Community Health Workers in the River Valley

Community Health Workers in the River Valley

Jennifer Thomas, Community Health Manager, Mercy Fort Smith

Quick Take: Jennifer Thomas outlines how Mercy’s community health workers and partners address maternal and mental health and social needs, connecting Fort Smith residents to coverage, care, and resources.

Main Themes & Insights

  • Top concerns include maternal mortality, mental health, poverty, and medication affordability.
  • Partnerships span health councils, schools, and nonprofits to wrap services around medical care.
  • Measured gains: insurance enrollments, access to mental health, housing and food supports, PCP assignments.
  • Success indicators include referral volume and new organizations seeking collaboration.
  • Upcoming focus: Community Health Improvement Plan informed by the recent needs assessment.
  • Engagement pathway: call Mercy and ask for Community Health to begin screening and support.

Why It Matters

The conversation highlights concrete ways community health workers coordinate with local partners to address barriers like food insecurity, housing, and transportation that affect medical outcomes.

It also underscores practical entry points for residents and providers to connect with Mercy’s Community Health team, aligning efforts to the priorities identified by the Fort Smith community.

FAQs

What are the biggest health challenges discussed?
Maternal health (including mortality), mental health, poverty, food insecurity, and difficulty affording medications.
How does Mercy Fort Smith build partnerships?
By participating in health councils and coalitions, using the Community Health Needs Assessment to guide collaborations on top priorities.
What results have collaborations produced?
Increases in insurance coverage and access to mental health services, provision of housing and food vouchers, and assigning primary care providers.
How can organizations or individuals get involved?
Join local councils and alliances (e.g., Fort Smith Health Council, opioid summit, 100 Families) or call Mercy and ask for Community Health to explore partnering.

Full Transcript

Click to expand full transcript
[BEGIN_TRANSCRIPT]


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Welcome to this edition of AMC.

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Tell you how I got better. I'm glad to be

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here, but a mission

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to. Well, I think that we're, we're talking, we're gonna

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talk about everybody's Arkansas is

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the 2nd highest prescriber.

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Welcome to AFMCTV. I'm Robin

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Ledbetter. Thank you for joining us today.

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I have with me Jennifer Thomas, and she's the

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community health manager at Mercy Fort Smith.

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Jennifer, thanks for being here.

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Absolutely, no problem.

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So we're talking about community health workers

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and tell us

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first, what are some of the biggest challenges

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currently facing Fort Smith

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community in regards to health?

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Um, so the biggest challenges right now

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I think we are working with are

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gonna be maternal health because

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Arkansas is top in the nation

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for maternal mortality.

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Um, and so that's something we're focusing on

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mental health, of course, is very much

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a top priority for

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us in Fort Smith, um,

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also. Poverty and our social determinants of

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health, so poverty, food insecurity,

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um, unable to afford medications

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is a big issue right now. So,

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um, those are our top things that we're,

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we're looking at trying to have programs to

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address, and that seems to

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be

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really trending across the state and not

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just Fort Smith.

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Absolutely.

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So how does Mercy Fort Smith approach

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building partnerships with local organizations

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and agencies?

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So I am a member of

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uh many health councils,

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uh coalitions um

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and so I try to spread the word about

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community health, what we do

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also we just finished up our community

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health needs assessment,

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so we will take that and start

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working on our um community health

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improvement plan which is our chip and

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so we are looking for our partners

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to be people who could help us address

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those top priorities which are mental

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health, maternal health, obesity.

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diabetes,

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um, so those top priorities

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are things that we want those

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organizations to help us address and help to create

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programs for and so that's what we look for

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when we are trying to partner with organizations.

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Are they going to be able to help address those

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needs?

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that schools, nonprofits,

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yes, so we have a school-based clinics,

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um, we have nonprofit organizations like

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100 Families, uh, Next Step

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Homeless Services, Hope Campus, um.

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There's just so many that help

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out with um our, you know, RCH&A

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our community health needs assessment, so

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many different types of organizations,

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absolutely.

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And what roles do your partners typically play

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in delivering health programs or services?

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Um, so we kind of think of it as a wrap-around

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as Mercy deals with the um

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medical care of our patients.

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We look for organizations that can help with,

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you know, food insecurity, can

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they help with um

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maybe uh homelessness or housing.

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Um, things like that. So

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we try to focus on the medical when

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we ask for other people, like, you know, the

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mental health like gateway or,

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you know, things like that that can help with the other,

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or, you know, with other

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health needs.

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What outcomes or improvements have you seen

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as a direct result of these collaborations?

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We have um seen the results from

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our uninsured

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residents or patients um having

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insurance now um they're able to

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access mental health services,

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um, the housing we're able

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to, you know, give them housing vouchers

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or food vouchers or assign, you know, assign

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them a PCP, so those are things that

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are um trending up

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because of those partnerships.

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And how do you measure the success of a community

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health partnership and it varies.

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Yes, it varies. So I

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always look at the amount of referrals

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we're getting,

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um, the amount of new organizations

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that are reaching out to me and saying I heard

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about you from 100 families

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or from

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um Gateway, um, and so that's

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how I know that the word's getting out we are

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helping those people and I feel like.

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We're constantly adding new

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organizations kind of to our our

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partnerships because they're constantly

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reaching out to me and asking like how can we

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how can we partner with you we have we have clients

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that need your help

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um how do we work that so I'm hoping

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we can grow our community health program and

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have more community health workers because there is definitely

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a need.

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And are there any you mentioned new, are there any

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new or upcoming initiatives that you're

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excited about involving community partners?

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Definitely will be the community health improvement

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plan. So like I said, we just finished up with the

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CHNA so now I'll be working

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on

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um finding programs that will address

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those top priorities that our community,

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we did a survey

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and our community said these are the things that we

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want to see addressed in our town

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in Fort Smith, um, and also in our

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rural areas and so I am very excited

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to work with our partners to

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um find programs that will address those

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needs.

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And how can other organizations,

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individuals get involved in supporting your community

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health efforts?

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I would say join the Fort

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Smith Health Council, join the opioid

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summit, join, uh, you know, join 100

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families. There are so many different

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organizations and alliance meetings

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and health councils that people can join, or

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they can just reach out to me and say, hey,

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how can we work with Mercy Community Health

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to, you know,

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address our clients and help our clients. So

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that's always an option too.

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And you've touched on this a little bit. Can you highlight

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any successful community health programs in the

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River Valley and share some of the measurable

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impacts they've had?

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Definitely. Well, I think the community health program

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that we have at Mercy is the, the

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one that I can speak of, of course, the

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most. Um, I did a little research

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and some data that I pulled and we

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were able to assist over 2000

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patients in 2024.

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Um, we, um, gave

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over. 1500 community

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resources out to our patients. We assigned

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311 PCPs

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to our patients

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and um we applied for Medicaid for

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over 800 patients. So that's

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the biggest one that I like to brag

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on is our community health workers. They're

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amazing.

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And what lessons have you and your team learned

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about working with diverse communities in the river

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valley? I mean, what are some things that

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you want our audience to know?

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Um, listen more, talk less

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would be my very first lesson that I've

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learned, um,

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just getting to know the person

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first. What is their culture? What is their

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background? What is their religious beliefs because that

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definitely affects how they.

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Um, deal with their health. Um,

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so I think that was the first thing for me was

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just really listening,

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whether they and letting them trust

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me first, getting their story,

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letting them trust me so that I can get to the root

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cause of why they're in the situation

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they're in and how can we best assist them.

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Um, also

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helping them to advocate for themselves

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and for their own health care because once we

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help them that first time, you know,

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we have to kind of go to our next patient. We have

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so many patients to help. So how

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can we set them up for success? How,

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you know, so that's a big. The thing for me is

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what, you know, asking those questions,

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how can I best help you so that the

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next appointment you can make yourself or we

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don't have, you know, what can we do to help you.

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So I think that's the thing, listening,

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getting to the root cause of it, how can

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we best support that person?

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And as we close, um, tell

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us what you want our audience to know

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about the programming, how did they get

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plugged in, where do they go? Is it a website?

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Is it social media?

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Um, just call, call Mercy.

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As for community health, they're gonna get me,

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and I'm gonna assign them a community health

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worker,

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um, and we are going to do a screening

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of them and ask them all the questions. How

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can we best support you and getting you healthy?

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Um, they would they. Coming to

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Mercy for the emergency room where they

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see their primary care physician, they can ask

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their primary care physician,

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you know, they should be asking those questions

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and those appointments if someone

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says I'm having a hard time paying an electric

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bill or I haven't been able to.

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You know, purchase my medication. That's why I'm

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back in the emergency room.

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I think we have a really good system where we

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are screening those patients and

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they are getting to us. But if, if you're

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just out on the outside and need to get in,

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all you have to do is call Mercy and ask for community health.

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And what is the message that you want

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the PCP, the healthcare provider, to

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know about the services that you all

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provide?

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Um, we're here to help and so

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if someone isn't able to pay

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their bills, if they are not

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buying their medications, if they do not have

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transportation

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to their appointments, and they're missing a lot of appointments,

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um, if they are underinsured,

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that is something we can look into. Why

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can we help them get more insurance? Is there

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another coverage we can get them?

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Um, so I think any time they run into

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a problem or they're hearing a problem

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that's affecting their patients care,

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they should be reaching out to us and saying how can

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we, how can we partner with community health

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to um address that?

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Well, Jennifer, thank you so much for talking

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about this important,

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the important work that you're doing in the

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community. I appreciate you being here today.

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Absolutely, thank you for having me.

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And that's it for this episode of AFMCTV.

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Have a great day and thanks for watching.
[END_TRANSCRIPT]