one morning is such an honor to be back
here with all of you today it’s been
about 15 years since I graduated school
I still remember actually recycle oh
sure in the stage playing soccer on
those fields Auburn credible class trips
it’s the best memory of all actually
this picture right here class 2003 I
only think back how prevalent was and
that’s such a different group of people
all these unique individuals have come
together to function so well as one unit
I think it’s certainly a testament to 31
individuals you see here it’s picture
but certainly a lot of their folks
behind the scenes we’re not this picture
parents teachers neighbors babysitter’s
and uncles OSHA’s you name it a lot of
other people work together to help us
realize our potential you know they were
there to support us and even comfort
challenges we needed motivated they were
there with us every step along the way
and to the village to raise these
children as the last night took me after
left the country school this notion that
wherever I was whatever I was doing I
was never really alone
I had my village to help guide me so
admittedly it took me some time to
realize as well that this notion of
having a village is really a privilege
and not necessarily normal and that
moment actually happened to me in the
spring of 2014
so let’s flash for this great point
team it’s 24 years old fresh out of
college had like their biology degree
and I was working in cancer research but
there’s a part of me that want to get
out of my comfort zone just seem a
little bit different and work more
direct with people and so I became a
community health worker I started my
time in shelters and produced churches
needle exchanges mobile health clinics
really it was tough without streets of
Boston where I’m from the serving goes
in me and there was the spring of 2014
at a mobile health clinic East Boston
I met Huy so every Thursday night May of
2014 onwards I started working with
mobile health clinic my food toiletries
clothing just you know so I’m going to
talk to a lot of people out there on the
streets of East Boston that are trying
to get by but a handful of old like Huey
when I first met Huey was 56 years old
homeless sitting on a bench made history
in which I later learned is 20% alcohol
he’s also wearing a green hospital gown
as he just come back to the Mercer
Department Boston Medical Center it
turns out those there four to five times
a week
sorry Thursday night for about six
months I was working this mobile health
clinic at cqe and it going to his
vicious cycle on table that Muse went
through the system and helpless and one
evening testament of arcot I think
there’s a moment for me when I realized
that there are people like this and all
these different community organizations
going to there’s vulnerability where
everybody went but a handful don’t like
to do it
I promise vicious cycle unable to make
them went through I started learning a
bit more about this space and the Huey’s
the system is vulnerable individuals in
healthcare system there are the super
utilizers 5% of patients drive 50% of
costs and the predominant affected by
socioeconomic respect is like
homelessness food RV stops abuse general
medical support and increasingly they go
to community-based organizations like
the shelters pantries churches mobile
health clinics and they’re tough quest
for survival and I started to see that a
paradigm shift that we’re seeing in the
healthcare systems then where’s access
to care is not really guarantee
community-based organizations have
become this new gateways of the
healthcare system one of the things that
really astonishing in addition to the
vulnerability at the frontline the
organizations are seeing is that a lot
of them are under-resourced nonprofits
they’re off using pen and paper
sometimes nothing at all record-keeping
and data reporting as such they’re under
reporting data being underfunded
they spend a lot of their time doing
record-keeping rather than delivering
care members that they like to serve
it’s a vicious cycle for them to and so
the 22 fall 2014 after doing a few
months at the front lines of community
health worker I reached into my village
you know the folks that surround me in
Boston unfortunately I found some
software camps we started talking about
what can we do to address the needs of
the frontline these community-based
organizations are struggling with
record-keeping and data reporting but
along the way try to better catch people
to care and so on the fall 2014 that
involved in the Bosma the digital health
plan have been working on since then so
to high level what we’re doing is we’re
building a bridge between
community-based organizations that are
serving those really vulnerable
populations and the prepares their
buyers that are taking on the risk and
accountability to service populations
but I’m awful at LACMA often lack the
window into the community to better
deliver care that’s what we do at a high
level is we provide free software
community based organizations it’s a
free web-based application if you go to
possible dot io POS wel IO
you can find us the community-based
organizations that are currently using
our class and they have customized
intake forms that helps them better
report data doing taking the clients
they serve but along the way the
building logical profiles on individuals
many of them more like Yui or otherwise
off the grid and visible is the health
care system and the model from there is
that we want to build a huddle smoke
bomb with a dimensional medical home
which is thought of as the four walls
the clinic we can extend that beyond and
into the community with communities
sorry it really kind of built the system
of bi-directional communication between
social workers that community-based
organizations that are serving multiple
dividuals and care coordinators and
health and health systems that are
trying to reach those individuals well
this is just the tip of the iceberg you
know when I think about Huey I think
about all the individuals that I’ve seen
at these different community
organizations out of the front line it’s
not an overnight process for the end of
where they were viewing that home
associate food party the subsidies the
channel life support those are things
that are occurring before get a health
care issue it’s the health care that did
a man but all these other issues
upstream could have been addressed
earlier and so ask all of you you know
how do we work together collectively
recognizing that you know we’ve been
fortunate to have this village have all
these resources haven’t been supportive
but starting to turn to other places
where there’s vacuums whether it gaps
where there’s that lack of support how
could we work together and address on
these systems level problems they’re
affecting a lot of population
individuals every single day and and
really innovate where there’s a need and
so that’s what we start to do with
boswell it’s still an early-stage
endeavor we’re hoping to continue to
build up around this base and pilot this
for coming months and years
but I think there’s a lot of opportunity
out there a lot of different verticals
to pursue a lot of different aspects
that are you know gaps like we filled in
the system but it takes a village it
takes all of our work it doesn’t happen
overnight but I’m confident if we work
together collectively we have
opportunities some of these changes
you [Applause]
here with all of you today it’s been
about 15 years since I graduated school
I still remember actually recycle oh
sure in the stage playing soccer on
those fields Auburn credible class trips
it’s the best memory of all actually
this picture right here class 2003 I
only think back how prevalent was and
that’s such a different group of people
all these unique individuals have come
together to function so well as one unit
I think it’s certainly a testament to 31
individuals you see here it’s picture
but certainly a lot of their folks
behind the scenes we’re not this picture
parents teachers neighbors babysitter’s
and uncles OSHA’s you name it a lot of
other people work together to help us
realize our potential you know they were
there to support us and even comfort
challenges we needed motivated they were
there with us every step along the way
and to the village to raise these
children as the last night took me after
left the country school this notion that
wherever I was whatever I was doing I
was never really alone
I had my village to help guide me so
admittedly it took me some time to
realize as well that this notion of
having a village is really a privilege
and not necessarily normal and that
moment actually happened to me in the
spring of 2014
so let’s flash for this great point
team it’s 24 years old fresh out of
college had like their biology degree
and I was working in cancer research but
there’s a part of me that want to get
out of my comfort zone just seem a
little bit different and work more
direct with people and so I became a
community health worker I started my
time in shelters and produced churches
needle exchanges mobile health clinics
really it was tough without streets of
Boston where I’m from the serving goes
in me and there was the spring of 2014
at a mobile health clinic East Boston
I met Huy so every Thursday night May of
2014 onwards I started working with
mobile health clinic my food toiletries
clothing just you know so I’m going to
talk to a lot of people out there on the
streets of East Boston that are trying
to get by but a handful of old like Huey
when I first met Huey was 56 years old
homeless sitting on a bench made history
in which I later learned is 20% alcohol
he’s also wearing a green hospital gown
as he just come back to the Mercer
Department Boston Medical Center it
turns out those there four to five times
a week
sorry Thursday night for about six
months I was working this mobile health
clinic at cqe and it going to his
vicious cycle on table that Muse went
through the system and helpless and one
evening testament of arcot I think
there’s a moment for me when I realized
that there are people like this and all
these different community organizations
going to there’s vulnerability where
everybody went but a handful don’t like
to do it
I promise vicious cycle unable to make
them went through I started learning a
bit more about this space and the Huey’s
the system is vulnerable individuals in
healthcare system there are the super
utilizers 5% of patients drive 50% of
costs and the predominant affected by
socioeconomic respect is like
homelessness food RV stops abuse general
medical support and increasingly they go
to community-based organizations like
the shelters pantries churches mobile
health clinics and they’re tough quest
for survival and I started to see that a
paradigm shift that we’re seeing in the
healthcare systems then where’s access
to care is not really guarantee
community-based organizations have
become this new gateways of the
healthcare system one of the things that
really astonishing in addition to the
vulnerability at the frontline the
organizations are seeing is that a lot
of them are under-resourced nonprofits
they’re off using pen and paper
sometimes nothing at all record-keeping
and data reporting as such they’re under
reporting data being underfunded
they spend a lot of their time doing
record-keeping rather than delivering
care members that they like to serve
it’s a vicious cycle for them to and so
the 22 fall 2014 after doing a few
months at the front lines of community
health worker I reached into my village
you know the folks that surround me in
Boston unfortunately I found some
software camps we started talking about
what can we do to address the needs of
the frontline these community-based
organizations are struggling with
record-keeping and data reporting but
along the way try to better catch people
to care and so on the fall 2014 that
involved in the Bosma the digital health
plan have been working on since then so
to high level what we’re doing is we’re
building a bridge between
community-based organizations that are
serving those really vulnerable
populations and the prepares their
buyers that are taking on the risk and
accountability to service populations
but I’m awful at LACMA often lack the
window into the community to better
deliver care that’s what we do at a high
level is we provide free software
community based organizations it’s a
free web-based application if you go to
possible dot io POS wel IO
you can find us the community-based
organizations that are currently using
our class and they have customized
intake forms that helps them better
report data doing taking the clients
they serve but along the way the
building logical profiles on individuals
many of them more like Yui or otherwise
off the grid and visible is the health
care system and the model from there is
that we want to build a huddle smoke
bomb with a dimensional medical home
which is thought of as the four walls
the clinic we can extend that beyond and
into the community with communities
sorry it really kind of built the system
of bi-directional communication between
social workers that community-based
organizations that are serving multiple
dividuals and care coordinators and
health and health systems that are
trying to reach those individuals well
this is just the tip of the iceberg you
know when I think about Huey I think
about all the individuals that I’ve seen
at these different community
organizations out of the front line it’s
not an overnight process for the end of
where they were viewing that home
associate food party the subsidies the
channel life support those are things
that are occurring before get a health
care issue it’s the health care that did
a man but all these other issues
upstream could have been addressed
earlier and so ask all of you you know
how do we work together collectively
recognizing that you know we’ve been
fortunate to have this village have all
these resources haven’t been supportive
but starting to turn to other places
where there’s vacuums whether it gaps
where there’s that lack of support how
could we work together and address on
these systems level problems they’re
affecting a lot of population
individuals every single day and and
really innovate where there’s a need and
so that’s what we start to do with
boswell it’s still an early-stage
endeavor we’re hoping to continue to
build up around this base and pilot this
for coming months and years
but I think there’s a lot of opportunity
out there a lot of different verticals
to pursue a lot of different aspects
that are you know gaps like we filled in
the system but it takes a village it
takes all of our work it doesn’t happen
overnight but I’m confident if we work
together collectively we have
opportunities some of these changes
you [Applause]
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