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The CARDIAC story

The CARDIAC story. 1998: 3 counties. 2013: 55 counties. Once upon a time…. W.A.Neal, MD. …there was a famous pediatric cardiologist. He saved and improved the quality of the lives of hundreds of sick children. . He was very happy about this.

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The CARDIAC story

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  1. The CARDIAC story 1998: 3 counties 2013: 55 counties

  2. Once upon a time…

  3. W.A.Neal, MD …there was a famous pediatric cardiologist. He saved and improved the quality of the lives of hundreds of sick children.

  4. He was very happy about this.

  5. But he knew there was more. In 1995, the WV age adjusted death rate from heart disease was 21% higher than the national average.

  6. Something had to be done. But the grown-ups just didn’t seem to be getting it.

  7. Now, this was not just your average “run of the mill” famous pediatric cardiologist. He was a deep thinker! Hold that thought.

  8. Meanwhile...

  9. The postman delivered letters that invited lots of people (including the famous pediatric cardiologist and a cranky nurse) to a meeting.

  10. And lots of people went to the meeting to do good work.

  11. And everyone listened carefully to all the speeches. Lfdoas lfoei ad ald da ll ldjpe fj j erd lfoe d 0p aod ap apo A[a aeipf apoia’p d ka adl k

  12. Then everyone at the meeting got a special assignment to a special focus group. And the famous pediatric cardiologist with the bright idea was assigned to the same focus group as the cranky nurse.

  13. …blah blah…if the school nurses had the money…blah blah…reports The cranky nurse didn’t like focus groups with all talk and no action and said so as she introduced herself to the group.

  14. My name is Valerie Minor and I am from Alderson-Broaddus College, Department of Nursing and also Field Faculty for the WV Rural Health Education Partnerships…

  15. In 1991, Governor Gaston Caperton called a special session of the Legislature • Passed the Rural Health Initiative (RHI) Act • Main purpose: Increase retention of state trained health professionals • In 1991 WV received a W. K. Kellogg grant • Main purpose: Provide rural community-based academic training sites for health professionals • In 1995 Kellogg and RHI are joined and form the West Virginia Rural Health Education Partnerships.

  16. The land of dead-end reports The famous pediatric cardiologist agreed. He decided to introduce himself to the cranky nurse.

  17. W.Neal, MD So over lunch at the meeting, the famous pediatric cardiologist talked to the cranky nurse. He told her about his bright idea and about 2 dyn-o-mite resources...

  18. The Bright Idea • Prevention! Identify kids at risk for cardiovascular disease. • Go to the schools and offer free screenings. • Blood pressure • Finger-stick for cholesterol (evolved to FLP) • BMI • Eventually “neck check” for acanthoisisnigricans • Get those at risk into appropriate treatment. Reverse Universal Screening

  19. West Virginia Rural Health Education Partnerships An infrastructure found only in West Virginia! And you will do community service projects…

  20. Paula Nicholson WVU SOM Department of Pediatric Cardiology

  21. Many Moving Parts • WVU Institutional Review Board • RHEP • School Superintendents • School Nurses • Funding

  22. Private contributions Compton Nutrition Chair CDC Department of Pediatrics Foundation American Heart Association Benedum Foundation PROBLEM: SUSTAINBILITY

  23. Fall 2000 WE CARDIAC Roman Prezioso Chair, Senate Committee on Health and Human Resources

  24. W. Neal, MD And the famous pediatric cardiologist said, “This is good.”

  25. Major Change: Demise of RHEP2011-2012 School Year

  26. W. Neal, MD No worries. We’ll just will reconfigure .

  27. Based at WVU SOM • Many of the same people • Site Coordinators became Area Coordinators • Able to focus on CARDIAC alone • More involvement in intervention • Remains community-based

  28. CARDIAC 2012 HANCOCK CARDIAC EAST – Kathryn CARDIAC WEST – Tammy BROOKE OHIO Dalena Riggs - 304-692-6741 driggs2@hsc.wvu.edu Valerie Minor - 304-457-6350 vminor@hsc.wvu.edu MARSHALL Robin VanFleet - 304-692-6743 rvanfleet@hsc.wvu.edu declined MONONGALIA WETZEL MORGAN MARION TYLER PRESTON BERKELEY 16+ Tina Whitt - 304-593-4319 twhitt@hsc.wvu.edu PLEASANTS MINERAL HARRISON JEFFERSON TAYLOR HAMPSHIRE DODDRIDGE GRANT WOOD RITCHIE BARBOUR TUCKER LEWIS HARDY WIRT GILMER CALHOUN Tammy Pyle-Vicars - 304-812-4469 tpyle@hsc.wvu.edu JACKSON UPSHUR RANDOLPH ROANE MASON BRAXTON PENDLETON PUTNAM WEBSTER Rhonda Carpenter - 304-276-4614 rrcarpenter@hsc.wvu.edu CLAY CABELL KANAWHA NICHOLAS POCAHONTAS LINCOLN WAYNE Kathryn Greenlief - 304-276-4052 kgreenlief@hsc.wvu.edu FAYETTE BOONE GREENBRIER LOGAN RALEIGH MINGO Nahied Haidar - 304-293-4286 nhaidar@hsc.wvu.edu WYOMING MONROE SUMMERS MERCER Janetta Massie - 304-890-9490 jmassie@hsc.wvu.edu MCDOWELL

  29. So far, so good! • 15 years of Surveillance, Research and Intervention And certainly not the end…

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