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To achieve whole person care, we can try layering new social services on top of medical care. But Dr. Rishi Manchanda believes we should move further upstream and ask, what will it take to actually improve health in communities? From founding Rx the Vote to HealthBegins, Rishi is committed to building community social capital in America. We discuss:Why he created HealthBegins, which is now halfway to its goal of transforming equity in 250 communities by 2025How California is making practice transformation a foundation of whole person careRx the Vote and the important role of health organizations in voter engagementKaiser Permanente's health, housing and justice initiativeRishi thinks all public health students should study and know how to shift the political determinants of health:“I think we can recognize there's ways to… get the dollars out the door, get the services out the door, get the access that we need while [also building] local governance. And I think that's what I see as a really interesting opportunity for us in California… There are opportunities here for public health schools, including Berkeley, to [help] public health students… understand the political determinants of health and then understand their role [to]... address them and improve them.”Relevant LinksHealthBegins websiteRishi's book The Upstream DoctorsRishi's TEDx Talk: "What Makes Us Get Sick? Look Upstream."New collaborative community health planning model in CaliforniaPolicy requiring California Medicaid health plans to invest 5-7.5% of profits into local communities California Medicaid investments in practice transformationKaiser Permanente's health, housing and justice initiativeOregon CCO modelAn interview with Rishi ManchandaAbout Our GuestDr. Manchanda is Founder and President of HealthBegins, a social enterprise that provides training, clinic redesign, and technology to transform health care and the social determinants of health. Dr. Manchanda is a dual board-certified internist and pediatrician, a board member of the National Physicians Alliance, and a fellow in the California Health Care Foundation's Healthcare Leadership Program. He is the lead physician for homeless primary care at the VA in Los Angeles, where he has built clinics for...
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Dr. Rishi Manchanda, President and CEO of HealthBegins, walks listeners through the 5 steps health care leaders can take to start translating their commitment to racial and health equity into action. To learn more, check out the related AMA STEPS Forward™ toolkits here: https://bit.ly/RHE-STEPS-HS and https://bit.ly/RHE-STEPS
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You can't have an effective response to public health challenges without putting racial and social equity at the center of your approach, and one key way to do that is supplementing the healthcare workforce with “trusted voices” from underserved communities. That's the view of Dr. Rishi Manchanda, a public health veteran and healthcare leader whose career has focused on developing new strategies to improve health in resource-poor communities. Through a mix of frontline and leadership positions, he’s helped provide care for homeless veterans, immigrant workers in rural areas, and communities in South Central Los Angeles. As an author and CEO of HealthBegins, he's become a leading national voice on shifting the focus of our healthcare system to “upstream” causes of poor health status – such as access to quality food and housing — and creating equitable access to care. Check out this illuminating conversation with Futuro Health CEO Van Ton-Quinlivan to learn about “upstreamists”, the workforce-equity connection, and what COVID is teaching us about our healthcare system.
You can’t have an effective response to public health challenges without putting racial and social equity at the center of your approach, and one key way to do that is supplementing the healthcare workforce with “trusted voices” from underserved communities. That’s the view of Dr. Rishi Manchanda, a public health veteran and healthcare leader whose career has focused on developing new strategies to improve health in resource-poor communities. Through a mix of frontline and leadership positions, he's helped provide care for homeless veterans, immigrant workers in rural areas, and communities in South Central Los Angeles. As an author and CEO of HealthBegins, he’s become a leading national voice on shifting the focus of our healthcare system to “upstream” causes of poor health status – such as access to quality food and housing -- and creating equitable access to care. Check out this illuminating conversation with Futuro Health CEO Van Ton-Quinlivan to learn about “upstreamists”, the workforce-equity connection, and what COVID is teaching us about our healthcare system.
You can’t have an effective response to public health challenges without putting racial and social equity at the center of your approach, and one key way to do that is supplementing the healthcare workforce with “trusted voices” from underserved communities. That’s the view of Dr. Rishi Manchanda, a public health veteran and healthcare leader whose career has focused on developing new strategies to improve health in resource-poor communities. Through a mix of frontline and leadership positions, he's helped provide care for homeless veterans, immigrant workers in rural areas, and communities in South Central Los Angeles. As an author and CEO of HealthBegins, he’s become a leading national voice on shifting the focus of our healthcare system to “upstream” causes of poor health status – such as access to quality food and housing -- and creating equitable access to care. Check out this illuminating conversation with Futuro Health CEO Van Ton-Quinlivan to learn about “upstreamists”, the workforce-equity connection, and what COVID is teaching us about our healthcare system.
Leia: Mateus 4:23-5:12 | A Bíblia em um ano: LEVÍTICO 26–27; MARCOS 2 Permaneçam em mim, e eu permanecerei em vocês… João 15:4 Quando o Dr. Rishi Manchanda pergunta aos seus pacientes: “Onde você mora?”. Ele quer saber mais do que o endereço. Ele descobriu que quem procura a ajuda dele, normalmente, vive em condições ambientais precárias. O mofo, as pragas e as toxinas os adoecem. Assim sendo, o Dr. Manchanda se tornou defensor do que ele chama de “Médicos Rio Acima”: são profissionais que aproveitam para trabalhar com os pacientes e suas comunidades para promover uma saúde melhor, enquanto fornecem o cuidado médico urgente. À medida que Jesus curava os que o procuravam (vv.23,24), Ele os fazia olhar para além da necessidade urgente do cuidado físico e material. Com o Sermão do Monte, Jesus ofereceu mais do que um milagre médico (5:1-12). Ele descreveu sete vezes as atitudes de mente e coração que refletem um bem-estar que começa com uma nova visão e a promessa de bem-estar espiritual (vv.3-9). Duas vezes mais, Jesus chamou de abençoados os que enfrentam perseguição e encontram esperança e abrigo nele (vv.10-12). As palavras de Jesus me fazem pensar. Onde estou vivendo? Estou ciente de que a minha necessidade por bem-estar é maior do que a necessidade de alívio físico e material? Enquanto espero por um milagre, acolho o coração pobre, sofrido, faminto, misericordioso e pacificador que Jesus chama de abençoado? Pai, é tão difícil ver além da nossa dor. Eleva os nossos olhos para além de nós.
This episode of VHHA’s Patients Come First podcast features an interview with Dr. Rishi Manchanda, the Founder and President of Health Begins. During the conversation, Dr. Manchanda discusses his work with disadvantaged populations and his focus on addressing social determinants of health to improve population health. Send questions, comments, or feedback to pcfpodcast@vhha.com or contact us on Twitter using the hashtag #PatientsComeFirst.
Dora Barilla talks with Dr. Rishi Manchanda, President of HealthBegins
One of the main roles of a physician is to treat what ails a patient. But what about addressing the cause of the ailment, such as environmental or economic factors. Join host Aleshia Howe as she talks to guest Dr. Rishi Manchanda who is leading the charge on a new approach to health care called Upstreaming.
WIHI - A Podcast from the Institute for Healthcare Improvement
Date: December 15, 2016 Featuring: Rishi Manchanda, MD, MPH, Chief Medical Officer, The Wonderful Company; President & Founder, HealthBegins WIHI is pleased to present a Special Edition Podcast, featuring Rishi Manchanda of HealthBegins, discussing why it’s important for health care to “move upstream” to address the social determinants contributing to many patients’ poor health today. Dr. Manchanda also argues that if frontline providers are asked to address upstream factors like poor housing or job insecurity, they need to have the resources and the knowledge and the active partnerships to draw from. Otherwise, they’re at risk for burnout and anything but joy in work. This is why Dr. Manchanda and some others suggest we consider expanding the IHI Triple Aim to the “Quadruple Aim” to include critically important job satisfaction. WIHI recorded Dr. Manchanda’s remarks on December 5, 2016, in Orlando, Florida, at the Scientific Symposium, held in conjunction with the Institute for Healthcare Improvement’s 28th Annual National Forum on Quality Improvement in Health Care. The podcast is over an hour long; we highly recommend that you have the presentation slides (posted on this page) handy for reference as you’re listening. At the conclusion of Dr. Manchanda’s remarks, IHI’s Dr. Don Goldmann moderates a brief Q&A.
In part one of our love affair with Dr. Manchanda we dove into what was the concept behind going "upstream." So for part 2 the big question became: "OK, so how do we do this?" Our conversation continues right from where we left off last week answering that question. We ask about the very nature of humanity as being reactionary and whether that needs to change first for any other shit to occur. We explore how upstream thinking can be used in other realms of society, which leads to a spirited discussion of Trump, Bernie Sanders, and our political system in general. Finally we implement upstream thinking to deal with a real life situation: Obesity. Dr. Manchanda walks us through how an upstream-ist system would affect the way we deal with that issue and in the process blows our mind by letting us know that a calorie is not a calorie....Yea. This episode gets nuts. So nuts that Akaash nearly pees his pants. You won't want to miss this episode.
Our health care system is broken. Its a sad but true fact. We have become a system that is based on volume of care rather than value, so we now have a healthcare system that is not focused on health! Enter Dr. Rishi Manchanda. A doctor and social medicine advocate who is going to make it right. He is leading the charge with a community of what he calls upstreamists to bring health back into this system and make it more accessible for all. We had the honor to sit down and talk with him outside his home in the LA area where he walked us through his virally successful Ted talk, how he knew he wanted to be a change agent; and most importantly, what it means to go Upstream. The conversation was so informative and enlightening that we recorded twice what we normally do with guests so sit back and enjoy part 1 of our interview with Dr. Rishi Manchanda.
Rishi Manchanda ha trabajado como médico en el sur de los Ángeles por una década y ha llegado a la conclusión de que su trabajo no es solo remediar los síntomas de sus pacientes, sino buscar soluciones a las causas de las enfermedades. Esos factores que ocurren "aguas arribas", como una mala dieta, un trabajo estresante o la falta de aire fresco. Es un llamado importante a los médicos para que le presten atención a la vida de sus pacientes fuera de sus consultorios.
Rishi Manchanda a travaillé comme médecin dans South Central Los Angeles pendant dix ans. Il en est venu à réaliser que son travail ne consistait pas uniquement à traiter les symptômes des patients, mais aussi à comprendre ce qui les rend malade, les raisons en amont, comme une mauvaise alimentation, un emploi stressant ou le manque d'air frais. Il s'agit d'un vibrant appel aux médecins pour qu'ils portent attention à la vie qu'ont leurs patients en dehors de la salle d'examen.
Rishi Manchanda trabalha como médico no Centro-Sul de Los Angeles há mais de dez anos, e lá ele percebeu: seu trabalho não é tratar os sintomas dos pacientes, mas descobrir o que os está deixando doentes — as causas "rio acima", como má alimentação, um emprego estressante e falta de ar fresco. É um forte chamado aos médicos para que prestem atenção na vida do paciente fora do consultório.
Rishi Manchanda has worked as a doctor in South Central Los Angeles for a decade, where he’s come to realize: His job isn’t just about treating a patient’s symptoms, but about getting to the root cause of what is making them ill—the “upstream" factors like a poor diet, a stressful job, a lack of fresh air. It’s a powerful call for doctors to pay attention to a patient's life outside the exam room.
Rishi Machanda ist nach 10 Jahren Arbeit als Arzt in South Central Los Angeles etwas klar geworden: Seine Arbeit besteht nicht nur darin, Symptome zu lindern, sondern die Ursachen der Krankheit aufzuspüren – die "Stromaufwärts"-Faktoren wie schlechte Ernährung, eine stressige Arbeit, mangelnde frische Luft. Es ist ein kraftvoller Apell an alle Ärzte, das Leben des Patienten außerhalb des Behandlungszimmers in Betracht zu ziehen.
Host John Schumann speaks with Rishi Manchanda, author of the TED Book "The Upstream Doctors," regarding new ideas in medical education and so-called 'social determinants of health.' Gary Schwitzer of HealthNewsReview.org reviews the week's health news, and essayist Margaret McCartney from Glasgow teaches us to be wary of 'over-screening' in medical care. This program originally aired on Public Radio 89.5 KWGS.