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Making the Case for Arizona AHEC: Our Role in Rural Health and Community Wellness Arizona Rural Health Conference, 25 July 2017 Marica Martinic, Program Manager, NAHEC/North Country HealthCare Jeri Byrne, Executive Director, EAHEC Martha


  1. Making the Case for Arizona AHEC: Our Role in Rural Health and Community Wellness Arizona Rural Health Conference, 25 July 2017 Marica Martinic, Program Manager, NAHEC/North Country HealthCare Jeri Byrne, Executive Director, EAHEC Martha McNair, Director, GVAHEC Gail Emrick, Executive Director, SEAHEC Elizabeth Arredondo, Director, WAHEC/Regional Center for Border Health

  2. AHEC Purpose The purpose of AHEC is to develop and enhance educational networks (including clinical training ), to improve the distribution and diversity of health professionals who serve rural and underserved populations and can provide quality care in the context of a transforming health care system .

  3. AHEC Structure • Academic-community partnership • Program office (UA Health Sciences) and Centers (5 in AZ) • Core Services • K-12 health career preparation • Community-based clinical/non-clinical rotations • Interprofessional Education • Continuing Education • Community Health • HRSA priorities • Diversity of health workforce • Distribution of health workforce • Practice transformation

  4. Making the Case: Improving access to high quality healthcare professionals and services Marica Martinic, NAHEC Manager

  5. Overview Coconino • NAHEC - North Country Apache Mohave HealthCare unique relationship Navajo NAHEC Yavapai WAHEC • Patient-Centered Medical Home La Paz Gila and population health initiatives Maricopa Greenlee EAHEC Graham Yuma • Teaching Health Center Pinal Pima Cochise GVAHEC Santa • NAHEC exists to improve the Cruz Program Office SEAHEC overall health of rural and Tucson (The University of Arizona) underserved communities in northern AZ through excellence in education, training, and research.

  6. Education Pipeline for Healthy Communities Increasing workforce diversity by recruiting minority Youth Programs and disadvantaged students into health careers Providing meaningful community-based training Health Professions experiences for health professions students and Student Support residents Educating the primary care workforce in rural and Continuing underserved communities Education Delivering evidence-based health promotion programs Community Health to communities in need Promotion Facilitating healthcare research and informatics to • support underserved communities Healthcare Systems Connecting communities to better care through • telemedicine, interprofessional, and population Transformation health initiatives Improving access to high quality healthcare professionals and services

  7. Strategic Priorities Clinical Training • Family Medicine Residency • Integrated • interprofessional education, behavioral health and SDOH Building preceptor • relationships Expansion • New programs in Native • American Communities

  8. Strategic Priorities Practice Transformation • Continuous improvement • consultation Population health • Research • Data and Evaluation •

  9. Highlight: Health Partners Help patients with Social Determinants of • Health (SDOH) in Flagstaff NCHC clinic Pre-health student intern experience (full • semester) Shadowing by other students • Intensive referral process • Over 600 patients since 2015 • Pilot to expand beyond • NCHC

  10. Making the Case for Arizona AHEC EAHEC’s Role in Rural Health & Community Wellness Jeri Byrne, MS, Executive Director

  11. EAHEC is on the JOB! • Workforce boards • School and community programs • Health-profession student support • Clinical education • Clinical rotations • Professional and personal development initiatives

  12. EAHEC Success Stories HOSA Flu Prevention Dental Hygiene Intro to the Health Professions Classroom presentations Scrubs and Future Health Leaders Summer Camp Pathways into Health Careers San Carlos Initiative Clinical Rotation sites throughout the region: Globe/Miami, San Carlos, Payson, Safford, and Morenci Summer Service Learning Projects with Public Health Students Resident rural rotations (newest site, Payson) Professional, and Personal Development Programs

  13. Making the Case for Arizona AHEC We GVAHEC About Health Care Martha McNair, Director, Greater Valley Area Health Education Center at Empowerment Systems, Inc.

  14. We GVAHEC About our Youth GVAHEC helps youth in rural and underserved communities pursue their health career goals High schools students at the UA Phoenix Simulation Lab Combs High School CNA students at Saturday skills lab CAVIT Students Performing Community Health Screens

  15. We GVAHEC About our Youth GVAHEC supported nearly 140 high school students this year in Health Career leadership and Annessa Nino, Combs High School skills related activities 2017 HOSA National Competition Results

  16. We GVAHEC About our Communities GVAHEC health professions interns from over 10 colleges and universities provide health education to hundreds of community members every year Phoenix- Sun safety education Dewey Humboldt -Oral Health San Tan Valley-Nutrition education education

  17. We GVAHEC About our Communities GVAHEC high school and college students learn about their communities by volunteering at food distributions like Healthy Harvest and learning about community resources from Navigators at The Center in Apache Junction

  18. We GVAHEC About our UA College of Medicine students at the Wesley Center in Phoenix Future Workforce GVAHEC supports student community and clinical rotations for CHW, public health, nursing, pharmacy, dental, medical school and other programs • Provide travel stipends to students AT Still dental student leading an IPE event on Oral Cancer at the Wesley • Encourage providers to expand Center Students at the Poverty Simulation game opportunities for students • Coordinate Inter-Professional Educational (IPE) events for students and health providers • Provide an online learning platform for heath education curriculum development

  19. We GVAHEC About our Health Care Workforce GVAHEC provides continuing education for many health professions including CHWs, nurses, social workers, family physicians, dental hygienists, pharmacists and many others. FY 2017 GVAHEC Provided Continuing Education 2563 Attendees 23 Events

  20. Check us out at GVAHEC.org and Empowermentsystems.org

  21. Making the Case for Arizona AHEC SEAHEC’s Role in Rural Health & Wellness: The Power of An Internship Gail Emrick, MPH, Executive Director Public Health Interns:  Cassandra Shah & Ashleigh Sharp, Columbia University  Emeka Iloegbu & Nina Williams, Mt. Sinai

  22. Winchester Heights Farmworker Community Environmental Health Assessment Focus : Conduct an Environmental Health Assessment to aid in the construction of a Community Recreation Center Objectives : ❖ Enable community to advocate for their health needs ❖ Create a platform to allow further community driven, solution-based action ❖ Highlight gaps in necessary health data

  23. Winchester Heights Environmental Health Assessment Outcomes: ❖ Conducted door-to-door health surveys ❖ Analyzed survey and other data highlighting key health needs ❖ EHA will provide a direction for future community health initiatives

  24. Tohono O’odham Community College Public Health Curriculum Development Internship Objectives : Develop education curriculum that: ❖ Provides students with the tools and knowledge to identify how various organizations, positions and roles contribute to carrying out core Public Health functions ❖ Establishes pathways to health careers & related specialties Overall Project Objective Enhance partnership between SEAHEC, TOCC, and TODHHS in order to expand the Public Health workforce of the Tohono O’odham Nation

  25. TOCC Public Health Curriculum Development Outcomes: ❖ Apply principles of fundamental Public Health knowledge within the community ❖ Train students in professional development and map various health careers ❖ Create role models by hosting lectures from Tohono O’odham community leaders and health professionals

  26. Making the Case for Arizona AHEC WAHEC Elizabeth Arredondo, WAHEC Director

  27. “Committed to improving the quality of life of the residents along the U.S.-Mexico Border by increasing accessibility to quality training and affordable healthcare”

  28. Interprofessional Clinical Rotations (FYE 2015-2016) 156 Students University of Arizona, AZ (Colleges of Medicine, Nursing and Pharmacy) Northern Arizona University, AZ (School of Nursing, Physician Assistant, Social Work) Walden University, MN Chatham University, PA Indiana University, IN Arizona State University, AZ University of Queensland, Australia University of Phoenix, AZ George Town University, DC Maryville University, St. Louis Midwestern University, AZ Frontier Nursing University, KY

  29. Interprofessional Clinical Rotations NAU – Speech Pathologist NAU – Social Work Chatham University – P.A U of A -College of Nursing

  30. College of Health Careers “Growing Our Own”  Medical Assistant  Medical Office Specialist  Nursing Assistant  Medical Coder & Biller  Direct Care Worker  Pharmacy Technician  Phlebotomy Technician  Medication Assistant  Electronic Health Records  Caregiver  Nutrition & Food Services Management  Behavioral Health Technician  ServSafe (National Certification)  CPR and First Aid

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