AP APPALACHI PALACHIAN AN CO COMMUN UNITY Y CO COLLABO - - PowerPoint PPT Presentation

AP APPALACHI PALACHIAN AN CO COMMUN UNITY Y CO COLLABO LLABORAT RATIO ION

• Creat

ate a e a community ity o

• utreach

ch service ice to to devel evelop health lth initiat atives b ves by b buildi ding r ng relat ationsh nships w s with h heal alth c consu sumer ers s and h and heal ealth st stak akeholders.

• These

se rela lati tionships will will prov

• vide op
• ppor
• rtu

tunities for

• r stu

tudents to to be mor

• re in

involved with within th the com community to to dev develop an an under erst stand anding o ng of Appalac achian c an culture. .

• Th

The e go goal al i is s for m medi edical st stude dents t to real ealize t they can e engage gage the he community and and lin link the U Univer versities t es to creat ate e cultural h l health lth changes nges.

Intr troductio ion to to CACC CACCOM

The The Centra ral A l Appalachia ian C Consort rtium o

• f C

Colleg lleges of O Osteo eopathic ic M Medic icin ine e is a co s a collab aboration of:

• f:
• Ohio
• University

ty H Herita tage ge C College ge o

• f Osteop
• path

thic Medic icin ine e

• Univer

iversit ity of P Pikevil eville le – Kentu tucky C College ge of O Osteop

• pathic Medic

icin ine

• Linc

ncoln n Memoria rial U l Univers versit ity – DeBusk C College ge of O Osteop

• path

thic Medic icin ine This consor

• rti

tium i is f funded by the Osteop

• path

thic H Herita tage ge Foundati tion

CACC CACCOM V VISI ISION

Pr Prov

• vide a str

trong

• ng a

and nd susta taina nable platf tfor

• rm f

for

• r col

collabor

• rati

tive r research to impr mprove e hea health and el eliminate hea health dispa parities amo mong vu vulner erable pop

• pulations
• ns in

n Centr ntral Ap Appalachia.

CACCO CACCOM PAR PARTNERS AN S AND D RE RESEARC RCHERS ERS

KENTUCKY COLLEGE OF OSTEOPATHIC MEDICINE

Bringing Medicine to the Mountains…

Kentucky College of Osteopathic Medicine (KYCOM)

Mission: University of Pikeville-Kentucky College of Osteopathic Medicine (KYCOM)

• Provide an osteopathic medical education
• Emphasize primary care
• Encourages research
• Promotes lifelong scholarly activity
• Produce graduates committed to serving the health care

needs of communities in rural Kentucky and other Appalachian regions.

About KYCOM

• KYCOM has earned high marks in rural medicine, ranking 7th among

all medical schools in the nation, both D.O. and M.D., in the U.S. News & World Report’s rankings of best medical schools for 2018.

• KYCOM also ranked 12th in family medicine and second in the

percentage of graduates who enter primary care residencies. KYCOM was the highest ranked D.O. medical school in rural medicine and family medicine.

Missy (Melissa) Frazier, MBA, MPH, ARDMS, ARRT(R )(M)

Appala lachia ian C Communit ity Collab aborat ative Te Team am Coordi dinat ator Public Health and Regional Workforce Analysis Researcher Central Appalachian Consortium

• f Colleges of Osteopathic

Medicine (CACCOM) University of Pikeville-Kentucky College of Osteopathic Medicine

Ohio University Heritage College of Osteopathic Medicine – 3 Locations

ATHENS, OH DUBLIN, OH CLEAVELAND, OH

Ohio University – Heritage College of Osteopathic Medicine

Our medical school educates physicians committed to practice in Ohio, emphasizes primary care, engages in focused research, and embraces both Appalachian and urban communities.

Integral to this mission, our college community commits itself to: provide a clinically integrated, learning-centered, osteopathic medical education continuum for students, interns, residents and primary care associates; embrace diversity and public service; and improve the health and well- being of underserved populations.

Sebastian Diaz, Ph PhD, J JD

Appalachian Community Collaborative Team Member Central Appalachian Consortium of Colleges of Osteopathic Medicine Heritage College of Osteopathic Medicine Associate Professor, Family Medicine

Lincoln Memorial University DeBusk College of Osteopathic Medicine

LMU-DCOM Mission

To prepare outstanding osteopathic physicians who are committed to the premise that the cornerstone of meaningful existence is service to humanity. The mission of LMU-DCOM is achieved by:

• Graduating Doctors of Osteopathic Medicine
• Serving the health and wellness needs of people within both the Appalachian region and beyond;
• Focusing on enhanced access to comprehensive health care for underserved communities;
• Embracing compassionate, patient-centered care that values diversity, public service and

leadership as an enduring commitment to professionalism and the highest ethical standards

Donna Peissner MA, LCSW Appalachian Community Collaborative Team Member

Health Sciences Community Research Specialist

Central Appalachian Consortium of Colleges of Osteopathic Medicine Lincoln Memorial University-DeBusk College of Osteopathic Medicine

Missouri C Connection:

Donna Peissner transferred to a position as a Behavioral Health Therapist in Kirksville, in Northeast Missouri. She continues to be a part of the Appalachian Community Collaborative and has extended the leadership skills beyond the boundaries of Appalachia…however, there is another connection…………… A.T. Still who formed osteopathic medicine in Kirksville, MO., was from the Appalachian mountains of Jonesville, Va.; just a short drive from LMU-DCOM or KYCOM

Marca Cenatiempo, MBA, LCSW Appalachian Community Collaborative Auxiliary Team Member

Director, Health Sciences Research and Grants

Lincoln Memorial University-DeBusk College of Osteopathic Medicine – CACCOM

CACCOM Research and Analysis……..

These findings from the CACCOM research activities support changing the "directionality" of

• ur research:

In that we need to view our community members not only as "learners," but also invaluable "teachers" who can teach our students about local cultures and health.

The C Centr tral Ap Appalach chian C Consor

• rti

tium of Colleges o

• f

Osteopa pathi hic M Medicine ( (CACCOM) R Road ad S So Far……

Prior to NLAPH, the CACCOM Researchers implementing a workforce assessment by studying:

1) Existing internal data from the three schools 2) Existing state and federal databases containing relevant workforce information 3) Quantitative (e.g. survey) research to supplement existing health workforce data from each school regarding workforce preparation, practice environments, and preferences 4) Qualitative research to gain in-depth knowledge about recruitment and retention factors impacting the workforce in Central Appalachia.

NATIONAL L L Leadershi hip…

We have moved further toward completing our workforce development projects, and have gained further traction in changing our research trajectory. At this juncture with NLAPH guidance:

• We are now preparing formal proposals for these new initiatives that

fit under our revised paradigm for research.

• Develop a plan to move beyond the grant funded workforce project
• Create a sustainability plan focused on community engagement

health initiatives, which will tie into workforce development. Moreover, our priorities will focus on how our initiative

Catherine C. Slemp, MD, MPH

Community and Public Health Professional NLAPH guide for Appalachian Community

Big Picture

Note our "Big Picture" represents a significant shift from consortium's original trajectory. We are discovering empowering communities to engage with

• ne another is much more

important and foundational than are efforts to carry out research that offers definitive findings.

Group Work:

Through systems thinking approaches and emergent design solutions, our team is advancing CCN’s initiative to improve communication and coordination between underserved individuals and care providers in their community.

Cross-sectional Leadership

• Intentionally work to remove barriers

in critical areas (e.g., payment reform, spread of good ideas) through collaboration with traditional and nontraditional partners.

• People with lived experience work

together with community connectors and formal leaders to co-design and drive the change.

• Leaders across the community work

together strategically to create the systems and policies needed to sustain long-term change.

• Displaying humility and a willingness to

adopt solutions created by others.

NL NLAPH PH Proj

• jec

ect O Outcom

• mes

es:

Our main outcome is to enhance our linkages to and within our

• communities. These linkages include, but are not limited to:

1) Medical Schools & Community 2) Medical Schools and Public K12 Systems 3) Linkages among our community partners

Doctors Can’t Do It Alone!

• Social Determinants of Health

reveal health disparities will not be solved through clinical care alone.

• Social Determinants of Health also

provide CACCOM a breadth of contexts for strategic planning of research.

• Alcohol and Drug Use
• Access to Care
• Education
• Housing and Transit

http://www.countyhealthrankings.org/what-is-health

Le Lessons Le Learned

Our work with the NLAPH thus far has taught us that our paradigms for improving health in our communities may have been rather "shallow" with respect to Iceburg Metaphor Dr. Baumgartner shared.

Gaining ng B Balan ance

• Developing relationships with and partnering with people with

lived experience of inequity to co-design, co-implement, and co- evaluate change.

• Developing a shared understanding of the piece of the puzzle

everyone brings to the table

• Using people-reported outcome measures where people can

directly say whether their lives are improving rather than simply relying on proxy measures

• Analyzing your results together with community members to

make changes

Together: Community

Together - growing or better leveraging assets that can be applied to address equity Conversation requires a balance between talking and listening, and somewhere along the way we lost that balance“

Co Community E Engagement in R n Resea search f for H Health

• Learning each other’s

stories

• Understanding our

implicit biases

• Creating trustworthy,

safe, and equitable spaces and processes

Thank You NLAPH!