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Health ProfessionsWorkforce
AHEC as a national resourceNational Scope by the NAO:
Donald E. Proulx, Associate Director
University of Arizona AHEC Program
Tucson, Arizona
Sample AHEC Activities:
Sean Clendaniel, Center Director
Northern Arizona AHEC/ North Country HealthCare, Flagstaff, Arizona
Presentation Objectives and Outline
Overview of AHEC Nationally
Look at types of health careers workforce development programs offered by AHECs
Describe how AHECs support health professions students in community-based training
Describe how AHECs assist in recruiting and retaining health professionals to practice in rural and urban medically underserved communities
Look at an Arizona Regional Center
What does it mean for hospitals?
Area Health Education Centers the federal AHEC program was
initiated in 1972 after passage of the Comprehensive Health Manpower Training Act of 1971
nationally AHECs have coordinated and supported training for nearly 1.5 million health professions students and primary care residents in underserved and rural areas
AHEC NATIONAL NETWORK
www.nationalahec.org
Federal AHEC Missionto improve the supply and distribution of
health care professionals, with an
emphasis on primary care, through
community and academic educational
partnerships to increase access to health
care in rural areas by forming linkages
between health care delivery systems in
rural and urban medically underserved
communities and educational resources.
non-partisan and work with state, federal, and private institutions.
focus on the entire range of health professions.
have the cooperation of many agencies and individuals who share a common mission.
address the issues of education, recruitment, and retention of health professionals in underserved areas.
AHECs are unique agencies
1. Develop health career programs in medically underserved rural and urban areas to increase health professionals who represent diverse and disadvantaged people.
FOUR AHEC PROGRAM GOALS
2. Support clinical community-based multi- and inter-disciplinary training of primary care students and residents in health professional shortage areas (HPSAs) and medically underserved communities (MUCs)
FOUR AHEC PROGRAM GOALS
3. Provide current clinical updates and continuing professional education for health care providers in HPSAs and MUCs to reduce their isolation, to nurture their retention, and to enhance their practice environments.
FOUR AHEC PROGRAM GOALS
4. Promote improved health literacy, health promotion and disease prevention for increased access to quality and culturally appropriate care in uniquely different neighborhoods of medically underserved and diverse populations.
FOUR AHEC PROGRAM GOALS
AHECCENTERS
COMMUNITIESHOSPITALS
PRACTITIONERSSCHOOLS
PUBLIC HEALTHCLINICS/HEALTH CENTERS
ADVOCACY GROUPS
ACADEMICHEALTH
CENTERS
AHEC Linkages
LINKAGES
“Grow Our Own” Health Professionals
Studies indicate that "early intervention" programs significantly affect a student's choice in a health career.
Health professions students and residents initially take jobs and serve where they were trained.
Growing Community Health Professionals
Nationally (2007), AHEC programs supported the training of nearly 122,000 students.
80% were in primary care disciplines and in health professions that support primary care.
20% were in assistant, technician or technologist disciplines.
Over 47,000 health professions students received training in rural and urban medically underserved community-based sites.
42% were medical students or residents. 29% were nursing or physician assistant students. 29% were allied health students.
National AHEC Organization
The NAO is the national organization that supports and advances the Area Health Education Center (AHEC) network in improving the health of individuals and communities by transforming health care through education.
www.nationalahec.org
National AHEC Network109 VIP Drive, Suite 220
Wexford, Pennsylvania 15090
1-724-935-1560 fax
1-888-412-7424 voice
Arizona AHEC Program Service Regions
SEAHECSEAHEC
GVAHECGVAHEC
WAHECWAHEC
NAHECNAHEC
EAHECEAHEC
Program OfficeProgram OfficeTucsonTucson
(The University(The Universityof Arizona)of Arizona)
Mohave
La Paz
Navajo
Yuma
Coconino
Apache
Cochise
Pinal
Pima
Santa Cruz
Gila
Graham
Greenlee
Yavapai
Maricopa
connecting students to careers Arizona’s five regional AHECs use a variety
of venues including classroom presentations, career clubs and HOSA school sponsorships, local mentoring, and summer enrichment programs to nurture the interests of community students in health careers. The AHEC ‘value-added’ approach to all of these activities is to use minority and rural health professions students and practitioners as presenters, mentors, and role models.
connecting students to careers In Arizona this year (FY 2008) 10,854 students ranging from fifth
grade through college were introduced to health careers through AHEC programs
649 high school students completed health career or academic enhancement programs of 20 hours or more through the regional AHECs
These programs were successful in targeting minorities and disadvantaged students; 89% represented minority and socioeconomically disadvantaged, rural and urban medically underserved communities, including tribal villages and Mexican border neighborhoods
connecting professionals to communities
In Arizona, the regional AHECs supported health professional training in 64 rural, tribal, border, medically underserved sites. 91% of these sites were in community health centers or other federal safety net sites. Twelve (12) were rural hospital sites.
87 community preceptors supported 509 student clinical community-based rotations; the majority (70%) of these preceptors were primary care physicians, nurse practitioners, and physician assistants.
connecting communities to better healthThe Arizona AHECs and some community colleges serving rural regions of the state provide community-based training and entry-level college basic certificate education for Community Health Workers of all types serving in all settings who assist citizens with access to quality, culturally appropriate, and continuity of care.
Community Health Workers serve in neighborhood outreach programs through community health centers, rural and urban HPSA practice sites, FQHC sites, National Health Service Corps sites, rural hospitals, and local health departments.
connecting communities to better health
Arizona’s AHECs supported 89 health professions continuing education programs covering more than 50 wide-ranging topics reaching 4,304 participants in more than 15 health professions disciplines.
This represents about 22,400 contact hours of continuing professional education.
The Arizona centers also supported community health promotion and health literacy events reaching 19,277people in resource-poor medically underserved neighborhoods.
NAHECNorthern Arizona Area
Health Education Center
Service
Area
Environmental Scan of N. AZ
•~48,000 sq. miles– its big!•Diverse population•Remote area w/ few cities and regional centers– think frontier•Law of small numbers a significant challenge for health professions training and medical care•HPSA scores very high throughout, plus MUA/ MUP areas everywhere•Huge health disparities
NAHEC Relationship to
North Country HealthCare began as a free clinic. In 1996 it transitioned to become a Federally Qualified
Community Health Center (FQCHC). At this time NAHEC and North Country merged.
NAHEC Learning Center
NAHEC is all
about…
Students
Health Professionals
Improving Community
Health
The following slides are a small glimpse
into a few of our regional and community
specific programs
Regional Programs
Outreach
HOSA
HOSA is a student organization whose mission is to promote career opportunities in health care and to enhance the delivery of quality health care to all people.
Future Health LeadersSummer Programs
MyHealthCareer.net
We have created a place online where students and professionals can join together by means
of internet based communications and shared experience.
The goal is to encourage and support students as they enter their chosen heath career.
We have a multitude of statewide and national partners actively involved in the development and use of this
Health Professions
Training
Northern Arizona Allied Health Initiative
To increase the supply and distribution of
certificated, licensed and/or degreed allied health workforce in Northern Arizona.
Founding Partners:
NAHEC and
Yavapai College
Capacity Building and TrainingCapacity Building and Training “Roadmap” “Roadmap”
Advisory Board
Marketing/ Recruitment
Training Programs
Applied Experiences
Articulated Programs
Continuing Education
Function
Career Fairs
Summer workshops
Developmental Education Partners
Yavapai College
Northern Arizona Area Health Education Center
Northern Arizona Vocational Institute of Technology
Humboldt Unified School District
Coconino Association for Vocational, Industrial, and Technology School
Coconino County One-Stop Center and Investment Act Office
Northern Arizona Council of Governments
Veterans Upward Bound
Function
Practicums
Externships
Internships
Clinical Rotations
Function
Community + College (2+2)
High School + Community College + University (2+2+2)
Community College to Community College
Function
Contract Training
Workshops
Conferences
Seminars
Mini-Med School
Non-credit courses
Community Health Education
Function
Medical Assistant
Respiratory Therapy
Medical Radiography
Pharmacy Technician
Retention programs
Future ProgramsPartners
Yavapai College
Northern Arizona Area Health Education Center
Gateway Community College
Future Partners
Partners
Yavapai College
Northern Arizona Area Health Education center
North Country Community Health Center
Mountain Valley Rehabilitation Hospital
Yavapai Regional Medicar Center
Verde Valley Medical Center
Bradshaw Mountain Labs
Future Partners
Partners
Yavapai College
Gateway Community College
Northern Arizona University
Arizona State University
Future partners
Partners
Yavapai College
Northern Arizona Area Health Education Center
University of Arizona Tele-health
Greater Flagstaff Economic Council
Future partners
This new medical school is using an innovative curriculum to train physicians, especially those who wish to remain in medically-underserved communities. Students spend the first year at the Mesa campus. Students will permanently relocate to NAHEC for years two, three, and four to complete the remainder of their training. The first cohort of 10 second year students will arrive in September of 2008. Beginning in 2010, NAHEC will host 30 students in total, plus faculty members.
CE/CME
N. AZ NP Group and Healthy Family Conference
TelehealthCompletion date of September, 2008
Community specific
Programs
CHINLE, AZ
Iina CoalitionThe Iina Coalition, Inc.., a private, nonprofit organization located in Chinle,
Arizona, serves a population of over 31,000 people in the central region of the Navajo Nation. The Coalition coordinates planning, programs, and services to
promote health and wellness.
Mission statement
“THROUGH T’AA NIHI ANIIT’EEGO (EMPOWERMENT) IINA COALITION WILL FOSTER PARTNERSHIP OF COMMUNITY RESOURCES BY
CREATING A PATH FOR MENTAL, PHYSICAL, SOCIAL AND SPIRITUAL WELLNESS WITHIN A SAFE ENVIRONMENT FOR CENTRAL DINE
COMMUNITIES.
VIHSTAVisionary
Interprofessional
Health
Sciences
Training
in Arizona
Health
Professions
Communities Universities
VIHSTA is a collaborative training program between NAU, U of AZ, NAHEC and SEAHEC and rural or underserved communities to provide training for health sciences students so that they will be competent to serve Arizona’s diverse population and to collaborate with other professionals and community members to promote community health.
Kayenta, AZ
Adventures Into Medicine
Flagstaff, AZ
CAVIAT Joint Technical District
Coconino County Career Center
Health Professions Workforce Development
Hopi, AZ
Indigenous Pride
Health Workers
Hopi Substance Abuse Prevention
Center
Growing Our Own Health Professionals
and Creating Healthier
Communities
Contact Us
Arizona AHEC Program
The University of Arizona
1834 E. Mabel Street
Tucson, AZ 85721
520-626-4026
Northern Arizona AHEC/ North Country HealthCare
2920 N. 4th Street
Flagstaff, AZ 86004
928-779-7245