Medicine Grand Rounds, August 16, 2019, Shelley Lyford, MA, President and Chief Executive Officer of West Health, Gary and Mary West Foundation, and the West Health Institute, Timothy Lash, MBA, Chief Strategy Officer and Executive Vice President of West Health, President of West Health Policy Center, Kevin Biese, MD, MAT, Associate Professor, Emergency Medicine and Internal Medicine, Vice Chair of Academic Affairs, Department of Emergency Medicine Co-Director, Division of Geriatric Emergency Medicine, University of North Carolina School of Medicine.