Presentation on theme: "Health Extension Regional Offices Community-Campus Partnership to improve New Mexico’s Health."— Presentation transcript:
Health Extension Regional Offices Community-Campus Partnership to improve New Mexico’s Health
Problem Statement Community Health Indicators in New Mexico are among the worst in the US. Most of NM’s rural areas experience critical health professional shortages. The diversity of our health professionals does not reflect New Mexico’s diverse cultures. Access to medical, behavioral and oral health and preventive services is inadequate, especially in uninsured, minority and geographically isolated populations.
UNM-Community Partnerships Mobilize UNM HSC resources to address the major health problems affecting New Mexicans Improve the health of underserved Reduce health disparities Address the social determinants of disease
Successful History of UNM-Community Partnerships Education (1+2 Rural Family Medicine Residencies, RHIP, Preceptorships, rural residency rotations, AHECs,) Service (RAPS and GAPS, PALS, Project ECHO, SBIRT, Locum Tenens, UNM Care, Primary Care Dispatch, 24 Hour Health Advice Line) Research (RIOSNet, Cancer Alliance) Policy (Affordable pay policy for uninsured, favorable licensure for DDS work in rural and underserved areas)
Deficiencies in UNM-Community Partnerships Too reliant on external funding, on pet projects of individuals and organizations. UNM programs often "siloed" and not coordinated for community benefit. UNM has not had a consistent process to listen and learn about community needs, inventory assets or elicit a community’s collective wisdom. UNM provides certain needed services, but does not always expand community capacity. It cannot be all things to all people. Example: no correlation between physician training mix and state needs for primary providers. UNM research outcomes are not consistently shared with the communities studied. Institutional barriers (high indirect rates, difficult administrative systems, cumbersome contracting).
Hypothesis #1 In order to collaboratively address community health issues and the core mission of UNM-HSC, the campus- community partnership needs to be institutionalized and sustainable.
Hypothesis # 2 Change Agents: A system of local Health Extension Regional Offices (HEROs), will Act as liaisons between communities and a HSC Community Partnership Office assure campus-community communication and coordination, provide the institutional framework for sustainable partnerships, produce targeted projects addressing community needs, and sustain the financing and delivery system to improve community health status indicators.
Existing Building Blocks in NM Communities Community Health Councils Community hospitals, community health centers, and private practices County and regional non-profit organizations Agricultural Cooperative Extensions Local Colleges, Branch Campuses AHECs
Selecting Community Partners Strong local/regional connections with diverse community groups Track record of working collaboratively and inclusively Governance through a diverse, community-based local Board Basic physical, administrative and human resources infrastructure Level of in-kind contributions and dollar match Some experience working with University system Ability to gather and analyze data for evaluation purposes
Volunteer Pilot Sites First Choice Community Health Center, Albuquerque St. Vincent’s Hospital/Northern NM Family Practice Residency Program, Santa Fe Hidalgo Medical Services/The Wellness Coalition, Lordsburg/Silver City Sandoval County Health Alliance, Bernalillo Eastern New Mexico University, Roswell Area Health Education Center-Las Vegas Guadalupe County Hospital, Santa Rosa Health Centers of Northern NM, Santa Fe Lee County/Maddox Foundation, Hobbs La Clinica de Familia, Las Cruces Crownpoint Indian Health Services
HERO Profile Example Name: The Wellness Coalition Geographic Area covered: Luna, Grant, Catron, Hidalgo Counties Mission: To improve the quality of life and build community capacity among Catron, Grant, Luna and Hidalgo Counties through fostering partnerships, activating collaborative processes, and developing resources. Governance: 8 board members, two from each county, recommended by Health Councils, one at-large president. Members represent consumers, providers and health councils. Collaborative relationships with the following organizations: 4 Health Councils, 3 Community Health Centers, regional mental health provider, regional DD provider, DV Shelters, JPPO, Homeless services provider, NMSU AHEC, Youth serving organizations, NM Forum for Youth, NGO-NM, NM Commission for Community Volunteerism Organizational Capacity (administrative, staff, IT, data collection and evaluation): ED and CIO + 2 admin staff, staff evaluator, central office in Silver City, videoconferencing capacity, data collection based on Health Council Community Profiles. History of collaboration with UNM: RHIP Coordination Priorities for working with UNM: Building capacity and partnerships for community based research grants, workforce development (continuing ed, professional recruitment, internships), service learning opportunities
HERO Long-term Goals Improving the ability of NM communities to recruit health professionals in training at UNM Improving rural communities ability to train health professionals outside of UNM Assist in improving quality of health services provided locally through tele-medicine and increasing on-site delivery of locally specified services (ex. Project Echo, Specialty Extension Services) Enable communities to work with UNM to apply for research funding addressing community priorities
1 st year Priorities Education: Residency Programs Pipeline Programs Tele-education Service: Provider support, Capacity Building Specialty extension Research: Community based/initiated research projects Distribution of research data, feedback to communities Pilot best practices, develop models Policy Health Status Priorities Development, addressing health disparities Health System Changes incl. System Integration/Communication Access to Health Services
HERO Scope of Work Facilitation: Match UNM resources with community needs Coordination: Navigate the academic world on behalf of the community Tracking, evaluation and quality improvement: evaluate performance of partnership, system improvements and health outcomes – “Report Card” Resource Development: Work collaboratively to identify financing (Grants, Public Funding) for statewide and local priorities Public relations: advocacy, legislative and programmatic support at UNM for local needs Participation in Statewide CHEO Network
Roles and Responsibilities of UNM-HSC System change: university-wide dialogue on community engagement; integrate into mission, activities and budget; open silos to communities Resource Development: Aligning UNM programmatic development with statewide priorities Coordination and Facilitation: one office for communities to connect to; build community and HERO capacity; build trust through long-term engagement independent form grant/project funding Evaluation: coordinate tabulation of data from HERO Network
Implementation Steps Pilot HEROs through joint community, UNM and State funding UNM office, website and 1-877# established Development of health status priorities and project priorities Development of tools, budget, evaluation plan Data collection and interpretation Seek full Funding for statewide system