Rady Children's Welcomes New Trustees - Prominent Medical, Academic and Business Leaders Enhance the Region's Pediatric Hospital Board - Ellington CMS
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Rady Children’s Welcomes New Trustees
Prominent Medical, Academic and Business Leaders
Enhance the Region’s Pediatric Hospital Board
Michael Friedman, MD
Executive Director, Special Projects
Emeritus Director, Comprehensive
Cancer Center, City of Hope
Byron Scott, MD, MBA
Adjunct Faculty
UMass Amherst Isenberg School of Management,
Jefferson University College of Population Health
Michael Stone
Founder and Managing Member,
FS Investors
R ady Children’s is thrilled to announce the appointment of three new members to the
Rady Children’s Hospital and Health Center Board of Trustees. Michael Friedman,
MD, executive director of special projects and emeritus director of the Comprehensive
Cancer Center at City of Hope; Byron Scott, MD, MBA, adjunct faculty member at UMass
Amherst Isenberg School of Management and Jefferson University College of Population
Health; and Michael Stone, founder and managing member of FS Investors will contribute
decades of collective expertise in essential areas including hospital, financial and practice
management; diversity, equity and inclusion; research; and patient experience. We eagerly
anticipate the ways in which their vision will contribute to Rady Children’s continued growth
and excellence in service to our community’s children and families.
www.RCHSD.org
MAY 3, 2021 21
SAN DIEGO BUSINESS JOURNAL
HEALTHCARE ROUNDTABLE
An Informative Q&A with SD's Top Behavioral Health Professionals
Yvette A. Aguayo, LMFT Wendy Broughton, MA, RAS Gabriel Rodarte, M.D.
Manager Chief Operating Officer Behavioral Health Medical Director,
Otay Mesa Psychiatry Clinic Triple Board Certified in Family Medicine,
Psychiatry, and Addiction Medicine
Shayna Walker, M.D. Laura Josh
Board Certified Provider, Area VicePresident, Gallagher on behalf
Member of the NCMS, of California Schools
Member of the AMP,
Member of the APA
22 HEALTHCARE ROUNDTABLE MAY 3, 2021
HEALTHCARE
ROUNDTABLE PARTICIPANTS
California Schools VEBA
California Schools VEBA is a non-profit health care trust that delivers high quality, affordable and accessible health care for education,
municipal and public agency employees. Formed in 1993 — through the combined efforts of school superintendents and school labor
leaders — VEBA currently serves more than 65 participating employers and over 150,000 members, throughout Southern California.
To continue improving health care for its members VEBA launched the VEBA Resource Center (VRC) in 2019 to help
members assess, identify and remove barriers to achieving optimal health. The VRC provides an extensive range of
programs, classes, services and events for members to take a holistic and proactive approach to their overall well-being.
Kaiser Permanente
At Kaiser Permanente, San Diegans are supported by our top doctors, leading workforce health programs, and award-winning
disease management. With more than 9,600 staff and more than 1,430 physicians, we offer a full range of services at 30 facilities
throughout the county, including the Kaiser Permanente Zion Medical Center and the San Diego Medical Center in Kearny Mesa.
Our unparalleled size and scale, combined with the industry’s leading electronic health record system, allows us to deliver
high quality, fully integrated care.
For more than 50 years, we have brought high quality, affordable care to San Diegans when and where they need it. Our Mobile
Health Vehicle can deliver care to any community throughout the county. Our partnership with retail giant Target provides the
opportunity to seek medical care at convenient locations. Kaiser Permanente members have access to care through video
and tele-health appointments with a physician and can also download our mobile app to make appointments, contact their
physician, view their lab results, find our locations, and research health and wellness topics — anytime, anywhere.
Mental Health Systems
MHS is a non-profit with 80 broad-ranging programs, over 900 employees across 10 California counties. Our mission is to
reduce disparities in behavioral health care with a workforce that promotes wellness, recovery, and resiliency. We are committed
to services that lead to rich, full lives for the individuals, families, and communities we serve. MHS is an organization that has
embraced the guiding principles of People, Culture, and Growth ensuring respect for diversity, equity, and inclusion. As developed
by the MHS employees, our core values of Integrity, Diversity, Mentorship, and Inclusion are carried into everything we do.
Neighborhood Healthcare
Neighborhood Healthcare, a regional Federally Qualified Health Center (FQHC), provides a wide range of medical, dental,
and behavioral health services. Neighborhood Healthcare provides quality, compassionate, whole-person care to everyone,
regardless of their circumstance, throughout San Diego and Riverside counties. We go above and beyond in serving those in
need with high integrity, professionalism, and in the spirit of collaboration, just as we did when founded more than 50 years
ago. In doing so, we dedicate ourselves to improving community health so everyone can live happy and healthy lives.
TrueCare
Marking its 50th year celebration in 2021, TrueCare™ (previously North County Health Services) celebrates a rich history of
providing affordable quality healthcare and community resources to underserved communities in San Diego and Riverside
counties, regardless of their income or insurance status. From its humble beginnings as a mobile unit traveling to those in
need since 1971, TrueCare has cared for the community with commitment and compassion. In 2020, TrueCare transformed
its new brand with vibrant elements reflected across its communities to bring awareness of its enhanced mission. With
11 health centers, TrueCare has steadily grown to be one of the premier healthcare providers. Today, TrueCare provides
nearly 60,000 patients a year with high-quality healthcare services ranging from primary care, pediatrics, women’s health,
behavioral health, chiropractic and dentistry. In addition, TrueCare offers transportation services, community health
outreach, insurance enrollment assistance, and case management programs. For more information go to truecare.org.
A healthier workforce creates a stronger business. Get the tools you need to establish a healthier workplace culture, helping your employees manage stress, sleep better, and exercise more. Learn more at kp.org/choosebetter. Choose Better. Choose Kaiser Permanente.
24 HEALTHCARE ROUNDTABLE MAY 3, 2021
HEALTHCARE ROUNDTABLE
How has COVID changed Traditionally, mental health delivery
how behavioral health was focused on in person services –
services are delivered? which required coordination, time off
work and travel. Many of the providers
were forced to innovate and have
Dr. Shayna Walker, TrueCare:
successfully transitioned to a virtual
Traditional behavioral health services platform to deliver services. Pre-COVID,
were delivered face-to-face in a brick- the adoption rate of virtual services
and-mortar building. While there are was extremely low – typically less than
great benefits with these services, 10% of visits. The pandemic allowed
we missed out on reaching a broader many of our members to experience
group of people. With COVID we virtual for the first time – often with
were able to extend our reach using great success. We have found our
telehealth. Now we can deliver services usage of mental health services
in person, by phone, or by video, so has actually increased dramatically
patients are still getting effective and through the ease of virtual access.
critical behavioral health services they
need. Also, offering services through
Has COVID created
telehealth or virtual health helps to
Stay grounded in knowing barriers to treatment
break down barriers for patients who
that you are not alone, many have a hard time finding transportation.
and how can these be
are facing similar situations overcome?
as yourself. Self-care can Yvette Aguayo, Kaiser Permanente:
Dr. Shayna Walker, TrueCare:
include any activity outside. Since the pandemic, Kaiser
While we are able to help more
Sunshine and exercise are Permanente behavioral health has
people through virtual and telehealth,
natural antidepressants. widened our scope of modalities to
include virtual and telehealth sessions, the pandemic has increased the
Yvette Aguayo including medication evaluations need for behavioral health services
Manager, Otay Mesa Psychiatry Clinic and intensive outpatient programs. causing a rising demand with often
Kaiser Permanente a lack of providers. The pandemic
Behavioral health is also being
offered through social media apps encouraged us to be creative on
and text messaging services. Literally, how to treat patients, of which many
with one click of a button, you can have now switched to a hybrid model,
begin your therapy session from the where some of their treatment is
convenience of your home or car. virtual and some of it is in person.
Patients like this model for the
Dr. Gabriel Rodarte, flexibility and easier access.
Neighborhood Healthcare:
COVID provided an opportunity for our Dr. Gabriel Rodarte,
behavioral health providers to provide Neighborhood Healthcare:
care through telehealth options allowing Neighborhood Healthcare has
both providers and patients to stay continued to provide care to our
healthy and safe while also overcoming patients. During COVID we have
barriers in transportation challenges. added options for telehealth, phone
More information on appointment consults or in-person appointments.
options is available at: https://www. We are here to keep our patients
nhcare.org/covid-appointments/ and their families safe! Here
are some of the things we are
Laura Josh, Gallagher on behalf doing to protect patients and our
of California Schools VEBA: staff during in-person visits:
We recognize our frontline One of the “silver linings” of COVID * Sick and well sites with pre-
heroes and express our has been the increased availability, screening at entrances
* Social distancing of 6 feet
gratitude for their tenacity and acceptance, of virtual care.
and courage. Our staff run
into the buildings everyone
else is running out of.
Wendy Broughton
COO
Mental Health Systems
MAY 3, 2021 HEALTHCARE ROUNDTABLE 25
26 HEALTHCARE ROUNDTABLE MAY 3, 2021
HEALTHCARE ROUNDTABLE
* Staff and patients wear a mask proactive approach to ensure that
* Limit visitors to appointments the mental and physical well-being
* In-person, video telehealth of the education and public service
and phone visits community was supported. Over the
Neighborhood’s team focused on span of six weeks, we completely
the successful implementation of redesigned our well-being delivery
system to go virtual. In addition, we
a virtual video visit platform that
served in a volunteer capacity to
increases access to care, and
ensure all education employees in
improves upon the convenience and San Diego County had timely and safe
satisfaction for our patients. Video access to a COVID-19 vaccination
visits are superior to telephone visits. if they wanted to receive one.
How are you addressing Yvette Aguayo, Kaiser Permanente:
the mental health Employee safety and wellness is
and well-being of a top priority. At the onset of the
your employees pandemic, more than 50% of the
and the population workforce transitioned to working
remotely. We maintained a sense of
that you serve? normalcy and team spirit by using
Neighborhood’s team
virtual platforms for team meetings;
focused on the successful Wendy Broughton,
chatrooms amongst the employees
implementation of a virtual Mental Health Systems:
were encouraged to act as a mode
video visit platform that This pandemic has perpetuated of communication and support to
increases access to care, feelings of anxiety, uncertainty and each other. Kaiser Permanente’s
isolation. It’s exacerbated mental department of Psychiatry and
and improves upon the
health symptoms among those already Addiction Medicine suffered zero
convenience and satisfaction predisposed, and triggered substance layoffs; and we were able to hire
for our patients. Video visits use and relapse, among others. It’s additional mental health clinicians
are superior to telephone traumatic facing decisions to serve due to open office space from those
visits. high risk clients in desperate need employees working from home. With
of care and the potential exposure equal energy, we have focused on
Dr. Gabriel Rodarte to our families. We witness those the safety and mental well-being of
Behavioral Health Medical Director saying final goodbyes from a painful our patients during the pandemic.
Neighborhood Healthcare distance to their dying loved ones, One example: a virtual on duty team
or guilt plagued colleagues forced was created to meet the urgent
to work remotely due to preexisting crisis needs of our patients.
health conditions. It’s too soon to
register the pandemic impact however As an essential
it’s only when we acknowledge the
hard choices that we begin to heal.
business, how do you
accommodate remote
Laura Josh, Gallagher on behalf work requests and still
of California Schools VEBA: serve clients in need?
While COVID-19 transformed the
way we deliver our services, the Dr. Gabriel Rodarte,
why behind what we do remains Neighborhood Healthcare:
the same: empower our members We allow for remote work for many of
to be effective advocates for our departments, including medical
their own well-being. During the billing, purchasing and finance. We
COVID-19 pandemic, we have seen have also pivoted to allow some of
a dramatic increase in the need our providers, especially behavioral
for services — particularly around health providers, to work off-site or at
social and emotional well-being. sites without patients to provide video
When we entered work-from-home, telehealth and phone consults while
we knew that we needed to take a protecting their health and safety.
I think COVID has taught
us we have to be flexible and
nimble. We can meet people
anywhere they are to meet
their healthcare needs.
Dr. Shayna Walker
Board Certified Provider
TrueCare
MAY 3, 2021 HEALTHCARE ROUNDTABLE 27
We proudly
salute our
healthcare heroes
We recognize our healthcare heroes for supporting our
mission to provide quality, compasionate care for everyone
regardless of situation or circumstance.
Neighborhood serves 278,000 medical, dental, and behavioral
health visits for 78,000 people annually. We can do this because
our healthcare heroes!
We offer a range of programs and resources that address the
unique barriers our patients face on their road to health and
happiness. After all, we’re Better Together.
Services Offered
• Family Medicine • Dental
• Pediatric Care • Podiatry
• Women’s Health • Chiropractic
• Behavioral Health • Acupuncture
nhcare.org
28 HEALTHCARE ROUNDTABLE MAY 3, 2021
HEALTHCARE ROUNDTABLE
As an essential business, celebrate the small wins; we encourage
how do you keep staff self-care and taking time away from
your home office, and encourage
motivated to work in
regular breaks, which are essential.
high-risk environments?
Yvette Aguayo, Kaiser Permanente: Do you have any
Creating a sense of safety has been
recommendations about
instrumental in maintaining a sense of how members of the
calm that allows employees to remain workforce can remind
motivated. We can virtually screen themselves to take time
our patients and encourage virtual to reflect? What would
therapy when it is appropriate. We be good to do in terms of
have provided Employee Assistance
Program (EAP) seminars, yoga,
taking care of oneself?
biofeedback, and wellness classes
Dr. Shayna Walker, TrueCare:
to our employees just as we do our
patients. However, I believe creating an It’s important to schedule your time
open-door policy between management off, and time for your other interests
and staff has been the best strategy. and activities. For example, if you
We need to tackle timely access We’ve created an environment where want to go to the gym, schedule it
to [the mental health system]. our employees feel safe to express so it has a place in your day and
When we create a culture of their own experiences of the pandemic, does not become an afterthought.
whether that means personal grief I love my field of behavioral health,
acceptance, we make sure the however people do need to have other
from losing a loved one, the stress of
person asking for help can parenting and homeschooling their passions and joys outside of work.
receive that help in a timely children, or experiencing trauma due to
manner. racism and prejudice. We provide space Wendy Broughton,
during our team meetings to have Mental Health Systems:
Laura Josh sincere and thoughtful conversations. Where there may have been a fine
Area Vice President, Gallagher
line between the helper and those
On behalf of California Schools VEBA Wendy Broughton, needing help, there is now a shared
Mental Health Systems: experience. We are unified in the
We are reminded why we do what we expression and need of compassion
do, when we hold close our mission and understanding during these
of People, Culture, and Growth and uncertain times. No one is exempt from
embrace our core values of Integrity, the necessity of self-care, especially
Diversity, Mentorship, and Inclusion. now. What does this look like and how
We may be an essential business, do those of us who are caregivers take
but we are also a close community time to circle the wagons and care
that comes together to make a lasting for our own … including ourselves?
difference in the lives we touch. We There’s a time to be in the trusted
recognize our frontline heroes and service of others and there’s a time to
express our gratitude for their tenacity pause and practice what you teach.
and courage. Our staff run into the
buildings everyone else is running out Yvette Aguayo, Kaiser Permanente:
of. We can’t help but be proud and Remember to take planned time
gladly make sure they each know it. off work. Schedule vacation time
even if not travelling. Remain
Dr. Shayna Walker, TrueCare: connected to your social supports
Early on in the pandemic we and coworkers via video or instant
encouraged staff to focus on the messaging. Stay grounded in knowing
positives, despite difficult days and that you are not alone, many are
Literally, with one click of a providers having a lot to handle. We facing similar situations as yourself.
button, you can begin your focused on safety, and continue to Self-care can include any activity
therapy session from the focus on safety, so staff members outside. Sunshine and exercise
convenience of your home feel comfortable coming to work. We are natural antidepressants.
or car.
Yvette Aguayo
Manager, Otay Mesa
Psychiatry Clinic
Kaiser Permanente
MAY 3, 2021 CUSTOM CONTENT: HEALTHCARE ROUNDTABLE 29
is transforming
lives through
compassionate
healthcare
You're Invited!
Join us on May 13th for an inspiring online event
that shares how we triumphed in 2020, as well as
insights on where we’re headed in 2021.
› RSVP at truecare.org
COVID-19 forced us to rethink healthcare.
We triumphed together by...
Providing Collaborating Expanding
greater patient access with our partners to increase our behavioral and
with telehealth and healthcare touchpoints and mental health services
mobile wellness reduce food insecurity for patients in need
COVICTORIOUS
(760) 736-6767 / truecare.org #healthforall30 HEALTHCARE ROUNDTABLE MAY 3, 2021
HEALTHCARE ROUNDTABLE
As a society, we are situation is not permanent. There are
facing unprecedented several ways to protect yourself and
your family from COVID-19. In addition
levels of stress, anxiety to the basics, such as washing your
and burnout. As we hands frequently, maintaining social
start to return to a post- distancing, and wearing a mask, you
pandemic world, what do can also benefit from staying physically
you think can be done to and mentally healthy during the
help build resilience? pandemic. Read more here: https://
www.nhcare.org/staying-healthy-happy-
Wendy Broughton, and-connected-during-covid-19/
Mental Health Systems: Although the COVID-19 crisis has largely
interrupted normal life, it is still very
We will enter a phase of recovery and
important to follow through with children’s
what that looks like will, in large part,
general pediatric medical needs.
depend on how we went into it. Did we
Parents can still schedule appointments
have an established routine of self-care?
for vaccines and immunizations via
Did we leave work at work and share
Neighborhood Healthcare’s clinics.
quality time with family and friends?
We are dedicated to providing families
Did we nurture ourselves with enough
Good self-care isn’t a with the information they need to
sleep, exercise, creativity, nature, quality
make the best healthcare for their
luxury meant for others, foods and laughter? We need to carve
families and so we have put together
it’s essential for the kind out time for reflection, gratitude, and
some tips and guidelines surrounding
lessons learned. As we take to the streets
of energy and commitment pediatric care during the pandemic.
again, as businesses reopen, let’s take
necessary to stand on the a moment to think about how we want
Read more here: https://www.nhcare.
front lines. org/pediatric-care-during-covid-19/
to move forward in this new normal.
Wendy Broughton
Laura Josh, What are the most
COO critical changes that
Mental Health Systems Gallagher on behalf of
California Schools VEBA: we must make in the
The mental health of our educators — current mental health
and our society at large — has been care system to face the
pushed aside so frequently, but it is future effectively?
such an important topic, now more than
ever. Research by the CDC has found Laura Josh,
elevated levels of stress and anxiety Gallagher on behalf of
due to the COVID-19 crisis, and the California Schools VEBA:
numbers continue to rise. As leaders in Our current mental health system forces
the education community, our board of someone to navigate a challenging,
directors understands firsthand the critical complex system at the time when they
role leadership plays in helping education are least able to advocate for themselves.
staff build resilience inside and outside Some of the immediate challenges we
the classroom. First, as leaders in the are focused on in the mental health
community, we have to normalize taking system center are access, representation,
care of our own mental health and create and contracting and measurement. First,
a culture that normalizes asking for help. we need to tackle timely access to that.
We also need to ensure resources to When we create a culture of acceptance
screen for, and effectively address mental we make sure the person asking for
health challenges, are easily accessible. help can receive that help in a timely
manner. It’s much more damaging to
Dr. Gabriel Rodarte,
Remember this situation open the door to run right into a brick
Neighborhood Healthcare: wall. Secondly, we need to cultivate a
is not permanent. There
Here we offer some tips and guidelines diverse workforce in the mental health
are several ways to protect about staying healthy, happy and field that more closely represents our
yourself and your family from connected. First, remember this diversity as a broader community.
COVID-19. In addition to the
basics, … you can also benefit
from staying physically and
mentally healthy during the
pandemic.
Dr. Gabriel Rodarte
Behavioral Health Medical Director
Neighborhood HealthcareVEBA Resource Center
Centered Around the
San Diego Education Community
The VEBA Resource Center exists to partner with members on their individualized health journeys.
We provide free classes, services, and programs to empower San Diego’s educators and school
staff to make well-being a part of their every day lives.
We are here to support our education community so that they can support San Diego’s students.
Get to know more about us by visiting vebaresourcecenter.com or calling 888.276.0250.
www.vebaresourcecenter.com
888.276.025032 HEALTHCARE ROUNDTABLE MAY 3, 2021
HEALTHCARE ROUNDTABLE
And lastly, we need to look at ways to create workspace at home with COVID
effectively finance the care to encourage stress, being an employee, parent and
effective use, along with tools to match homeschool teacher all-in-one. Zoom
the appropriate clinician with the need. fatigue is real, we sit for hours in front of
a screen, often into the night. We hush
Dr. Shayna Walker, TrueCare: barking dogs, apologize for kids in the
I think COVID has taught us we have background, and embarrass ourselves
to be flexible and nimble. We can by taking business casual to a new level
meet people anywhere they are to by forgetting we have pajamas on. We
meet their healthcare needs. We are need to take breaks and remember to
utilizing technology more, but it needs laugh. There’s no playbook for this.
to grow as historically it wasn’t a huge
part of behavioral health services. Many people look to
I would also love to see the hybrid traditional medicine for
model of in-person services and virtual the answers to mental
services, stick around for good.
health problems, however
Yvette Aguayo, Kaiser Permanente: there is growing interest
First, we need to continue to foster
in exploring a more
We celebrate the small wins; and build a culture of inclusivity and holistic approach. How
we encourage self-care and equity, as we have races and ethnicities does your organization
taking time away from your who have been disproportionately integrate complementary
home office, and encourage
impacted by the pandemic. Also, we or alternative medicine
should advocate for and implement an into your treatment
regular breaks, which are Integrated Care approach to behavioral
essential. health. This is no longer a just a
plans and have you had
psychiatry issue. At Kaiser Permanente, better patient outcomes
Dr. Shayna Walker because of it?
we have multiple departments assisting
Board Certified Provider
in behavioral health services: patients
TrueCare Laura Josh,
suffering postpartum depression are
often referred by OBGYN; patients Gallagher on behalf of
exhibiting depression and anxiety are California Schools VEBA:
often diagnosed initially by Primary California Schools VEBA has been
Care; the Center for Healthy Living a longtime believer in a holistic
has expanded their services to include approach to healthcare. We believe
biofeedback, meditation and mindfulness. you have to look beyond a person’s
Expanding this approach into additional physical symptoms (such as obesity
areas of medicine will help improve our or diabetes) to understand what is
ability to identify and treat behavioral driving the behavior behind the disease.
health issues early on, thereby improving When looking at our most chronically
the lives of those we care for. ill members, we often see a poorly
treated, or undiagnosed, mental health
How do you help staff challenge, such as depression, anxiety,
achieve work-life stress or trauma. Our VEBA Resource
balance when remote Center contracts with health care,
work creates “Zoom well-being and community service
providers to work with our members
fatigue” and home is to develop a personalized health plan.
less a sanctuary and These resources include access to
more an office? on-site and virtual services such as
acupuncture and acupressure, mediation
One of the “silver linings” Wendy Broughton, sessions, group counseling, healthy
of COVID has been the Mental Health Systems: cooking classes, financial workshops
increased availability, and Good self-care isn’t a luxury meant and more. By utilizing an integrated
acceptance, of virtual care. for others, it’s essential for the kind of health care system, we have improved
energy and commitment necessary to patient health outcomes, improve quality
Laura Josh stand on the front lines. It’s hard to care, and save employers costs.
Area Vice President, Gallagher
On behalf of California Schools VEBAYou can also read
