. -- pediatric care. in those cases, you would be paying out of your pocket for those services. t, important health care decisions would be taken away from trusted physicians and given to government bureaucrats whose mandate would be to cut costs, not save lives. many of president obama's closest advisers advocate cost-cutting. brother of rahm emanuel and health care policy advisor for the white house has praised london's health care rationing and doctors take into account the life expectancy of a patient. another presidential aide has said, quote, government controls are the proven strategy for controlling health care expenditures. should americans be penalized for receiving medical care they deem necessary. should the citizens put their lives in the hands of an unelected board? that could happen and could happen soon. joining me now is a patient advocate and committee to reduce infection deaths. i want you to explain -- >> this is the house committee bill and the kennedy bill making its way through the senate. sean: this is the kennedy bill that you've got. and this is the hous

. -- pediatric care. in those cases, you would be paying out of your pocket for those services. the most part, important health care decisions would be taken away from trusted physicians and given to government bureaucrats whose mandate would be to cut costs, not save lives. many of president obama's closest advisers advocate cost-cutting. brother of rahm emanuel and health care policy advisor for the white house has praised london's health care rationing and doctors take into account the life expectancy of a patient. another presidential aide has said, quote, government controls are the proven strategy for controlling health care expenditures. should americans be penalized for receiving medical care they deem necessary. should the citizens put their lives in the hands of an unelected board? that could happen and could happen soon. joining me now is a patient advocate and committee to reduce infection deaths. i want you to explain -- >> this is the house committee bill and the kennedy bill making its way through the senate. sean: this is the kennedy bill that you've got. and this

how colorado has really improved pediatric care and had remarkable improvement in compliance in state metrics. how group health has very quickly avoided a lot of emergency room says visits that would have led to both -- outcomes, frustration and expense for families and how geisinger has -- we have really compelling stories today. what's amazing about these stories is we have talked to these groups andland more about them is it's things that can be done widely in many places. these are not limited examples. these are examples that all could be scaled. in today's discussion we'll talk some about how we can actually scale these so more patients get more of the benefit we're going to hear about today. as we go through, there are going to be 2004 elements. so i said there are many difference. there are four things that are common to all these practices. the first is the notion of carry coordination. so it's not left to chance what happens after a patient see. whether there's a followup process to ensure that whatever has to happen patients are reminded, physicians are reminded. it involve

how colorado has really improved pediatric care and had remarkable improvement in compliance in state metrics. how group health has very quickly avoided a lot of emergency room says visits that would have led to both -- outcomes, frustration and expense for families and how geisinger has -- we have really compelling stories today. what's amazing about these stories is we have talked to these groups andland more about them is it's things that can be done widely in many places. these are not limited examples. these are examples that all could be scaled. in today's discussion we'll talk some about how we can actually scale these so more patients get more of the benefit we're going to hear about today. as we go through, there are going to be 2004 elements. so i said there are many difference. there are four things that are common to all these practices. the first is the notion of carry coordination. so it's not left to chance what happens after a patient see. whether there's a followup process to ensure that whatever has to happen patients are reminded, physicians are reminded. it involve

we do not provide pediatric care, because we did not have children come. if all this that we need to provide some new services, we would need to expand. the law provides for veterans, not necessarily their families. i wish they could. >> our family suppers just as bad as the service members. >> i agree with you 100%. >> again, hopefully -- we have to go to the next question, but that is a big, broad question, and just hear me out. even with what we were trying to do right now, people try to swift boat the plan. you understand that. right now, as we are speaking. and we're trying to come up with a plan by which their will be an affordable system. i think one of the best bets is to try to help to push your congressman, that is me -- you are already talked to the choir -- you are already talking to the choir. i cannot know how many of you have operated small businesses, but let me tell you -- almost half of the people -- anywhere from 46 million to 68 million people each day with no health insurance. 0. that is a shame. for one of the most powerful countries

care so i think really taking a good care at the differences, for example, between adult and pediatric caren the research i read, you say that there was a shortage of people in pediatric specialties because -- >> yes. >> the pay scale just isn't there. >> correct. and the medicaid reimbursement is not what it needs to be for those subspecialty providers to go into pediatric subspecialties such as ear, nose and throat. >> faith, when you take a look at the bills making the way through congress, do any of them address what you think are the critical aspects of medical care that need to be taken care of? >> one of the most critical things i think is going on right now is what i call the chicken little effect where everybody's running around, you know, screaming but they're not taking the time to really read these -- the reform that's been proposed and there's a vast difference between socialized medicine and socialized insurance and that's what's being proposed is insurance part of it. and in this country we already have socialized insurance. it is called medicare run by the government, it wor

we do not provide pediatric care, because we did not have children come.if all this that we need to provide some new services, we would need to expand. the law provides for veterans, not necessarily their families. i wish they could. >> our family suppers just as bad as the service members. >> i agree with you 100%. >> again, hopefully -- we have to go to the next question, but that is a big, broad question, and just hear me out. even with what we were trying to do right now, people try to swift boat the plan. you understand that. right now, as we are speaking. and we're trying to come up with a plan by which their will be an affordable system. i think one of the best bets is to try to help to push your congressman, that is me -- you are already talked to the choir -- you are already talking to the choir. i cannot know how many of you have operated small businesses, but let me tell you -- almost half of the people -- anywhere from 46 million to 68 million people each day with no health insurance. 0. that is a shame. for one of the most powerful countries i

how colorado has really improved pediatric care and had remarkable improvement in compliance in state metrics. how group heal4h@@@@ @ @ @ @ @ r we have some compelling stories today, and what is amazing is that we talked with the records about them and it is things that can be done widely in many places. these are not limited example. they could all be scaled and we will talk about how we can actually scale the said that more patients will get the benefits that we will hear about today. next slide. there are many differences but there are four things common to all of these practices. first, this notion of care coordination. after a patient see. whether there's a followup process to ensure that whatever has to happen patients are reminded, physicians are reminded. it involves not just information technology but teams to take care of patient. because there's no one person in charge, there's jobs that need to be done by a full team. there's a much more patient engagement in these practices than in a typical practice. so patients know what to do. they're followed up in some cases so the p

we do not provide pediatric care, because we didot have children come.f all this that we need to provide some new services, we would need to expand. the law provides for veterans, not necessarily their families. i wish they could. >> our family suppers just as bad as the service members. >> i agree with you 100%. >> again, hopefully -- we have to go to the next question, but that is a big, broad question, and just hear me out. even with what we were trying to do right now, people try to swift boat the plan. you understand that. right now, as we are speaking. and we're trying to come up with a plan by which their will be an affordable system. i think one of the best bets is to try to help to push your congressman, that is me -- you are already talked to the choir -- you are already talking to the choir. i cannot know how many of you have operated small businesses, but let me tell you -- almos half of the people -- anywhere from 46 million to 68 million people each day with no health insurance. 0. that is a shame. for one of the most powerful countries in

care reform. dr. ben carson a pediatric neurosurgery at john hospitals kins and says the answer is not a government run system but instead some common sense cost savings like electronic billing system. would drastically cut add testify cost. >> there is absolutely no need to have the mounds and mounds of paper and army of people to push them around. which eats up huge amounts of each health care dollar. >>reporter: dr. carson also suggests having wellness clinic in better prevent testify care for the poor. we have the different version of the health care bill on our web seat just check them out at fox baltimore.com slash news link. tell your congressman what you think about the bills. contact information for your senator and congressmen alike are on our web site of course fox baltimore.com slash your voice. >> how are the roads out there with the storm? lauren has our traffic edge report. hi lauren. >> hi jeff. we are dealing with severe thunderstorms not to mention a lot of accidents tonight. they are causing our average speeds to really take a tumble. looking at the northeast corridor of 95 we look a

right now, there are only 2,640 pediatric intensive care beds in the entire country.hough, hospitals have plans to increase capacity and staffing, some worry even those won't meet the need in a severe pandemic. special officials have issued practical advice for schools and kids too. >> wash your hands, wash, wash, wash, wash. >> reporter: experts say teachers, parents, and caregivers also need instruction on how to talk to children about swine flu to prevent anxiety and fear. >> reporter: the children need to be told about taking precautions but the message always needs to be stay calm. be reassuring. be loving but be realistic. >> reporter: health officials are concerned that if and when a vaccine is available, some parents will resist giving it to their children. federal officials are already holding focus groups to determine how big an issue that may be and how best to calm parental fears. >> thanks very much for that. we are joined about the director of the national institute of allergy and infectious diseases. is the country ready? i did some work and statistics

care. ground was broken for a pediatric emergency unit at united medical center. is part of a government push to bring better medical care to under-serve neighborhoods. the completion date is march of next year. >>> if you like to save with a few thousand of the closest new friends the world's longest yard sale is underway. it runs from cincinnati, ohio to gadsen, alabama. that is 685 miles. the four-day event is known as the 127 core core sale. it attracts bargain hunters from all over the nation. in its 22nd year. it turns homes along the route in to vendor and runs through five states a national park, a state park and a world war i museum. >>> right now we are following a developing story out of northwest washington. in a few minutes, mayor fenty will be live along chain bridge road. here he is answering questions, is there sufficient water pressure to fight fires in every quadrant of the city. >> as the reports come off the printer one of my staff will bring them to the members of the media. we didn't want to hold a press conference up any longer. i'll summari

specialist in this area, and notches in the primary care arena but in several different surgical specialties, in psychiatry, in neurology, in pediatrics as well. so the fact that there is no kind of a recognized way of saying this person actually has these skills should allow us going forward to be able, and maybe even have, you know, educate consumers, especially family members, ask these kind of questions. you know, do you have a specialist in this area, or do u have expertise in palliative medicine. learn that term, and ask people about it. that will begin to make a difference to. >> well, i appreciate your comment, gail, but i have to say this. someone who is work and the fee-for-service medical sector for over 30 years who has been basically at the mercy of whatever medicare, cms, decides every year what my services are worth, i have to tell you this when you talk about, let's not talk about more money in the system. and i'm not talking about that either. i would like to see them shift some money in a system that when an air nose and throat doctor gets more money for cleaning blocks out of my patience here because that is a surgi

care system. >> he is a world renowned pediatric surgeon. and he uses a familiar analogy. >> i would like the system to efficient. with a large tumor. what we need to do, quite frankly, instead of creating a whole new patient. is get rid of the tumor. >> dr. carson said the answer is not a government run health care system. but instead, some common sense cost saving. for example, tort reform to reduce medical malpractice costs. an unnecessary testing and procedures by doctors protecting themselves from lawsuits. >> an electronic billing system would drastically cut administrative costs, which right now, can be more than 30 percent of our medical bills. and having wellness clinics and better preventative care for the poor, to keep them out of expensive emergency rooms. and dr. carson does support putting the government in charge of catastrophic care. and leaving the insurance companies to handle routine care, and to be regulated. but abroad public option, dr. carson believes, would drive insurance companies out of business, and leave many of

care. ground was broken on thursday for a new pediatric emergency unit at united medical center. the district is paying 11 million of the total $14 million costs as part of a government push to bring better medical care to under served neighborhoods. critically ill children have to be brought across town to children's medical center. but soon children's doctors will staff this er. >> no one wants to go to the emergency room to begin with but the idea you have to come off the river, off of public transportation and other when you are adalrey aldeing with the general stress of dealing with a child that is sick. >> reporter: the completion date is march of next year. >>> mayor fenty cuts the ribbon on an aquatics center in northwest washington. the new 55,000 ware foot facility features three pools, a whirlpool spectator seating and locker room. the swim team will use it to practice and host their swimming competitions. it is open to all of you dc residents at no cost. >>> a charlotte, north carolina man has a big fish story to tell. robert forest broke a 20-year- old record on wedne

in canada, primary health care physicians are basically family doctors and handle everything through a private practice, physical, mental health, maternity, pediatricsgeriatrics, says an author of 18 books on canadian health law. >> this is not socialized medicine. the government does not provide doctors, does not provide hospitals. you go to whatever doctor you want, just as you do here and doctors can either take more patients or not take patients. it's up to them. and the same is true with hospitals. >> reporter: all canadians have health coverage through the government. 70% of health care is publicly funded and 30% is privately funded. each province runs its own health care budget, although the federal government supplements some provinces that are not as prosperous as others. it is a very cost-effective system. only 10% of gdp compared to nearly 16% of the u.s. economy. and canada only spends some $3,895 a year, that's about half of the expenditure for every person in the united states. but less expensive doesn't seem to imply less effective health care. in canada, male life expectancy is 78 years, versus the average of 75 years in the united s

schedules are set up, search and get paid a lot for doing procedures, and people don't primary care, pediatrics ob/gyn, did i get paid very much. so that is one thing. but my question for congressman frank is this. there was a question before about whether or not you believe that the people in this room, the majority of the people in this room, represent the people's opinion in this country. and i would say that i have been to a number of these town hall meetings out of curiosity. around the state. and i've heard the same talking points repeated over and over again. in dvd, i had an elderly woman come up to me in tears, shaking saying that she did not want the death penalty between her and her god when it came for her to die. now, i think that this is a heinous abuse of peoples days of peoples credulity. i think that the people -- just a minute later i think the people that -- just a minute. just a minute. i said -- >> quiet. >> i'm going to ask a question if you'd just be quiet and let me. asked the question to. >> they had to come a convert to the rule. [laughter] [applause] >> i believe that

pediatric emergency department has broken down -- broken ground. the project will be funded by an $11 million government grant. part of a government initiative and has primary and emergency medical care in underserved areas of the city. the hospital used to be known as greater southeast. the telegraph road-interstate 95 in duch age wiinterchange willpy close today. drivers blewill te abo aess egel beltway tomorrow.ra beltway tomorrow. other ramps will be closed. if drivers will follow the torch or find alternate routes. the worker might be delayed, if the weather gets bad. we are looking at chances of off and on rain. now the details of the forecast. i'm looking for tonight and tomorrow, brian. >> that looks good because the humidity will be going down. showers are actually leaving the area. we are keeping a close eye on triple doppler. stmo of the showers are moving to the east of town. the showers are moving the ath out of here. be irs aren 60's and a' 60's and 70's. a half inch of rain in winchester. to the far west of town and to the east of town as result of ace train chances. some clearing will happen this afternoon. much better tomorrow. >> thank you. dozens of people risk the

pediatric emergency unit at united medical center. the district is paying $11 million of the $14 million total cost. that's part of a push to bring better medical care to certain neighbors. they have to be stabilized and transported across town to children's national medical center. soon childrens doctors will staff this e.r. >> nobody wants to go to the emergency room to begin with but the idea you have to come across the river oftentimes public transportation when you're already dealing with just a general stress of vialwi sick. >> the expected completion date is mar of next year. >>> 16 candles. the breakfast club, ferris' day off. vacation movies. all of them. films written or produced by john hughs goes on and on. tonight fans are remembering the man who framed life for an entire generation. >> reporter: the passing of john hughs is a saddening moment for a generation who grew up on his movies. >> i think the fact that they were so relate bl is a testament how well every time. >> reporter: his undeny bl humor will no doubt live on for so many one liners from so many moments. >> buller it's kind of like the high school classic movie. you want to

pediatric trials could start in eight to 10 days. >>> the fight to keep babies alive and healthy continues in baltimore city. despite recent reports about the high infant mortality rate health care providers of baltimore's healthy start are seeing improvement among their clients. the program offers prenatal health and counseling services and helped 20,000 women since 1991. yesterday senator ben cardin and congressman elijah cummings toured the west baltimore facility. >>> and program directors there are urging congress to help pay for a mobile van that will allow them to serve an additional 1,000 women. >>> 5:17. we take you back to yesterday where we tied our hottest day of the year, 94 degrees. we hit that in the middle of july as well and we actually hit our two-degree guarantee. mid-90s across the mid-atlantic. 98 the hot spot in richmond, virginia, which continues to be the hot spot across the mid-atlantic. on this 11th day of august typically 65 in the morning, 86 in the afternoon. 54 the record in 1972. and 1900, setting the record at 100. we're starting at 71 degrees this morning. look at the urban heat island, 78 filly and new york. and we're socked in with a little bit

pediatric emergency department. critically ill children brought to the hospital must transfer to the national medical center. it is part of the district government initiative to enhance care in underserved neighborhoods. >>> the first batch of swine flu vaccine is on the way. the world health organization's say that they can fast-track delivery starting september. it will be given to health care and child -- children and health care workers, then pregnant women. >>> extreme makeover: home edition is coming back to the d.c. area. >> we have 4.5 days to build the projects. it easily takes six months to build a house. >> notice he said projects. the show includes a house and a community center. they need lumber, paint, painters, roofing material, window and dollars, and more details will be released next week. you cou catch the show sunday's, right here on abc 7. >>> steven tyler fell off the stage and had to go to a hospital. the sound system had failed, d the 61-year-old singer suffered injuries. he was said to be joking with paramedics. >>> after being pregnant for 130 days, she gave birth to her baby at the san diego zoo. the new cup with 4 ounces -- cub weighed 4 ounces

pediatric unit. the district is paying 11 million of the $14 million cost as part of a push to bring better medical careserved neighborhoods. right now they have to be stabilize and transported across town to children's national medical center. >> no one wants to go to the emergency room to begin with. but the idea you have to come across the river off of public transportation and others when you are already dealing with the general stress of having to deal with a child that's sick. >> reporter: the expected completion date is march of next year. >>> only one of the three regional governments is going through with a back to school sales tax this summer and it started at midnight in virginia. 9 news now armando trull is joining us live from alexandria with more. good morning, armando. >> good morning. i'm here at the wal-mart in alexandria with some of the things you will get a tax break on if you do your shopping. paper, glue, binders, for example, look at this nifty book bag. crayola crayons, markers, protractors, calculators. all of these things as long as they don't cost more than $20. as far as clot

pediatrics. many of us thought that that's what we had been doing most of our lives, providing coordination of caretrying to help decide when they need a specialist. but the reality is that we have moved away from that in a lot of health care today. patient self refer to pay it -- to specialists. they may have half a dozen doctors treating them simultaneously, all with prescriptions that do not fit well together perhaps. what these bills do is recognize the potential need to change the way we deliver primary care and called it the medical home. it is an approach to providing comprehensive care for children to adults. they have been very involved in trying to make sure that this definition is represented in the bill language. a couple of interesting quotes suggest that this is not a new thought. william osler from 100 years ago said that you treat the disease, the patient has, rather than -- let me just read it. i am doing a bad job. the good doctor treats that position -- the disease. the great doctor treats the patient who has the disease. primary care embraces the whole thing. giving the financia

know, ndms, is the primary federal program that supports patient care and transfer during this evacuation of patients. it has both pediatricnd obstetric capacity and i think since the storm has really worked very hard to upgrade its training, its material and its transportation capacity in this regard. so this ranges from specialized equipment to transport teams who are really specially trained and capable and to be sure that all of our teams now have those special capabilities involved in them. in addition, as i think you know, the pediatric disaster coalition was formed by advocates and planning region six which includes new orleans and the gulf coast and its goals have also been focused on not only getting people out but identifying the appropriate receiving facilities for these children and their families and anyone else and being sure that everybody knows about them and that that planning is integrated into community operations plans at every level. mental health needs can't be separated from the rest of other children's response needs, and how we respond early on is going to really impact the mental health of childre

know, ndms, is the primary federal program that supports patient care and transfer during this evacuation of patients. it has both pediatricand obstetric capacity and i think since the storm has really worked very hard to upgrade its training, its material and its transportation capacity in this regard. so this ranges from specialized equipment to transport teams who are really specially trained and capable and to be sure that all of our teams now have those special capabilities involved in them. in addition, as i think you know, the pediatric disaster coalition was formed by advocates and planning region six which includes new orleans and the gulf coast and its goals have also been focused on not only getting people out but identifying the appropriate receiving facilities for these children and their families and anyone else and being sure that everybody knows about them and that that planning is integrated into community operations plans at every level. mental health needs can't be separated from the rest of other children's response needs, and how we respond early on is going to really impact the mental health of childr

pediatrics. many of us thought that that's what we had been doing most of our lives, providing coordination of caretrying to help decide when they need a specialist. but the reality is that we have moved away from that in a lot of health care today. patient self refer to pay it -- to specialists. they may have half a dozen doctors treating them simultaneously, all with prescriptions that do not fit well together perhaps. what these bills do is recognize the potential need to change the way we deliver primary care and called it the medical home. it is an approach to providing comprehensive care for children to adults. they have been very involved in trying to make sure that this definition is represented in the bill language. a couple of interesting quotes suggest that this is not a new thought. william osler from 100 years ago said that you treat the disease, the patient has, rather than -- let me just read it. i am doing a bad job. the good doctor treats that position -- the disease. the great doctor treats the patient who has the disease. primary care embraces the whole thing. giving the financia

we also provide free diagnostic care to out-patients at the arlington free clinic and at the arlington pediatricenter. the experience here is typical of america's nonprofit hospitals. that is why we are here. host: you also have a business to run. where did -- who did that $30 million go to? guest: part of it was patients who could simply not pay their bills. parted it was a subsidy of medicare-medicaid. around $5 million to medical education expenses that are not fully reimbursed. we are a teaching hospital. we provide training for residents at georgetown, primarily. so there is a lot of expensive and is not directly reimbursed. host: 9 law, do you have to treat anyone who comes to the emergency room? guest: as a nonprofit hospital, that is part of our obligation. host: is that federal? guest: i am not really sure. it is simply what we do. guest: a physician has a choice. guest: the physician does not need to enter into that relationship, but again, that is what physicians do. host: that brings it in the liability issue how many lawsuits are pending against a hospital at any one time? guest: i

working with local officials, we dispatched seven mobile pediatric clinics and teams to the gulf to provide acute medical and mental health careor those people and those are still there, affiliated with tulane and other institutions. to date, we have seen over 60,000 health and mental health encounters in children. in addition to that, the national center, my center has conducted long-term periodic interviews with a cohort of 1,000 families. i want to summarize a couple key points out of many, many that i think are germane to discussions today. this comes from our clinical information and studies. more than 3 in 5 parents have feld over time that their general situation currently is either uncertain or significantly worse than it was before katrina. secondly, approximately one-third of this displaced children are at least one year older than appropriate for their grade level in school. third, according to interviewed parents, more than two-thirds of children displaced by the hurricanes are experiencing emotional or behavioral problems as we speak. in a study last fall of our program in baton rouge, 41% of children were found t

certified specialists in this aa and not just in the primary care arena but in several different surgical specialities, in psychiatry and pediatrics as well and the fact there's a recognized way saying this person actually has these skills should allow us going forward to be able -- and maybe even have, you know, educated consumers, especially, family members ask these kinds of questions, you know, do you have apecialist in this area or do you have expertise in palliative medicine learn that term and ask people about it and that will begin, i think, make a difference, toú >> well, you know, i appreciate another comment, gail, but i have to say this. someone who's worked in a fee for service medical sector for over 30 years who has been basically at the mercy of whatever medicare cms decides every year whaty services are worth, i have to tell you this, when you talk -- let's not talk about more money in the system and i'm not talking about that either. i would like to see some shifts of money in the system. when an ear, nose and throat doctor gets more money for cleaning the wax out of my paent's ear because that's a surgical proce

care. gregg: it turns out that that woman lied. she is 8 houston graduate student, and a obama delegate from texas who identified herself as a pediatric she never met the woman at all, but they did share eight nice hug at the close of the session. jane: firefighters in california are battling scorching temperatures and low of humidity. we're going to get back to janice to tell us what they're up against. >> they have seen moderate to severe drought across much of california, and a lot of the temperatures remain warm. you see the temperatures in sacramento and palm springs -- tomorrow will not have much help, either. 93, modesto, at 83 in bakersfield, and we're watching santa cruz, where this fire is only 5% contained. the temperatures that have remained warm -- the wind, not fierce, but enough went to really start scrubbing that fire. gusts are going 18 to 20 miles an hour, so firefighters are hoping for a letdown and some of the wind and an onshore flow. those are the wind is right now. these are anywhere from 3 miles an hour to 8 miles an hour. good news, but as you get into the late afternoon and evening hours, you could see the wi

we also provide free diagnostic care to outpatients at the arlington free clinic and the arlington pediatric center. and i think that we -- the experience here is typical of america's nonprofit hospitals. that's why we're here. that's what we do. >> you're also a businessman with a business to run. where did that $30 million -- who did the $30 million go to? >> well, it went -- part of it was patients who simply cannot pay their bills. a part of it was subsidy of medicare and medicaid. around $5 million was toward medical education expenses that are not fully reimbursed. we're a teaching hospital. we provide training for residents from georgetown primarily so there's a lot of expense that's not directly reimbursed. >> by law do you have to treat anyone who comes to the emergency room? >> we do. and as a nonprofit hospital, that's a part of our obligation, yes. >> is that federal or state law? >> i'm not sure to be honest. it's just what we do and we've never really checked the legalities of it. >> a physician has a choice. >> really? >> sure. a physician doesn't have to enter spew that relat

specialist in this area, and notches in the primary care arena but in several different surgical specialties, in psychiatry, in neurology, in pediatrics as well. so the fact that there is no kind of a recognized way of saying this person actually has these skills should allow us going forward to be able, and maybe even have, you know, educate consumers, especially family members, ask these kind of questions. you know, do you have a specialist in this area, or do you have expertise in palliative medicine. learn that term, and ask people about it. that will begin to make a difference to. >> well, i appreciate your comment, gail, but i have to say this. someone who is work and the fee-for-service medical sector for over 30 years who has been basically at the mercy of whatever medicare, cms, decides every year what my services are worth, i have to tell you this when you talk about, let's not talk about more money in the system. and i'm not talking about that either. i would like to see them shift some money in a system that when an air nose and throat doctor gets more money for cleaning blocks out of my patience here because that is a sur

then need to take care of folks who are at risk for medical complications and primarily the children who are at risk for medical complications first and then the rest of the pediatric and young adult population. >> you actually have a hotline in virginia that you were telling me about. people can call with their questions. not personal consultations. >> exactly. this is a hotline run by the department virginia of health. we have a toll free number. it's been operational for a couple of weeks. it was operational in the spring, has been very valuable for answering people's questions. this is not a medical consultation line, per se. but to answer people's questions about h1n1, about the vaccine, about what they might expect. >> how much of a strain could this put on our health care system? i would imagine that you have to think about the worst case sen ir yoe. that's what we heard from the cdc and the presidential panel this week. how much of a strain -- letters have gone out, you mentioned -- to health care providers. >> we are in the process of reaching out to health care providers not only for this activity but also the specter of back to school immunization that's

specialist in this area, and notches in the primary care arena but in several different surgical specialties, in psychiatry, in neurology, in pediatrics well. so the fact that there is no kind of a recognized way of saying this person actually has these skills should allow us going forward to be able, and maybe even have, you know, educate consumers, especially family members, ask these kind of questions. you know, do you have a specialist in this area, or do you have expertise in palliative medicine. learn that term, and ask people about it. that will begin to make a difference to. >> well, you know, i appreciate your comment, gale, but i have to say this. someone who has worked in the fee for service medical sector for over 30 years, who has been basically at the mercy of whatever medicare, c.m.s. decides every year what my services are worth, i have to tell you this, when we talk about -- let's not talk about more money in the system. i'm not talking about that either. i would like to see some shifts. when an ear, nose and throat doctor gets more money for cleaning out avenue a patient's ear than i get and a 90-year-old comes in to

specialist in this area, and notches in the primary care arena but in several different surgical specialties, in psychiatry, in neurology, in pediatrics as well. so the fact that there is no kind of a recognized way of saying this person actually has these skills should allow us going forward to be able, and maybe even have, you know, educate consumers, especially family members, ask these kind of questions. you know, do you have a specialist in this area, or do you have expertise in palliative medicine. learn that term, and ask people about it. that will begin to make a difference to. >> well, i appreciate your comment, gail, but i have to say this. someone who is work and the fee-for-service medical sector for over 30 years who has been basically at the mercy of whatever medicare, cms, decides every year what my services are worth, i have to tell you this when you talk about, let's not talk about more money in the system. and i'm not talking about that either. i would like to see them shift some money in a system that when an air nose and throat doctor gets more money for cleaning blocks out of my patience here because that is a sur

pediatric diabetes research, education and treatment as well as diabetes camps. the past year i've been an ambassador for young people with diabetes as part of the partnership i have with bayer diabetes careo encourage and inspire kids living with diabetes with simple wind switch or everyday victories for managing diates. we started the by site called nicksimplewins.com. each day i accomplish some o my simple wins i wouldn't be able to do with all support of my family and friends w help me manage my diabetes evy day. everyday i need to monitor my blood sugar which requires me to test about ten to 12 times a day. odd u.s bayer's contador meter so when i am busy on to our people like my parents and crew can rry th test strips to make sure i always have myools to be ready to test. since my diagnosis, i have for my dog tag to let people know i have diabetes, then bayer and i thought it would be great to create our own dog tag anone can wear as support for all people with diabetes. this came to life when i officially launched t godaab program during diabes awareness of last to week. proceeds go to the jonas brothers change foundation. another project launched this year allows young people to b

care of medicaid patients. we have a set of patients that are different and complicated in different ways than the rest of the population that alan is going to talk about. there is a pediatricarry with remarkable improvement in the science based metrics. group health has very quickly avoided a lot of the emergency room visits that would have led to frustration expense and fear for families. we have, i think, some compelling story today and what is amazing about these stories is we have talked with these groups a little bit more about them and they are things said our committee wide. they are not limited examples. in today's discussion, we will talk about how we can get more patients with more benefits that we are talking about today. as we go through this, there will be four elements. there are four things common to all of these practices. first is this notion of care coordination. it is not left to chance, what happens after a patient sees a doctor or nurse. there is a follow-up process to ensure that whatever is supposed to happen, happens. it involves not just information technology, but teams. there is no one person that is in charge, but jobs that need to be done by a