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Georgia Southern University’s Business Innovation Group wins international recognition from InBIA
Business Innovation Group team members Dominique Halaby, DPA, Suzanne Hallman and D’Erica Evans accept an award at the InBIA awards ceremony. Georgia Southern University’s Business Innovation Group (BIG) returned home from San Antonio, Texas, with high honors from the International Business Innovation Association (InBIA) during its annual awards ceremony, which recognizes excellence in entrepreneur support. In an awards ceremony held during the 38th annual International Conference on Business Incubation, BIG received four awards including two of the organization’s most prestigious accolades, the Dinah Adkins Award for Non-Technology-Based Entrepreneur Support Organization of the Year, and the Randall M. Whaley Award, which is InBIA’s highest honor. The Statesboro BIG location was named the Mixed-Use Entrepreneur Support Organization of the Year, while the Metter Business Incubator location received the Rural Entrepreneurship Support Organization of the Year. “I am honored that the InBIA recognized our efforts at the Georgia Southern University Business Innovation Group with the highest accolades for the support we offer to entrepreneurs,” said Dominique Halaby, DPA, director of the BIG and associate vice president for innovation. “These awards highlight the hard work the BIG teams put into making our business incubators an incredible resource for budding businesses and furthering our mission to advance the economic growth of our region.” BIG works to build an ecosystem throughout the state of Georgia to help entrepreneurs create, incubate and accelerate their for-profit business enterprises. BIG facilitates access to University resources, creates opportunities for student experiential learning and fosters an environment that supports a growth mindset throughout the state. “Through the InBIA awards program, we celebrate exceptional organizations that catalyze entrepreneurship for their communities,” said President and CEO of InBIA Charles Ross. “Congratulations to the Georgia Southern University Business Innovation Group on their well-deserved recognition. Their commitment to high-quality programming, organizational excellence and community impact is truly inspiring.” InBIA is a global nonprofit empowering entrepreneur support organizations in every U.S. state and in over 30 countries. With over 39 years of experience, InBIA has been a guiding force in providing industry best practices, fostering collaboration, mentorship and the exchange of innovative ideas for entrepreneurs worldwide. InBIA is the go-to organization for business incubators, accelerators, coworking spaces and other entrepreneurship centers. Interested in learning more or looking to talk with Dominique Halaby? Simply click on his icon now to arrange an interview today.
Associate Professor of Voice Emily Grundstad-Hall, DMA, left, plays the piano while members of the Savannah Song Birds sing. If you asked Alyson Brinkley what her favorite day of the week was, her answer of “Monday” might surprise you. But Monday mornings are her favorite because Brinkley, a graduate student in the Communication Sciences and Disorders (CSDS) program at Georgia Southern University, teams up with fellow students and faculty to sing and harmonize while simultaneously helping Parkinson’s disease (PD) patients with therapy. Through a unique and collaborative singing group called the Savannah Songbirds, the RiteCare Center for Communications Disorders uses this group to raise awareness of PD while providing therapeutic support through the power of music. “It is the best part of my week and the best way to start my Monday morning,” Brinkley said. “It has enhanced my experience as a student by providing a unique experience I would not have received at any other school. The Savannah Songbirds is the only choir for people with Parkinson’s in the nearby area.” Founded in 2023 by Tory Candea, clinic coordinator for the RiteCare Center, the Savannah Songbirds gather weekly for rehearsals. Inspired by The Parkinson Voice Project, the group’s formation reflects Candea’s dedication to functional communication, community engagement and enriching the lives of those battling neurological diseases. The therapeutic benefits of music and vocal exercises for PD patients are profound,” Candea said. “PD often impairs communication by affecting the muscles involved in speech production. Through singing and vocal exercises, individuals engage these muscles in a demanding yet enriching manner, enhancing communication abilities and overall quality of life.” Candea partnered with Associate Professor of Voice Emily Grundstad-Hall, DMA, from the Gretsch School of Music to enhance the Savannah Songbirds choir. Grundstad-Hall directs the choir, facilitates the rehearsals, selects music and helps organize an end-of-semester concert. “This is a great collaboration between the two departments,” said Grunstad-Hall. “There has always been a positive outlook on departments and schools working together ‘across the curriculum.’ Singing is housed in the arts and speech is housed in health professions, but singing and speaking use the same instrument/anatomy to achieve a goal. It makes sense that we would work well together.” During their sessions, the Savannah Songbirds learn a repertoire of songs, including classics like “Moon River,” “Danny Boy,” “That Old Black Magic,” “Dona Nobis Pacem” and “Give Me Your Tired.” “I have enjoyed the collaboration with my colleagues and students in the CSDS department,” Grundstad-Hall said. “The singers that participate in the choir are amazing and I benefit from the community that being in a choir can bring. We are all working toward a common goal and we get to do it by singing songs. What could be better than that?!” Participants describe the experience as both enjoyable and rewarding, highlighting the therapeutic value of music in their journey with PD, Candea said. Students like Moriah Pearce, also a graduate student in the CSDS program, see the benefits of participating. “This experience working with these individuals has cemented my passion for working with individuals with Parkinson’s disease,” said Pearce, whose interest in working with PD patients developed in her undergraduate coursework at Texas Woman’s University. “It has provided me with experience outside of a therapy room in a different environment. It is rewarding to see these individuals who are motivated and happy to be part of this wonderful group.” Like Brinkely, Pearce describes the Monday meetings as her favorite way to start the week. “The most rewarding part of being in this choir is being part of a program that provides a sense of community and camaraderie for these individuals,” Pearce said. “Our weekly meetings provide these individuals an opportunity to spend time with people who may have the same or similar experiences with PD and who have a passion for music.” Seeing the motivation of participants has also been rewarding for Brinkley. “The most rewarding part of the choir is to see the members sing when they thought that their singing voices would be diminished due to Parkinson’s,” Brinkley said. “Although Parkinson’s is a progressive neurological condition, our members show up every Monday to rehearse. Some travel from South Carolina to be a part of the choir. It is so rewarding to see such strong motivation and to create a safe space for members to sing with their new voices and recognize what they are capable of.” For the clinicians and faculty involved, the collaboration represents a unique opportunity to provide evidence-based therapy creatively and engagingly. By integrating music into therapy sessions, they aim to enhance outcomes and promote community service-minded efforts. “Overall, working with the Savannah Songbirds has been immensely educational and rewarding, and one of the most enjoyable experiences of my professional career,” Candea said. “Being afforded the opportunity to provide evidence-based speech therapy services in a less traditional way has been engaging. Learning to enhance outcomes and the enjoyment of treatment through the addition of creative arts has been eye-opening. Promoting the importance of community service-minded efforts has been gratifying.” The Savannah Songbirds will host their next performance in the Fine Arts Auditorium on the Armstrong Campus on April 29 at 11 a.m. The event is free and open to the public. The partnership between the CSDS program, music department, and RiteCare Center offers a multitude of benefits for both PD patients and the broader community. Beyond therapeutic support, the collaboration fosters awareness and education about PD while showcasing the diverse programs offered by the RiteCare Center. For those seeking assistance, the RiteCare Center for Communication Disorders, located in the Armstrong Center, offers comprehensive evaluation and treatment services for individuals of all ages impacted by speech, language, cognitive, or swallowing disorders. Interested in learning more about the RiteCare Center? Contact Georgia Southern's Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.
Approximately 4,200 degrees conferred during Georgia Southern’s 2024 Spring Commencement ceremonies
In May, approximately 4,200 graduates from Georgia Southern University’s Statesboro, Armstrong and Liberty campuses received associate, baccalaureate, masters, specialist and doctoral degrees in five Spring 2024 Commencement ceremonies. Georgia Southern President Kyle Marrero welcomed the graduates and their guests to the ceremonies, held at the Allen E. Paulson Stadium in Statesboro on May 7, 8 and 9, and at the EnMarket Arena in Savannah on May 11. “Graduates, I don’t need to tell you about your unique college journey, which has been challenging,” said Marrero to the crowds. “I am very proud of how, together, we have persevered allowing us to have a successful semester and today, our commencement ceremony. This graduation is a momentous occasion for Georgia Southern University, as well as for all of you. Today, you are part of history at Georgia Southern.” Speakers included: Mackenzie Anderson (’07), global director of Corporate Communications at Nike Alton M. Standifer, Ph.D. (’12, ’14), vice provost for Inclusive Excellence and chief of staff to the provost at the University of Georgia (UGA) Kim Greene, chairman, president and chief executive officer of Georgia Power Chris Ahearn (’09), director of research and trade development for the World Trade Center Savannah Candicee Childs, M.D., (’19) an emerging beacon of inspiration in the fields of medicine and literature. At present, she is a resident physician at Massachusetts General Hospital, the largest teaching hospital of Harvard Medical School, with a focus on child and adolescent psychiatry Anderson opened the graduation ceremonies in Statesboro, following a warm introduction from Marrero, who described her leadership role at Nike. “I’m sure you probably expected me to get up here and say something like, ‘Class of 2024, go out into the world and ‘Just Do It,’” Anderson mused. “But here’s the deal. I don’t have to tell you to just do it because you just did it. You did the impossible by making it through the pandemic. “Today you aren’t just graduating with a degree in whatever is written on your diploma. You’re also graduating with a degree in doing hard things. And today we celebrate you.” She continued, saying that earning a degree in “doing hard things” has no doubt been a challenge, but the graduates will soon find out that this is also their superpower. They produced their own playbook, as unique and rare as they are. How they use the playbook moving forward is up to them — to wit, be curious, be wrong while giving yourself permission to make mistakes, be humble and be persistent. “Launch into the world,” Anderson concluded. “And whether you land just across the street, across the country like me or somewhere around the world, remember where you came from. Today you are etching your name alongside a proud Eagle alumni network of more than 147,000 strong. “It is my honor to be the first to say, ‘Georgia Southern University graduating Class of 2024, welcome to the alumni family.'” Standifer shared his own story as a young man, undecided about going to college while he worked as a cashier. A regular customer, Mr. Paul, continuously asked Standifer about whether he’d attend college, until one day Standifer told him he was going to attend Georgia Southern University. With a wide grin, Mr. Paul congratulated him and handed him a $100 bill. Incredulous, Standifer asked why he’d given him such a large tip. Mr. Paul told him it wasn’t a tip. It was an investment, and he’d continue to mentor Standifer in the following years, and remain a profound influence in his life. “I want to encourage you all to think of the Mr. Paul’s in your life,” Standifer said. “Think of the people who have helped you get to today. And then when you leave here, make the conscious effort that you will be Mr. Paul for someone else.” In Savannah, Ahearn shared his journey of discovery in Georgia Southern’s classrooms where he explored Irish film, an introduction to the United Nations, abnormal psychology, Celtic identity and conflict, psychology and law, and gangs, drugs and criminal justice. “There’s a whole menu of choices for you and experiences for you to choose from to really help you discover who you are, where you fit, what drives you, what gets your creative juices flowing, and what options are out there when you graduate from these key interactions,” Ahearn said. Following, he pursued a master’s in international relations in Ireland that gave him a deeper perspective on how the world operates and how interconnected we all are. Ensuing professional roles in higher education, international networking and fundraising, culminated in his current role at World Trade Center, Savannah. From the stage, Ahearn stressed his key takeaways: network, stay in touch with your classmates, be authentic and perhaps, most importantly, travel. “Go outside your comfort zone,” he encouraged. “Try things you’d never try. Expand your horizons. This is your opportunity to learn about different cultures, to embrace the differences and similarities we share with our fellow global citizens and find common ground.” In closing: “Many of you may stay in the region to leave your impact as this community continues to expand,” Ahearn said. “There are plenty of great employment opportunities at your fingertips. Many of you will leave to follow your careers wherever they take you. But please know that you’re part of this institution’s history. You’ll always be an Eagle, and Georgia Southern will always welcome you home." Interested in learning more about Georgia Southern University? Contact Georgia Southern's Director of Communications Jennifer Wise at jwise@georgiasouthern.edu to arrange an interview today.
Changes in college football continue to be driven by dollars (and sense?)
The landscape of college sports, and particularly that of college football, has changed significantly in recent years. First, we have seen an almost constant realignment of collegiate athletic conferences, resulting in a few major mega-conferences, such as the SEC and ACC, Big Ten and Big 12, and the disintegration of a former major conference, the Pac 12. Most of the other changes related to the athletes, such as the ease with which student-athletes could transfer from one school to another and the ability for them to be paid for their name, image and likeness. All of these issues were potentially pointing to new business models in college sports, but within the last week, that landscape was shaken even further. Last week, the NCAA and its five major conferences settled multiple lawsuits to pay past and present student-athletes a total of $2.8 billion. The settlement also laid the foundation for the payments of college athletes starting in fall 2025. “The major unresolved questions are who will get paid and how much,” said Rick Franza, PhD, professor in the Hull College of Business at Augusta University. “If we ‘follow the money,’ we see that football and basketball (particularly men’s basketball) generate almost all of the revenues, and most of the revenues comes from major conferences. Therefore, most of the player payments are going to go to football and basketball, and given the size of the relative rosters, football teams will be much more costly.” Franza added that the settlement will further exasperate the revenue and cost differences between major conferences and their smaller conferences as well as between football and the so-called Olympic sports which generate little, if any revenue. It was always clear that from both a revenue and cost perspective, college football is very different from other sports. Revenues are much higher for the major conferences in football, and there is not the same extent of revenue sharing as there is in basketball due to the NCAA Tournament. On the cost side, with the new realignment of the mega conferences and expanded geographic footprints, there is a significant increase in travel costs for the Olympic sports. “While those expanded conferences were mainly driven by football revenues, they are also making all other sports more costly. Therefore, the time has come to separate football from other sports,” said Franza. One solution was first proposed by Chip Kelly, former Oregon and UCLA head football coach and now Ohio State offensive coordinator. He proposed a 64-school football conference in which the members would share all revenues, including television, which would more easily cover the NIL, and player pay costs. In recent months, similar proposals have been made for a college football “Super League,” which would include up to 80 schools. “This makes too much sense not to happen,” Franza said. “It allows the bigger football schools to share the plentiful available revenues while being able to pay the players what they will demand. At the same time, the other college sports would be able to revert to their traditional, geographical conferences and reduce travel costs driven up by the realigned mega- conferences.” He added that two conferences, the SEC and Big Ten, the most successful under the current alignment, could delay the implementation. Franza also predicts that an agreement taking the first steps toward such a structure will be reached sometime in 2024. “While it makes a lot of sense to go in this direction prior to the player settlement, it makes even more dollars and ‘sense’ now given the settlement,” said Franza. “While the SEC and BigTen currently make more money than any other conference, I think they will see the light for what is best for the future of college football.” Covering the business of sports and looking to know more? Then let us help. Richard Franza, PhD, is available to speak with media about trending issues like inflation, small business and the economy – simply click on his icon now to arrange an interview today.
Aston University optometrists take up global industry association roles
Professor Nicola Logan has been named a global myopia management ambassador by the World Council of Optometry Dr Debarun Dutta is the new academic chair of the British Contact Lens Association Aston University School of Optometry is ranked in the top 10 for research in the Complete University Guide 2024 Professor Nicola Logan and Dr Debarun Dutta from Aston University’s School of Optometry have both been appointed to major roles within optometry industry associations. The School of Optometry is regularly ranked highly by both leading national ranking publications and in annual student-led surveys. This includes a top 10 ranking for research and a top five ranking for graduate prospects in the Complete University Guide 2024, and first in the UK for student/staff ratio in health professions (optometry) in the Guardian University Guide 2024. Professor Logan, professor of optometry and physiological optics and deputy head of the School, has been named a global myopia management ambassador by the World Council of Optometry (WCO). She is one of four new ambassadors named by the WCO in collaboration with CooperVision, a leading myopia management company. WCO and CooperVision have developed a myopia management online tool which reflects WCO’s global standard of myopia care. In March 2024, Professor Logan presented her inaugural lecture at Aston University on her research into the nature of myopia, the growing evidence base on strategies to control eye growth in children and translation of these findings to clinical practice. She said about her appointment as an ambassador: “I am thrilled to be appointed as the global myopia management ambassador for the World Council of Optometry. This role provides me with a valuable platform to advance the recognition of myopia as a significant public health concern and to facilitate the translation of research into effective, evidence-based clinical practice strategies for children with myopia.” Dr Dutta, a lecturer in optometry, has been appointed the new academic chair of the British Contact Lens Association (BCLA). He will lead the BCLA’s academic output, including offering guidance and advice to the BCLA council about scientific and academic elements of contact lenses. Dr Dutta will initially work alongside current academic chair, Professor James Wolffsohn, Aston University’s head of optometry, who is currently on sabbatical from the University, before taking over when Professor Wolffsohn steps down in 2025. Dr Dutta said: “I am hugely excited at the prospect of delivering academic provision of the British Contact Lens Association, with a specific focus on a highly prestigious conference programme as we grow our reputation as a global leader in contact lens and anterior eye education. This is a rare opportunity to work alongside our association members, fellows, trustees, global ambassadors and volunteers inspiring a new era for the BCLA, and to support our growth and development ambitions through delivery of educational activities within the contact lens and anterior eye specialism.”
Career advice: Expert provides tips for acing job interviews
Later this month, a whole new class of graduating seniors will hit the job market. University of Delaware career expert Jill Gugino Panté has advice for them and others seeking employment that can help boost confidence and chances for success when entering job interviews. Panté, director of the Lerner Career Services Center in UD's Lerner College of Business & Economics, provided the following tips: Hand write your answers to common interview questions. Research shows that people have a better chance of remembering information if it’s handwritten. So, rather than typing answers out on your computer, grab an “interview prep” notebook and start writing down your stories to have a better chance of remembering them when it comes time to interview. Practice saying your answers out loud. Written communication is very different from verbal communication. Once you have your answers written down, practice them out loud. This allows you to warm up your voice and get used to talking about yourself out loud. You can do this alone in a room or with a trusted friend who will give you honest feedback. Fan out notes around your screen. Now that most interviews have moved to a virtual format, take advantage of having some extra help. Put post it notes around your screen instead of in a notebook at your side so your eyes and attention stay toward the camera. Exercise beforehand. Of course, you don’t want to run a marathon right before your interview, but you can do some quick exercises to get your blood and endorphins pumping which can have a positive effect on the body and mind. I personally like to dance to an upbeat song that triggers happy memories. To set up an interview with Panté, visit her profile and click on the "contact button." This will send a message directly to her.
Aston University hosts event to foster innovation in crisis and disaster research
The two-day conference brought together academics and policy experts Its aim was to strengthen crisis and disaster research cooperation between institutions in Taiwan and Nepal with Hounslow Borough Council and Birmingham City Council The event laid the groundwork for ongoing cooperation and knowledge exchange in disaster management. Aston University has welcomed a delegation of global disaster management experts to a two-day conference aimed at fostering collaboration and innovation in crisis and disaster research. The event held at Conference Aston from 12 to 14 May 2024 brought together leading academics, policy experts and industry professionals, with a particular focus on strengthening cooperation between institutions in Taiwan and Nepal together with Hounslow Borough Council and Birmingham City Council. Since mid-2019, a concerted effort has been underway to harness innovative technologies for geoclimatic hazards monitoring in Nepal, the Philippines and Bhutan. Supported by the National Science and Technology Center for Disaster Reduction in Taiwan, this initiative has seen meaningful partnerships between British and Taiwanese stakeholders, driving advancements in real-time data capture for earthquake activity, rainfall patterns and wind dynamics crucial for effective crisis and disaster governance. Dr Komal Aryal, a lecturer in crisis and disaster management at Aston University, said: “I was wonderful to welcome such esteemed experts and colleagues to campus for this important event. “Sharing success stories and addressing implementation challenges to emerging technologies in local crisis and disaster management is vital in strengthening digital research infrastructure and networks at the grassroots level in countries like Nepal, Bhutan, the Philippines and other Himalayan regions. “The event served as a nexus for fostering partnerships among academia, policymakers, industries, emergency services and humanitarian volunteers across the UK, Nepal and Taiwan. “These collaborations are essential for driving impactful solutions and strategies in disaster management.” Professor Zoe Radnor, Pro-Vice-Chancellor and Executive Dean of the College of Business and Social Sciences at Aston University, said: “I’d like to thank everyone who attended this important event around disaster management. “It was wonderful to see the renewed commitment to enhancing crisis and disaster research cooperation which are integral to developing comprehensive and sustainable disaster response frameworks. “I am delighted to see draft plans produced for future joint collaborative activities, laying the groundwork for ongoing cooperation and knowledge exchange in disaster management.” Rev. Weilien Lin, programme secretary, Church and Society Committee, the Presbyterian Church in Taiwan, said: “This conference marks a significant step forward in our collective efforts to enhance global resilience to disasters. “By bringing together diverse expertise and fostering meaningful partnerships, we are better equipped to address the complex challenges posed by natural and man-made crises.” Professor Yie-Ru, from Chiu Tzu Chi University, Taiwan, said: “Aston University and Tzu Chi universities have entered into a Memorandum of Understanding (MoU) to collaborate more closely in addressing disaster and crisis management studies not only in Taiwan and the United Kingdom but also abroad. “This partnership marks a significant step forward in our shared commitment to enhancing global preparedness and response to emergencies, fostering cooperation and knowledge exchange across borders.” Mayor Narulal Chaudhary, general secretary of Municipal Association of Nepal elected mayor of Ghorahi Sub Metropolitan City, said: “This relationship with Aston University stands as a testament to how collaboration can foster disaster resilience and fortify crisis management efforts, especially in regions like the Himalayas in South Asia where vulnerability to natural disasters like earthquakes is significant. “As someone elected as the mayor of Ghorahi Sub Metropolitan City, a region highly susceptible to earthquakes, I believe that such collaborations are crucial in equipping communities with the knowledge and resources needed to mitigate risks and respond effectively in times of crises.”
Clary Collicutt and Professor Rachel Shaw join the latest episode of Aston Originals Health Matters series Clary’s PhD research investigates the mental health benefits of urban walking The theme of Mental Health Awareness Week 2024, from 13 to 19 May, is ‘moving more for our mental health’. Two researchers from Aston University’s School of Psychology discuss the mental health benefits of urban walking in the latest Aston Originals Health Matters podcast, recorded for Mental Health Awareness Week 2024. Clary Collicutt is a PhD researcher, with her project specifically looking at urban walking. While there is much in the literature about the benefits of walking in nature and the countryside, very little exists about urban walking. Professor Rachel Shaw is director of the Applied Health Research Group and wellbeing lead for the College of Health and Life Sciences at Aston University, and Clary’s PhD supervisor. The theme of Mental Health Awareness Week 2024 is ‘moving more for our mental health’. Movement, whether that’s going for a walk, dancing in the kitchen or playing a sport, has been shown to increase energy levels, reduce stress and anxiety, and boost self-esteem, and the Mental Health Foundation is seeking to encourage more people to find ‘moments for movement’. One of the easiest ways to get moving is simply to go for a walk, and with many more people living in towns and cities, this is most likely to be around urban streets and roads. Clary’s PhD research is an extension of her MSc studies and is a qualitative look at how urban walking can help mental health. While a quantitative study would look at numbers and statistics, the qualitative research will allow Clary to connect with people’s stories and personal experiences. As part of her research, Clary is interviewing people about walking and what they feel it does for them. One interviewee told Clary that she views her urban walking like a “prescription”, something she needs to do every day, while another plays Pokémon Go, which he finds an incentive to walk further. Meanwhile, Professor Shaw has been researching wellbeing in paediatric critical care (PCC) staff, who face hugely stressful working conditions. One fact that has come out time and again is how important walking is, even if only a wander round the block in a break. Clary said: “Talking about urban walking, one of the main advantages is the complete accessibility of it, I think. “I personally find walking a magic tonic. You can feel really stressed and then you can have a walk and I feel that really helps me. Or I can feel really good and have a walk and it will still help me. So, wherever the mood spectrum is, I think walking can benefit.” The full podcast can be accessed on YouTube.
This Is a Critical Moment: Delaware Must Not Go Backward in Health Equity
The proposed Delaware House Bill 350 is well-intended but would have terrible consequences for Delaware’s most vulnerable populations. There is a better way. By LeRoi S. Hicks, M.D., MPH, FACP As a Black physician who has dedicated his 25-year career to understanding and addressing health equity, I am deeply concerned about Delaware’s proposed House Bill 350, which aims to address rising health care costs by establishing a body of political appointees that would oversee the budgets of Delaware’s nonprofit hospitals. While the goal of bending the cost curve in health care may be well-intentioned, this bill will have horrific consequences for Delaware’s most vulnerable populations, including Black people, Hispanic people and other groups that have been traditionally underserved in health care. We can and must work together to solve this problem and provide the right care, in the right place, at the right time. A tale of two cities To borrow a phrase from Charles Dickens, Delaware, like much of America, is a tale of two cities. The experience of life—including a healthy, safe environment and access to good-quality health care—is vastly different depending on where you live and your demographic background. In the city of Wilmington, for example, ZIP codes that are just a few miles apart represent more than 20 years difference in life expectancy. This is not OK—it’s a sign that we have serious structural problems in our communities that are causing harm to people and making their lives shorter. Importantly, chopping $360 million out of Delaware’s hospital budgets, as House Bill 350 would do in year one, is not going to help this problem—it’s going to make it worse. And in doing so, it would ultimately make health care in Delaware more expensive—not less expensive. The key to lowering health care costs is to improve quality, access and equity Data show that about 5% of patients in the United States account for more than 50% of all health care costs. These are primarily patients who have complex and poorly managed chronic conditions that cause them to end up in the most expensive care settings—hospitals, operating rooms, emergency departments. The key to driving down health care costs is to improve quality and equity so that everyone is supported in achieving their best health, and these high users of the most expensive kinds of care are better supported in managing their health conditions such as diabetes or heart failure in the appropriate way. In doing so, they prevent the need for costly emergency or “rescue” care. Let’s do more—not less—of what we already know works Health care is not a one-size-fits-all industry. The delivery of care for patients across a diverse population requires multiple interventions at the same time. These interventions are designed not only to improve the quality of care but also to close the gap in terms of health care disparities. That’s important, because when we improve care and outcomes for the most vulnerable populations, we tend to get things right for everyone. One type of intervention is about doing exactly the right things for a patient based on the evidence of what will help—and doing nothing extra that will cause harm or generate additional costs without providing additional benefit. An example of this might be ensuring that every patient who has a heart attack gets a certain drug called a beta blocker right after their heart attack, and they receive clear guidance and support on the actions they must take to reduce their risk of a second heart attack, such as regular exercise and good nutrition. The second type of intervention is for the highest-risk populations. These are patients who live in poor communities where there are no gyms and no grocery stores, and people commonly have challenges with transportation and lack of access to resources that makes it difficult—sometimes impossible—to follow their plan for follow-up care. They lack access to high-nutrient food that reduces their risk of a second heart attack. They also live in areas where there are fewer health care providers compared to more affluent areas. These interventions tend to be very intensive and do not generate income for health systems; in fact, they require significant non-reimbursed investment, but they are necessary to keep our most vulnerable patients healthy. The medical community has developed interventions for these populations that are proven to work. A local example is the Delaware Food Pharmacy program, which connects at-risk patients with healthy food and supports their ability to prepare it. The program helps patients improve their overall health and effectively manage their chronic conditions so they can prevent an adverse event that would put them back in the hospital or emergency department. When we work together, we succeed We’ve seen incredible examples of how this work can be successful right here in Delaware. Delaware was the first state in the country to eliminate a racial disparity in colorectal cancer, and we did this by expanding cancer services, including making it easy for vulnerable people to get preventive cancer care and screenings. This is an incredible success story that continues to this day, and it was the result of thoughtful, detail-oriented partnerships among the state and the health care community. The work continues as we collaborate to reduce the impact and mortality of breast cancer in our state. Unfortunately, these kinds of interventions are the first thing to go when health care budgets get slashed, because they don’t generate revenue and are not self-sustaining. These kinds of activities need to be funded—either through grants or an external funder, or by the hospitals and health care systems. By narrowly focusing on cost, we risk losing the progress we have made Delaware House Bill 350, as it’s proposed, would cause harm in two ways: First, it would compromise our ability to invest in these kinds of interventions that work. Second, it increases the risk that higher-cost health services and programs that are disproportionately needed by people in vulnerable communities could become no longer available in Delaware. In states where the government has intervened in the name of cutting costs, like Vermont and Massachusetts, we see the consequences–less quality and reduced equitable access to much-needed services. House Bill 350 will widen the gap between those who have means and those who are more vulnerable. These changes will lead to increased disease burden on these populations. They will end up in the emergency room more and hospitalized more, which is by far the most expensive kind of care. That’s not what anyone wants—and it’s the opposite of what this bill was intended to accomplish. At this moment, in Delaware, we have an opportunity to put our state on a sustainable path to better health for all Delawareans. House Bill 350 is not that path. However, the discussion that House Bill 350 has started is something that we can build on by bringing together the stakeholders we need to collaborate with to solve these complicated problems. That includes Delaware’s government and legislators, the hospitals and health centers, the insurance, pharmacy and medical device industries, and most importantly, patients and the doctors who care for them. LeRoi Hicks, M.D., is the campus executive director for ChristianaCare, Wilmington Campus.
Researcher develops microrobots to battle cancer with unique precision
Magnetic robots that can target cancer cells are nothing new. But the patented microrobots developed by the University of Delaware's Sambeeta Das can be guided with a magnetic field to deliver medication to cells – or to destroy infectious cells, such as cancer – inside the body. To mark the launch of National Inventors Month, Das, assistant professor of mechanical engineering, shared her journey toward invention. Q: Tell us about your patented invention on microrobots for cancer research. What problem were you trying to solve? Das: One of the biggest issues with cancer research is the ability to target cancer cells without harming healthy cells. Cancer cells are sneaky, and they have evolved ways of hiding from the body’s immune cells. A big part of our research focuses on targeting, specifically precision targeting. We want to be able to target a single cell in a mass of cells, whether that is a single cell in a mass of cancer cells or whether it is a single abnormal cell surrounded by healthy cells. To do this, we use magnetic microrobots that can be driven inside the body by magnetic fields to a particular cell location. Magnetic fields are biocompatible, meaning they are not harmful to biological tissues, and our microrobots are very small, around 20 microns, which is about the size of a single bacteria cell. We can load our microrobots with various drugs and modify their surface in such a way that when the robots come in contact with the cells we are targeting, they can kill the target cell or perform some other function. Q: How is this solution unique? Das: Other people have made magnetic microrobots, but our system is unique since it allows us to do automatic targeting with a lot of precision. For example, a person operating our microrobots can just point to a cell and our system will drive the microrobot there. Additionally, the instrument we have made and patented is an all-in-one portable device that can be used anywhere. We don’t need a separate microscope, camera or software, it is all built in and very user friendly. Anyone can use it. This makes it super portable, which means quick solutions for health practitioners. In addition, poor and resource challenged areas can also be accessed with this portable solution. Q: What drives you toward invention? Das: I like to solve problems, and I like seeing something come together from nothing. I am very interested in problems that affect human health and longevity, particularly those that affect the common person. Q: How do you approach solving a problem, and whose support has been critical along the way? Das: One thing I have realized is that it is imperative to ask the right question to solve a problem. You must really get to the core of the issue. The second thing is to always keep the end user in mind. So, it’s kind of a two-pronged approach—looking from both ends of the problem. For support, I would say my team members and my collaborators. Their support has been invaluable in helping me solve the problems that I want to solve. In fact, my graduate students keep a running list of crazy ideas that they have come up with. It helps us look at problems in a unique way and come up with innovative solutions. Q: Not every invention makes it. How do you deal with failure? Das: The way that I start working on a problem is to assume that whatever we do, we are going to fail. I always tell my students that their first couple of experiments or designs will always fail. But failure is essential because it will teach you what not to do. And knowing what not to do is sometimes the critical part of the invention process. The failures inform us about the ways of not doing something which means now there is another way of doing something. Q: What is the best advice you’ve ever received? Das: The best career advice I’ve ever received is that there is always another way. If you run into roadblocks there is always another answer, there is always another opportunity. So we just need to keep going and trying new and crazy ideas. Q: How are inventive minds created – is it innate or can it be developed? How do you encourage innovation among your students? Das: That’s an interesting question and honestly, I am not sure. I do believe in what Edison said, “Genius is 1% inspiration and 99% perspiration.” He is a known inventor, so I would go with his interpretation on this. As for my students, I give them lots of freedom. I think freedom is essential in encouraging innovation. The freedom to come up with crazy ideas without anyone saying that won't work and the freedom to fail—multiple times. Das is available for interviews to talk about her microrobots and other projects at UD. To reach her, visit her profile and click the "contact" button.
