1
00:00:00,270 --> 00:00:01,409
Okay, let's go to camera.

2
00:00:01,410 --> 00:00:02,829
Good morning, whenever you're ready.

3
00:00:08,200 --> 00:00:10,159
I might walk from one camera to

4
00:00:10,160 --> 00:00:11,659
the other, please try not to be

5
00:00:11,660 --> 00:00:12,739
distracted by me.

6
00:00:12,740 --> 00:00:14,819
So right here.

7
00:00:15,880 --> 00:00:16,959
Again, we're not live.

8
00:00:16,960 --> 00:00:17,960
Yeah.

9
00:00:21,880 --> 00:00:23,699
Okay, so we have it for the cameras.

10
00:00:23,700 --> 00:00:25,079
Could you introduce yourself and

11
00:00:25,080 --> 00:00:26,019
tell us where you were?

12
00:00:26,020 --> 00:00:27,959
Sure, hi, I'm Paula Tran and I'm

13
00:00:27,960 --> 00:00:29,379
the Division Administrator and State

14
00:00:29,380 --> 00:00:30,939
Health Officer at the Division of

15
00:00:30,940 --> 00:00:32,199
Public Health at the Department of

16
00:00:32,200 --> 00:00:33,200
Health Services.

17
00:00:34,340 --> 00:00:36,079
So Paula Tran, State Health Officer

18
00:00:36,080 --> 00:00:37,259
with the Wisconsin Department of

19
00:00:37,260 --> 00:00:38,199
Health Services, thank you for

20
00:00:38,200 --> 00:00:38,739
joining us.

21
00:00:38,740 --> 00:00:40,359
Yeah, thanks for having me.

22
00:00:40,360 --> 00:00:41,739
So every five years your agency

23
00:00:41,740 --> 00:00:43,559
releases this huge report

24
00:00:43,560 --> 00:00:45,759
called the State Health Assessment.

25
00:00:45,760 --> 00:00:47,529
What are you measuring and why?

26
00:00:47,530 --> 00:00:49,609
Overall, we are measuring the

27
00:00:49,610 --> 00:00:52,229
things that shape Wisconsinites'

28
00:00:52,230 --> 00:00:53,429
health, as well as the health

29
00:00:53,430 --> 00:00:54,849
outcome. So we're looking at things

30
00:00:54,850 --> 00:00:56,849
like demographic factors, who lives

31
00:00:56,850 --> 00:00:58,869
in Wisconsin, where they live.

32
00:00:58,870 --> 00:01:01,629
We're also measuring the

33
00:01:01,630 --> 00:01:03,609
main causes of death, and we're

34
00:01:03,610 --> 00:01:05,309
also looking at all of the factors

35
00:01:05,310 --> 00:01:07,409
that really shape an individual's

36
00:01:07,410 --> 00:01:09,069
ability to be healthy and well, like

37
00:01:09,070 --> 00:01:11,069
economic factors,

38
00:01:11,070 --> 00:01:12,729
looking at housing, looking at

39
00:01:12,730 --> 00:01:13,730
affordable.

40
00:01:15,130 --> 00:01:16,909
Access to resources that people need

41
00:01:16,910 --> 00:01:18,669
like food and transportation, as

42
00:01:18,670 --> 00:01:20,009
well as their access to health care

43
00:01:20,010 --> 00:01:21,010
directly.

44
00:01:21,420 --> 00:01:23,039
Let's start with the problems based

45
00:01:23,040 --> 00:01:24,259
on this new report.

46
00:01:24,260 --> 00:01:26,519
What are the most significant health

47
00:01:26,520 --> 00:01:28,979
concerns facing Wisconsinites?

48
00:01:28,980 --> 00:01:30,799
Yeah, well, we know that

49
00:01:30,800 --> 00:01:32,539
Wisconsinites are dying younger than

50
00:01:32,540 --> 00:01:34,139
before the pandemic, and we know

51
00:01:34,140 --> 00:01:36,039
there's a lot of challenges for

52
00:01:36,040 --> 00:01:37,939
Wisconsinites in accessing both

53
00:01:37,940 --> 00:01:39,359
the daily resources that they need

54
00:01:39,360 --> 00:01:40,999
to be healthy and well, so healthy

55
00:01:41,000 --> 00:01:42,819
food, having safe,

56
00:01:42,820 --> 00:01:43,999
secure housing, having

57
00:01:44,000 --> 00:01:45,559
transportation to get them to where

58
00:01:45,560 --> 00:01:47,619
they need, as well

59
00:01:47,620 --> 00:01:49,799
as having good

60
00:01:49,800 --> 00:01:51,879
access to affordable care

61
00:01:51,880 --> 00:01:53,279
where they meet it, when they need

62
00:01:53,280 --> 00:01:54,280
it.

63
00:01:54,950 --> 00:01:56,589
One of the key points in your new

64
00:01:56,590 --> 00:01:58,709
report is that Wisconsinites feel

65
00:01:58,710 --> 00:02:00,869
that there are major obstacles to

66
00:02:00,870 --> 00:02:02,089
them receiving health care.

67
00:02:02,090 --> 00:02:03,289
They need to be healthy.

68
00:02:03,290 --> 00:02:04,179
What are those barriers?

69
00:02:04,180 --> 00:02:05,959
Yeah, some of the barriers are costs

70
00:02:05,960 --> 00:02:08,059
and access

71
00:02:08,060 --> 00:02:09,739
to insurance that actually covers

72
00:02:09,740 --> 00:02:11,439
all the kinds of care that they need

73
00:02:11,440 --> 00:02:13,099
and costs and insurance kind of go

74
00:02:13,100 --> 00:02:14,059
together.

75
00:02:14,060 --> 00:02:16,179
And we know that most people access

76
00:02:16,180 --> 00:02:17,679
insurance through their employer.

77
00:02:17,680 --> 00:02:19,739
So if they are experiencing

78
00:02:19,740 --> 00:02:21,779
gaps in employment, that might cause

79
00:02:21,780 --> 00:02:23,499
disruptions in their insurance and

80
00:02:23,500 --> 00:02:25,759
therefore their access to care.

81
00:02:25,760 --> 00:02:27,179
When we look at care directly, we

82
00:02:27,180 --> 00:02:29,459
know in parts of our state,

83
00:02:29,460 --> 00:02:31,559
there are gaps in

84
00:02:31,560 --> 00:02:32,839
kinds of care.

85
00:02:32,840 --> 00:02:34,239
So hospitals have closed over the

86
00:02:34,240 --> 00:02:35,739
last several years in more rural

87
00:02:35,740 --> 00:02:36,659
areas.

88
00:02:36,660 --> 00:02:38,199
And even in urban areas, we're

89
00:02:38,200 --> 00:02:40,359
seeing clinics and

90
00:02:40,360 --> 00:02:42,419
other healthcare providers

91
00:02:42,420 --> 00:02:44,539
close down or adjust just based

92
00:02:44,540 --> 00:02:46,639
on the

93
00:02:46,640 --> 00:02:48,659
challenges it takes to run

94
00:02:48,660 --> 00:02:51,219
a healthcare organization.

95
00:02:51,220 --> 00:02:53,239
So both getting to

96
00:02:53,240 --> 00:02:55,799
care in a way that's accessible.

97
00:02:55,800 --> 00:02:57,859
And access can be defined again

98
00:02:57,860 --> 00:02:59,759
by cost, by being able to

99
00:02:59,760 --> 00:03:01,779
drive to the care and also

100
00:03:01,780 --> 00:03:03,139
having the right kind of provider

101
00:03:03,140 --> 00:03:04,140
for the care you need.

102
00:03:05,120 --> 00:03:06,499
A large number of residents rated

103
00:03:06,500 --> 00:03:08,759
their own health as poor or fair,

104
00:03:08,760 --> 00:03:10,599
about 20% of residents said

105
00:03:10,600 --> 00:03:11,439
that.

106
00:03:11,440 --> 00:03:13,129
Why are they feeling this way?

107
00:03:13,130 --> 00:03:15,149
Yeah, again, when

108
00:03:15,150 --> 00:03:16,989
we look at all of the challenges

109
00:03:16,990 --> 00:03:18,849
that Wisconsinites are facing,

110
00:03:18,850 --> 00:03:21,329
we know that overall costs

111
00:03:21,330 --> 00:03:23,309
are rising across not

112
00:03:23,310 --> 00:03:25,509
just health care, but all

113
00:03:25,510 --> 00:03:27,569
daily living needs.

114
00:03:27,570 --> 00:03:29,429
So that is putting a stress

115
00:03:29,430 --> 00:03:32,369
on families and because

116
00:03:32,370 --> 00:03:34,329
incomes

117
00:03:34,330 --> 00:03:36,169
are also being impacted

118
00:03:36,170 --> 00:03:38,309
and not rising as quickly for some

119
00:03:38,310 --> 00:03:40,859
with the inflation of other costs.

120
00:03:40,860 --> 00:03:42,459
Wisconsinites are being forced to

121
00:03:42,460 --> 00:03:43,819
choose between these really

122
00:03:43,820 --> 00:03:46,179
important things that they need,

123
00:03:46,180 --> 00:03:47,459
whether it's putting food on the

124
00:03:47,460 --> 00:03:49,659
table with medications or accessing

125
00:03:49,660 --> 00:03:51,179
care because there's a co-payment

126
00:03:51,180 --> 00:03:52,999
that they cannot afford.

127
00:03:53,000 --> 00:03:54,239
So all of those things are

128
00:03:54,240 --> 00:03:56,479
contributing to how Wisconsinites

129
00:03:56,480 --> 00:03:58,419
feeling and to their health

130
00:03:58,420 --> 00:04:00,599
outcomes that we continue to

131
00:04:00,600 --> 00:04:02,599
be challenged around

132
00:04:02,600 --> 00:04:04,599
obesity,

133
00:04:04,600 --> 00:04:06,419
hypertension, that cause us

134
00:04:06,420 --> 00:04:08,099
a whole host of chronic diseases.

135
00:04:08,100 --> 00:04:09,059
So.

136
00:04:09,060 --> 00:04:10,799
There are both the drivers of health

137
00:04:10,800 --> 00:04:12,799
that are causing more stress

138
00:04:12,800 --> 00:04:14,939
for Wisconsinites and

139
00:04:14,940 --> 00:04:16,458
accessing the things that they need

140
00:04:16,459 --> 00:04:18,458
to be healthy and well are also

141
00:04:18,459 --> 00:04:20,778
exacerbating and allowing

142
00:04:20,779 --> 00:04:22,719
other health

143
00:04:22,720 --> 00:04:24,039
outcomes to persist.

144
00:04:25,040 --> 00:04:26,439
Another key point in your report,

145
00:04:26,440 --> 00:04:28,099
you found that Wisconsinites are

146
00:04:28,100 --> 00:04:29,759
dying younger than they did before

147
00:04:29,760 --> 00:04:31,639
the COVID-19 pandemic.

148
00:04:31,640 --> 00:04:32,879
How much younger and why is that

149
00:04:32,880 --> 00:04:33,899
happening?

150
00:04:33,900 --> 00:04:36,199
Well, so across the

151
00:04:36,200 --> 00:04:38,139
report really looks at overall

152
00:04:38,140 --> 00:04:40,399
drivers of death as

153
00:04:40,400 --> 00:04:41,959
well as when we look at the very

154
00:04:41,960 --> 00:04:43,219
specific populations.

155
00:04:43,220 --> 00:04:44,859
So when we look at younger

156
00:04:44,860 --> 00:04:46,879
populations, we know that they

157
00:04:46,880 --> 00:04:49,339
are being impacted by

158
00:04:49,340 --> 00:04:51,219
overdose, by accidents,

159
00:04:51,220 --> 00:04:53,779
by violent crimes

160
00:04:53,780 --> 00:04:55,599
and injuries, and those

161
00:04:55,600 --> 00:04:58,019
things are impacting younger people

162
00:04:58,020 --> 00:04:58,989
more.

163
00:04:58,990 --> 00:05:00,909
Throughout the pandemic, we also

164
00:05:00,910 --> 00:05:03,429
saw this introduction of COVID as

165
00:05:03,430 --> 00:05:05,529
COVID-19 as a

166
00:05:05,530 --> 00:05:07,809
cause of death or in a contributor

167
00:05:07,810 --> 00:05:08,849
to death.

168
00:05:08,850 --> 00:05:11,309
So that raised the,

169
00:05:11,310 --> 00:05:13,409
rather that

170
00:05:13,410 --> 00:05:14,909
decreased the overall life

171
00:05:14,910 --> 00:05:16,749
expectancy for populations across

172
00:05:16,750 --> 00:05:18,389
the board while we saw these other

173
00:05:18,390 --> 00:05:20,109
challenges persist, especially for

174
00:05:20,110 --> 00:05:21,199
young people.

175
00:05:21,200 --> 00:05:22,399
So how much younger are we talking?

176
00:05:23,990 --> 00:05:26,009
It is significant, but it varies

177
00:05:26,010 --> 00:05:28,089
across all age groups.

178
00:05:28,090 --> 00:05:29,229
And I'm sorry, I don't have that

179
00:05:29,230 --> 00:05:30,869
exact number right at the top of my

180
00:05:30,870 --> 00:05:31,669
fingertips.

181
00:05:31,670 --> 00:05:32,670
That's okay.

182
00:05:33,110 --> 00:05:34,889
So what did your report find as far

183
00:05:34,890 --> 00:05:36,919
as access to health care?

184
00:05:36,920 --> 00:05:39,239
What we found is Wisconsinites

185
00:05:39,240 --> 00:05:41,059
are being challenged by cost,

186
00:05:41,060 --> 00:05:42,959
especially, but also

187
00:05:42,960 --> 00:05:45,099
proximity and finding quality

188
00:05:45,100 --> 00:05:46,739
care where they need it and where

189
00:05:46,740 --> 00:05:48,819
they can access it

190
00:05:48,820 --> 00:05:50,259
quickly.

191
00:05:50,260 --> 00:05:52,419
So transportation is a cost.

192
00:05:52,420 --> 00:05:54,579
People are needing to travel

193
00:05:54,580 --> 00:05:56,619
a great distance to

194
00:05:56,620 --> 00:05:58,739
the types of care that they need.

195
00:05:58,740 --> 00:06:00,199
And again, insurance is really

196
00:06:00,200 --> 00:06:02,039
driving whether or not the

197
00:06:02,040 --> 00:06:03,479
type of care they need is in their

198
00:06:03,480 --> 00:06:05,449
network. And whether or not the care

199
00:06:05,450 --> 00:06:06,749
that they need is in their network

200
00:06:06,750 --> 00:06:08,909
is also influencing their

201
00:06:08,910 --> 00:06:10,569
decisions to access those care and

202
00:06:10,570 --> 00:06:11,570
the cost of that care.

203
00:06:13,390 --> 00:06:14,829
Let's turn to some positive findings

204
00:06:14,830 --> 00:06:16,009
now.

205
00:06:16,010 --> 00:06:17,789
What are some health outcomes that

206
00:06:17,790 --> 00:06:19,009
are trending in the right direction

207
00:06:19,010 --> 00:06:20,159
for Wisconsin residents?

208
00:06:20,160 --> 00:06:22,039
Yeah, well, around the area

209
00:06:22,040 --> 00:06:23,859
of commercial tobacco use, we are

210
00:06:23,860 --> 00:06:25,759
seeing declines in overall

211
00:06:25,760 --> 00:06:27,399
use of commercial tabaco use, so

212
00:06:27,400 --> 00:06:28,839
that is a good sign.

213
00:06:28,840 --> 00:06:31,379
And that's actually an

214
00:06:31,380 --> 00:06:33,279
area where policies are working to

215
00:06:33,280 --> 00:06:35,359
really help make the default

216
00:06:35,360 --> 00:06:37,379
choice, the easier choice

217
00:06:37,380 --> 00:06:38,839
and the healthier choice for

218
00:06:38,840 --> 00:06:40,779
individuals to decide to either

219
00:06:40,780 --> 00:06:42,679
delay smoking entirely or to

220
00:06:42,680 --> 00:06:43,680
not start.

221
00:06:44,950 --> 00:06:46,829
Your report also measures some

222
00:06:46,830 --> 00:06:47,830
good things,

223
00:06:48,690 --> 00:06:50,689
residents who vote, volunteer,

224
00:06:50,690 --> 00:06:52,809
or do favors for others.

225
00:06:52,810 --> 00:06:54,729
Why is it important to measure

226
00:06:54,730 --> 00:06:56,459
these things and what did you find?

227
00:06:56,460 --> 00:06:58,419
Yeah, what the current evidence

228
00:06:58,420 --> 00:07:00,059
tells us is communities that are

229
00:07:00,060 --> 00:07:02,379
more engaged and

230
00:07:02,380 --> 00:07:04,359
active and connected to each

231
00:07:04,360 --> 00:07:05,459
other, the healthier those

232
00:07:05,460 --> 00:07:06,759
communities are.

233
00:07:06,760 --> 00:07:08,699
It both helps from a

234
00:07:08,700 --> 00:07:10,659
mental health perspective, but when

235
00:07:10,660 --> 00:07:12,739
in a community a neighbor is

236
00:07:12,740 --> 00:07:13,879
in need of something, they're much

237
00:07:13,880 --> 00:07:15,699
more likely to be able to

238
00:07:15,700 --> 00:07:18,039
have community support be responsive

239
00:07:18,040 --> 00:07:19,939
to those needs. So there's a

240
00:07:19,940 --> 00:07:21,399
lot of different reasons why

241
00:07:21,400 --> 00:07:22,999
community connectedness and

242
00:07:23,000 --> 00:07:24,479
community engagement and being

243
00:07:24,480 --> 00:07:25,480
civically involved.

244
00:07:26,629 --> 00:07:28,649
Helps a community stay

245
00:07:28,650 --> 00:07:30,369
healthier and access the resources

246
00:07:30,370 --> 00:07:31,989
it needs. So that's an absolutely

247
00:07:31,990 --> 00:07:33,809
great finding for

248
00:07:33,810 --> 00:07:36,129
us that more Wisconsinites are

249
00:07:36,130 --> 00:07:37,949
feeling like they help others and

250
00:07:37,950 --> 00:07:39,209
others help them when they're in

251
00:07:39,210 --> 00:07:40,210
need.

252
00:07:41,280 --> 00:07:43,199
Along lines of with mental health,

253
00:07:43,200 --> 00:07:44,449
what did your report find?

254
00:07:44,450 --> 00:07:46,669
Yeah, we know that Wisconsinites

255
00:07:46,670 --> 00:07:47,669
are struggling.

256
00:07:47,670 --> 00:07:49,889
They're experiencing stress and

257
00:07:49,890 --> 00:07:52,229
they're also

258
00:07:52,230 --> 00:07:54,089
reporting that their

259
00:07:54,090 --> 00:07:56,849
mental health is poor.

260
00:07:56,850 --> 00:07:58,729
And when they need supports around

261
00:07:58,730 --> 00:08:00,469
mental health, it's very difficult

262
00:08:00,470 --> 00:08:02,149
to access the kind of mental health

263
00:08:02,150 --> 00:08:03,449
care that they need.

264
00:08:03,450 --> 00:08:05,389
And we know our mental health

265
00:08:05,390 --> 00:08:07,289
environment has a lot of

266
00:08:07,290 --> 00:08:09,109
room to improve around

267
00:08:09,110 --> 00:08:10,589
coordinating around different kinds

268
00:08:10,590 --> 00:08:11,590
of care.

269
00:08:12,849 --> 00:08:14,549
Receiving the right referrals for

270
00:08:14,550 --> 00:08:15,550
the care you need,

271
00:08:16,790 --> 00:08:18,449
and all across the care continuum,

272
00:08:18,450 --> 00:08:20,569
making sure we are

273
00:08:20,570 --> 00:08:22,509
coordinated so that at any

274
00:08:22,510 --> 00:08:25,129
part of the entry of that continuum,

275
00:08:25,130 --> 00:08:27,049
folks are accessing early

276
00:08:27,050 --> 00:08:28,469
and not allowing some of those

277
00:08:28,470 --> 00:08:30,269
challenges to persist, to become

278
00:08:30,270 --> 00:08:32,129
worse and potentially

279
00:08:32,130 --> 00:08:33,489
be in crisis situation.

280
00:08:35,950 --> 00:08:38,109
Your support captures data from 2019

281
00:08:38,110 --> 00:08:39,469
to 2024.

282
00:08:39,470 --> 00:08:41,029
As we know, the pandemic began right

283
00:08:41,030 --> 00:08:42,249
in the middle of that.

284
00:08:42,250 --> 00:08:43,668
How did that disrupt your data

285
00:08:43,669 --> 00:08:46,399
gathering and results?

286
00:08:46,400 --> 00:08:48,619
Yeah, so across the pandemic, in

287
00:08:48,620 --> 00:08:50,539
some areas we did see challenges and

288
00:08:50,540 --> 00:08:52,359
being able to actually gather

289
00:08:52,360 --> 00:08:53,219
the data.

290
00:08:53,220 --> 00:08:55,679
We also saw that there

291
00:08:55,680 --> 00:08:57,799
are anomalies that

292
00:08:57,800 --> 00:08:59,419
likely were captured because people

293
00:08:59,420 --> 00:09:01,679
were accessing unnecessary,

294
00:09:03,700 --> 00:09:05,759
I'll say people were

295
00:09:05,760 --> 00:09:07,639
also being asked to

296
00:09:07,640 --> 00:09:09,659
not seek some care right away

297
00:09:09,660 --> 00:09:11,299
if they didn't need to, especially

298
00:09:11,300 --> 00:09:13,020
during the height of.

299
00:09:14,490 --> 00:09:16,369
Us sheltering in place and

300
00:09:16,370 --> 00:09:17,289
being at home.

301
00:09:17,290 --> 00:09:19,209
So we knew that people were

302
00:09:19,210 --> 00:09:21,429
not accessing that early preventive

303
00:09:21,430 --> 00:09:22,789
care like they usually would.

304
00:09:22,790 --> 00:09:24,829
So that did impact the actual

305
00:09:24,830 --> 00:09:26,149
data that we collected because

306
00:09:26,150 --> 00:09:27,889
people just weren't accessing that

307
00:09:27,890 --> 00:09:29,849
care and where

308
00:09:29,850 --> 00:09:31,749
data was collected in those settings

309
00:09:31,750 --> 00:09:34,429
and that typical data wasn't

310
00:09:34,430 --> 00:09:35,749
reflective of the actual

311
00:09:35,750 --> 00:09:36,750
experiences.

312
00:09:37,730 --> 00:09:39,709
The federal government under the,

313
00:09:39,710 --> 00:09:41,789
let me start that one over,

314
00:09:43,230 --> 00:09:44,229
the federal government under the

315
00:09:44,230 --> 00:09:45,469
Trump administration has taken a

316
00:09:45,470 --> 00:09:47,049
very different stance on health and

317
00:09:47,050 --> 00:09:49,289
health care than previous

318
00:09:49,290 --> 00:09:51,009
administrations.

319
00:09:51,010 --> 00:09:52,649
How much does the State of Wisconsin

320
00:09:52,650 --> 00:09:54,409
Department of Health Services

321
00:09:54,410 --> 00:09:56,409
policies align with the

322
00:09:56,410 --> 00:09:58,279
current federal government policies?

323
00:09:58,280 --> 00:10:00,579
Yeah, so we're a state where

324
00:10:00,580 --> 00:10:02,559
that takes

325
00:10:02,560 --> 00:10:03,979
in a lot of resources from the

326
00:10:03,980 --> 00:10:05,239
federal government.

327
00:10:05,240 --> 00:10:07,219
So there are a lot our

328
00:10:07,220 --> 00:10:09,059
programs that are really driven

329
00:10:09,060 --> 00:10:10,579
by the directives of the federal

330
00:10:10,580 --> 00:10:13,399
government. So in that case, there's

331
00:10:13,400 --> 00:10:15,339
ongoing work to

332
00:10:15,340 --> 00:10:17,299
negotiate and align where

333
00:10:17,300 --> 00:10:19,499
we should based on our contractual

334
00:10:19,500 --> 00:10:20,539
agreements with the federal

335
00:10:20,540 --> 00:10:21,379
government.

336
00:10:21,380 --> 00:10:22,619
And there are things that the

337
00:10:22,620 --> 00:10:24,359
federal government is promoting

338
00:10:24,360 --> 00:10:26,399
right now that we want to also

339
00:10:26,400 --> 00:10:27,739
continue to support, right?

340
00:10:27,740 --> 00:10:29,859
That. Work to make sure folks

341
00:10:29,860 --> 00:10:31,739
have access to healthy food

342
00:10:31,740 --> 00:10:34,159
that is not ultra-processed,

343
00:10:34,160 --> 00:10:36,039
I think is a shared goal among many

344
00:10:36,040 --> 00:10:37,939
related to nutrition, and

345
00:10:37,940 --> 00:10:39,999
in other areas we are challenged by

346
00:10:40,000 --> 00:10:42,219
really thinking about how to

347
00:10:42,220 --> 00:10:44,019
follow the science and remain

348
00:10:44,020 --> 00:10:45,999
focused on the

349
00:10:46,000 --> 00:10:47,539
best available evidence to inform

350
00:10:47,540 --> 00:10:48,639
our day-to-day work.

351
00:10:48,640 --> 00:10:50,449
So,

352
00:10:50,450 --> 00:10:52,269
specifically with regard to

353
00:10:52,270 --> 00:10:53,309
vaccines.

354
00:10:53,310 --> 00:10:54,249
There's some difference between the

355
00:10:54,250 --> 00:10:55,609
federal government and the state

356
00:10:55,610 --> 00:10:57,289
health department.

357
00:10:57,290 --> 00:10:59,709
How do you guys work within that?

358
00:10:59,710 --> 00:11:01,849
Um, that's a great example

359
00:11:01,850 --> 00:11:03,809
of an area where, um, as a

360
00:11:03,810 --> 00:11:05,469
department and in collaboration with

361
00:11:05,470 --> 00:11:06,809
our governor's office, we've

362
00:11:06,810 --> 00:11:08,029
continued to follow the best

363
00:11:08,030 --> 00:11:09,269
available evidence.

364
00:11:09,270 --> 00:11:12,109
Um, so we have, um maintained,

365
00:11:12,110 --> 00:11:14,429
um our guidance and alignment with,

366
00:11:14,430 --> 00:11:16,729
um a credible, uh,

367
00:11:16,730 --> 00:11:18,389
national organizations like the

368
00:11:18,390 --> 00:11:20,509
American Academy of Pediatrics, um

369
00:11:20,510 --> 00:11:22,169
to really align our especially

370
00:11:22,170 --> 00:11:24,349
childhood vaccinations with

371
00:11:24,350 --> 00:11:26,249
those credible bodies that have

372
00:11:26,250 --> 00:11:29,149
continued to, um.

373
00:11:29,150 --> 00:11:31,249
Hold sight on the guidance

374
00:11:31,250 --> 00:11:35,249
and where the

375
00:11:35,250 --> 00:11:37,029
guidance is best supported by

376
00:11:37,030 --> 00:11:38,030
evidence.

377
00:11:38,620 --> 00:11:39,779
So the Wisconsin Department of

378
00:11:39,780 --> 00:11:40,979
Health Services, you've got this

379
00:11:40,980 --> 00:11:42,619
huge five-year report, a lot of

380
00:11:42,620 --> 00:11:43,419
data.

381
00:11:43,420 --> 00:11:44,779
What happens next with your findings

382
00:11:44,780 --> 00:11:46,579
and how do you use this information

383
00:11:46,580 --> 00:11:48,499
to make Wisconsin residents

384
00:11:48,500 --> 00:11:49,909
more healthy?

385
00:11:49,910 --> 00:11:51,809
So the state health assessment is

386
00:11:51,810 --> 00:11:53,529
a complementary report to our state

387
00:11:53,530 --> 00:11:54,989
health improvement plan and our

388
00:11:54,990 --> 00:11:56,589
state assessment is step one.

389
00:11:56,590 --> 00:11:58,709
Now that we've finished that, we

390
00:11:58,710 --> 00:12:00,269
begin the state improvement planning

391
00:12:00,270 --> 00:12:02,009
process where we use the data that

392
00:12:02,010 --> 00:12:03,009
was collected in the state

393
00:12:03,010 --> 00:12:05,229
assessment to then inform

394
00:12:05,230 --> 00:12:06,689
priority setting.

395
00:12:06,690 --> 00:12:08,549
So we are in

396
00:12:08,550 --> 00:12:10,809
the process of engaging partners

397
00:12:10,810 --> 00:12:12,929
now to then bring that data forward

398
00:12:12,930 --> 00:12:14,809
to really think about

399
00:12:14,810 --> 00:12:16,309
how to set the course for our next

400
00:12:16,310 --> 00:12:18,010
state health plan our ship.

401
00:12:19,340 --> 00:12:20,799
Okay, Paula Tran with the Wisconsin

402
00:12:20,800 --> 00:12:22,159
Department of Health Services, thank

403
00:12:22,160 --> 00:12:22,799
you for your time.

404
00:12:22,800 --> 00:12:23,800
Yeah, thank you so much.

405
00:12:27,810 --> 00:12:29,329
And now we get to sit here awkwardly

406
00:12:29,330 --> 00:12:31,089
for 30 seconds to just do a room

407
00:12:31,090 --> 00:12:32,149
tone.

408
00:12:32,150 --> 00:12:33,150
So we'll just.

409
00:12:42,720 --> 00:12:43,720
That's good.