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March 19, 2015Northwest Regional Rural Health Conference
Spokane, WA
Suzanne Allen, WWAMI AHEC Program OfficeGloria Burnett, Director, Alaska AHEC
Jodi Perlmutter, Director, Western Washington AHECKatrina Hoff, Director, Idaho AHEC
Marivern Easton, Director, Wyoming AHEC
Area Health Education Centers (AHEC) Program Federal grant funding from HRSA
AHECs “enhance access to high quality, culturally competent health care through academic-community partnerships to ultimately improve the distribution, diversity, and supply of the primary care health professions workforce who serve in rural and underserved health care delivery sites.”
The AHEC Program awardees subcontract with community-based AHEC centers in one or more regions of a state.
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Area Health Education Centers(AHECs) in WWAMI States
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WWAMI AHEC
W
Centers:
W WA AHEC
AHEC E WA
ID AHEC
WY AHEC
Montana AHEC
Centers:
North Central MT
Western MT
South Central MT
North Eastern MT
Eastern MT
Alaska AHEC
Centers:
NW AK
Interior AK,
South Central AK,
SE AK,
Yukon Kuskokwim
WWAMI AHEC
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Goals Provide community-based health careers promotion and preparation activities for youth, college students, and displaced and incumbent workers, to enter health careers education and ultimately become healthcare providers who choose to work in rural and underserved communities
Support community-based student education through field placements, preceptorships and other community-based activities for students in health careers educational programs to become the next generation of providers who will serve our region’s highest need populations
Promote interdisciplinary and interprofessional education and training, emphasizing primary care and creating opportunities for healthcare students and professionals to learn from each other and engage in effective team building
Facilitate professional education and support for healthcare providers working in our region’s underserved settings, with a focus on interprofessional activities
AHEC Partnerships in the WWAMI States
Gloria Burnett, Alaska AHEC Jodi Perlmutter, Western Washington AHEC Katrina Hoff, Idaho AHECMarivern Easton, Wyoming AHEC
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Training Rural Providers to fill the Veteran Healthcare Gap
Partnerships Alaska AHEC
Eastern Washington AHEC
Western Washington AHEC
Northeast Oregon AHEC
VA- Office of Rural Health
Local VA’s
Project Goals Working together to increase rural
providers’ knowledge base as related to Veteran mental health, military culture and resources available for specialize care at VA to provide quality care for Veterans in their own community.
• The VA needed help reaching the private sector especially in rural areas were they had limited resources, the AHECs needed support from the VA including their subject matter experts to continue their outreach efforts
Outcomes• Alaska
3 trainings-122 participants
• Washington 3 trainings-160 participants
• Oregon 1 training-51 participants
Partners• Alaska Federal Health Care Access Network• Alaska Mental Health Trust Authority• Alaska Native Tribal Health Consortium• Alaska Primary Care Association• Alaska State Hospital and Nursing Home Association• Providence Health & Services of Alaska• State of Alaska, Office of Rural Health• University of Alaska Anchorage, Center for Human Development, Trust
Training Cooperative
Impact• Healthcare Professionals: Find trainings, Access and maintain CE Portfolio,
Register and Pay for trainings• CE Providers/Instructors: Advertise trainings, Manage training registration
and payments• Hospitals & Clinics (in development): Manage required staff training, utilize
private portal for staff, run reports and download data
Rural Webinar Series Regional AHECs recruit local experts to offer CE webinars
on rural health topics related to community issues
AHEC Program Office provides webinar platform and
technical support
Webinars are advertised via AK CACHE and
streamed/recorded for registered participants
CE offered if applicable
Western Washington AHEC
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Partnerships for Recruitment/Retention
of Primary Care ProvidersACTIVITIES:
Presentations to:
primary care residencies
nurse practitioner programs
physician assistant programs
medical schools
Technical assistance to rural communities regarding recruitment and retention
Direct recruitment in collaboration with Washington State Department of Health, and the National Recruitment Retention Network. (3RNet)
Providers looking for employment opportunities can register at 3RNet.org.
13Contact Zach Nostdal, [email protected]
Partnerships for Veterans WWAHEC is working to bring veterans into civilian
healthcare careers so they can continue to serve their
communities.
Washington State is 10th in the nation for the number of
returning veterans reentering the civilian workforce.
At Joint Base Lewis McCord near Tacoma Washington
soldiers are re-entering civilian life at a rate of 600 per
month for the next 5 years.
Veterans in Washington State are more likely to live in rural
areas.
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Partnerships for VeteransACTIVITIES:
Veterans in Healthcare Workforce Steering Committee: WWAHEC leads the committee government agencies, nonprofits,
higher education and employer partners working to make it easier for service members with healthcare experience to transition into the civilian healthcare workforce.
Outreach to Veterans and Service Members: WWAHEC conducts outreach to veterans and service members
leaving the military with healthcare experience to provide them with information about pathways to civilian careers and promote working in rural and underserved parts of Washington.
Contact Zach Nostdal, [email protected]
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The Rural/Underserved
Opportunities Program (R/UOP) 4-week, elective experience in community medicine for UW
School Medicine students between their first and second years. Students live in rural or urban underserved communities throughout Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI). They work side-by-side with local physicians providing health care to underserved populations. R/UOP is a collaborative effort of the Area Health Education Centers, UW School of Medicine, WWAMI campuses 59% of RUOP students chose a residency in general internal
medicine, family medicine, or pediatrics compared to 41% of those who did not participate in RUOP. (based on 2014 residency match)
Nearly 3,000 Students have participated inR/UOP since 1989.
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https://www.youtube.com/watch?v=YDWxl1MDy7o#t=67
The Rural/Underserved
Opportunities Program (R/UOP) ACTIVITIES:
Recruit rural and underserved physician instructors.
Match students with placement sites and physicians that complement student’s academic interests and goals.
Coordinate housing arrangements for students in rural remote locations.
Contact Kelly Copp, [email protected]
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Building Partnerships the Idaho wayNW Regional Rural Health Conference
March 19, 2015
Our Esteemed Advisory Board
Russ Duke, Chair
Ted Epperly, MD, Vice Chair
Suzanne Allen, MD, MPH
Mary Barinaga, MD
Carolyn Corbett
Kathy Coumerilh
Tim Dunnagan, EdD
Bessie Katsilometes, PhD
Tammy Perkins
Priscilla Salant, MS
Steve Schneider, MD
Mary Sheridan, RN, MPA
Idaho AHEC Staff
Katrina Hoff, AHEC DirectorKatrina assumed her new role Directing Idaho AHEC and Covering Idaho Kids at Jannus in September 2014. Previously, she worked at Idaho Primary Care Association Director of Workforce Development provider recruitment and one year as Outreach Program Director. Katrina also directed the Idaho SEARCH Program for seven years. When she’s not working, she enjoys spending time with friends and family (especially the grandkids), reading, and a variety of other hobbies new and old.
Lynsey Winters Juel, Telehealth Task Force Program ManagerLynsey joined the AHEC team early in 2015, but has worked for Jannus for 11 years, as a refugee resettlement case manager and more recently as the Program Director for the Idaho Advisory Council on HIV and AIDS. Balancing work, mothering two young children and tending her family’s urban homestead (including chickens and bees), Lynsey keeps a varied and adventure-filled schedule.
Snapshot of Idaho Demographics
Population 1,634,464
26.5% under 18
13.8% over 65
93.7% White
11.8% Hispanic or Latino
88.8% high school graduates
25.1% with Bachelor’s degree
82,643 square miles19 people per square mile151,671 farmsMedian household income
$46,76715.5% below poverty level479 miles long and 305 miles
wide4,522,506 acres of wilderness
area
The Usual Suspects
UW - WWAMI R/UOP/TRUST/WRITE
Idaho Bureau of Rural Health & Primary Care
Idaho Rural Health Association
BSU Rural Nursing Program
ISU Physician Assistant, Nursing, and
Pharmacy programs
Family Medicine Residency of Idaho
ISU Family Medicine Residency
Critical Access Hospitals
Rural Health Clinics
Federally Qualified Health Centers
Primary Care Association
Idaho Academy of Family Physicians
Health Occupations Students of America – Idaho chapter
Idaho Health Coalition
Idaho Health Professions Education Council
Projects & Partnerships Orientation to Health Careers: Introduces middle-school
and high-school students to a variety of healthcare occupations.
Idaho Telehealth Taskforce: Diverse stakeholders promoting appropriate use of telehealth services.
Idaho Graduate Medical Education (GME) Geriatric Workforce Network: Family Medicine Residency of Idaho, Jannus (AHEC & Friends in Action) Boise State University, Idaho Rural Health Association
Orientation to Health Careers Structure
Funded by Idaho AHEC and the Idaho Bureau of Rural Health & Primary Care
Idaho Bureau of Rural Health & Primary Care, WWAMI, middle-schools, HOSA, ISU, BSU, and CAHs
10 students per community
Total time must = at least 6 hours
Community stipends
Orientation to Health Careers Activities Required Presentations by 2 or more primary care
providers: family physician, PA, NP, nurse, dentist, pharmacist
Tour of hospital, clinic, or other medical facility
Required Public Health presentation
Hands on activities in a classroom setting
Pre- and Post-surveys
Idaho Telehealth Task ForceMembership supported Statewide education and advocacy
coalition facilitated by AHEC.
Members of Executive Committee also serve on Idaho’s Telehealth Council established by HR56 in March 2014.
Meets quarterly in Boise.
Potential for growth via State Health Innovation Plan operated by Idaho DHW.
Idaho GME Geriatric Workforce NetworkHRSA funded; FMRI submitted application in early
March.
Jannus (AHEC & FIA) is the community partner.
BSU is the evaluation partner.
3-year project would start July 1, 2015 if funded.
Goal is to “develop an integrated geriatric and primary care medical, community, and workforce network where provider, caregiver, patient, and community engagement is maximized to improve health outcomes for older Idaho adults.”
Idaho AHEC’s RoleConnect health profession students with Idaho GME
Geriatric Workforce NetworkConvene an Advisory CouncilCreate a web-based networkProvide capacity for meetings, webinars, and conference
callsDesign & administer a statewide survey for partner inputDisseminate geriatrics related resources and tools
Offer community mini-grants to build healthy neighborhoods for seniors
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Goal 1: Health Careers Promotion and Recruitment
Camp Goals Explore a variety of health careers
through interactive workshops
Earn American Heart Association CPR 2 year certification
Identify skills needed for careers in healthcare
Learn from health professionals and college instructors
Explore college readiness
Experience dorm living and campus life
Keys to Success Keep camp fee low Utilize hands-on learning
whenever possible Balance learning and fun Incorporate health
professionals as much as possible
Hire outstanding counselors
Keep students busy
Type of Partners – Be Creative!
Education
University of WY (multiple
departments)
Community Colleges
State Office of Rural Health
Local Fire Dept./EMS
Local Healthcare Providers
Others with vested interest in
nurturing future health providers (Medical Society, State Board of Nursing,
Geriatric Education Center, etc.)
Partner benefits• Community
Exposure/Publicity• News coverage
• Logo(s) utilized
• Exposure to healthcare career-minded students
• Employees share enthusiasm for job/employer
• Allows entity to use $$ earmarked for pipeline programs &/or recruitment and training of underrepresented populations
Questions?
Comments?
Ideas for new partnerships?
Contact InformationSuzanne Allen, MD, MPH, WWAMI AHECDirector and Vice Dean for Academic, Rural, and Regional Affairs, UW Medicine (208) 364-4552 [email protected]://depts.washington.edu/ahec/
Gloria Burnett, AK AHEC Director(907) [email protected]://www.uaa.alaska.edu/acrh-ahec/
Jodi Perlmutter, W. WA AHEC Director(206) 441-7137 [email protected]://www.wwahec.org/
Katrina Hoff, Idaho AHEC Director(208) 336-5533 x 233 [email protected] www.idahoahec.org
Marivern Easton, Wyoming AHEC Director(307) 766-6751 [email protected]://www.uwyo.edu/ahec/
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