West Virginia Rural Health Education Partnerships/Area Health Education CentersWest Virginia Rural Health Education Partnerships/Area Health Education Centers

Advisory Panel Minutes July 2000


Advisory Panel Meeting
July 17, 2000
Days Inn, Flatwoods, WV
DRAFT MINUTES

Attendees: Chuck Conner, Kirsten Bradford, Tina Charlebois, Tammi Woodrum,
Nancy Johnson, Lora Adkins, Jacquelynn Copenhaver, April Vestal, Annie
McIntosh, Tommy Mullins, Randy Lowe, Elizabeth “Betsy” Degges, Lynne Welch,
Imogene Foster, Clarke Ridgway, Jo Ann Raines, Richard Meckstroth, Bill
Shires,
Gaye Mitchell, Jim Welschonce, Norman Ferrari, Tom Whittier, Penny Asbury,
Dennis McCutcheon, Hilda Heady, Malinda Turner, Kathryn Greenlief, Rhonda
Carpenter, Joan Hypes, Judy Koehler, Nancy Dunn, Georgianna Tillis, Ann
Cather,
Brenda Michael, Margaret Novacich, Mark Allen, Rosie Cannarella, Parr Thacker,
Patti Crawford, Alicia Tyler, Bill Duty, Robert Blake, Kelly Blake, Anna Reno,
Shannon Bell, Hannah Hazzard, Erin Condo, Jennifer Allen, Allison Witte, Tom
Hefner, Glenna Michael, Carla Campbell, Patti Crawford, Sandra Baker.

Chair, Dennis McCutcheon, called the meeting to order at 2:40 PM.

A welcome was extended to those attending and introductions of new people
attending was made as follows:
Shannon Bell Site Coordinator at Cabin Creek Health Center Consortium
Erin Condo Graduate Student working on Recycled Medical Equipment Grant
and is
in a dual masters program in social work and public administration.
Nancy Johnson last time in attendance due to resigning at Rivers & Bridges to
attend LPN School
Lora Adkins who has accepted a position at Rivers & Bridges as the support
staff
Dr. Ferrari introduced Ann Cather Associate Dean at student services at WVU
Medical School and Brenda Michael WVU School Scheduling Coordinator
Hannah Hazzard Medical student on the Student Advisory Panel
Joan Hypes introduced her secretary, Judy Koehler (first time in attendance)
Kathryn Greenlief introduced her secretary, Rhonda Carpenter (first time in
attendance)
Everyone remaining introduced themselves.

The consent agenda was approved. (Ferrari/Lowe) Motion Carried

Policy 00-01: “Nepotism Policy Regarding” Student Rotations
Dr. Ferrari, chair of the school committee, clarified the policy and comments
regarding the policy This policy does not in any way prevent students from
rotating in clinics where a defined relative is employed. We are trying to
avoid having relatives to be responsible for the student’s final evaluation
and
trying to hold fairness for that student and other students rotating in the
RHEP program. Comments regarding this policy were passed out and a few minutes
taken for their review. A motion to accept this policy as written and
presented
was made. A short discussion followed. (Ferrari/Whittier) Motion carried.

Appalachian Adventure
Chuck Conner and Jacquelynn Copenhaver did a presentation of an “Appalachian
Adventure”. The “Appalachian Adventure” was developed at Winding Roads
Consortium and Rivers & Bridges Consortium to introduce students to
Appalachian
culture. This adventure was based around an IDS (Interdisciplinary Sessions)
team concept and curriculum including multiple sites along with multiple field
faculty and site coordinators who heightened the experience. Everyone had an
assignment that they reported on at the end of the day about how their
assignment related to health professions. This introduces health
professions to
meet as a team and creates problem-based learning. Students have to do
research and bring information to the adventure. Chuck introduced those
helping
with this presentation were National Park Service personnel, Tammi Woodrum,
Tina Charlebois, and Kirsten Bradford (a former RHEP student who is now a
Physician Assistant at Family Health Care). Those not present who help put on
this adventure are Sherry Duval and Dr. Carol Christiansen, one of the
originators of this health concept. Chuck gave a brief explanation of what an
IDS is all about. IDS teaches what resources are available and how to work as
a team. IDS also teaches problem-based learning. With the combination of IDS
and problem-based learning, students will generally be able to develop and
foster an interest in primary health care. They develop innovative
experiences, they expand community health issues, and initiate collaborative
research and primary care that promotes collaboration between health team
members. Empowers the community to be involved in health care. This adventure
is strictly voluntary and provides students an understanding of appreciation
for Appalachian culture and develops leadership skills. Kirsten Bradford
gave a
brief overview of her experience of her “Appalachian Adventure”. Kirsten
learned that along with professional skills, “a friendly handshake, a warm hug
and tentative eyes go a long way.” New River Gorge brochures were passed out.
Tina Charlebois gave a brief description of the parks visited. Tammi Woodrum
gave brief history of one of the areas visited while on this adventure. The
floor was opened for discussion. Hilda concluded that there are all kinds of
different ways that anybody in our partnerships can be involved in these
presentations and on these hikes. It is also a chance for us to push our own
perceptions about our own curriculum of RHEP.

Community Members Group
Annie reported that students and the community are not communicating enough
and
a discussion was held on how to change this. They discussed sources of
information concerning local community health needs and the need for
communicating with legislators. These members need to educate community
people
on talking to legislators. She expressed concerns regarding decision making
process and policy creation and its effect on curriculum, evaluation,
community
involvement and program implementation. She asked that community people be
encouraged to attend the Community Members Group meetings.

Recruitment and Retention
Alicia reported that the reauthorization experience has been a positive
experience with good question asked. She has been mainly involved in the
recruitment and retention aspect. She has provided information on experience
of nurse practitioners, physician assistants and graduates that received
awards
and where they are practicing. She stated that there are 25 midlevel providers
that are serving their obligations (11 physician assistants and 13 nurse
practitioners). They asked about the retention of the medical students. Alicia
reported tracking recruitment and retention information on the medical school
graduates are not being kept all the way along and this is something that
needs
to be worked on. She stated that the recruitment and retention committee met
in May and a report was given on the scholarship program. Fewer applications
were submitted. There were ten medical student awards and four out of the ten
students declined and two matched with out-of-state residencies. Jodie
Jackson
and Elaine Mason will doing some focus groups with primary care residents
in WV
and asking about the scholarship program regarding the advantages and
disadvantages and will be funded by the Rural Health Access Program (WVRHAP).
Interviews were conducted and awards were presented in March. There were nine
awards presented, these included two Physician Assistant awards, four Nurse
Practitioners awards and three still interviewing. The committee will look at
needs for other disciplines (i.e. PT, OT, and Dentistry).

Executive Director’s Report
Hilda passed out Advisory Panel Book insertions, Advisory Panel meeting dates
for 2000 and 2001 and date savers for Faculty Development Day on October 6
& 7,
2000 and Annual Awards Day (a.k.a. Legislative Day) at the Embassy Suites on
February 19, 2001.

RHI Reauthorization and Legislative Strategy
Hilda announced that the RHI Act is up for reauthorization. This
reauthorization is done on a five-year cycle. The first year being 1995.
There
is a need to educate communities and legislators regarding the impact the RHEP
has made. The chart in your packet indicates that ninety percent of our
efforts
to educate legislators about RHEP and its impact in local communities need to
take effect before the session actually begins. Coordinated Legislative
strategies are in the back of our Advisory Panel packet with a timeline of
when
to engage what strategy. A preliminary fact sheet for the state is also
enclosed.

Hilda reported that Ed Cox with the Performance Evaluation Research Division
(PERD) has given us some preliminary information regarding his observations.
He has reported positively about our website and TRACKER, however, has
suggested that we inform the Secretary of State office of our meeting dates.
This will be done.

With the use of information technology and additional funding, RHEP needs to
develop tracking for those who are retained in the program. The Legislative
Interim Session will be August 20, 21 & 22. Hilda would like for
volunteers to
be present to meet with Hilda for their input and to physically attend the
presentation at the session if possible. She would like to have at least one
campus person, one community member, one student and one field faculty
present. Please let Hilda know at the close of the meeting if you are willing
to attend.

Bill Shires suggested that the RHEP video could be sent to each legislator.
Hilda will do math on this and ask for funding for from the Vice Chancellor.
If funds are available, copies of the videos will be distributed to the sites
for distribution by community members or site coordinators to their local
delegations.

Most of the changes in the program are most visible and can be showcased
easily
are at the community level. Changes that have occurred at all of the schools
are less visible and have great impact on our mission. These are the changes
in curriculum, attitudes, and impact on schools as part of the
program/partnership. Hilda recommended that this item be put on the September
School Committee agenda, so the schools can consider adding information about
these changes to their displays at Legislative Day. We might also
consider
asking school representatives to send letters to the chairs of various
committees or their own delegation explaining how being part of the RHEP
partnership has led to changes in health professions education. Hilda asked
the
school representatives to start thinking of how to incorporate this into our
legislative strategies. Tommy Mullins asked which interim committee is the
oversight of this? Hilda responded that the government operations is the
oversight committee to receive the PERD report. He also asked if protocol
will
allow the interim session to review the video? Hilda will contact Ed Cox
regarding this matter.

Randy Lowe suggested possibly emailing legislators and linking it to the web
site with a presentation of the video. Hilda will come up with a letter
regarding the video. Jennifer stated that there is one email address to
Legislature instead of sending this to each individually legislator. Hilda
will
check with Ed Cox if we can email the committee before the interim sessions.

Visions
Hilda reported that the Visions Workgroup will meet their expected report and
deadline by giving outstanding recommendations at the Nov. meeting. The
committee has worked on and finalized their mission statement. A sub-group
has
been designated to look at goals, values and objectives.

Special Subcommittee/Finance
Hilda made a motion asking for additional time for a special subcommittee to
finish their report in November.. (Degges/Shire) Motion carried. The reason
for additional time is that there was not enough balanced representation and
not enough people in different categories to complete the report.

Other Business
A motion was made to identify any/all acronyms being used for the first time.
(Degges/Whittier) Motion carried.

Betsy asked what happened to the Curriculum Committee? The Curriculum
Committee is now a joint Community Outreach/Curriculum Committee. This joint
committee has a manual that has been put on the web.

Kelly stated that there is an overlap in meetings (too many meetings going on
at the same time) which are one and one half-hours long .

The Community Committee will meet on Panel meeting months.

Motion to adjourn. (Lowe/Welch) Motion carried.

Meeting adjourned at 4:15 PM