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What We Will Cover NIMAA Vision Why we started NIMAA Where we are now The instructional program The externship clinic experience Paying tuition Next steps; how you can get involved Q & A

NIMAA Vision Associate Professor Family Medicine, CUSOM Tillman Farley, MD Chief Medical Officer Salud Family Health Centers Associate Professor Family Medicine, CUSOM NIMAA Board Member

The NIMAA Vision and Opportunity Students trained for PCMH team-based primary care; recruited for safety net mission Affordable tuition Employment pipeline to your health center Learning in didactics in parallel with clinic experience Students learn the tips and tricks of your clinic National experts join as guest lecturers

NIMAA

The NIMAA Vision and Opportunity Colorado becomes the model state for NIMAA The TCHF Investment: Faster ramp up of program; develop statewide Develop a state model for export across the country Partners with CCHN Partners with CU School of Medicine for PCMH Modules Some competitive tuition grants to FQHCs

Why We Started NIMAA; What We Did Mark Masselli President and CEO Community Health Center, Inc. Connecticut Board Chair, NIMAA

Where Are We Now? Teri Brogdon, MEd Education & Training Design Director Salud Family Health Center NIMAA Leadership Staff

Where Are We Now? Phase I What are the sites saying about NIMAA? Colorado and Connecticut 10 graduates 8 students hired at FQHCs Phase II Colorado, Connecticut, New Mexico, Hawaii, Pennsylvania 6 health centers; 1 hospital system 46 candidates Applying for accreditation What are the sites saying about NIMAA?

NIMAA provides multiple supports to Externship Clinics All academics, enrollments, grading, & transcripts Experienced primary care instructors Primary care skills guide Training and on going support for preceptors & skills coaches Assistance for Clinic’s NIMAA Program Coordinator TERI BROGDON

The Instructional Program Mark Splaine, MD, MS Education Director Weitzman Institute NIMAA Education & Evaluation Director

The NIMAA 7 Month Program 7 months Half-time school Learning Online instruction in theory and skills Parallel practice in Externship Clinic with skills coach and preceptor 2 week break During typical holiday sessions (Dec & July) 12 hours/week Onsite attendance in Host Clinic as team member (4 hour shifts, am or pm) 4 hours/biweekly Monday skills practice and face-to-face learning 1 hour/week Wednesday national Synchronous Session Interactive Week No clinic hours – student case study – optional clinic/preceptor participation MARK SPLAINE

(curriculum, systems, support) How The Program Works National Program (curriculum, systems, support) NIMAA Experience (developing into an outstanding MA) Externship Sites (preceptors, skills training, support) MARK SPLAINE

NIMAA-specific Content Curriculum Content Traditional Content NIMAA-specific Content MARK SPLAINE

Student Experience – Courses MARK SPLAINE

Clinical Skill Development Mary Blankson, DNP, APRN, FNP Chief Nursing Officer Community Health Center, Inc. NIMAA Clinical Director

NIMAA Additive Skills Model NIMAA students begin with limited skills and quickly become effective team members supporting the workflow and productivity. Graduation Orientation Productive Effective Limited MARK SPLAINE

The Externship Clinic Experience Colt Corman Vice President of Clinical Development & Quality Assurance Peak Vista Community Health Centers

What Externship Clinics Need to Do Identify a NIMAA Program Coordinator Recruit local students (with NIMAA materials, support) Identify Preceptors & Skills Practice Coach (NIMAA trains them) Ensure an effective learning environment Work with NIMAA to ensure student success DAVID AYLWARD

Key Takeaways of the Peak Vista Externship Clinic Experience Excellent; we will do it again. Seven students this year; will do more Structure gets best of national and local partnership: Excellent on line, national instruction Flexible in-clinic experience trains in PV (or other clinic) methods, and fits our operations model Requires time commitment, but students are contributing members of the team by second semester COLT CORMAN

Paying Tuition David Aylward, JD NIMAA Executive Director

Paying Tuition $6000 tuition (most covered by TCHF grants) $660 for books, equipment, national exam fees: student “skin in the game” Clinics pay? Yes, or can assume debt for those hired Future: find other community sources for tuition support DAVID AYLWARD

Steps to Implementation Path to Participating Steps to Implementation January - February Team-to-Team meeting(s) with NIMAA February Clinic Leadership Commitment March Sign Externship Clinic Agreements with NIMAA March-July Student Recruitment with NIMAA September 2018 School Begins TERI BROGDON

Questions? Would you like to schedule a Team to Team Meeting with NIMAA? tbrogdon@saludclinic.org

Contact us: tbrogdon@saludclinic.org nimaa@chc1.com www.nimaa.org Thank you for attending! Contact us: tbrogdon@saludclinic.org nimaa@chc1.com www.nimaa.org