1. March 19, 2015
Northwest Regional Rural Health Conference
Spokane, WA
Suzanne Allen, WWAMI AHEC Program Office
Gloria Burnett, Director, Alaska AHEC
Jodi Perlmutter, Director, Western Washington AHEC
Katrina Hoff, Director, Idaho AHEC
Marivern Easton, Director, Wyoming AHEC
2. 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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3. 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
4. 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
5. AHEC Partnerships in the WWAMI States
Gloria Burnett, Alaska AHEC
Jodi Perlmutter, Western Washington AHEC
Katrina Hoff, Idaho AHEC
Marivern Easton, Wyoming AHEC
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7. 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
8. 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
10. 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
11. 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
13. Partnerships for Recruitment/Retention
of Primary Care Providers
ACTIVITIES:
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.
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Contact Zach Nostdal, zach@wwahec.org
14. 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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15. Partnerships for Veterans
ACTIVITIES:
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, zach@wwahec.org
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16. 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 in
R/UOP since 1989.
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https://www.youtube.com/watch?v=YDWxl1MDy7o#t=67
17. 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, Kelly@wwahec.org
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20. Idaho AHEC Staff
Katrina Hoff, AHEC Director
Katrina 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
Manager
Lynsey 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.
21. 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 miles
19 people per square mile
151,671 farms
Median household income
$46,767
15.5% below poverty level
479 miles long and 305 miles
wide
4,522,506 acres of wilderness
area
22. 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
23. 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
24. 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
25. 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
26. Idaho Telehealth Task Force
Membership 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.
27. Idaho GME Geriatric Workforce
Network
HRSA 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.”
28. Idaho AHEC’s Role
Connect health profession students with Idaho GME
Geriatric Workforce Network
Convene an Advisory Council
Create a web-based network
Provide capacity for meetings, webinars, and conference
calls
Design & administer a statewide survey for partner input
Disseminate geriatrics related resources and tools
Offer community mini-grants to build healthy
neighborhoods for seniors
31. 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
32. 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
33.
34. 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.)
35. 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
36. Questions?
Comments?
Ideas for new
partnerships?
Contact Information
Suzanne Allen, MD, MPH, WWAMI AHEC
Director and Vice Dean for Academic, Rural,
and Regional Affairs, UW Medicine
(208) 364-4552 suzaalle@uw.edu
http://depts.washington.edu/ahec/
Gloria Burnett, AK AHEC Director
(907) 786-6705
gburnett3@uaa.alaska.edu
http://www.uaa.alaska.edu/acrh-ahec/
Jodi Perlmutter, W. WA AHEC Director
(206) 441-7137 jodi@wwahec.org
http://www.wwahec.org/
Katrina Hoff, Idaho AHEC Director
(208) 336-5533 x 233 khoff@Jannus.org
www.idahoahec.org
Marivern Easton, Wyoming AHEC Director
(307) 766-6751 measton3@uwyo.edu
http://www.uwyo.edu/ahec/
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Notes de l'éditeur
We all know the success of the VMH project. It created a great foundation for training private providers on working with Veterans. Unfortunately while planning for these events many AHEC’s experienced difficulty getting support from their local VA’s.
At the same time Alaska because of our high per capita population of veterans was one of only 3 states awarded a grant to improve access to care for Veterans in remote and rural communities. While the primary focus was to improve Tele Behavioral Health, the Alaska Division of Public Health and the Alaska VA recognized the need for training private health professionals on the issues faced by Veterans. The Alaska AHEC was approached to provide these trainings and utilized the VMH format as a foundation. By expanding it and incorporating additional topics we were able to meet the state and VA needs.
During the 2013 Northwest Rural Health Conference Nancy Dailey learned of the work the AHEC’s had been doing nationally and about the project in Alaska. She was able to join us in Fairbanks along with her VA Office of Rural Health Director for our final event. They saw how working together the Alaska VA and Alaska AHEC were able to provide the trainings that were needed to improve veterans care.