Transcripts For CSPAN2 CDC 20240627

Response capabilities and medical laboratories. This is h the aspen institute. Good morning everyone. Thank you for joining us. I presidency of the Cdc Foundation. Muleased the Cdc Foundation is able to bring you this morning this important discussion about the symbiotic relationship between Public Healthth and business it. In this discussion we will be about how we need to create partnerships that can keep our communities our business is strong and establish a foundation fornomy robust. The Cdc Foundation if you are not permanent we were cre the 1990s as anun independent non charge is to create publicprihelp porge the cdc mission and really the key Health Health safety for americans. The foundation tackles health rom Infectious Diseases like malaria entering chronic diseases like cardiovascularbe disease and mental health. Example. An emergency such as ebola. So i am to dr. C been bringing all of us Important Health topics for many years put t here in the United States we do focus a on healthcare which is critically important. R, as a physician former statee Health Officer i know publicthe opportunity for the greatest every person in every community in every corner of the nation ev so if wemy we want to prevent and we wantontrol and save lives and money. Investing in Public Health a containment of outbreaks and other Significant Health illness and loss of life it is the most efficient and tax dollars in my opinion and has the biggest impact o as well as on creating healthy businesses and help the ecoso we need to come together at the local state and National Levels to health. The workforce we need to modern in our laboratories and our response capabilities that Public Health and business partnerdliest and most costly Health Challenges that we face as a natio world. With that i will turn to elizabethan oelizabeth in our panel thank you. [applause] judy, thank you so much and welcome everybody. Good morning w morning after the rains of last night to all be talk about this important topic and im so honored to be joined byhese three wonderful physicians introducing everyone in the center we dr. Mandy cohen director of the u. S. D left is larry lu sean who is a indiana. And ethan burke i almost hit hawke. [laughter] i dont know how i know that a senior vp chief public Health Officer mandy, lets start with you. Why do business and Public Health each Work Together . I could see gazillion dollar budget. Not that high but its pretty high. Why do you need thesector to work with you . First i would say great to be the Cdc Foundation for hosting this important conversation. We all saw how Public Health frankly lives in our economy upside ood and Public Health is good for business. I think a really imporersation but we also know the mission of Public Health to protect hea lives is a big h debt is a big mission and it cdc or even if cdc entities. This has to be a teampout protecting health and improving lives across the i am so thrilled congressman blue sean whos been leader in thinking about these issues is here to joyce with theg conversation and w birx were going to do first names after this period from one of the largest healthcare the Delivery System side. This in partnership is really, ct our country from isting Health Threats and if we are really going to think about being the strongest tr be closed frombut also from an economic perspective. We arealk later the dream of what a public and talk about anythingg right now the cdc is partnering ytwith the privateecis gonna wealth . That you are proud of. R tenure, during your tenure . Partnership. I do want to s during the pandemico much collaboration thatus particularly in North Carolina to be successful. I saw major hospitalre usually competitors come together and say how do we private sector to turn their supply chains and helping usabout ppe or a vaccine and delivery. It was incredible too see the chamber of commerce be sidebyside with ts, with the Public Health. The question now is we are peace time if you will, so happy to be outside of that emergency. What is the right way to retain those relationships wewhats the right way to make sure we are prepared going into the f in differe responsibilities from the cdc we partner in so many different ways. Start with the health Delivery System and get to the rest of the community. On the health Delivery System we have cap a partnership. H measles or avian flu toctors office in Emergency Rooms maybe those. We need to make sure that date is getting captured but so that we can have a picture of whats going on so we able to respond we are already in partnership on a date or front we are an innovations around diagnostics and therapeutics we are i living vaccines vaccines and the folks doing administering of vaccines are folks in the Delivery System partnership every day. But on the business sidees of the month to offer their employees Health Insurance keeping their employees and thinking about a productive workforce. Already i know employers are doing things like offering flu shotth they have been for a while thank you so much a new emerging threat like covid elbow save employers are going to be shots come this fall. Eres a lot the Business Community can do and is already doing and i look larry given examples in your state of some great public publicprivate coo area . Yes starting in year 2020 Indiana University come out they study good references on the in Connection Movement to Economic Prosperity and Public Health public. So administration developed a commission combines a State Government with private sector entities across the to look at this to come to gather and say together . Information Economic Prosperity is a direct link to public hea everyones a vested interest out of that came in a number of things 100 increase in s funding the state Public Health system we had recognized also during understaffed and had been for do not have any specific industri directly. But on this commission they were people from the private working with government officials andame to the conclusion that we needed more funding. Needed to up our game as it relates to public healtarting right at the localco level at the county level all of always to the state those decisions are made inination the government and the private sector. And so the other thingnow will talk about datar. Later had to have good data from all of our i think indianas when the first states t put almost a central repository for data some and go to this agency and some go over here it still does theres a way to sensually evaluate data at most our state participated in that and it partially came out of thidiscussion with the privatehe government combining on this commission. Ne thing as we talk about business and public Public Health i th differentiate two different pieces one is the health and what ie my company plays . We have a couple e with, cdc is what the Cdc Foundation over theyears. In the second is all businesses businesses are in the community of the pri priry economic driver sometimes in a small town there might one large a factory that the primary employer of the town thats a Public Health opportunity as well. Its not just the Health Partnership in any industry has an opportunity to do Publicprivate Partnership that is our opportunity to amplify the message from cdc from stay Health Department into a trusted part of the community. On the health side we all learne lot and were the most exciting ones we did cdc fda, gates foundation, university of was achieve positions in seattle andminneapolis with the partnership. The validation work we were able to veryublic agencies to make the right policy decisions and figure how to incorporate that into plans. Tell me m how did that come about what exactly is you do . Days of the pandemic we are the lar States Seattle was one of the early hotspots of covid if you r one of the early cases was very quickly were starting to run out of persoe equipment and ppe for a Health System or a directed gown up to do every covid test was sustainable on a National Level. We had it many, many phone other federal agencies. The white house how are we going to get this . What can we do as a company v reach and our funds in ourn partnersh with others unscheduledoial validation work with the self collect professionally collected swab, saliva samplesuniversity for key partners in network. We were days hundreds and early information sector to make decisions for the nation on how wed pce initially to we are using now is incredibly convenient and not doing my own coveted test requests is just like you did not into all the paperwork it sounds like that was not this. Know and i think he said it before. Everyone pitched in we all had right thing. Companies thatcompanies that have never worked together before it might be co agencies i was all tense about publthe past realize their strengths and coming together we bring a different piece t plan. Out to everyone. We had Public Health apps but we know again into primary care clinics or Emergency Rooms we ble to transfer that Technology Asset torcial labs for avianb up into commercial soeelationships but then there is a lot of work overall the communitys healthy and trying to protect health and improve and one of the ways we can prioritize together and sharenow what the problem we are solving and how we think about the thates doesnt mean we have to have a financial relation b we have an aligned investment. What w the we are investing in work to reduce suicide, here is how we are putting our investment and the data wer can but i could use your help in helping us withthe data visibility or we are seeing best practices connecting care at a time somehow we do we think about network . So we can bring the evidence but they can bring theagain without a financial relationship and i think that can you talk a lit bit more about that . Eve got participation from all of our local counties to get data to the State Government but in a is usable instead of being ableor tonumber to call and getting the da. Been a challenge in politics so i havegislation in the house meant to tryllection to state level in the usable form more available to whats in realtime happening so that the cdc can help analyze the state whether its on covid some other outbreak or Public Health in general. I think mostly what weve done in indiana is make it so it can be more effectively evaluated and its not j disjointed different how might the private sector to help with that . This is primarily what im talking a data side and the governmental agency. The private sector is a vested interest in Public Health and i think hes outlined very well about what th cdc does. They are not afraid totion congealed in a public entity. That ies during covid that we saw particule very reluctant to participate in and agreed agree to have some various information even the identified collective so to speak by the government and with that being a database would be if they decided for example they do with their own Health Whether they decide to example so good information. Its a pretty goodabout the importance of the the best way. I know that isnt a specific answer every business has a vested interest for them being healthy because againhers out there have shown there is a direct between Economic Prosperity and the health of a population if you are a very unhealthy popu going to have people who cant participate in the workforce of other issues with high medical costs that Economic Prosperity. I want to thank larry for the leadership on the bill he was talking about that would have given the cdc additional tools and authorities began to collectthe data so we can respond better that didnt get over the finish line andre trying to make progress within the e what i would say for the private sector we are certainly working with all and clinics to be able to submiteports. So for example on how they are doing on those. Theres been a shout out to a number in additi big Hospital Systems that have already reports. So if someone has measles we want to know abo are connecting the dots between someone walking into an emergency into a second case emergency room across town having that data to say okay we to the cases and do we need to do more investigation and do quickly. Submission of the data in a way that allows the Public Health to and then also to have the national picture. Ic and they go to the cdc or the state Health Department . And how long has that been going on . We are in the process of doing that. That is a big effort we are underway in 2024. That was not happening atfore the pandemic. We focused first on data fnd making sure we can get Realtime Data and the good news Realtime Data from 90 of the major Publicprivate Partnership right there so now we are able to get that Realtime Data and visibility. We need more specificity to make sure it againding to the individuals so we want to get those electronic i case reports. On thisdo it takes forever to do i think we are actually doing pretty well. Have challenges. We are large and we have a lot of data obviously. Some of it is very latency past you all on those Early Warning signals but the challengese healthcare that theres different record systems into different pairs and how do we get it to you all in a useful way not essentially but i think the speed is the piece that has been really l. Theres two issues in my head and this is probably the conversation of the theres not a Public Health data data when youre thinking about this. Theresa just health data and the way that we have kind of created the whole thing everybody talksealth and Public Health is kind of nonsense and and what is happening in thehe population with the earlyrning into the next pandemic that might be occurring and whatever it might be, how do we start to see this in a unified a continuum from Public Health all the way to the kind of care that we use to the second issue is trust. Theres trust at the level of du or family and sharing the data. It is also trust at the level of the data with other entities are they going to get in trouble when it to go down. What is the give and th the equation for everybody involved in the data sharing if i give you my data individual, how do i know that this is useful for me or my my community. How do i know that it is being usedbe in a gay . From the hospital or United Health group and i work with know that this is advancing the shared mission of healts we ask for a lot in healthcare anddoctor i ask a lot of questions. Im not sure we always do great question of how we are asking or how we give it back to people. I think we at that and we learned the lesson from covid and that makes easier. The technical stuff still has to be solved, but the trust issues the key to this type of data sharing across the continuum. With united or hospital, might they be concerned that purposes were are you the individua concerned . I think it is both. Im curious what you think but i think individuals or families might not want to share their it is optimized why do they what is the government doing with my data, is it a truly anonymous or is i a hard concept to understand. Ad ements on the Public Health slide side to share data. Sharing data is not a f exercise. There is a burden there and we recognize the work weve been ast year on the Public Health side isth ta standards that are happening already in th are hoping to leapfrog over and adopt things not to get too weeds but the fire standards and Public Health isnt doing Something Different than what we ar already asking for in the delivery space so theres for alignment that reduces the organizations to say okay i understand where my datagoing. I also think and Public Health we need to get better at sharing. We need to give back. What do youave that ethan might want . I think the diffetems want a view of what is going on in the communities. Some hose in town, but most places they are not but they operate and respond better if they know what is happening inand i dont think Hospital Data is the only data out wastewater data, theres data from educations, what is systems so i dont, we are focused onse i think that is a place where we have to align. We all speak the same language but i dont want to stop there so we have a lot of work to do really good guide path for where we are headed. Work on climate and the heat ind contextual data for Public Health. Might be going into the social determinants of health, its not just your health. Its your education. Do you housing are you eating healthy food its not just actually real risk with heat inis different parts of the country and when you see it, heres some clinical information and things inically. So i t think that is the value add to that we can get from the cdc side. When we are seeing data we get the hospital system. We can analyze that and say this is what we better help your patients that might beprocessing it anyway for the Community Way thats may be more approachable or reachable than a heavy scientific type of approach, so i s do think that its relationship. You mentioned before even that you want to make sure thate sharing that its promoting the sort of would be united. The concern might not be the would be the concerns in sharing data . Is it because burdensome and you might have to devote a lot of facts and hou are you concerned that a competitor might see something you dont want them see . What are the impediments free. What is the cost i guess that is whai the cost to us in terms of in terms if you get asked to share xyz what is to share . Ed answer. Some of it is the data use agreements that we are under. So for instance, we cant go mingle all the data fromedicaid Program Within other states program. You can create a data set so we have agreements of privacy and the states on the data s not only autonomous and how we can control and data either. We have to be very careful about who owns it employers rights and states rights a how to use it in a way that is data protected for the greater good. I think the Technology Governance issues. Can i make one i think Everyone Needs to recognize weve been collectingdata for decades. Immunization when you look atio map from the political perspective whatd to do better for moving things covid but its politicized and a lot of weve been doing this but we needed to do find with covid and there were gaps and at the state and local l relates of my colleagues and also constituents that this has been a very important part of Public Health data decades so we have to w figure out how to do th wantwa to identified and shared effort to overall create a healthier soc as i mentioned earlier theres a direct economic impact, sother thing. Remember weve been in many for decades. It just became i think overly politicized and thats made it even mor a difficult to reform like hr 550 the way that we can make sure people like cdc can have this good data to help only us but everybody in the world. Titiese to share the data or whatever else. Re as one of the impediments these are competing entities. Europe, these are competing entities. I will go back to my praise of the Hospital Systemsth carolina during covid where i saw cohcompetitors andthe importance of it and i think that is where the partnership lawmakers and making sure that we are helping folks underside i think we can make a lot of progress. At the data is a national. That is a National Asset to protect. It is owned not by the nation. We need to make sure that its visible for the nation to do our job to respond. N my pollyanna mind you go to one of these large hospitals into say this is a nationalal asset. S its going to help everyone. Please share. Is te way it works or am i being a pollyanna . Questions to be answered. I thinkight questions to ask how is the data going to be used and what vue if im going to put in the work on the Health System slide what value am iem going to get back, and the progress is made. I think it underlies all of this publicprivate partn we cant know what problems to prioritize and we can clarity on the responsibilities. So that is the underpinning for a lot us. Because you are notui anything. Are reportablehow do they report, how quickly how much burde report that into what system . Enthis is what the cdc and t needs to be to make it collect the data,ins of doing all that anduickly look for patterns . The state and l Health Departments. What is their data and how doesha they vary by state with Different Levels of Technology Source of data that we can do better with. And. And partnerships. Im paraphrasing what can you give them. We were. We were having multiple conversa aspen. We are displaying thate way that we are turning the data action much more quickly. Foplthe opioid decide where we try to stay ahead ostreet and what might be impactingan folks in terms of overdoses. Into action, and i think theres a lot of waysfo weoffer good data that feels super the moment. Health and he it was another one. Lot of ways. Vaccination data. I think we need to get better at getting the vaccination. A question for any of the three of you jump in. Ld wave your magic wand and create the publicpri you all the mon what would be a terrific rtprs could really benefit Public Health if you could wave a magic wand . One area i think we all Success Stories that come to communications and ies think sometimes theres an incredibly smart people around. Sometimes we dont do the best job stakeholders whether its congress or the public or employer or family. There are entities that are good at communica to make it the values so then they trustedbe the actions and that is an areaan improve the ability to communicate and it goes back to scaling of trusted relationships and how do we scale trusted relationships National Level by reaching people as individuals to believe what we are sa scientifically . The best Publicprivate Partnerships. Other areas you pointed out in the r barriers to do we identify the ones that need to the ones that probably need to be looked at is a barrier for us to make advances in p Health Impact barrier if it is a high bar and unless c the State Government of indiana looks at that some of those barriers youre going to continu situation where we have aty broadly cooperating so as a member of congress, tell things that in the private sector are barriers to progress. Im not to be regulating everything but i fair and appropriate regulation and statutory requirements law that arent barriers to progress, and thats very truelth space from ask us to focus on three things, i are focused on and i love the Publicprivate Partnership to help us here one is to be ready to respond to again it could be Infectious Disease orhr something heat related we are ready and we are working together and improving third supporting young fams. We have to be the healthiest that we possibly can be end of those Lifelong Health patterns young so keeping, making sure our kids are that mom and dad are healthy and we are preventing diabetes andd stopping smoking. So those are the places what are the things i hope we can all align on a ones being ready to respond to Health Threats is a natsecurity imperative. Coming out of a crisis the crisis we had some Serious Mental Health crisis and third to make sure if we look to the future and invest now in young families so we can be the the way to do that if youre night, we wrote a new england journal piece on how to try to tackle this together and it has a framework. The three things we want to accomplish. If we dont have the Data Infrastructure we will not have the right purities andnd alignment then we have to think about good data, how do we have shared priorities. Maybe those arent at the community level. Lets have that investment tmtogether so if the chamber of commerce and locallth canoc invest together maybe its mortality, maybe its m that there are responding to avian flu and then mak have clear roles and responsibilities. There are things public healtab excellent at and be the quarterback of but there responsibilities to help the Delivery System and the for the government officials into the responsibility for t partners and how to be clear about all this. You look like you know each other maybe. Im a nurse and you talk a lot about the data local level sharing data wasnt the top of mind for me. E are under resourced. I thought we were going to hear about either because of Corporate Social Responsibility or just because they know that in underfunded Public Health department is a problem for them medical supplies or personnel or free access to their electronic record or other resources that is this partnership happening and can you share some examples let me just reiterate what i said to the state of indiana did this more broadly the 1500 increase and covid brough the state level in indiana thats been recognized and then also as it relates to coordinating with all the counties, loc getting that statewidesable level weve also worked on that, sork those are the type that at least if i can speak to the state of recognized from the governmental perspective. Irate philanthropy part is important. It doesnt feel like systems and me. I want to see not just the Small Businesses thinking about the health of their workforce because they will get more productivity. Workers healthy some of that is making sure they have good things they need to be holy and how do you incentivize that and incentivize and diabetes prevention, i think theres a lot employers big and small can do and again using the data i think and want to be with the Business Community onthat. I heard for the first time we have a vaccine for rsv and one of the things i heard in the Business Community thats fantastic because a foms and dads are out of work when their kids i want Business Owners to be thinking about how we have a and mom and dadce are not out sick or out of work b are w sick. How do we make those connection s a lot of opportunity for business and howun they design their benefits health data into this is also where Public Health needs to reach the Business Community more. I dont think weve beenabout aligning. I think that emergency put us at we stay at the table. End ofand the person sitting next to you. This is the response to a had. You asked how many each year to get more practices in the hospitals to submit using this modern modality and as we modernize Public Healths ability to receive electronic case reports for more than covid. Thats greatnsight. Anybody back6 here. A professional microphone holder. Jackie gea double down on the acronym that stands for truste framework of the commone down on that is multiple people that a governmentov standard model that is totally new and novel and to we dont Exchange Data more freely, one of the reasons is the standards you need, one Organization Needs to say might be recording be that they are trying to get thee s a framework and we finally have on the different al Healthcare Organizations and public and private entitiesnto this one. I think that is going to be the key. Gettingza organizations to take that on what can we do to better coordinate and are there aware of. I will start with public he states and localities to be the first ones to adopt this give you Technical Assistance and we are actually seeing a lot of interest in the Public Health think this is where i need help from congress tound the public entities to kind of systems and i do think we a technical challenges but the resources need to be there and we need to haveand workforce that knows how to helpor transforming im a small my capability of doing this . Its a lot of res i cant do my latest upgrade because im putting all of my money into this and what do i get back from it . If hospitals were Health Systems efit i am managing a population of millions of my region. This gives me a better population because im getting a datathe data from the sources bey my own. Now the conversation of thend economic advantage and Health Outcomes advantage so i think when the health t systems into smaller groups start to see get on board. If its only a give, they have competing priorities. Im going to into this more. Itsin a fascinating thing. Myn from a governmental official perspective is to try to keepch private sector as possible. Have where you get more i am not talking about the federal agencies whatever be and you end up with a large will find people will not want ton my view it iss governmental engagement but if you are and want the to participation, you have tohtthis a Publicprivate Partnership but lean more towards private in our efforts to fight tropical diseases we are using footwear as the promotion of and incentivizing. Now with 200 employees as forprofit venture to build independent Economic Development and generational wealth leading speak to what the cdc or the government might be doing in underdeveloped countries to provide independence through publicprivatedistributionso help them have independents fighting their own disease . Cdc wor we have offices around the countr regional offices and the way we do the work globally is on building. So earlier this morning instead of giving folkss to fish so instead of building a lab we teach instead of maybe building the school of Public Health with some fancy buildings we train epidemiologists and thousands of them on africa and asia and all around the world it starts from Building Trust and understanding what are the problems that individuals countries a dissolveti. Its about the partnership and certainly a lot of Publicprivate Partnerships particularly Laboratory Space and diagnostic of opportunities globally. Ther. Thank you so m of Court Decisions on Health Policies at the a colorado. This is about 15 minutes