increase in mistrust and 87 00:03:37,159 --> 00:03:37,659 misinformation 88 00:03:38,199 --> 00:03:38,699 that 89 00:03:39,335 --> 00:03:42,694 negatively impact families' belief about the importance and 90 00:03:42,694 --> 00:03:43,834 safety of immunizations. 91 00:03:44,775 --> 00:03:47,479 Many young families search for medical information 92 00:03:47,939 --> 00:03:50,580 online and on social media platforms that are 93 00:03:50,580 --> 00:03:53,400 not evidence based or from experienced 94 00:03:53,860 --> 00:03:54,840 medical professionals. 95 00:03:55,645 --> 00:03:57,425 It is important to me as a pediatrician 96 00:03:57,805 --> 00:04:00,925 and a provider to encourage open communication to 97 00:04:00,925 --> 00:04:02,224 answer parents' questions. 98 00:04:02,604 --> 00:04:04,969 I highly welcome dialogue from parents. 99 00:04:05,349 --> 00:04:08,469 But a challenge arises when families have already 100 00:04:08,469 --> 00:04:10,729 made up their minds about immunizations 101 00:04:11,349 --> 00:04:14,305 without allowing for a caring and trained medical 102 00:04:14,305 --> 00:04:15,685 professional like a pediatrician 103 00:04:16,225 --> 00:04:18,165 to offer advice and rationale. 104 00:04:18,865 --> 00:04:21,079 I am the first one to recognize that 105 00:04:21,079 --> 00:04:24,120 making medical decisions on behalf of of your 106 00:04:24,120 --> 00:04:26,600 child can be very scary, which is why 107 00:04:26,600 --> 00:04:28,774 I I believe in the importance of having 108 00:04:28,774 --> 00:04:31,115 a medical home for your family. 109 00:04:31,574 --> 00:04:34,134 A medical home provides families with a safe 110 00:04:34,134 --> 00:04:36,879 place to ask questions and make decisions 111 00:04:37,339 --> 00:04:39,419 with the support and the input of a 112 00:04:39,419 --> 00:04:42,060 physician or a provider who knows your child 113 00:04:42,060 --> 00:04:45,055 and family and is trained to provide the 114 00:04:45,055 --> 00:04:46,834 best evidence based recommendations. 115 00:04:47,854 --> 00:04:50,495 My personal approach to patients and families to 116 00:04:50,495 --> 00:04:52,769 always take a step back and to listen. 117 00:04:53,310 --> 00:04:56,110 Motivational interviewing is a crucial skill that helps 118 00:04:56,110 --> 00:04:58,129 me as a doctor to address hesitancy 119 00:04:58,589 --> 00:04:59,329 and mistrust 120 00:04:59,845 --> 00:05:00,345 effectively, 121 00:05:00,645 --> 00:05:03,064 meeting my patients and families where they are. 122 00:05:03,444 --> 00:05:05,444 I also share with many of my patients 123 00:05:05,444 --> 00:05:07,605 and I'm also a mom of 2 sons 124 00:05:07,605 --> 00:05:08,745 that are fully immunized. 125 00:05:09,399 --> 00:05:11,319 And I will never subject my children to 126 00:05:11,319 --> 00:05:13,580 harmful things because I love them tremendously 127 00:05:13,960 --> 00:05:16,680 and I will never recommend a medical treatment 128 00:05:16,680 --> 00:05:18,600 that I will not consider for my own 129 00:05:18,600 --> 00:05:19,100 children. 130 00:05:19,544 --> 00:05:21,805 So in other words, I treat my patients 131 00:05:21,865 --> 00:05:23,865 with the same advice I give my own 132 00:05:23,865 --> 00:05:24,365 family. 133 00:05:25,144 --> 00:05:27,384 This experience has weighed and helped me build 134 00:05:27,384 --> 00:05:28,930 trust with many families, 135 00:05:29,949 --> 00:05:31,970 that I have served throughout the year, especially 136 00:05:32,350 --> 00:05:33,889 those from vulnerable backgrounds. 137 00:05:34,589 --> 00:05:35,250 I also 138 00:05:35,654 --> 00:05:36,154 patients, 139 00:05:37,254 --> 00:05:38,555 especially the preteens, 140 00:05:39,014 --> 00:05:41,495 as part of the process. It's important to 141 00:05:41,495 --> 00:05:44,529 explain to patients why patients are important, 142 00:05:45,069 --> 00:05:47,089 not just to the parent or caregiver. 143 00:05:47,470 --> 00:05:50,930 So let patients understand why vaccination or immunization 144 00:05:51,150 --> 00:05:51,889 is important 145 00:05:52,270 --> 00:05:54,904 and how it helps protect them and keep 146 00:05:54,904 --> 00:05:55,725 them in school 147 00:05:56,104 --> 00:05:58,044 and doing the activities they enjoy, 148 00:05:58,425 --> 00:05:59,805 you increase collaboration 149 00:06:00,185 --> 00:06:00,925 and update. 150 00:06:01,360 --> 00:06:04,639 So remember, today's patients are tomorrow's parents who 151 00:06:04,639 --> 00:06:07,379 will be making decisions about their children's immunizations. 152 00:06:07,759 --> 00:06:10,355 And if they have a positive experience and 153 00:06:10,355 --> 00:06:13,334 understand early on why immunizations 154 00:06:13,875 --> 00:06:16,194 are so important, you're more likely to have 155 00:06:16,194 --> 00:06:18,295 their buy in when they are older. 156 00:06:19,790 --> 00:06:22,110 Absolutely. It's really great advice, Joanna. And it's 157 00:06:22,110 --> 00:06:23,410 interesting that you're seeing, 158 00:06:23,949 --> 00:06:24,930 vaccine hesitancy 159 00:06:25,310 --> 00:06:28,814 increase, especially among with the widespread use of 160 00:06:28,814 --> 00:06:30,035 social media today. 161 00:06:30,654 --> 00:06:32,814 Rebecca, how would you say that UPMC as 162 00:06:32,814 --> 00:06:35,615 an enterprise is advocating for the importance of 163 00:06:35,615 --> 00:06:38,069 vaccines and really backing up what Joanna just 164 00:06:38,230 --> 00:06:41,189 talked about. And ultimately on the ground, what 165 00:06:41,189 --> 00:06:42,970 work is taking place to increase 166 00:06:43,430 --> 00:06:46,149 local vaccination rates within within your communities and 167 00:06:46,149 --> 00:06:47,770 within the markets that you serve? 168 00:06:48,814 --> 00:06:50,495 Thanks for that question, Jacob. That's such an 169 00:06:50,495 --> 00:06:51,475 important question, 170 00:06:51,935 --> 00:06:54,975 because increasing local vaccination rates and advocating for 171 00:06:54,975 --> 00:06:57,294 the importance of vaccines is so critical in 172 00:06:57,294 --> 00:06:58,319 the current climate. 173 00:06:58,860 --> 00:07:01,199 We are seeing the impacts of vaccine hesitancy 174 00:07:02,139 --> 00:07:04,879 on everything that we do. And since 2020, 175 00:07:05,019 --> 00:07:07,245 we've seen year over year decreases in our 176 00:07:07,245 --> 00:07:10,305 national quality benchmarks for routine pediatric immunizations, 177 00:07:11,165 --> 00:07:14,305 and these declines span various populations like commercial, 178 00:07:14,660 --> 00:07:16,199 Medicaid, and CHIP membership. 179 00:07:16,740 --> 00:07:18,819 This trend's concerning and it's that's not only 180 00:07:18,819 --> 00:07:21,379 from a quality measure perspective, but also due 181 00:07:21,379 --> 00:07:23,879 to the larger potential impacts these decreasing 182 00:07:24,225 --> 00:07:26,144 vaccination rates can have on public health and 183 00:07:26,144 --> 00:07:27,045 cost of care. 184 00:07:27,665 --> 00:07:30,144 UPMC Health then advocates for the importance of 185 00:07:30,144 --> 00:07:33,300 vaccines and actively works to increase vaccination rates, 186 00:07:33,459 --> 00:07:35,220 and we do this through a variety of 187 00:07:35,220 --> 00:07:35,720 initiatives. 188 00:07:36,500 --> 00:07:39,220 And we provide education and awareness campaigns to 189 00:07:39,220 --> 00:07:41,639 inform the community about the importance of vaccines. 190 00:07:42,225 --> 00:07:45,024 This includes things like sharing accurate information about 191 00:07:45,024 --> 00:07:48,165 vaccine safety, efficacy, and the benefits of immunizations, 192 00:07:48,545 --> 00:07:50,384 and we do this in a variety of 193 00:07:50,384 --> 00:07:53,209 ways that include things like marketing campaigns, 194 00:07:53,669 --> 00:07:55,129 our children's health website, 195 00:07:55,669 --> 00:07:59,189 member and provider newsletter articles, and educational tables 196 00:07:59,189 --> 00:08:00,329 at community events. 197 00:08:01,254 --> 00:08:03,415 Events would include things like the mom Mommy 198 00:08:03,415 --> 00:08:05,814 and Me Baby Expo that was sponsored by 199 00:08:05,814 --> 00:08:07,595 UPMC Magee Women's Hospital. 200 00:08:08,189 --> 00:08:09,870 The goal of that event was to connect 201 00:08:09,870 --> 00:08:12,050 pregnant women with education and resources, 202 00:08:12,589 --> 00:08:14,350 and the health plan had a table staffed 203 00:08:14,350 --> 00:08:16,865 by physicians and one one was a pediatrician 204 00:08:17,004 --> 00:08:19,024 to provide expectant parents and families 205 00:08:19,485 --> 00:08:22,305 education about the importance of WellCare and immunizations. 206 00:08:23,470 --> 00:08:25,870 Last year, we had a pediatric collaborative call 207 00:08:25,870 --> 00:08:28,029 series and one of those featured a webinar 208 00:08:28,029 --> 00:08:30,050 for providers on how to address vaccine 209 00:08:30,350 --> 00:08:30,850 hesitancy 210 00:08:31,334 --> 00:08:33,754 and offered provider CMEs for attending. 211 00:08:34,615 --> 00:08:37,095 We also have our pediatric case management team 212 00:08:37,095 --> 00:08:39,199 that outreaches members with gaps in care for 213 00:08:39,199 --> 00:08:41,919 preventative services. These would include things like well 214 00:08:41,919 --> 00:08:45,600 child visits and immunizations to provide education, assist 215 00:08:45,600 --> 00:08:48,105 with appointment scheduling, and connect members to a 216 00:08:48,105 --> 00:08:49,245 medical home if needed. 217 00:08:49,865 --> 00:08:51,625 And then the health plan works to assure 218 00:08:51,625 --> 00:08:53,785 that vaccines are readily available to the members 219 00:08:53,785 --> 00:08:55,970 in the communities where they live. This would 220 00:08:55,970 --> 00:08:58,450 include offering vaccines at convenient locations, such our 221 00:08:58,450 --> 00:09:00,769 u p such as our UPMC facilities, provider 222 00:09:00,769 --> 00:09:02,309 offices, and community events. 223 00:09:03,365 --> 00:09:05,764 Last year, we partnered with the UPMC Neighborhood 224 00:09:05,764 --> 00:09:08,024 Center to offer flu vaccines at some events. 225 00:09:08,485 --> 00:09:10,004 And I'll just let you know that the 226 00:09:10,004 --> 00:09:12,529 UPMC Neighborhood Center offers an array of services 227 00:09:12,529 --> 00:09:15,190 to our plan members as well as individuals 228 00:09:15,410 --> 00:09:17,509 and families in the surrounding community. 229 00:09:18,050 --> 00:09:20,309 These include things like social service referrals, 230 00:09:20,835 --> 00:09:23,815 virtual health care services, and workforce development programs. 231 00:09:24,674 --> 00:09:27,235 UPMC Health Plan also engages with health care 232 00:09:27,235 --> 00:09:29,815 providers to emphasize the importance of vaccines, 233 00:09:30,429 --> 00:09:32,690 and we wanna encourage them to discuss vaccinations 234 00:09:32,750 --> 00:09:33,730 with their patients. 235 00:09:34,110 --> 00:09:36,429 We wanna support our providers, and we do 236 00:09:36,429 --> 00:09:38,269 this in a variety of ways. 1 is 237 00:09:38,269 --> 00:09:40,335 through value based arrangements that are tied to 238 00:09:40,415 --> 00:09:42,495 key quality metrics, such as well child visits 239 00:09:42,495 --> 00:09:43,154 and immunizations. 240 00:09:44,095 --> 00:09:46,035 And we can also support them with resources 241 00:09:46,175 --> 00:09:48,700 when that's needed. Last year, we worked to 242 00:09:48,700 --> 00:09:51,980 create educational materials around immunizations that were requested 243 00:09:51,980 --> 00:09:52,800 by our providers. 244 00:09:53,340 --> 00:09:54,620 It was a tear off sheet that could 245 00:09:54,620 --> 00:09:56,754 be shared with members to reinforce education that 246 00:09:56,754 --> 00:09:58,754 was given during the well child visit around 247 00:09:58,754 --> 00:09:59,735 things like immunizations. 248 00:10:01,154 --> 00:10:03,955 And we also have practice based care managers 249 00:10:03,955 --> 00:10:06,889 embedded in many of our provider locations. These 250 00:10:06,889 --> 00:10:09,370 practice based care managers can help connect families 251 00:10:09,370 --> 00:10:11,210 with gaps in that have gaps in care 252 00:10:11,210 --> 00:10:13,149 for things like well child visits and immunizations 253 00:10:13,794 --> 00:10:15,654 to their assigned medical home. 254 00:10:16,674 --> 00:10:19,575 Wow. So, clearly, UPMC is doing a lot 255 00:10:19,634 --> 00:10:22,330 to address this concerning trend and and some 256 00:10:22,330 --> 00:10:24,110 of the numbers that you both are seeing. 257 00:10:24,649 --> 00:10:27,529 Rebecca, for other health plan executives that are 258 00:10:27,529 --> 00:10:29,710 listening in right now all over the country, 259 00:10:30,264 --> 00:10:31,784 How would what would you advise them in 260 00:10:31,784 --> 00:10:34,284 terms of how their organization can better advocate 261 00:10:34,664 --> 00:10:36,204 for the importance of vaccinations 262 00:10:36,584 --> 00:10:38,044 among among their members? 263 00:10:38,580 --> 00:10:41,480 And any other new or creative ways, 264 00:10:42,100 --> 00:10:44,519 that you would recommend to incentivize vaccinations, 265 00:10:45,379 --> 00:10:47,720 to really move that needle on the ground? 266 00:10:48,605 --> 00:10:49,105 Sure. 267 00:10:49,565 --> 00:10:51,965 Health care providers are valuable partners, and they 268 00:10:51,965 --> 00:10:54,384 play a crucial role in reducing vaccine hesitancy. 269 00:10:55,139 --> 00:10:57,460 So I would say that organizations should encourage 270 00:10:57,460 --> 00:10:59,860 their providers to have open and proactive discussions 271 00:10:59,860 --> 00:11:02,120 with patients about the importance of vaccines. 272 00:11:03,125 --> 00:11:06,164 Organizations should support providers and assure providers have 273 00:11:06,164 --> 00:11:09,125 resources they need to effectively educate these vaccine 274 00:11:09,125 --> 00:11:10,105 hesitant families. 275 00:11:10,565 --> 00:11:12,769 And health care organizations should really strive to 276 00:11:12,769 --> 00:11:15,590 make vaccines easily accessible to members and patients. 277 00:11:15,970 --> 00:11:17,809 This would include things like offering vaccines at 278 00:11:17,809 --> 00:11:21,064 multiple locations, maybe extended hours that are convenient 279 00:11:21,125 --> 00:11:21,764 for parents, 280 00:11:22,164 --> 00:11:24,824 walk in appointments and online scheduling options. 281 00:11:25,764 --> 00:11:28,804 Implementing vaccine reminder and recall systems can also 282 00:11:28,804 --> 00:11:31,039 help providers ensure that they're not missing or 283 00:11:31,039 --> 00:11:32,419 overlooking certain immunizations. 284 00:11:33,360 --> 00:11:36,240 And UPMC for you, our Medicaid line of 285 00:11:36,240 --> 00:11:39,424 business, currently offers members and member incentives for 286 00:11:39,424 --> 00:11:42,144 completing well child visits, which would encourage members 287 00:11:42,144 --> 00:11:44,065 to connect with their providers and have those 288 00:11:44,065 --> 00:11:45,845 important discussions about vaccinations. 289 00:11:47,149 --> 00:11:48,990 Joanna, anything else you would add there in 290 00:11:48,990 --> 00:11:51,790 terms of best advice for health plan leaders 291 00:11:51,790 --> 00:11:52,690 listening in? 292 00:11:53,470 --> 00:11:56,225 Yes. I I really appreciate that question because 293 00:11:56,225 --> 00:11:58,784 I believe that everybody, including health and a 294 00:11:58,784 --> 00:12:00,884 second, could play a crucial role in education. 295 00:12:01,504 --> 00:12:04,629 I believe that repetition and consistent messaging on 296 00:12:04,629 --> 00:12:06,649 why immunizations are so important 297 00:12:07,110 --> 00:12:09,884 will help us all. For example, are your 298 00:12:09,884 --> 00:12:12,524 patient and member facing teams equipped with the 299 00:12:12,524 --> 00:12:14,764 right information that they can share with your 300 00:12:14,764 --> 00:12:16,785 customers when they call your organization? 301 00:12:17,549 --> 00:12:19,549 Do they know where to direct patients and 302 00:12:19,549 --> 00:12:20,689 members for immunizations, 303 00:12:21,069 --> 00:12:23,709 especially this coming fall when we expect many 304 00:12:23,709 --> 00:12:26,884 questions related to the, flu and COVID 19 305 00:12:26,884 --> 00:12:27,384 immunizations. 306 00:12:28,245 --> 00:12:31,625 Does your website and patient facing materials include 307 00:12:31,925 --> 00:12:34,665 community friendly resources available in several 308 00:12:35,190 --> 00:12:37,769 languages to reach the diverse population you serve. 309 00:12:38,309 --> 00:12:41,029 For for your many community facing teams, partnering 310 00:12:41,029 --> 00:12:42,490 with local organizations 311 00:12:43,475 --> 00:12:44,294 are very important. 312 00:12:44,995 --> 00:12:46,835 If you work with a local school or 313 00:12:46,835 --> 00:12:49,315 a church, how can you support the connection 314 00:12:49,315 --> 00:12:51,095 to keep them promoting immunizations? 315 00:12:51,875 --> 00:12:53,750 It might be as simple as partnering with 316 00:12:53,750 --> 00:12:56,649 a local pharmacy to host a flu clinic 317 00:12:56,790 --> 00:12:58,950 or having a pharmacist talk to a faith 318 00:12:58,950 --> 00:12:59,769 based organization 319 00:13:00,309 --> 00:13:02,330 about the importance of influenza immunizations. 320 00:13:03,125 --> 00:13:05,445 I personally believe in the importance of partnering 321 00:13:05,445 --> 00:13:08,664 with local organizations that have already built trust 322 00:13:09,044 --> 00:13:11,704 and are seen as leaders in their communities. 323 00:13:12,169 --> 00:13:15,389 Aligning this message is very powerful in overcoming 324 00:13:15,450 --> 00:13:16,429 vaccine misinformation 325 00:13:17,290 --> 00:13:20,735 and many of the information that, potentially our 326 00:13:20,735 --> 00:13:22,995 patients or members may encounter online. 327 00:13:25,134 --> 00:13:27,455 So some really fantastic advice from you both. 328 00:13:27,455 --> 00:13:30,160 So, Joanna, before we go, any other final 329 00:13:30,160 --> 00:13:31,299 thoughts or tidbits 330 00:13:31,600 --> 00:13:33,600 you wanna offer our re our listeners that 331 00:13:33,600 --> 00:13:34,980 we were not able to get to? 332 00:13:35,919 --> 00:13:38,134 Yeah. I think there's there's no single solution, 333 00:13:38,134 --> 00:13:39,995 no, to addressing vaccine hesitancy. 334 00:13:40,375 --> 00:13:41,595 It is a multifactorial 335 00:13:42,375 --> 00:13:42,875 problem. 336 00:13:43,415 --> 00:13:45,850 It will take a to continue improving our 337 00:13:45,850 --> 00:13:49,070 community immunization rates. And all of these efforts 338 00:13:49,129 --> 00:13:51,950 are very important and very well worth it. 339 00:13:53,485 --> 00:13:55,264 Fantastic. Well, Joanna, Rebecca, 340 00:13:55,644 --> 00:13:57,565 so appreciate you both taking the time out 341 00:13:57,565 --> 00:14:00,044 of your days to share your insights with 342 00:14:00,044 --> 00:14:01,424 us and our listeners. 343 00:14:01,860 --> 00:14:04,340 Which really appreciate it. And for our listeners, 344 00:14:04,340 --> 00:14:06,180 if you'd like to listen to more podcasts 345 00:14:06,180 --> 00:14:08,600 from Becker's Healthcare, you can visit beckershospitalreview.com.