Caring as Communities

Nutrition has vast effects on individual and population health—impacting obesity rates, chronic conditions, and quality of life. Yet despite its proven, wide-reaching effects, nutrition remains largely overlooked as a social determinant of health. Dr. Livia Santiago-Rosado, MD, Commissioner of the Dutchess County (NY) Department of Behavioral and Community Health, joins Dr. Enrique Enguidanos to discuss this important topic and how communities can work together to make small tweaks and big impacts.

Bio:
Dr. Santiago-Rosado has been Commissioner of the Dutchess County Department of Behavioral Health since her appointment in December 2021. Following completion of a BA in Biological Anthropology summa cum laude from Harvard University, she attended medical school at Columbia University. Having completed residency training at Mount Sinai and Elmhurst Hospitals in New York City, has practiced Emergency Medicine in New York for over two decades, working in emergency departments (EDs) in diverse settings including urban, suburban, rural, public and private. She holds an academic appointment as Distinguished Visiting Professor at New York Medical College and Adjunct Associate Professor at the Touro School of Osteopathic Medicine.

Dr. Santiago has dedicated her career to working with and enhancing the care of underserved populations. Prior to moving to Dutchess County, she spent 15 years as a clinical leader in New York City’s public hospital system, Health + Hospitals (H+H), where she helped found a novel ED Care Management program for highly vulnerable patients and the first ED-based observation unit in H+H. Prior to her current appointment, Dr. Santiago was the Medical Director and inaugural Chair of Emergency Medicine at Vassar Brothers Medical Center in Poughkeepsie, NY.

Dr. Santiago is an active member of the New York State Association of County Health Officials (NYSACHO) and sits on its Emerging Issues committee. She also currently serves as a Councilor representing New York at the American College of Emergency Physicians (ACEP) and has served two terms on the Board of Directors for the New York Chapter of ACEP. She also serves on ACEP practice committees at both the State and national levels. Throughout her career, she has led and participated in policy development, education, informatics and data analytics, quality improvement, change management, and research in Emergency Medicine, social determinants, and population health at the local, state, and national levels. Lastly, since local health commissioners in New York are required to have a master's degree in public health (or related field) in addition to a medical doctorate, she is currently enrolled in the MPH program at the University at Albany.

Join Caring as Communities on this mini-series interviewing the frontline community health navigators supporting our nation's most vulnerable patients. In this episode, community health worker in Virginia, Gerron, shares his journey coming from a background of crime and finding purpose in helping others escape similar life patterns by addressing the environments in which they live through love and compassion.

Join Caring as Communities on this mini-series interviewing the frontline community health navigators supporting our nation's most vulnerable patients. In this episode, Jenn Demmin shares her journey coming from AA and how she balances working in the field as a role model, mentor, and support for individuals with substance use with self-care in a career where she faces potential triggers on a daily basis.

Listen as Dr. Enrique Enguidanos interviews the Camden Coalition and advocates who are spearheading INSPIRE, a national strategy to advance community partnerships in healthcare. INSPIRE’s goal is to create tools, resources and learning/coaching models that will need the varied needs of healthcare stakeholders and people with lived experience to advance meaningful partnership in their communities to deliver better quality healthcare.

Join Caring as Communities on this mini-series interviewing the frontline community health navigators supporting our nation's most vulnerable patients. In this episode, Rose Wheeler shares highlights from her career and the impact that lived experience can have on patient rapport. 

Join Caring as Communities on this mini-series interviewing the frontline community health navigators supporting our nation's most vulnerable patients. In this episode, Heather Koontz shares highlights from her career and the need for empathy in healthcare. 

Burnout is a critical challenge among healthcare providers, with 77% of workers citing some form of burnout. Join us as Laura Buckley, LSW and Founder/Managing Director at Buckley Collaborative, and Emet Bergman, LCSW and Psychotherapist at Transformative Psychotherapy, share their insights with Dr. Enrique Enguidanos about identifying, preventing, and addressing burnout in the clinical workplace. 

Community outreach is an effective approach to addressing the issues of complex medical and social care, but setting up such programs can pose unique challenges as well. Listen as Natasha Dravid, MBA and Senior Director of Care Management and Redesign Initiatives at the Camden Coalition, shares best practices for creating consistency and long-term financial viability in implementing and maintaining community outreach programs for individuals with complex care needs.

The holidays present unique challenges when it comes to supporting complex care populations. Join in as Jeneen Skinner, Senior Clinical Manager at the Camden Coalition, returns to discuss ways to improve care for complex patients—and the clinicians who care for them!

Patients with high resource utilization are “touching” multiple resources within any given community, but in most places across the country, any care received is happening within silos. Dr. Enrique Enguidanos welcomes Ray Michaelson, Program Manager for the Mat-Su Health Foundation, to talk about the need and best practices for setting up multidisciplinary care teams to break down these silos.