The Birth of Grapevine Health A Doctor's Journey to Build Trust and Restore Humanity in Medicine

Prologue

1 Health Literacy Matters

The Case for Health Literacy

Health Information on the Grapevine

Health Information: The Gateway to Engagement

Preparing the Community to Use Health Information

Understanding Community

Dr. Lisa on the Street

Plain Language is Humanity

Bad Communication is Bad Medicine

2 The Birth and Evolution of Grapevine Health

The Pivot

Not Much Ado About Medicaid

Health and Digital Health in the Hood

Harnessing the Grapevine

Learning from Proximity

A New Zip Code

Learning My Neighborhood

The Expense of Time and Poverty

Doctors are Drug Dealers

The Power of Trust

Medicaid and Sloppy Seconds

Learning from the Homeless

Grapevine Health is (Almost) Under Way

And Then There Was a Pandemic

Early Days

Leaning on the Grapevine

Street Outreach, Misinformation and Trusted Messengers

Entrepreneuring in a Pandemic

3 Achieving Health Equity

Health Equity

Drivers of Health Inequity

Lessons in Innovation

Trust

Social Determinants of Health

Digital Innovation

Health Communication

Addressing Health Equity: The Way Forward

Epilogue

Biography

Lisa Fitzpatrick, MD, MPH, MPA is a senior health care leader, with over 20 years of health care management, leadership, clinical and research experience with renown organizations like the Centers for Disease Control and Prevention, US Department of Health and Human Services, the Centers for Medicaid and Medicare Services, including Medicaid and the Milken Institute George Washington University School of Public Health. She is a member of the Aspen Institute Global Leadership Network and an Aspen Institute Health Innovator. Dr. Fitzpatrick has a proven track record in global health leadership, designing and conducting prevention and clinical research and establishing multi-disciplinary coalitions to influence organizational change. She is an influencer among clinicians and public health leaders. Dr. Fitzpatrick has keen insights both personally and professionally into low-income and African American populations and over her career has conducted countless formative interviews, including focus groups, with low-income populations to better understand barriers and challenges to engagement in health care and preventive health behaviors. She founded an outpatient clinical center and a wellness non-profit to help address unmet needs of the low-income population in Washington, DC. She is a skilled negotiator and uses her strategic and analytical decision-making expertise to influence agency policies affecting at-risk minority populations. In 2015 Dr. Fitzpatrick became the Senior Medical Director for the Washington, DC Department of Health Care Finance, a health care agency with a $3.1 billion budget. In this executive role, she develops and influences all clinical policies for the Medicaid program. In this role she fosters cross-sectoral collaboration with the Departments of Health, Human Services, Behavioral Health and Emergency Services. Prior to her Medicaid role, Dr. Fitzpatrick was a Commander in the US Public Health Service and served at the CDC for 10 years where she held a variety of leadership roles including, senior medical epidemiologist, lead researcher and mentor for young, minority investigators. Throughout her career, Dr. Fitzpatrick has received many awards and honors, most recently and notably, the American Hospital Association Grassroots Champion award, the DC Health Care Finance Director’s Award for Excellence in Service, the US Public Health Service Commendation Medal and has been recognized by Ebony magazine as a “Future Leader of the 21st Century”. She is a member of the American Public Health Association and serves on the board of the Infectious Disease Society of America HIV Medicine Association and the Public Health Committee Advisory Group. Dr. Fitzpatrick holds Doctor of Medicine from the University of Missouri, a Master in Public Health from the University of California-Berkeley and a Master in Public Administration from the Harvard University Kennedy School of Government.