AP APPALACHI PALACHIAN AN CO COMMUN UNITY Y CO COLLABO - PowerPoint PPT Presentation

AP APPALACHI PALACHIAN AN CO COMMUN UNITY Y CO COLLABO LLABORAT RATIO ION • Creat ate a e a community ity o outreach ch service ice to to devel evelop health lth initiat atives b ves by b buildi ding r ng relat ationsh nships w s with h heal alth c consu sumer ers s and heal and h ealth st stak akeholders. • These se rela lati tionships will will prov ovide op oppor ortu tunities for or stu tudents to to be mor ore in involved with within th the com community to to dev develop an an under erst stand anding o ng of Appalac achian c an culture. . • Th The e go goal al i is s for m medi edical st stude dents t to real ealize t they can e engage gage the he community and and lin link the U Univer versities t es to creat ate e cultural h l health lth changes nges.

Intr troductio ion to to CACC CACCOM The The Centra ral A l Appalachia ian C Consort rtium o of C Colleg lleges of O Osteo eopathic ic M Medic icin ine e is a co s a collab aboration of: of: • Ohio o University ty H Herita tage ge C College ge o of Osteop opath thic Medic icin ine e • Univer iversit ity of P Pikevil eville le – Kentu tucky C College ge of O Osteop opathic Medic icin ine • Linc ncoln n Memoria rial U l Univers versit ity – DeBusk C College ge of O Osteop opath thic Medic icin ine This consor orti tium i is f funded by the Osteop opath thic H Herita tage ge Foundati tion

CACC CACCOM V VISI ISION Pr Prov ovide a str trong ong a and nd susta taina nable platf tfor orm f for or col collabor orati tive r research to impr mprove e hea health and el eliminate hea health dispa parities amo mong vu vulner erable pop opulations ons in n Centr ntral Ap Appalachia.

CACCO CACCOM PAR PARTNERS AN S AND D RE RESEARC RCHERS ERS

KENTUCKY COLLEGE OF OSTEOPATHIC MEDICINE Bringing Medicine to the Mountains…

Kentucky College of Osteopathic Medicine (KYCOM) Mission: University of Pikeville-Kentucky College of Osteopathic Medicine (KYCOM) • Provide an osteopathic medical education • Emphasize primary care • Encourages research • Promotes lifelong scholarly activity • Produce graduates committed to serving the health care needs of communities in rural Kentucky and other Appalachian regions.

About KYCOM • KYCOM has earned high marks in rural medicine, ranking 7th among all medical schools in the nation, both D.O. and M.D., in the U.S. News & World Report’s rankings of best medical schools for 2018. • KYCOM also ranked 12th in family medicine and second in the percentage of graduates who enter primary care residencies. KYCOM was the highest ranked D.O. medical school in rural medicine and family medicine.

Missy (Melissa) Frazier , MBA, MPH, ARDMS, ARRT(R )(M) Appala lachia ian C Communit ity Collab aborat ative Te Team am Coordi dinat ator Public Health and Regional Workforce Analysis Researcher Central Appalachian Consortium of Colleges of Osteopathic Medicine (CACCOM) University of Pikeville-Kentucky College of Osteopathic Medicine

Ohio University Heritage College of Osteopathic Medicine – 3 Locations DUBLIN, OH ATHENS, OH CLEAVELAND, OH

Ohio University – Heritage College of Osteopathic Medicine Our medical school educates physicians committed to practice in Ohio, emphasizes primary care, engages in focused research, and embraces both Appalachian and urban communities. Integral to this mission, our college community commits itself to: provide a clinically integrated, learning-centered, osteopathic medical education continuum for students, interns, residents and primary care associates; embrace diversity and public service; and improve the health and well- being of underserved populations.

Sebastian Diaz, Ph PhD, J JD Appalachian Community Collaborative Team Member Central Appalachian Consortium of Colleges of Osteopathic Medicine Heritage College of Osteopathic Medicine Associate Professor, Family Medicine

Lincoln Memorial University DeBusk College of Osteopathic Medicine

LMU-DCOM Mission To prepare outstanding osteopathic physicians who are committed to the premise that the cornerstone of meaningful existence is service to humanity. The mission of LMU-DCOM is achieved by: • Graduating Doctors of Osteopathic Medicine • Serving the health and wellness needs of people within both the Appalachian region and beyond; • Focusing on enhanced access to comprehensive health care for underserved communities; • Embracing compassionate, patient-centered care that values diversity, public service and leadership as an enduring commitment to professionalism and the highest ethical standards

Donna Peissner MA, LCSW Appalachian Community Collaborative Team Member Health Sciences Community Research Specialist Central Appalachian Consortium of Colleges of Osteopathic Medicine Lincoln Memorial University-DeBusk College of Osteopathic Medicine

Missouri C Connection: Donna Peissner transferred to a position as a Behavioral Health Therapist in Kirksville, in Northeast Missouri. She continues to be a part of the Appalachian Community Collaborative and has extended the leadership skills beyond the boundaries of Appalachia…however, there is another connection…………… A.T. Still who formed osteopathic medicine in Kirksville, MO., was from the Appalachian mountains of Jonesville, Va.; just a short drive from LMU-DCOM or KYCOM

Marca Cenatiempo, MBA, LCSW Appalachian Community Collaborative Auxiliary Team Member Director, Health Sciences Research and Grants Lincoln Memorial University-DeBusk College of Osteopathic Medicine – CACCOM

CACCOM Research and Analysis…….. These findings from the CACCOM research activities support changing the "directionality" of our research: In that we need to view our community members not only as "learners," but also invaluable "teachers" who can teach our students about local cultures and health.

The C Centr tral Ap Appalach chian C Consor orti tium of Colleges o of Osteopa pathi hic M Medicine ( (CACCOM) R Road ad S So Far…… Prior to NLAPH, the CACCOM Researchers implementing a workforce assessment by studying: 1) Existing internal data from the three schools 2) Existing state and federal databases containing relevant workforce information 3) Quantitative (e.g. survey) research to supplement existing health workforce data from each school regarding workforce preparation, practice environments, and preferences 4) Qualitative research to gain in-depth knowledge about recruitment and retention factors impacting the workforce in Central Appalachia.

NATIONAL L L Leadershi hip… We have moved further toward completing our workforce development projects, and have gained further traction in changing our research trajectory. At this juncture with NLAPH guidance: • We are now preparing formal proposals for these new initiatives that fit under our revised paradigm for research. • Develop a plan to move beyond the grant funded workforce project • Create a sustainability plan focused on community engagement health initiatives, which will tie into workforce development. Moreover, our priorities will focus on how our initiative

Catherine C. Slemp, MD, MPH Community and Public Health Professional NLAPH guide for Appalachian Community

Big Picture Note our "Big Picture" represents a significant shift from consortium's original trajectory. We are discovering empowering communities to engage with one another is much more important and foundational than are efforts to carry out research that offers definitive findings.

Group Work: Through systems thinking approaches and emergent design solutions, our team is advancing CCN’s initiative to improve communication and coordination between underserved individuals and care providers in their community.

Cross-sectional Leadership • Intentionally work to remove barriers in critical areas (e.g., payment reform, spread of good ideas) through collaboration with traditional and nontraditional partners. • People with lived experience work together with community connectors and formal leaders to co-design and drive the change. • Leaders across the community work together strategically to create the systems and policies needed to sustain long-term change. • Displaying humility and a willingness to adopt solutions created by others.

NL NLAPH PH Proj ojec ect O Outcom omes es: Our main outcome is to enhance our linkages to and within our communities. These linkages include, but are not limited to: 1) Medical Schools & Community 2) Medical Schools and Public K12 Systems 3) Linkages among our community partners

Doctors Can’t Do It Alone! • Social Determinants of Health reveal health disparities will not be solved through clinical care alone. • Social Determinants of Health also provide CACCOM a breadth of contexts for strategic planning of research. • Alcohol and Drug Use • Access to Care • Education • Housing and Transit http://www.countyhealthrankings.org/what-is-health

Le Lessons Le Learned Our work with the NLAPH thus far has taught us that our paradigms for improving health in our communities may have been rather "shallow" with respect to Iceburg Metaphor Dr. Baumgartner shared.