The Ohio Channel

Link

Embed Code

Available Versions

Collections

Description

State Senators Shannon Jones (R-Springboro) and Charleta B. Tavares (D-Columbus) hold a press conference to announce the introduction of multiple pieces of legislation aimed at fighting Ohio's high rate of infant deaths.

Jones, who Chairs the Senate Standing Committee on Medicaid, Health, and Human Services, was joined by Senator Tavares and other committee members on a statewide tour in 2013 to better understand the infant mortality problem and the needs associated with it and to learn more about local efforts to combat the issue. Senators Jones and Tavares jointly sponsored Senate Bill 198, which designates each October as "Sudden Infant Death Syndrome Awareness Month." The two members rolled out a series of five pieces of legislation, each designed to address a separate part of the infant mortality issue.

The press conference also highlights Moms2B, a unique program to mentor pregnant women in having healthy pregnancies, deliveries, and babies. Dr. Pat Gabbe, the program's clinical director, also spoke. In addition to her role with Moms2B, Dr. Gabbe is also the Principal Investigator at the Center for Perinatal Research for Nationwide Children's Hospital and a faculty member at The Ohio State University.

Tags

infant deaths Medicaid Health Human Services Senate Bill 198 Moms2B infant mortality Shannon Jones Charleta Tavares babies healthy babies

Markers Transcript

There are no markers for this video.

00:00:00	>> GOOD MORNING. THIS IS REALLY EXCITING.
00:00:06	I AM SO GRATIFIED AND GRATEFUL THAT YOU ALL TOOK THE TIME THIS
00:00:13	MORNING TO COME OUT HERE AND LEARN A LITTLE BIT ABOUT DR.
00:00:18	GABY AND HER AMAZING PROGRAM, AND SOME OF THE EFFORTS THAT WE
00:00:22	ARE DOING TO COMBAT IN FRONT -- INCIDENT DEATH AND MORTALITY.
00:00:28	IT WAS ABOUT SIX MONTHS AGO WHERE WE HAVE A PRESS CONFERENCE
00:00:36	AT THE EIGHTH HOUSE AND SAID WE WERE SICK AND TIRED OF HEARING
00:00:40	ABOUT HOW ABYSMAL OHIO'S NUMBERS WERE, AND WE'RE GOING TO DO
00:00:47	SOMETHING ABOUT IT. CENTRAL TO THAT WAS TO REALLY
00:00:50	UNDERSTAND IT, AND MANY OF YOU KNOW AND PARTICIPATED IN OUR
00:00:55	STATEWIDE TO HER -- TOUR. WE TOOK THE SENATE HUMAN HEALTH
00:01:02	AND SERVICES COMMITTEE ON THE ROAD TO LEARN ABOUT SERVICES
00:01:05	THAT WERE HAPPENING IN THE LOCAL COMMUNITIES, AS WELL AS THE
00:01:07	PEOPLE THAT ARE BEING IMPACTED BY THESE PROGRAMS TWO GUARD --
00:01:19	TO TRY TO GET A HANDLE ON THESE NUMBERS.
00:01:20	JUST THIS MORNING, I PUT IT IN THE PACKET, THERE IS AN
00:01:28	EXCELLENT EDITORIAL IN TODAY'S LANE DEALER THAT DETAILS WHY ON
00:01:34	EARTH WE ARE HERE. WHILE THERE HAS BEEN FABULOUS
00:01:39	REPORTING ACROSS THE STATE, I DO NOT LEAVE THEM COINCIDENCE.
00:01:41	THERE IS SOME SERENDIPITY TO THIS, IT REINFORCES THE FACT
00:01:48	THAT OHIO, FOR ALL INTENTS AND PURPOSES IS DEAD LAST IN OUR
00:01:56	INFANT WOULD HARDLY -- MORTALITY RATE.
00:01:58	THOSE POOR NUMBERS ARE NOT A REFLECTION ON OHIO AND OHIO AND.
00:02:05	WE MUST DO BETTER. I AM THRILLED TO BE HERE AGAIN
00:02:14	TO TALK ABOUT ANOTHER'S THAT WE ARE GOING TO BE TAKING ON THIS
00:02:18	JOURNALING TO TRY TO TACKLE WHAT IS A REALLY COMPLICATED
00:02:22	CHALLENGE FOR US AND I THINK IT IS IMPORTANT TO ACKNOWLEDGE THAT
00:02:31	THERE IS NO -- AS YOU KNOW, THERE HAVE BEEN PEOPLE BEFORE ME
00:02:49	, INCLUDING SOME REALLY GOOD WORK BY GOVERNOR K-6 WHO MADE
00:02:53	STRATEGIC INVESTMENTS IN SOME KEY AREAS THAT WE ARE HOPEFUL
00:02:56	WILL BEGIN TO PAY OFF IN SLEEP AND SMOKING.
00:03:03	WE VIEW THIS AS THE NEXT STEP TO CONTINUE TO DRIVE THE
00:03:10	CONVERSATION. WE CANNOT AFFORD TO BE
00:03:12	COMPLACENT WITH OVER 1000 BABIES DIE IN THE STATE BEFORE THEIR
00:03:17	FIRST BIRTHDAY. THANK YOU FOR BEING HERE TODAY,
00:03:22	AND I WILL TURN IT OVER TO CHARLETA.
00:03:23	>> SENATOR JONES REALLY TOOK THE HELM, AND REALLY FOCUSED IN ON
00:03:29	THIS ISSUE AS THE CHAIR OF THE HEALTH AND HUMAN SERVICES
00:03:34	COMMITTEE IN THE SENATE. CERTAINLY, I WAS GLAD TO JOIN
00:03:38	HER, NOT ONLY BECAUSE SHE WAS THE CHAIR OF THE COMMITTEE, BUT
00:03:40	ALSO BECAUSE A MEMBER OF THE COMMITTEE, SOMEONE WHO HAS
00:03:48	FOCUSED ON THIS ISSUE FOR A LONG TIME.
00:03:49	THIS IS AN ISSUE THAT OUR STATE HAS TRIED TO ADDRESS SINCE THE
00:03:54	1980'S, TO REALLY LOOK AT THE DISPARITIES AND OUR -- IN OUR
00:04:05	DEATHS OF INDIVIDUALS OF RACIAL AND ETHNIC POPULATIONS.
00:04:07	INFANT MORTALITY, AS MANY OF US HAVE SHARED AROUND THE STATE,
00:04:18	OUR INFANT HEALTH IS TRULY A REFLECTION OF THE HEALTH OF OUR
00:04:21	STATE IN TOTAL. IF WE CANNOT ENSURE THAT OUR
00:04:27	BABIES LIVE PAST ONE YEAR OF AGE, WE CANNOT GUARANTEE ANY
00:04:32	OTHER POPULATION IN THE STATE OF OHIO THAT THEY WILL HAVE A
00:04:34	HEALTHY LIFE AND WE ARE VERY PROUD OF OUR FIRST STEP WITH THE
00:04:40	KIDS AWARENESS MONTH -- THE SIDS AWARENESS MONTH, AND THIS IS TO
00:04:49	CONTINUE ON THAT MOMENTUM. THIS IS A CONTINUING PROCESS OF
00:04:54	LEARNING FROM OUR COLLEAGUES, OUR TALK YOURS AROUND THE STATE
00:04:58	-- DR. YOURS AROUND THE STATE -- DOCTORS AROUND THE STATE,
00:05:10	SO WE CAN GO FROM LAST TO FIRST IN THE HEALTH OF OUR BABIES.
00:05:13	>> LET ME JUST IF YOU SOME OF THE PIECES OF LEGISLATION THAT
00:05:24	WE WILL BE INTRODUCING TODAY IN THE SENATE.
00:05:25	FOR THOSE OF YOU WHO HAVE PACKETS, WE HAVE DETAIL THAT FOR
00:05:29	YOU AS WELL IS PROVIDED THE ACTUAL LEGISLATION.
00:05:31	THERE ARE FIVE PIECES OF LEGISLATION, THE FIRST IS KIND
00:05:38	OF AN EXTENSION OFF THE WORK WE HAVE DONE ON THE SIDS AWARENESS
00:05:43	PIECE, REQUIRING SLEEP EDUCATION.
00:05:49	BEFORE LEAVING A HOSPITAL OR BIRTH CENTER, PARENTS WILL SEE
00:05:58	THE EDUCATION ON THESE THINGS. IT WILL REQUIRE THESE HEALTH
00:06:03	CARE INSTITUTIONS TO SCREEN TO ENSURE THAT THESE FAMILIES DO
00:06:10	HAVE SAFE SLEEPING LOCATIONS FOR THEIR BABIES.
00:06:11	MANY OF THE WAYS THEY SCREEN FOR CAR SEATS THAT -- BEFORE
00:06:22	RELEASING THE EVENT. WHEN YOU ARE DEALING WITH A
00:06:30	PROBLEM AS BIG AS THIS, YOU HAVE TO BE WILLING TO SHOUT IT RUN
00:06:32	THE ROOFTOPS. THIS IS OUR WAY TO BRING ALL OF
00:06:38	THE PARTNERS TOGETHER TO REGULARLY DIALOGUE ON THIS
00:06:42	SUBJECT, TO DO A FULL INVENTORY OF NOT JUST STATE RESOURCES AND
00:06:46	STATE PROGRAMS, BUT TO ALSO ENGAGED THE LOCAL PROGRAMS TO
00:06:52	FIGURE OUT WHAT IS HAPPENING THERE.
00:06:56	THE THIRD PIECE OF SENATE BILL 278 HAS TO DO WITH THE DEATH
00:07:06	SCENE INVESTIGATION. THIS IS ANOTHER EXTENSION OF THE
00:07:09	SID LEGISLATION THAT CHARLETA AND I PASSED LAST FALL.
00:07:15	WHAT WE HAVE LEARNED THROUGH THIS ENTIRE PROCESS IS THAT
00:07:21	HAVING ACCESS TO GOOD DATA IS CRUCIAL.
00:07:24	REQUIRING PROPER DEATH SCENE INVESTIGATION SO THAT WE CAN
00:07:30	HAVE THE DATA TO DO WHAT WE NEED TO DO TO SET POLICY, TO SET
00:07:35	PROCEDURE, TO DRIVE THOSE NUMBERS DOWN IS CRITICAL.
00:07:36	THE FOURTH PIECE IS SENATE BILL 279, AND THIS IS ENGAGING
00:07:45	FEDERALLY HELP -- QUALIFIED HEALTH CENTERS.THESE ARE
00:07:53	THESE ARE VERY QUALIFIED VENDORS TO PROVIDE ACCESS AND RESOURCES
00:08:01	TO THE PEOPLE OF THIS STATE. WE ARE ASKING THEM TO
00:08:04	PARTICIPATE IN A PILOT PROGRAM, SO WE CAN ENGAGE THEM IN THESE
00:08:09	KINDS OF EFFORTS TO LOWER INFANT NEUTRALITY -- MORTALITY.
00:08:14	SENATE BILL 280 IS THE BIG PIECE THAT IS REALLY GOING TO PUT THE
00:08:23	IMPETUS AND REQUIREMENT AROUND POST OR IN CARE MANAGEMENT AS
00:08:30	WELL AS PROVIDE SOME OPPORTUNITIES FOR REIMBURSEMENT
00:08:36	AND RESOURCES FOR WHAT IS NON-MEDICAID SERVICES RATE AS
00:08:43	CHARLENA -- SERVICES. AS CHARLETA AND I TOURED THE
00:08:57	STATE, WHAT BECAME APPARENT TO US WITH THE SUSTAINABILITY OF
00:09:03	THESE PROGRAMS. THERE IS REALLY GOOD,
00:09:08	EVIDENCE-BASED STRATEGIES TO DEAL WITH INFANT MORTALITY.
00:09:09	WHEN WE ARE TALKING ABOUT INDIVIDUALS, MANY IN THIS ROOM,
00:09:14	WE CAN SEE VERY GOOD RESULT. YET OUR INFANT NEUTRALITY RATE
00:09:18	IS STILL ABYSMAL. THE QUESTION FOR US IS TO SAY
00:09:23	HOW CAN WE TAKE THESE EVIDENCE-BASED PRACTICES, HOW
00:09:27	CAN WE KNOW THAT THE LOCAL INVOLVEMENT OF THESE PROGRAMS IS
00:09:31	PROBABLY THE SINGLE MOST DEFINING FACTOR IN THE SUCCESS
00:09:39	OF THE PROGRAM, HOW CAN WE LEVERAGE THE STATE'S RESOURCES
00:09:43	IN A WAY THAT ALLOWS YOU, DR. PAT GABBE, TO DO YOUR WORK WITH
00:09:50	MORE PEOPLE THAT COULD USE THE RESOURCES.
00:09:53	WE KNOW THE PEOPLE WHO NEED THE RESOURCES, WE JUST NEED TO GET
00:09:59	THEM THE PROGRAM. THIS IS A $25 MILLION INVESTMENT
00:10:04	AND HELPING PROGRAMS LIKE THIS, THAT ARE EVIDENCED-BASED WITH
00:10:10	RATE DATA TO GET TO A LARGER SCALE.
00:10:11	THAT IN A NUTSHELL IS WHAT CHARLETA AND I HAVE BEEN
00:10:20	THINKING FOR THIS FIRST ROUND. THIS WILL NOT BE THE END OF THE
00:10:23	CONVERSATION, AND THERE WILL BE OTHERS THAT WE HAVE ON OTHER
00:10:25	ISSUES RELATED TO THIS AS WELL. IT IS APPROPRIATE NOW THAT I
00:10:30	TURN IT OVER TO DR. PAT GABBE, BECAUSE THOSE OF YOU WHO KNOW
00:10:34	HER KNOW THAT SHE IS A DYNAMO. YOU'LL LIVE TO TALK TO HER FOR
00:10:40	FIVE MINUTES BEFORE YOU WENT TO HELP HER HELP MOMS AND BABIES.
00:10:42	WE WOULD LOVE YOU TO TAKE THE STAND.
00:10:48	>> THANK YOU. WELCOME EVERYONE TO RAISE
00:10:55	MISSIONARY BAPTIST CHURCH. WE ARE PLEASED TO HAVE YOU HERE
00:10:59	AND THANK YOU FOR TRAVELING ALL THE WAY BACK HERE FOR OUR MOMS2B
00:11:07	PROGRAM. WE NEED TO ADDRESS THE ISSUE OF
00:11:14	OUR INFANTS NOT LIVING TO SEE THEIR FIRST BIRTHDAY.
00:11:15	WE CANNOT WAVE A MAGIC WAND AND MAKE IT GO AWAY, IT TAKES A LOT
00:11:22	OF WORK. IT IS GOING TO TAKE YEARS TO
00:11:25	TURN THIS AROUND. WE STARTED MOMS2B RIGHT HERE IN
00:11:31	THE CHURCH BASEMENT IN 2010. I WANT TO INTRODUCE ONE OF OUR
00:11:35	GRADUATES AND TELL YOU A LITTLE BIT ABOUT IT.
00:11:38	IT IS A SMALL AREA, BUT TWO BABIES HAVE DIED EVERY YEAR IN
00:11:47	THIS AREA, THERE ARE ABOUT 100 BIRTHS PER YEAR.
00:11:48	SHE HAD GREAT ECONOMIC PARTNERS THAT ARE TRYING TO TURN AROUND,
00:11:55	AND GIVE JOBS, AND HOUSING, AND ALL OF THE OTHER SOCIAL PROGRAMS
00:12:01	THAT ARE SO IMPORTANT FOR A MOM AND A FAMILY DO HAVE A HEALTHY
00:12:03	BABY. THAT IS WHAT WE STARTED FOUR
00:12:08	YEARS AGO, AND WE HAVE BEEN HERE EVERY WEDNESDAY.
00:12:09	WE HAVE A HEART HEALTHY MEAL FROM 11 A.M. TO 1 P.M. TIM ALLEN
00:12:15	SOME OF OUR MOMS WILL START COMING IN AT ABOUT 11 A.M.
00:12:20	WE HAVE IN HERE EXCEPT FOR THOSE SNOW DAYS.
00:12:27	WE LEARN SO MUCH. WE STARTED OUT WITH TWO PREGNANT
00:12:35	WOMEN, AND WE LEARNED FROM THEM. THEY LEARNED HOW RESILIENT THEY
00:12:37	ARE. HOW ANY OF US WOULD SURVIVE FROM
00:12:41	HURDLES AND BARRIERS THEY FACE EVERYDAY AND YOU HAVE A HEALTHY
00:12:46	PREGNANCY AND HEALTHY BABY, I DO NOT KNOW THAT ANY OF US COULD DO
00:12:51	THAT. WE LOVE HOW RESILIENT THEY ARE.
00:12:53	80% OF THEM HAVE FOOD INSECURITY.
00:12:58	THAT MEANS WHEN THEY WERE IN THE PROCESS OF GETTING PREGNANT,
00:13:05	THEY DID NOT HAVE ENOUGH FOOD. THEY WERE STRESSED, WHERE WILL
00:13:07	HE GET MY NEXT MEAL? THINK OF WHAT THAT DOES TO A
00:13:12	DEVELOPING BABY. FOOD, HEALTH AND NUTRITION IS A
00:13:17	REAL OR PILLAR OF OUR PROGRAM. WE WANT TO MAKE SURE THAT EVERY
00:13:25	MOM HAS FOR SELF AND FOR BABY. OUR BABIES HAVE FOOD INSECURITY,
00:13:32	WE HAVE LEARNED THAT FROM TALKING TO OUR MOMS.
00:13:33	THEN, I WANT TO CONGRATULATE YOU ON RECOMMENDING SAFE SLEEP.
00:13:38	OUR MOMS KNOW THEY ARE SUPPOSED TO BUT THEIR BABY ON THE BACK TO
00:13:47	SLEEP, BUT WE NEED TO REINFORCE IT.
00:13:48	WE NEED TO MAKE SURE THAT THEY DON'T THINK PUTTING THEIR BABY
00:13:54	ON A COUCH CUSHION IS A SAFE PLACE TO SLEEP BECAUSE IT IS
00:13:57	NOT. WE NEED TO DO WHAT WE CAN TO
00:13:59	HELP DETECT OUR BABIES WHEN THEY ARE BORED.
00:14:02	AMBER TOLD HER STORY OF HOW MOMS2B HELPED HER TO HAVE A
00:14:16	HEALTHY PREGNANCY. SHE HAS BEEN IN A CHILD
00:14:22	DEVELOPMENT, CHILD DAY CARE CENTER THAT GIVES HIGH-QUALITY
00:14:28	CARE. AND AMBER -- STANDUP AMBER --
00:14:34	SHE HAS BECOME AN EMPLOYEE. [APPLAUSE]
00:14:39	WE HAVE LEARNED THAT WE HAVE TO HAVE A HOLISTIC PROGRAM.
00:14:49	WE CANNOT JUST SAY COME IN, WE WILL GO UP AND TEACH A LITTLE
00:14:54	BIT ABOUT HOW TO DELIVER A HEALTHY BABY COMPANY WE WILL
00:14:58	NEED TO HOLD SUPPORT IF WE'RE GOING TO HELP THIS GENERATION
00:15:01	BECOME THE GENERATION WE WANT TO SEE IN THE FUTURE.
00:15:06	WE TRY TO ADDRESS, IN A COST-EFFECTIVE, COMPASSIONATE
00:15:14	WAY, THAT WE RESPECT THE MOMS. WE KNOW THAT THEY NEED HELP WITH
00:15:24	HOUSING, WITH ELECTRICITY, WITH FOOD, WITH EDUCATION, WITH THE
00:15:27	TOOLS TO BE A GOOD MOTHER. TO SUPPORT BREAST-FEEDING, WHAT
00:15:32	WE HAVE LEARNED, EVERY MOM COULD LEAVE OUR PROGRAM PLANNING TO
00:15:38	BREAST-FEED, AND ACCOMPLISH THAT.
00:15:40	WE COULD REDUCE AFRICAN-AMERICAN DISPARITY AS MUCH AS EIGHT
00:15:46	PERCENT. WE'RE DOING OUR PART HERE.
00:15:48	I WANT TO WIND UP AND THANK EVERYONE, I HAVE PARTNERS HERE
00:15:55	IN THE ROOM. WE ARE GOING TO BEGIN MOMS2B
00:15:59	WITH OUR FRANKLIN FRIENDS. AND SOUTH PARSONS, AND BOTH OF
00:16:09	THEM HAVE FABULOUS DEMONSTRATION KITCHENS SO THAT
00:16:16	WE CAN TEACH HOW TO COOK AND EAT HEART HEALTHY MEALS AND HAVE THE
00:16:22	ABILITY TO ADDRESS ACUTE INSECURITY -- FOOD INSECURITY.
00:16:27	WE HAVE HAD 154 BABIES BORN, AND MOST OF THEM HAVE BEEN FULL-TERM
00:16:35	, HEALTHY, GOOD WEIGHT. WE HAVE HAD FOUR SETS OF
00:16:38	MULTIPLES, NONE OF US REALIZED HOW MANY WOMEN LIVING IN BARBARA
00:16:43	D -- IN POVERTY HAVE TWINS OR TRIPLETS.
00:16:48	IN IT YOU HAVE BEEN A PARENT AND TRIED TO RAISE ONE BABY, THINK
00:16:56	OF HOW OVERWHELMING IT WOULD BE TO TAKE HOME TWINS OR TRIPLETS.
00:16:58	WE HAVE HAD MOMS WITH VERY SUCCESSFUL PREGNANCIES OF
00:17:04	MULTIPLES. I WANTED TO GET BACK TO YOUR
00:17:07	LAST PROPOSAL. WE KNOW THAT TREATMENT -- A
00:17:13	MATURE BABIES IS THE HIGHEST CAUSE OF OUR DEATH RATES IN
00:17:19	INFANTS. THE SOCIAL FACTORS ARE CRITICAL
00:17:24	IF WE ARE GOING TO CHANGE THIS TRAJECTORY.
00:17:26	IT MEDICAL CARE IS IMPORTANT, BUT IT IS JUST AS IMPORTANT TO
00:17:33	REDUCE STRESS. MAKING SURE THAT MOMS HAVE
00:17:35	TRANSPORTATION, TRANSPORTATION TO THEIR MEDICAL APPOINTMENT, TO
00:17:42	THE FOOD BANK GOVERNOR TO THEIR JOBS, TO WHERE THEY ARE GETTING
00:17:44	THEIR EDUCATION. MOST OF THESE THINGS ARE GOING
00:17:49	TO BE PART OF THE BILL THAT YOU'RE PROPOSING.
00:17:50	YOU HAVE COME SO FAR IN HELPING US ACKNOWLEDGE THAT SOCIAL
00:17:58	DETERMINANTS ARE A HUGE FACTOR, AND WHY WE HAVE OHIO AT THE
00:18:05	BOTTOM OF THE LIST WHEN WE SHOULD BE AT THE TOP OF THE
00:18:09	LIST. WE ARE SUCH A GREAT STAGE.
00:18:11	THANK YOU VERY MUCH, WE WANT TO THANK YOU ALL FOR COMING.
00:18:16	WE HAVE TIME FOR SOME QUESTIONS. >> ABSOLUTELY.
00:18:26	>> I WILL TURN IT BACK OVER TO SAM AND -- TO SHANNON.
00:18:30	>> THANK YOU. THAT IS A GREAT PLACE TO END.
00:18:38	>> WHAT IS THAT GOING TO FOLLOW? [INDISCERNIBLE]
00:18:52	>> THAT PARTICULAR PROVISION OF THE BILL IS REALLY SPEAKING TO
00:19:00	THE MANAGED CARE PROGRAM. IT IS REQUIRING, AS A CONDITION
00:19:03	OF THEIR FULL REPAYMENT THAT THEY DO COMPREHENSIVE CASE
00:19:09	MANAGEMENT FOR THE POST PARDUM AREA SUCH AS EARTH FACING AND
00:19:17	THOSE SORTS OF THINGS REALLY CONTRIBUTE TO INFANT MORTALITY.
00:19:19	MUCH LIKE LIKE YOU THROUGH THE YEARS HAVE BEEN COVERING, THE
00:19:28	QUALITY COMPONENT FOR THE NURSING HOME RATES ARE THE SAME
00:19:32	CONCEPT. THERE IS A CERTAIN EXPECTATION
00:19:37	THAT YOU WILL DO THE COMPREHENSIVE CASE MANAGEMENT
00:19:40	SERVICES, SO THAT WE KNOW WHAT WE ARE PAYING FOR, AND WE ARE
00:19:43	INSISTING ON THAT QUALITY. UNDER THE CURRENT MANAGED CARE
00:19:46	PROGRAM, THE MANAGED SYSTEMS ARE REQUIRED TO TARGET THEIR TOP ONE
00:19:53	PERCENT IN ORDER TO GET THEIR RATE.
00:19:56	THE ADMINISTRATION HAS BEEN MOVING IN THAT DIRECTION.
00:19:59	CHARLETA AND I HAVE TALKED ABOUT THE FACT THAT IT IS UP TO
00:20:08	THE HEALTH PLANS TO DETERMINE WHAT THAT MEANS FOR THEM.
00:20:12	YOU MIGHT BE FOCUSING ON DIABETES, HEART DISEASE, HIGH
00:20:17	CHOLESTEROL, DISEASES THAT ARE ASSOCIATED WITH ADULTS.
00:20:22	THERE'S NOTHING WRONG WITH THAT, BUT BECAUSE THIS IS A CLARION
00:20:27	CALL, AND I BELIEVE THAT MY CORE THAT WE HAVE TO DO MORE, SOONER,
00:20:34	IT IS REQUIRING THAT FOR A PIECE OF THEIR RATE, THIS IS GOING TO
00:20:45	BE A REQUIREMENT FOR THEM. >> [INDISCERNIBLE]
00:20:53	>> THE $25 MILLION, WE ARRIVED AT THAT FIGURE ON A PENCIL TO
00:21:05	PAPER CALCULATION, TALKING ABOUT THE BIGGER PROGRAMS IN THE
00:21:08	REGION THAT WE HAVE SEEN. WE ASKED THEM THE QUESTION COVET
00:21:13	WE DO NOT SUPPLANT RESOURCES, LOOKING TO SUPPLEMENT THEM, OF
00:21:18	THE FOLKS THAT YOU KNOW THAT YOU COULD SERVE RIGHT NOW, WHAT
00:21:21	WOULD YOUR NEEDS BE? ON THE BACK OF THE NAPKIN
00:21:26	CALCULATION, WE GOT TO THAT $25 MILLION.
00:21:28	WHAT WAS IN THE FOREFRONT OF OUR MINDS WAS THAT THE SIGNIFICANT
00:21:33	-- WE FEEL PASSIONATELY ABOUT SAVING KIDS.
00:21:37	WE HAVE TO DO BETTER TO SAVE KIDS, BUT IN THE FOREFRONT OF
00:21:42	OUR MINDS IS THE FISCAL IMPACT TO THE STATE.
00:21:45	I THINK THAT KNOW BETTER -- NO BETTER EXPLAINS THIS THEN THIS
00:21:57	EDITORIAL TODAY, WHEN THEY SAY THAT IN 2012, WHEN THEY TOOK
00:21:59	CARE OF 2000 EIGHT B'S, THAT WAS $130 MILLION.
00:22:07	IN ONE COUNTY, IN THIS S TATE.
00:22:13	THE VAST MAJORITY OF THOSE FALL BACK ON MEDICAID.
00:22:18	FOR ME, WHEN WE KNOW THAT A HEALTHY FULL-TERM PREGNANCY IS
00:22:25	ABOUT $5,000, AND RIGHT NOW WE ARE PAYING $65,000 ON AVERAGE IN
00:22:30	THIS ONE COUNTY, WE KNOW THERE ARE SAVINGS THERE, BUT WE HAVE
00:22:36	TO BE WILLING TO PUT SOME RESOURCES AND.
00:22:38	IN. YOU MAY HAVE SOME AWESOME
00:22:45	PROGRAMS WITH AWESOME RESULTS, AND THEY ARE DOING GREAT THERE,
00:22:51	BUT WE HAVE TO GET TO MORE, FASTER.
00:22:53	THAT IS WHAT THESE NOMINAL RESOURCES ARE, TRYING TO
00:22:59	LEVERAGE THOSE SUCCESSES, GET IT TO A SCALE WHERE WE CAN START
00:23:04	DRIVING THOSE NUMBERS OUT. >> ON THAT POINT, WE HAVE TO BE
00:23:11	COMMITTED, AND THAT IS WHAT WE ARE SHOWING DR. GABBE, MOMS2B,
00:23:18	AND THE PROGRAMS ACROSS THE STATE, THAT WE ARE SERIOUS, AND
00:23:22	WE'RE GOING TO MAKE A SERIOUS INVESTMENT.
00:23:23	IF YOU DO THE COST AND IF THAT ANALYSIS, IT IS NOT JUST ABOUT
00:23:26	THE MONEY. IT IS ABOUT HAVING HEALTHY
00:23:29	BABIES WHO CAN LIVE PAST ONE YEAR OF AGE, AND GROW UP AND
00:23:32	BECOME PRODUCTIVE CITIZENS. IF YOU DO THE LONG-RANGE STUDIES
00:23:40	OF WHAT THIS MEANS TO OUR COMMUNITY, AND WHAT IT MEANS TO
00:23:44	THE LIVES OF THE CHILD AND THE FAMILIES, THERE IS NO COST THAT
00:23:51	WE SHOULDN'T BE WILLING TO INVEST, TO BRING ALL OF THESE
00:23:55	PROGRAMS TO SCALE, AND THEN TO BRING OTHER PROGRAMS AND
00:23:58	STRATEGIES TO WORK. >> [INDISCERNIBLE]
00:24:03	>> FOR PRACTICAL REASONS, WE'RE JUST PICKING AT THE EXISTING
00:24:15	MEDICAID SAVINGS THAT WE KNOW EXIST IN THIS BUDGET BASED ON
00:24:17	PROJECTIONS. THAT IS PART OF IT, BUT NOT THE
00:24:20	ENTIRETY. ANY OTHER QUESTIONS?
00:24:26	WELL, THANK YOU TO THE PRESS TO MAKING THE TRIP.
00:24:31	NOTHING PUTS A FINER POINT ON THE TYPES OF PROGRAMS THAT WE
00:24:38	ARE EXCITED ABOUT THEN ACTUALLY SEEING ONE OF THEM IN ACTION,
00:24:43	AND TALKING TO DOCTOR GABBE. IF YOU HAVE AN INTEREST IN
00:24:51	MEETING SOME OF THE MOMS, AND GETTING FEEDBACK ON THE PROGRAM,
00:24:57	D'AMICO WILL HOOK YOU UP -- TAMI KA WILL HOOK YOU UP.
00:25:04	>> DR. DAWSON, THE OHIO STATE UNIVERSITY, PARTNERS AT THE
00:25:19	MEDICAL ASSOCIATION, I JUST WANT TO MENTION THEM IN THE ROOM.
00:25:24	IT IS TAKING ALL OF US WORKING TOGETHER TO CHANGE THE
00:25:35	STATISTICS, AND TO LIFT OUR STATE FROM THE BOTTOM TO THE
00:25:37	TOP. THANK YOU.

Note : Transcripts are compiled from uncorrected captions