1 / 36

Grow Your Own: How to Create a Pipeline of Health Care Professionals

Grow Your Own: How to Create a Pipeline of Health Care Professionals. April L. Vestal, MPH Rural Maryland Council Annapolis, Maryland October 2, 2008. The Message. State Policy and Education leaders make a difference

rusti
Download Presentation

Grow Your Own: How to Create a Pipeline of Health Care Professionals

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Grow Your Own: How to Create a Pipeline of Health Care Professionals April L. Vestal, MPH Rural Maryland Council Annapolis, Maryland October 2, 2008

  2. The Message • State Policy and Education leaders make a difference • Strategic partnerships of local communities and higher education can impact recruitment and retention • Outcomes should be directly linked to health status, program elements, and best practices.

  3. Experience and Evidence supports • Pipeline programs with rural focus and content • Training in rural communities • Recruiting rural people into programs • Financial incentives and Community support • Strategies that improve community’s ability to recruit and retain healthcare providers.

  4. The West Virginia Experience in Training Recruiting, and Retaining Rural Health Providers

  5. Unique Elements of this Partnership • Degree-required rural rotations of all state supported health sciences students since 1996 • Tuition and fee waivers for successful completers of middle and high school health careers programs • Unique collaboration of health sciences schools, private schools and local communities • Recruitment of health professionals contributes to economic development through the creation of jobs (in rural WV 1 doc= 4.3 jobs)

  6. What Our WV Experience Has Taught Us… • When community in put is valued community members can have a highly effective role in training • Schools improve mission delivery • Health promotion services are increased at community level

  7. Organizations and Systems • Local Rural Health Providers • CHCs, rural hospitals, private practitioners, pharmacists, etc. • Serve as fiscal agents, employ site personnel, provide office space • Serve as preceptors • Serve as local board members • Provide student meals, housing • Provide learning resource centers • Send one rep to state level Rural Health Advisory Panel appointed by Governor

  8. Organizations and Systems • WV Higher Education Policy Commission • Carries legislative authority for implementation • Transfers and oversees funds from state treasury to schools and communities • Administers state funded scholarship program • Oversees annual legislative reporting requirements • Maintains link with Governor’s office • Maintains state level budget

  9. Organizations and Systems • Schools (all state funded Health Sciences programs) • Devote faculty time to coordinate rural health curriculum and rotations (generally 20% FTE) • Provide orientation to rural rotations to students on campus • Host Rural Health Fairs for students • Provide rural health courses and/or specific rural health content in other courses • Receives state funds allocated to schools under RHI Act

  10. Organizations and Systems • State Agencies • Bureau for Public Health: RCP, SLRP, SEARCH scholarships, technical assistance to communities on R&R issues • Economic Development • Local partners on Workforce Investment Board, do joint projects • Public Schools • Joint childhood health projects, CARDIAC, etc. • Legislature • Core funding and federal match • Advise

  11. West Virginia EDUCATIONAL PIPELINE Professional Education Postgraduate College Public School 7-12 Grade Community Practice K-12 Programs WVRHEP WVAHEC Rural Rotations Rural Preceptors & Academic Affiliations Rural Scholars HCOP Financial Incentive and Assistance Programs HSSP, MSLF SEARCH SLRP RRCP Recruit-able Project Community

  12. The West Virginia Rural Health Education Partnership (WVRHEP)/Area Health Education Centers (AHEC) • Interdisciplinary training in rural underserved areas • Blend strategies of training and financial incentives with community recruitment and retention

  13. WVRHEP/AHEC Infrastructure • 100 student rotations per month • State level Rural Health Advisory Panel specified in legislation serves both state and federal functions • $2.5 million per year to communities, $4.5 million to schools for rural health training • $200K per AHEC center in federal funding

  14. 2007 WVRHEP/AHEC Infrastructure • 498 training sites in 55 counties • 750 clinical field faculty • 8 regional consortia with local boards and 4 AHEC Centers with local/campus boards • 15 site coordinators, 5 AHEC center directors, program and support staff • 17 Learning Resource Centers

  15. Partnership Training Sites • Of the these 498 partnership training sites: • 374 in HPSAs or MUAs • 148 sites are both

  16. Types of Training Sites • 45 CHCs • 47 FQHCs • 8 RHCs • 28 small rural hospitals • 25 dental offices • 37 pharmacies

  17. Training Sites, con’t. • 14 county health departments, • 40 physical therapy agencies or rehabilitation center sites, • 15 healthcare for the homeless facilities, • 13 school based health centers, • 3 free clinics, and • 1 migrant health center

  18. Recruit-able Community Project • Initiated in FM Dept with private foundation funds • Is now Bureau for Public Health resources • Helps communities map assets and recommends improvements • First Impressions and Community Design Teams Cooperative Extension

  19. Recruit-able Community Project • Communities apply and pay $3,000 to $5,000 on average for Teams assessment • Rural Scholars (FM residents) complete rotations in or near communities • TA continues to develop long range R&R plan for community

  20. RCP Community Process “Cycle”

  21. Background - Community Decision-Making Model • Community approach to strengthening the community health system • Often, “community encourager” provided leadership • identifying community health needs and resources • strategic planning • decision-making

  22. RCP Community “Tools” • Recruitment manual • Video on recruitment and retention • Newsletters • Board game on rural practice

  23. Outcomes of WV’s Pipeline Partnership Programs

  24. Health Sciences & Technology Academy • Targets under represented minority and disadvantaged students and communities • Over 2,500 students served by HSTA since 1994 • 982 HSTA High School Graduates (98-07)

  25. HSTA Outcomes • 95% enter college vs. 56% for all WV • 59% in health career majors VS 17% for all WV • 786 (80%) of the 982 HSTA graduates are still in college

  26. HSTA Outcomes • 55 HSTA Scholars in graduate/prof school • 27 HSTA Scholars in health sciences • 10 HSTA graduates currently in medical school

  27. WV RHEP/AHECService to the State • Over 50,000 weeks of student training since 1992 • $15 million in uncompensated dental care to 60,000 patients since 1995 • 967 RHEP/AHEC grads confirmed to be practicing in rural areas of the state in 2007

  28. Physicians 264 (91-04 graduates) NPs/Nurse Educators 104 Nurses 80 Physician Assistants 152 Dentists 89 Dental Hygienists 22 Pharmacists 183 Physical Therapists 60 Occupational Therapist 2 Medical Technologists 8 MPH 1 Social Workers 1 Nurse Midwives 1 Total 967 WV Trained Rural Providers who completed Degree Required Rural Health Rotations 2007

  29. Retention Outcomes • 38.6% medical school graduates stay in the state following residency • 25% medical school graduates stay in state in primary care

  30. Retention Outcomes • Retention of WV SoM graduates AND residency grads in FM is 79% • In past 11 years retention in primary care has increased by 67% • Dentistry is 58% • Pharmacy is 64%

  31. Oct 2006 HRSA Health Workforce study (2004 data) • 31% of WV’s physician workforce are graduates of instate medical schools while national average is 29%. • 38% of the WV physician workforce are international graduates, compared to a national average of 26.07%

  32. Outcomes • State has eliminated 8 HPSA counties in 10 years; all 91 health professionals in these counties completed rural rotations • In 9 years rural physicians who completed this training increased by 200%, annual rate of 14.7%

  33. Precepting students may impact retention • 58% (61) of the physician respondents to the 2005 survey reported that they are currently RHEP/AHEC field professors • Of these 61: • 85% said that they find teaching to be personally rewarding • 73% said that teaching helps them stay current in their profession

  34. Lessons Learned • Involve communities in program implementation – ownership • Develop a “champion” for your cause • Bring key stakeholders together early to establish cooperation • Sustainability options involving your partners

  35. Visit us on the Web www.wvrhep.org www.wvahec.org www.wvochs.org/dr www.wv-hsta.org

More Related