1. Quentin R. Burdick Grant Interdisciplinary Learning in Rural Healthcare at East Tennessee State University East Tennessee State University

2. Addressing the Problems of Healthcare Disparities in Rural America Shortage of Healthcare Providers Shortage of Healthcare Providers Inadequate access to Healthcare Inadequate access to Healthcare Specialty practice shortage Specialty practice shortage Shortage in Mental Health services Shortage in Mental Health services

3. Through Interdisciplinary Training Expand interdisciplinary educational experiences for students from different departments at East Tennessee State University through rural community-based experiential learning. Expand interdisciplinary educational experiences for students from different departments at East Tennessee State University through rural community-based experiential learning. highlight the value of interdisciplinary actions highlight the value of interdisciplinary actions improve health care quality improve health care quality special considerations to rural quality issues special considerations to rural quality issues

4. Program Objectives 1. Develop and train an Interdisciplinary Quality Management Team made up of Faculty and community rural health partners 2. Develop a campus wide Seminar on Rural Health Quality Improvement 3. Develop and conduct a three credit-hours course entitled Quality Improvement in Rural Healthcare integrated with Nursing, Medicine, Social Work, Public Health, and Nutrition curricula

5. Faculty Faculty Interdisciplinary ETSU Faculty Interdisciplinary ETSU Faculty Public Health Public Health Nutrition Nutrition Social Work Social Work Nursing Nursing Medicine Medicine Rural Health Services Consortium (RHSC) Clinic Team Member Rural Health Services Consortium (RHSC) Clinic Team Member

6. ETSU Faculty Partnership with Rural Health Services Consortium Clinicians Rural Primary Care Clinics

7. Program Learning objectives Chronic Care Model Chronic Care Model Quality Improvement Processes Quality Improvement Processes Interdisciplinary Teaming Interdisciplinary Teaming Community Best Practices Community Best Practices Diabetes Management Focus Diabetes Management Focus Rural higher incidence and prevalence Rural higher incidence and prevalence Poorer outcomes for rural residents Poorer outcomes for rural residents

8. Results One-day Graduate Seminar for Health Sciences Feb 2005 “Interdisciplinary Teams Focusing on Diabetes Care” One-day Graduate Seminar for Health Sciences Feb 2005 “Interdisciplinary Teams Focusing on Diabetes Care” Student interest tool for course recruitment Student interest tool for course recruitment Speakers Speakers Leonard Jack, Jr., PhD, MSc, lead behavioral health scientist within the Program Division of Diabetes Translation (DDT) at the Centers for Disease Control and Prevention (CDC) in Atlanta. Leonard Jack, Jr., PhD, MSc, lead behavioral health scientist within the Program Division of Diabetes Translation (DDT) at the Centers for Disease Control and Prevention (CDC) in Atlanta. Jose Velasco, Medical Director Rural Health Services Consortium Jose Velasco, Medical Director Rural Health Services Consortium ETSU Nutrition Faculty ETSU Nutrition Faculty

9. Results 3 credit-hours multidisciplinary course 3 credit-hours multidisciplinary course 4 weeks in Summer 2005 4 weeks in Summer 2005 30 students 30 students Five disciplines - Public Health, Social Work, Medicine, Nutrition, Nursing Five disciplines - Public Health, Social Work, Medicine, Nutrition, Nursing Five interdisciplinary project groups each led by one ETSU Faculty member and RHSC clinician Five interdisciplinary project groups each led by one ETSU Faculty member and RHSC clinician Credit earned within students major department Credit earned within students major department

10. Course Didactic Week 30 classroom hours in first week 30 classroom hours in first week Quality Improvement in Rural Healthcare Quality Improvement in Rural Healthcare Diabetes 101 Diabetes 101 Interdisciplinary Teaming-role contributions in diabetes management Interdisciplinary Teaming-role contributions in diabetes management Best Practices in Rural Diabetes Management Best Practices in Rural Diabetes Management Representatives from regional providers Representatives from regional providers Diabetes Collaborative Diabetes Collaborative Rural Health Services Consortium Rural Health Services Consortium

11. Student Projects QI Diabetes Medical Record Audit Diabetes Collaborative Guidelines QI Diabetes Medical Record Audit Diabetes Collaborative Guidelines African American Women’s Diabetes Support Group African American Women’s Diabetes Support Group Business Plan for Interdisciplinary Teaming Business Plan for Interdisciplinary Teaming Regional Diabetes Resources Database Regional Diabetes Resources Database Community Diabetes Health Fair Community Diabetes Health Fair

12. Student Projects Designed to improve outcomes of chronic care Designed to improve outcomes of chronic care

13. Student Projects Each employed Quality Improvement Process model: Each employed Quality Improvement Process model: What are we trying to accomplish? What are we trying to accomplish? How will we know that change is an improvement? How will we know that change is an improvement? What changes can we make that will result in improvement? What changes can we make that will result in improvement? PLAN DOSTUDY ACT

14. Strategies for Technology Integration Course web site (Blackboard) Course web site (Blackboard) Communication Communication Assignments Assignments Faculty and student literature resources Faculty and student literature resources Introduced web conferencing among rural clinic sites and ETSU Introduced web conferencing among rural clinic sites and ETSU Project group trained to use MS Access software for community diabetes resource database enabling RHSC to upload to clinics’ website in the future Project group trained to use MS Access software for community diabetes resource database enabling RHSC to upload to clinics’ website in the future RHSC Information Technology staff enabled project groups to use newly available wireless connectivity for their laptop computers at rural clinics RHSC Information Technology staff enabled project groups to use newly available wireless connectivity for their laptop computers at rural clinics

15. Student Project Outcomes Power Point presentations to Rural Health Services Consortium administration Power Point presentations to Rural Health Services Consortium administration Business Plan Business Plan Diabetes Community Resources Database Diabetes Community Resources Database Diabetes Medical Record Audit and Flow Sheet Design Diabetes Medical Record Audit and Flow Sheet Design Community diabetes meal planning event Community diabetes meal planning event Community diabetes education fair Community diabetes education fair