Hi My name is Emily Fletcher and I'm a 2nd year M.B.A. M.P.P. dual degree student and my journey here started when I left my hometown of Seattle Washington to attend Dartmouth College where I studied neuroscience and anthropology and through these majors I discovered a passion for health care because health care seemed like a way to address complex deeply meaningful problems and have a real impact on people's lives so after I graduated I spent some time working in global health programs and then health care research and consulting and I really liked working at the intersection of public policy and business but I found that working at these sort of high level health care that the level of high level health care stuff didn't really scratch my itch for having an impact on people's lives and seeing the end result of my work so returning to school I discovered that I wanted to have a more local focus to my work so this summer I interned at civic consulting Alliance in Chicago which is a nonprofit consulting organization that works with public sector and nonprofit sector clients in the areas of public safety education health care and economic vitality and C.C.A. is unique because they receive funding from the business community and philanthropic organizations with which allows them to provide consulting services free of charge which is pretty amazing and so why it hope to diversify my experience and expand outside of health care I found myself working with a collaborative of 6 hospitals and health systems known as West Side United and West Side United is a really innovative initiative because it's 6 hospitals coming together to collectively address social determinants of health and these hospitals typically view one another as competitors so in Chicago in the downtown area where you may have taken a selfie in the being Oregon to see Hamilton life expectancy is 85 years if you go 3 miles west to Garfield Park Life expectancy is 69 years. And a lot of people think this is completely attributable to gun violence and that's just not true it's heart disease it's diabetes it's a wide range of social determinants rating from ranging from education to job opportunities to overall economic vitality in those community areas and these community areas comprise 560000 residents so working with these hospitals I was tasked with a den of finding ways that they could really embrace their anchor institution mission and address community health on the west side so we I used my Ford school skills to analyze quantitative health data from the city in the C.D.C. I interviewed the west side in their places of work and I aggregated these analyses into decision making frameworks that I walked through with my executive level clients in steering committee meetings so my deliverables were very thick power points as well as some major sees that I walked them through and forced them to make decisions on and so we coalesced around 4 key priority areas Maternal and Child Health childhood asthma behavioral health care and hypertension and then we did further research into best practices and evidence based interventions in each of those areas and indemnified 3 in each area that could be scaled across the 6 hospitals so why hadn't intended to work in health care I loved this project because it allowed me to work in the community where the impact would happen and these priorities will guide future program and partnership development moving forward so I'm excited to continue watching the work of West Side United and I hope you'll pay attention to because it's a really really cool project so I told my managers when I left C.C.A. that I loved my time there but because I have this passion for local work and I'm originally from Seattle which is also a city facing some unique challenges in terms of growing economic inequality affordability funding public education my next step and I hope my next professional adventure will take me back to Seattle so maybe I'll be opening up C.C.S. Seattle office in a few years thank you.