Future of Health Care 2020

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THE FUTURE OF HEALTH CARE // HEALTH CARE EQUITY Jericho Road East Side Medical Director Takesha Leonard and Chief Medical Officer Dr. Allana Krolikowski are on the front lines of the health-equity battle in Buffalo. JOED VIERA On the road to progress GROUPS FIGHT HEALTH DISPARITIES, ESPECIALLY IN EAST BUFFALO BY DAN MINER dminer@bizjournals.com Of 12 chronic health conditions and health behaviors measured in a recent study by FTI Consulting’s Center for Healthcare Economics and Policy, Erie County ranked last in asthma, cancer, diabetes, heart attacks and hypertension, and scored poorly in several other measures. FTI’s report measured Buffalo against 11 other metro areas ranging from Rochester, Syracuse and Albany to Louisville and Columbus. The report was commissioned by Population Health Collaborative of Western New York, which is led by local attorney John Craik. “The big things for health disparities in Buffalo are the chronic diseases, and those are the ones killing people on the East Side of Buffalo in particular,” Craik said. “The good news is there are a lot of good things being done about it. The bad news is it’s going to take a lot of time.” Craik is among a group of people, from attorneys to doctors to community organizers, who are on a quest to find out what is making Western New Yorkers so much sicker than the average American. The average life expectancy here is six years lower than the mean, Craik said, and on the East Side that number balloons to a whopping 13 years. “That is a 13-year-old who has never met his or her grandparents because they are dying prematurely,” he said. Craik’s organization is focused on the social determinants of health. He said the problem isn’t a lack of resources, it’s about purposeful coordination of the effort across the entire community. He’s one 34 THE FUTURE OF HEALTH CARE BUFFALO BUSINESS FIRST
THE FUTURE THE FUTURE OF HEALTH OF HEALTH CARE // HEALTH CARE // PATIENT CARE EQUITY CARE of the driving forces behind the Live Well Erie Task Force, commissioned by Erie County and involving more than 40 partner groups. Live Well kicked off in October and remains nascent, but Craik said behind-the-scenes work is focused on synthesizing data, deciding on specific initiatives and then finding community-based evangelists to be the faces of the effort. A report by summer will summarize what they’ve learned. “What we’re hoping to do is create a movement and culture change,” he said. “It’s the kind of thing that will manifest itself 10 to 15 to 20 years from now.” One clinical hub for equitable health care is Jericho Road Community Health Center, which has grown substantially since opening 23 years ago. It became a federally qualified health center in 2013. Until Covid-19 forced the closure of its Genesee Street facility, there were three health centers in Buffalo. The newest opened in 2018 on Broadway on the East Side. “Our goal has always been to serve the most vulnerable in our communities,” said Dr. Allana Krolikowski, Jericho Road’s chief medical officer. “We’re in the business of taking care of people who aren’t taken care of in other places.” Krolikowski said African-American and Hispanic populations suffer from implicit societal bias and racism, which contributes to quantifiably worse health outcomes for both groups. Rodney Haring is director of the Center for Indigenous Cancer Center at Roswell Park Comprehensive Cancer Center. Jericho Road took care of more than 20,000 unique patients last year, most of whom were on Medicaid. While the health center represents the community-based clinical end of the spectrum, Western New York’s research hubs also are taking aim at the issue of health-care disparities. Rodney Haring, director of the Center for Indigenous Cancer Research at Roswell Park Comprehensive Cancer Center, recently hosted a live fireside chat with leaders of indigenous groups across the United States and Canada The Population Health Collaborative, headed by John Craik, is pushing to improve health outcomes throughout Western New York. “It’s the kind of thing that will manifest itself 10 to 15 to 20 years from now,” he says. FILE PHOTO FILE PHOTO about cancer, health disparities and the Covid-19 epidemic. Haring is a research faculty member at Roswell in its Cancer Prevention and Populations Sciences Division, an adjunct faculty member at the University of Arizona and a National Congress of American Indians scholar. He is an enrolled member of the Seneca Nation of Indians and resides on the Cattaraugus Reservation with his family. Haring said health-care equity issues affect rural communities as well, particularly ones that serve indigenous populations. He said those cohorts face the same elevated levels of cancer, diabetes, autoimmune disorders and other diseases, stemming from socioeconomic and access issues. The coronavirus situation is shining a light on the resiliency and sense of community in many of those populations. “One of the things I’m seeing among all communities and people is coming together in the spirit of innovation and creativity,” he said. “It’s bringing people together to be resilient and to work together in ways they haven’t before.” Haring is working to ensure clinical trials and federal research opportunities extend to populations that are being hit the hardest. “It’s especially important for indigenous people and African-American and Latino populations that are facing some of today’s greatest health inequities,” he said. “Universities and research organizations that have clinical trials need to make sure they are including the populations that are being hit the hardest.” MAY 15, 2020 THE FUTURE OF HEALTH CARE 35
Page 1 and 2: BUSINESS FIRST SUPPLEMENT THE FUTUR
Page 3 and 4: Contents JOED VIERA The Covid-19 pa
Page 5 and 6: ECMC’s Virtual Care EXTENDING HEA
Page 7 and 8: Patient Care Sponsored by BEYOND TH
Page 9 and 10: For a complicated time, the simples
Page 11 and 12: Collaboration, compassion and excep
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Page 15 and 16: Technology PAID ADVERTISEMENT Spons
Page 17 and 18: ROSWELL PARK COMPREHENSIVE CANCER C
Page 19 and 20: Thank You to all Healthcare Profess
Page 21 and 22: Visit shswny.org for more info As o
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Page 28 and 29: Health Education Sponsored by NEXT-
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Page 32 and 33: To the nurses, physicians and all t
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Page 38 and 39: Payments and Reimbursements THE FUT
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Page 44: Strokes require fast action. Don’

Future of Health Care 2020

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