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¡Una Vida Sana!. Assessing and Improving the Health Status of Richmond’s Hispanic Community Through Health Professional Student Service Learning. NHMA March 19, 2011. Mark Ryan, MD Department of Family Medicine, VCU School of Medicine Allison Gregory, FNP-BC
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¡Una Vida Sana! Assessing and Improving the Health Status of Richmond’s Hispanic Community Through Health Professional Student Service Learning
NHMA March 19, 2011 • Mark Ryan, MD • Department of Family Medicine, VCU School of Medicine • Allison Gregory, FNP-BC • Department of Family and Community Health, VCU School of Nursing • Sallie Mayer, Pharm.D., MBA, BCPS, CDE • Department of Pharmacotherapy and Outcomes Science, VCU School of Pharmacy
¡Una Vida Sana! • ¡Una Vida Sana! (UVS) is a multi-disciplinary service learning program with a focus on providing cardio-metabolic disease screenings to the Hispanic community in Richmond, VA • Supported by a grant from VCU’s Council on Community Engagement
Background • City of Richmond’s Hispanic community has increased from 5,704 (2000 estimate) to at least 9,292 (2008 estimate). • Large proportion first generation immigrants. • Similar changes in surrounding counties.
Barriers to health care access • Richmond City Latino Needs Assessment, 2008: • 65% “very worried” about access • Recommended increased access to and hours of health care services • Explore use of mobile clinics • Extend weekend and evening hours • Expand promotora programs
Health professional interest • SOM: LCME requires increased service learning opportunities, encourages student participation • SOP: ACPE encourages community engagement, integrating service learning. • SON: ANCC requiring increased inter-professional collaboration and cultural competence.
Health professional interest • Interest from students for increased service learning opportunities, and opportunities to work with Spanish-speaking communities. • Student interest developed independently of school requirements.
Program design • Develop mobile, community-based project to provide cardio-metabolic disease screenings. • Cross-disciplinary team with academic and community partners.
Participants • VCU SOM, SON, SOP • VCUHS Office of Language Services • City of Richmond Hispanic Liaison Office • CrossOver Ministry • Promotoras • Clinical care/volunteers
Venues • Churches and faith communities • Community events • Government events • Future • Community centers • Housing developments
Event organization • Measurements: • BP, height/weight/BMI • Cholesterol and blood glucose • Framingham risk score calculation • Provider review/counseling • Referral coordinator (if needed) • Promotora teaching
Event organization • Patients are provided a data sheet including their measurements/BMI, lab values, blood pressure, etc. • Patients can pick up educational materials. • Students work in multi-disciplinary teams.
Event organization • Opportunities to expand services in the future: • Dental care/education • Flu shots • Additional screening services
Project goals • Hold events every 2 months. • Establish new model of service learning, and determine the validity of the approach. • Develop a health profile of the adult Hispanic community, especially regarding cardio-metabolic risks.
Project goals • Patient satisfaction measures • Developed a patient survey to assess how well the project meets the community’s needs. • Learner impact/satisfaction • Used a previously-developed survey • CrossOver eligibility screening • Enhanced impact for promotoras.
Results • (I will note some of the findings to date. We will have an event Feb 5, and I would like to include that data) • (Data will consist of %s screened w/ certain abnormalities) • (I will be happy to forward this once ready)
Future plans • Strengthen the project’s service learning structure. • Enhance UVS student group’s role. • Increase capacity: • For students • For the community • Increase community input. • Increase the services offered.
