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

 

West Virginia Rural Health Education Partnerships

&

WV Area Health Education Centers

 

Joint Outreach and Curriculum Committee

Minutes

November 9, 2009

Days Inn, Flatwoods WV

Chairperson: Kathleen Bors, MD

 

In attendance: Elizabeth Richmond, Kathleen Bors, Dave Brown, Patricia Crawford, Susan Coyle

Robert Foster, DO, Richard Meckstroth, Carla See, Ralph Utzman, Dave Bowyer

 

Guests: Sherri Douglass, Billie Garrett, Amy Holbrook, Amanda Heaton, Shirley Neel

 

Staff: Hilda R. Heady, Jacki Novacich, Sandra Y. Pope, April L. Vestal

 

The meeting was brought to order with a motion to approve the June 15, 2009 minutes.

(Carla See/ Robert Foster, DO) Minutes were approved.

 

Unfinished Business:

 

Service Learning Projects for online Library:

 

The committee discussed how all the service learning projects that will be submitted will need to have goals and objectives, link to WV Healthy People 2010, be what is needed in the communities, and contain a brief description of the project and reflective piece.  Most service learning projects are already in this format and will just need to be adjusted.  We have 5 projects that are under review that will need further development.(see appendix A). 

 

Patricia Crawford and JoAnn Raines are reviewing the “Senior Center Program”

 

Kathleen Bors and Hilda R Heady were reviewing the “Uninsured and Underinsured in WV”.  It has been tabled for the moment.  Instead, Kathleen is working with Charlotte Nath, WVU Family Medicine and the Charleston Division on Health Literacy service learning project.  It will be placed in the required format and submit, as soon as Charlotte reviews the details of the grant funding of this project. 

 

Carla See will contact and work with Susan Pinto on “Training Teachers on School Health Emergencies” since Susan submitted the project.

 

To increase the number of projects, it was discussed that we should ask Site Coordinators, Center Directors and schools to submit a certain number of projects, and give them a deadline for submission.  There was a concern on what to do with duplicate projects.  It was suggested that they could be combined to include all the best parts of each project.

 

April will discuss this idea with the Site Coordinators and Center Directors at the meeting being held Tuesday, November 10, 2009.  She will ask them for a number of projects they could submit and a deadline for submission.  The projects will then be brought to the next meeting and reviewed. 

 

 

 

Next Steps:

 

1.       April will talk with Site Coordinators regarding how many service learning projects they could submit and a deadline

a.       UPDATE: April spoke with them and they agreed to submit at least 2 projects by

12-31-09.  As of January 11, 2010 we have 21 projects for review (including the previous five)

2.       Look at the projects available and how we can productively review them and make adjustments where they are needed before placement into the online library.

3.       Circulate the projects among the schools/disciplines to have them create discipline specific objectives.

 

With no further business, the meeting was adjourned.


Appendix A

 

The Dining with Diabetes

                                                                                                                           

 

Description:

The Dining with Diabetes program helps adults make lifestyle changes through community education on nutrition and physical activity. It is a free program for those with diabetes and their family members. The series of 4 classes and a 3 month follow up includes clinical testing, nutrition information, recipe demonstrations, exercise, and group support. The program is conducted by an extension service educator, a health care provider, and community volunteers. Diabetes is a costly and serious disease. Many complications of diabetes can be controlled or prevented by making lifestyle changes, improving eating habits, increasing physical activity, and weight management.

 

Purpose:

The purpose of this project is to educate patient(s) and their family members about diabetes care and prevent further complications of the disease.

 

What we expect from you:

·         Call during the first week of your rotation to set up schedule‑ call and reschedule if necessary

·         Arrive prepared with appropriate items including white coat and name tag and plan to stay for entire program

·         Conduct A1C finger sticks and blood pressure checks‑ please bring cuffs and stethoscopes

·         Actively participate with staff through observation, dialogue, and other requested tasks

 

Addresses Healthy People 210 Objectives:

·         Objective 5   - Diabetes

·         Objective 7   - Education/Community Programs

·         Objective 11 - Health Communication

·         Objective 12 - Heart Disease/Stroke

·         Objective 19 - Nutrition and Overweight

·         Objective 22 - Physical Activity and Fitness

 

Target Audience:

                              Adult

 

Outcomes:

1.        Achieve greater understanding of challenges and resources of families living with diabetes

2.        Demonstrate clinical competencies of blood pressure and A1C screening procedures         

 

Assignment:

Review the following questions and choose 3 questions, or come up with you own questions you are interested in exploring more about while participating in this project.

 

1.        What is the correct way to conduct a blood pressure screening and A1C test?

2.        What are some of the specific challenges of diabetics and their caregivers?

3.        What other community resources are available for diabetic patients and their caregivers?


Training Teachers on School Health Emergencies

                                                                                                                                                                                                               

 

Description:

This SL Project was created to be presented in schools for teachers because the nurse to student ratio in WV does not meet HP 2010 objectives of 1:750. Consequently, teachers are often the first line of defense with management of student health concerns. Additionally, in rural areas, chronic illnesses occur in 30% of school aged children, compared to national estimates of 15%. This project will provide information for teachers regarding the management of asthma, diabetes, seizure disorders and allergies with risk for anaphylaxis.

 

Purpose:

The purpose of the study was to educate faculty and staff regarding the management of health conditions most prevalent in school settings. This will ultimately ensure optimal care and safety in the school setting.

 

What we expect from you:

Presenters who use this project would be required to:

1.        Familiarize themselves with a created power point and handout that address the management of the above mentioned conditions.

2.        Each session would last approximately 1 hour.

3.        Presenters would need to duplicate handouts for participants as well.     

 

Addresses Healthy People 210 Objectives:   

·         Objective 23‑10 - To increase the proportion of public health agencies that provide continuing education to develop competency in essential public health for their employees.

·         Objective 7‑4 - To increase the proportion of schools that have a nurse to student ratio of at least 1:750.

·         Objective 5‑ Diabetes

·         Objective 24‑13 - Asthma.                 

 

Target Audience:

  • Other

Outcomes:

The participants will be able to:

1.        Verbalize symptoms of an asthma attack, seizure, hypoglycemia and hyperglycemia and anaphylaxis.

2.        Correctly identify the proper steps for emergency management for asthma, allergies with risk for anaphylaxis, seizures and diabetes.

3.        Demonstrate an increase in comfort and confidence in dealing with student health emergencies in the school setting, through comparison of the pre and post surveys.       

                                       

 

Assignment:

 


Uninsured & Underinsured in WV


 

Description:

Discuss the issue of underinsured and uninsured with your preceptor.  How does this affect patients being served in the clinic, hospital or private practice facility where you are doing your rotation?  Investigate some of the resources available for patients to receive health care services, dental or pharmacy services where you are doing your rotation or within the community setting.  Is there a sliding scale fee?  What are the requirements?

 

Purpose:

The purpose of this program is to help future health profession students better understand the issue of the uninsured and underinsured in WV and be able to competently explain this to other groups within the community setting.

 

What we expect from you:

·     Plan and present 15-30 minute presentation on the uninsured or underinsured in WV to an interdisciplinary group of students during a planned meeting or present to a medical group within the hospital, clinic or private practice where you are doing your rotation.

·    Disseminate and discuss information regarding the uninsured/underinsured in WV

·    Answer questions/provide suggestions

 

Addresses Healthy People 2010 Objectives:

·    Objective 1 – Access to Quality Health Service

 

Target Audience:

·         Adult and over 60

 

Outcomes:

At the end of this service-learning project, I will be able to:

1.       Understand the issue of health care in West Virginia as it relates to the uninsured and underinsured in WV.

2.       Describe how this project fits into West Virginia’s public health agenda as articulated in the WV Healthy People 2010 Objectives.

 

Assignment:

Review the following questions and choose 3 questions, or come up with your own question you are interested in exploring more about while participating in this project.

1.       What are the guidelines for sliding fee?

2.       What are the resources for health care services within the community for those who cannot afford or do not have health insurance coverage?

3.       What types of prescription coverage are available for the indigent?

4.       What dental offices in the area offer patients sliding scale or reduced fees?  What are the guidelines?


Senior Center Program


 

Description:

Senior Centers are multipurpose facilities that serve as focal points for older adults in a community and which offer a wide variety of services and activities from a single location, such as transportation, case management, insurance, and nutrition.

 

Purpose:

The purpose of this program is to decrease the number of falls among the elderly; increase awareness of osteoporosis risk factors

 

What we expect from you:

·        Plan and present a 15-30 minute presentation on fall prevention and/or

     osteoporosis risk factors

·        Disseminate literature

·        Answer questions

 

Address Healthy People 2010 Objectives:

·        Objective 2   - Arthritis, Osteoporosis and Chronic Back Conditions

·        Objective 15 - Injury and Violence Prevention

·        Objective 19 - Nutrition and Overweight

·        Objective 22 - Physical Activity and Fitness

·        Objective 29 - End of Life

 

Target Audience:   

  • Adult and over 60

 

Outcomes:

At the end of this service-learning project, I will be able to:

1.       Participate in a program for the elderly that will enhance my skills in educating my patients about fall prevention and risk factors leading to osteoporosis.

2.       Describe how this project fits into West Virginia’s public health agenda as articulated in the WV Healthy People 2010 Objectives.

 

 

 

ASSIGNMENT:

Review the following questions and choose 3 questions, or come up with your own question you are interested in exploring more about while participating in this project.

1.       What are the guidelines for calcium intake for the elderly?

2.       What precautions should be considered when taking calcium with other   medications?

3.       What tests can be used during a community screening or a patient office visit to assess risk of falls?

4.       What changes can be made to a person’s home to reduce fall risk?

5.       Psychological impact on the elderly concerning fears of falling?

6.       What is the state and national economic impact for falls in the elderly?

7.       What resources are available in your community to assist seniors and/or handicapped individuals?

 


Health Fair

                                                                                                                           

 

Description:

 

Purpose:

Assist in the annual ‘Health and Safety Fair’ at ______________________________ by setting up a booth to provide information on physical activity and by assisting resident physicians in sports physicals.

 

What we expect from you:

·         Hand out brochures on physical activity

·         Talk to participants about different types of physical activity

·         Assist resident physicians in conducting and assessing the participants in sports physical

 

Addresses Healthy People 210 Objectives:

·         Objective 1   - Access to Quality Health Service

·         Objective 2   - Arthritis, Osteoporosis, and Chronic Back Conditions

·         Objective 6   - Disability and Secondary Conditions

·         Objective 12 - Heart Disease and Stroke

·         Objective 15 - Injury and Violence Prevention

·         Objective 16 - Maternal, Infant, and Child Health

·         Objective 19 - Nutrition and Overweight

·         Objective 20 - Occupational Health and Safety

·         Objective 21 - Physical Activity and Fitness

 

Target Audience:

                             

 

 

Outcomes:

                       

 

 

Assignment: