Sep 27, 2019

Health Care Vitals: Phoenix

Julie Bowman, Chief Nursing Officer at the Phoenix Children's Hospital, sits at the Axios table between Sam Baker, left, and Libby McDannell. Photo: Mindy DeLuca for Axios

This Wednesday, Axios' Sam Baker hosted an Expert Voices Live discussion in Phoenix, digging into the state of health care access and affordability in Arizona.

Local leaders, policymakers, and advocates discussed solutions to challenges in health care policy and providing equitable, high-quality care.

The need for data in policymaking
Wendy Armendariz, Chief Executive Officer at Neighborhood Outreach Access to Health, in conversation at the Axios roundtable. Photo: Mindy DeLuca for Axios

As health providers become increasingly dependent on data, the importance of accurate and accessible information is paramount in providing effective care.

  • Kevin Earle, Executive Director of the Arizona Dental Association: "[There is] no comprehensive oral health surveillance system in Arizona and getting data is very challenging. [To make more effective programs] we need to get the data, make the connection between oral health and systemic health; it's going to take a multi-pronged approach."
Access across communities
Linda Ross, Chief Executive Officer of Circle the City, discusses health care access for the homeless. Photo: Mindy DeLuca for Axios

A consistent theme was the importance of creating policy that could serve all constituents, from rural to urban areas and other uniquely vulnerable communities. Challenges presented by the complexities of the current systems and addressing the needs of all patients featured prominently in the conversation.

  • Linda Ross, Chief Executive Officer of Circle the City, on reaching vulnerable groups to provide medical care: "Getting care to the homeless population is a problem; we have to go to the homeless communities to provide them care."
  • Wendy Armendariz, Chief Executive Officer at Neighborhood Outreach Access to Health, on how oral health tends to fall by the wayside for children: "the amount of case management versus the children that follow up for care is very small; oral health is second or third on family lists; it’s not a priority."
  • Kevin Earle, Executive Director of the Arizona Dental Association, shared "The Navajo community has the highest level of oral decay in the country...Education is an opportunity to better control decay. [We need people] who are from these communities, working with these communities to understand the importance of oral health and be embedded in all their health activities."
Oral health and comprehensive care
Regina Cobb, State Representative for District 5 at the Arizona House of Representatives discusses educating policymakers on the importance of oral health. Photo: Mindy DeLuca for Axios

How to measure the impact of effective care was a significant topic of conversation, as well as the connection between oral health and overall well-being.

  • Julia Wacloff, Chief of the Office of Oral Health at the Arizona Department of Health Services, discussed collaboration across different sectors to create effective health policy in Arizona: "We brought many different partners to the table to identify priorities...[It was important] to bring grassroots organizations to the table. It wasn't going to be just one organization."
  • Regina Cobb, State Representative for District 5 at the Arizona House of Representatives, on how to make changes at the policy level: "One of the things we’ve focused on [in policy] is comprehensive care, oral care as integrated into whole body care. [To make lasting change] we need to educate policymakers to show them how important integrated care is."

Thank you Delta Dental Institute for sponsoring this event.

Go deeper

The wreckage of summer

Illustration: Sarah Grillo/Axios

We usually think of Memorial Day as the start of the summer, with all of the fun and relaxation that goes with it — but this one is just going to remind us of all of the plans that have been ruined by the coronavirus.

Why it matters: If you thought it was stressful to be locked down during the spring, just wait until everyone realizes that all the traditional summer activities we've been looking forward to are largely off-limits this year.

Coronavirus dashboard

Illustration: Aïda Amer/Axios

  1. Global: Total confirmed cases as of 3 a.m. ET: 5,410,228 — Total deaths: 345,105 — Total recoveries — 2,169,005Map.
  2. U.S.: Total confirmed cases as of 3 a.m. ET: 1,643,499 — Total deaths: 97,722 — Total recoveries: 366,736 — Total tested: 14,163,915Map.
  3. World: White House announces travel restrictions on Brazil, coronavirus hotspot in Southern Hemisphere Over 100 coronavirus cases in Germany tied to single day of church services — Boris Johnson backs top aide amid reports that he broke U.K. lockdown while exhibiting symptoms.
  4. Public health: Officials are urging Americans to wear masks headed into Memorial Day weekend Report finds "little evidence" coronavirus under control in most statesHurricanes, wildfires, the flu could strain COVID-19 response
  5. Economy: White House economic adviser Kevin Hassett says it's possible the unemployment rate could still be in double digits by November's election — Public employees brace for layoffs.
  6. Federal government: Trump attacks a Columbia University study that suggests earlier lockdown could have saved 36,000 American lives.
  7. What should I do? Hydroxychloroquine questions answeredTraveling, asthma, dishes, disinfectants and being contagiousMasks, lending books and self-isolatingExercise, laundry, what counts as soap — Pets, moving and personal healthAnswers about the virus from Axios expertsWhat to know about social distancingHow to minimize your risk.
  8. Other resources: CDC on how to avoid the virus, what to do if you get it, the right mask to wear.

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Updated 4 hours ago - Politics & Policy

U.S. coronavirus updates

Data: The Center for Systems Science and Engineering at Johns Hopkins; Map: Andrew Witherspoon/Axios. This graphic includes "probable deaths" that New York City began reporting on April 14.

The CDC is warning of potentially "aggressive rodent behavior" amid a rise in reports of rat activity in several areas, as the animals search further for food while Americans stay home more during the coronavirus pandemic.

By the numbers: More than 97,700 people have died from COVID-19 and over 1.6 million have tested positive in the U.S. Over 366,700 Americans have recovered and more than 14.1 million tests have been conducted.