Interview with Mr. Arnott Duncan, owner of Duncan Family Farms, Inc.

Arnott Duncan is the owner of Duncan Family Farms. Farming runs in Arnott’s veins. He is a third generation farmer who has developed a deep connect to his local economy. However, interacting with Arizona food systems is not his only goal. Arnott also is actively engaged with educating the community about local produce. His farm provided U-Pick opportunities to the local community to provide people with in engaging experience toward food. The many years Arnott spent in the food industry has taught him that food, family, and community change the way we think but what we choose to do with that makes the difference in how we shape the world.

Vision Statement: Our patients deserve the best continuity of care possible. With that said, our nurses should effectively communicate patient information with our physicians in order to ensure the best treatment for acute condition changes in order to prevent hospital readmissions.

This presentation explains the role of skilled nursing facilities in the reduction of hospital readmissions.

"In attempts to reduce nosocomial infections, the focus of PPE is shifted to include patient protection.

This innovation project will help lead the healthcare organization to better health deliver and better service because it will prevent transmission of nosocomial infections between patients via hospital staff. Patients with HAI’s tend to have a longer duration hospital stay as well as more costs. Likewise, current healthcare reform restricts reimbursements for treatments associated with nosocomial infections. By minimizing these costly infections, the healthcare organization will be able to realize a greater profit."

A short and thickened lingual frenulum characterizes tongue-ties. Infants with this condition are likely to have issues with their latch, weight gain, and the ability to breastfeed exclusively. Mothers typically struggle with nipple pain and trauma. Tongue-tie procedures have become increasingly more popular as families turn to this intervention when struggling with breastfeeding.

The purpose of this quality improvement project is to collect data on tongue-tie revision procedures to explore the benefits, risks, and patient satisfaction with the clinical process. Questionnaires were created to collect information on tongue-tie revisions. Participants were asked to identify symptoms related both to the mother and infant. The type of feeding was assessed before and after to identify if the tongue-tie revisions increased exclusive breastfeeding. Likert-type scales were used to address maternal nipple pain, overall improvements in breastfeeding, and patient experience.

A total of 36 participants completed the pre-op questionnaire, and 22 completed the post-op questionnaires over four months. The results found that this was a low-risk procedure that helped improve breastfeeding or maternal and infant symptoms. There should be continued efforts to find ways to continue to collect this data, as it will increase the awareness of tongue-tie’s effect on breastfeeding.

Joan McGregor is a professor of philosophy in the School of Historical, Philosophical, and Religious Studies at ASU as well as an adjunct professor in the Sandra Day O’Connor College of Law. Approaching the issue of food sustainability through ethics, Joan offers a unique perspective on the idea of food systems. She believes by looking at the ethics of food systems people move beyond seeing sustainability as a scientific problem and address the problem as a manageable part of their everyday lives. In the development of Dinner 2040 with her team Joan sought to make the food systems about the people directly affected by the food crisis. Though she believes there is no overnight solution, she does believe that the forum that Dinner 2040 provides begins the process of thinking about local solutions.

Cindy Gentry is the Food Systems coordinator at the Maricopa County Department of Public Health. Growing up in a working class family, Cindy became aware of the food access crisis in the U.S. at a young age. Since then she has been involved in several social justice organizations to combat this issue including the Food Bank Association and the Community Food Security Coalition. She was also one of the first activists working to bring farmers’ markets to Maricopa County. Cindy’s work has focused on bringing an accessible local food economy to those in need. She continues to focus on the education of the public and programs to help the less fortunate have access to fresh local food.