Making the Case for Arizona AHEC: Our Role in Rural Health and - - PowerPoint PPT Presentation

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Making the Case for Arizona AHEC: Our Role in Rural Health and - - PowerPoint PPT Presentation

Making the Case for Arizona AHEC: Our Role in Rural Health and Community Wellness Arizona Rural Health Conference, 25 July 2017 Marica Martinic, Program Manager, NAHEC/North Country HealthCare Jeri Byrne, Executive Director, EAHEC Martha


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Making the Case for Arizona AHEC:

Our Role in Rural Health and Community Wellness Arizona Rural Health Conference, 25 July 2017

Marica Martinic, Program Manager, NAHEC/North Country HealthCare Jeri Byrne, Executive Director, EAHEC Martha McNair, Director, GVAHEC Gail Emrick, Executive Director, SEAHEC Elizabeth Arredondo, Director, WAHEC/Regional Center for Border Health

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The purpose of AHEC is to develop and enhance educational networks (including clinical training), to improve the distribution and diversity of health professionals who serve rural and underserved populations and can provide quality care in the context of a transforming health care system.

AHEC Purpose

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  • Academic-community partnership
  • Program office (UA Health Sciences) and Centers (5 in

AZ)

  • Core Services
  • K-12 health career preparation
  • Community-based clinical/non-clinical rotations
  • Interprofessional Education
  • Continuing Education
  • Community Health
  • HRSA priorities
  • Diversity of health workforce
  • Distribution of health workforce
  • Practice transformation

AHEC Structure

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Making the Case:

Improving access to high quality healthcare professionals and services

Marica Martinic, NAHEC Manager

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  • NAHEC - North Country

HealthCare unique relationship

  • Patient-Centered Medical Home

and population health initiatives

  • Teaching Health Center
  • NAHEC exists to improve the
  • verall health of rural and

underserved communities in northern AZ through excellence in education, training, and research.

SEAHEC GVAHEC WAHEC NAHEC EAHEC

Program Office

Tucson (The University

  • f Arizona)

Mohave La Paz Navajo Yuma Coconino Apache Cochise Pinal Pima

Santa Cruz

Gila

Graham Greenlee Yavapai Maricopa

Overview

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Improving access to high quality healthcare professionals and services Healthcare Systems Transformation

  • Facilitating healthcare research and informatics to

support underserved communities

  • Connecting communities to better care through

telemedicine, interprofessional, and population health initiatives Community Health Promotion Delivering evidence-based health promotion programs to communities in need Continuing Education Educating the primary care workforce in rural and underserved communities Health Professions Student Support Providing meaningful community-based training experiences for health professions students and residents Youth Programs Increasing workforce diversity by recruiting minority and disadvantaged students into health careers

Education Pipeline for Healthy Communities

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  • Clinical Training
  • Family Medicine Residency
  • Integrated

interprofessional education, behavioral health and SDOH

  • Building preceptor

relationships

  • Expansion
  • New programs in Native

American Communities

Strategic Priorities

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  • Practice Transformation
  • Continuous improvement

consultation

  • Population health
  • Research
  • Data and Evaluation

Strategic Priorities

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  • Help patients with Social Determinants of

Health (SDOH) in Flagstaff NCHC clinic

  • Pre-health student intern experience (full

semester)

  • Shadowing by other students
  • Intensive referral process
  • Over 600 patients since 2015
  • Pilot to expand beyond

NCHC

Highlight: Health Partners

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Making the Case for Arizona AHEC

EAHEC’s Role in Rural Health & Community Wellness Jeri Byrne, MS, Executive Director

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  • Workforce boards
  • School and community

programs

  • Health-profession

student support

  • Clinical education
  • Clinical rotations
  • Professional and

personal development initiatives

EAHEC is on the JOB!

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HOSA Flu Prevention Dental Hygiene Intro to the Health Professions Classroom presentations Scrubs and Future Health Leaders Summer Camp Pathways into Health Careers San Carlos Initiative

Clinical Rotation sites throughout the region:

Globe/Miami, San Carlos, Payson, Safford, and Morenci Summer Service Learning Projects with Public Health Students

Resident rural rotations (newest site, Payson) Professional, and Personal Development Programs

EAHEC Success Stories

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Making the Case for Arizona AHEC

We GVAHEC About Health Care Martha McNair, Director, Greater Valley Area Health Education Center at Empowerment Systems, Inc.

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We GVAHEC About our Youth

High schools students at the UA Phoenix Simulation Lab Combs High School CNA students at Saturday skills lab CAVIT Students Performing Community Health Screens

GVAHEC helps youth in rural and underserved communities pursue their health career goals

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We GVAHEC About our Youth

GVAHEC supported nearly 140 high school students this year in Health Career leadership and skills related activities

Annessa Nino, Combs High School 2017 HOSA National Competition Results

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We GVAHEC About our Communities

Dewey Humboldt -Oral Health education San Tan Valley-Nutrition education

GVAHEC health professions interns from

  • ver 10 colleges and universities provide

health education to hundreds of community members every year

Phoenix- Sun safety education

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We GVAHEC About our Communities

GVAHEC high school and college students learn about their communities by volunteering at food distributions like Healthy Harvest and learning about community resources from Navigators at The Center in Apache Junction

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We GVAHEC About our Future Workforce

GVAHEC supports student community and clinical rotations for CHW, public health, nursing, pharmacy, dental, medical school and other programs

  • Provide travel stipends to students
  • Encourage providers to expand
  • pportunities for students
  • Coordinate Inter-Professional

Educational (IPE) events for students and health providers

  • Provide an online learning

platform for heath education curriculum development

UA College of Medicine students at the Wesley Center in Phoenix Students at the Poverty Simulation game AT Still dental student leading an IPE event on Oral Cancer at the Wesley Center

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We GVAHEC About our Health Care Workforce

GVAHEC provides continuing education for many health professions including CHWs, nurses, social workers, family physicians, dental hygienists, pharmacists and many others.

FY 2017 GVAHEC Provided Continuing Education 2563 Attendees 23 Events

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Check us out at GVAHEC.org and Empowermentsystems.org

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Making the Case for Arizona AHEC

SEAHEC’s Role in Rural Health & Wellness: The Power of An Internship Gail Emrick, MPH, Executive Director Public Health Interns:  Cassandra Shah & Ashleigh Sharp, Columbia University  Emeka Iloegbu & Nina Williams, Mt. Sinai

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Focus: Conduct an Environmental Health Assessment to aid in the construction of a Community Recreation Center Objectives: ❖ Enable community to advocate for their health needs ❖ Create a platform to allow further community driven, solution-based action ❖ Highlight gaps in necessary health data

Winchester Heights Farmworker Community Environmental Health Assessment

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Outcomes: ❖ Conducted door-to-door health surveys ❖ Analyzed survey and other data highlighting key health needs ❖ EHA will provide a direction for future community health initiatives

Winchester Heights Environmental Health Assessment

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Enhance partnership between SEAHEC, TOCC, and TODHHS in order to expand the Public Health workforce

  • f the Tohono O’odham Nation

Internship Objectives: Develop education curriculum that: ❖ Provides students with the tools and knowledge to identify how various organizations, positions and roles contribute to carrying out core Public Health functions ❖ Establishes pathways to health careers & related specialties

Overall Project Objective

Tohono O’odham Community College Public Health Curriculum Development

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Outcomes: ❖ Apply principles of fundamental Public Health knowledge within the community ❖ Train students in professional development and map various health careers ❖ Create role models by hosting lectures from Tohono O’odham community leaders and health professionals

TOCC Public Health Curriculum Development

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Making the Case for Arizona AHEC

WAHEC

Elizabeth Arredondo, WAHEC Director

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“Committed to improving the quality

  • f life of the residents

along the U.S.-Mexico Border by increasing accessibility to quality training and affordable healthcare”

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University of Arizona, AZ (Colleges of Medicine, Nursing and Pharmacy) Northern Arizona University, AZ (School of Nursing, Physician Assistant, Social Work) Walden University, MN Chatham University, PA Indiana University, IN Arizona State University, AZ University of Queensland, Australia University of Phoenix, AZ George Town University, DC Maryville University, St. Louis Midwestern University, AZ Frontier Nursing University, KY

Interprofessional Clinical Rotations

(FYE 2015-2016)

156 Students

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NAU – Speech Pathologist NAU – Social Work Chatham University – P.A U of A -College of Nursing

Interprofessional Clinical Rotations

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  • Medical Assistant
  • Medical Office Specialist
  • Nursing Assistant
  • Medical Coder & Biller
  • Direct Care Worker
  • Pharmacy Technician
  • Phlebotomy Technician
  • Medication Assistant
  • Electronic Health Records
  • Caregiver
  • Nutrition & Food Services Management
  • Behavioral Health Technician
  • ServSafe (National Certification)
  • CPR and First Aid

College of Health Careers “Growing Our Own”

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Medical Assistant- Students

2016-2017 - Students Graduated - 250 Students Rotating - 129 Clinical Field Experience - 11,435 Hours

Graduating Allied Health Professionals

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WAHEC supports 361 students in 6 different career preparation clubs.

  • WAHEC 2016-2017 Clubs

˗ Antelope Union High School (22) ˗ Kofa High School (174) ˗ San Luis High School (85 ) ˗ Parker High School (32) ˗ Kingman High School (12) ˗ Lake Havasu High School (36) State Leadership Conference 2017 Lake Havasu HOSA Students

Career Preparation HOSA

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2014-2017 for Yuma, La Paz & Mohave County 40 Trainings 500 Participants

YUMA COUNTY

  • Regional Center for Border Health, Inc.
  • Yuma County Sherriff's Office
  • City of San Luis Police Department
  • City of San Luis Fire Department
  • City of Yuma Police Department
  • City of Somerton Police Department
  • Chicanos Por La Causa
  • U. S. Border Patrol – Yuma Sector
  • Harvest Preparatory Academy
  • U.S. Customs and Border Protection
  • City of Somerton Parks and Rec
  • NAU
  • Gadsden School District
  • San Luis High School
  • Cocopah Indian Tribe
  • Veterans Assisted Living Center

Continuing Education Youth Mental Health First Aid Trainings

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LA PAZ COUNTY

  • Colorado River Indian Tribe Teen Detention Center
  • Colorado River Regional Crisis Shelter
  • Parker High School
  • Department of Health Services (CRIT)
  • Arizona @ Work Connection
  • CRIT Headstart
  • PAACE (Parker Area Alliance for Community

Empowerment

  • Arizona Western College – Parker Site
  • La Paz County Board of Supervisors
  • Community Health Associates

MOHAVE COUNTY

  • Lake Havasu Police Department

Continuing Education Youth Mental Health First Aid Trainings

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Project Goals

  • Reduce utilization of EMS for

non-emergency situations.

  • Improve access to primary care

and behavioral health services

  • Reduce ED utilization to Reduce

Hospital Re-admissions

  • Reduce Healthcare Cost

Community Integrated Paramedic and Preventive Care Coordination

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  • The Family Care Coordinator (FCC) provides the support needed

by the program participants such as but not limited to:

  • Educating patients and their families on the

importance of behavioral health lifestyle changes, medication adherence and compliance

  • Assisting patients to navigate the healthcare

and social systems, through referrals and enrollment on the different social programs such as, SNAP, AHCCCS, Marketplace, Food Bank, WIC, BHS, etc.

  • Provide cultural sensitive health

promotion/disease prevention education.

An Inter-Professional Approach to Community Based Paramedic Project Addressing Social Determinants

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  • ADHS - Arizona Biomedical Research Commission (ABRC)
  • NAU- Center for Health Equity Research (CHER)
  • U of A College of Pharmacy, Comprehensive Medication Review

(CMR)

  • University of Utah Multi-Mountain West HPV Coalition

Cancer Control and Population Sciences/Huntsman Cancer Institute/Salt Lake City, UT

  • The National Center for Children & Vision and Eye Health at Prevent

Blindness and the National Institute for Children’s Health Quality (NICHQ) = Quality Improvement Collaborative “Improving Children’s Vision: Systems, Stakeholders, & Support American Academy of Pediatrics

  • Target - children <5 years of age

Initiatives

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Mark your Calendar September 9th, 2017

“Community Celebration” Somerton Medical Complex -College of Health Careers

Gra rand nd O Openi pening ng

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Thank You!

Amanda Aguirre President & CEO amanda@rcfbh.org Elizabeth Arredondo WAHEC Director earredondo@rcbh.edu www.rcfbh.org

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Questions? Thank you from AZ AHEC

Sally Reel, Associate Vice President for Interprofessional Education, Collaborative Practice and Community Engagement; Director AZ AHEC Jeri Byrne, EAHEC Executive Director Martha McNair, GVAHEC Director Marica Martinic, NAHEC Manager Gail Emrick, SEAHEC Executive Director Elizabeth Arredondo, WAHEC Director