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Best Practices for Addressing Health Professional Shortages in Rural Communities The Colorado Trust Nancy Csuti and Laurel Petralia Evaluation consultants Kaia Gallagher, Kim Riley Health Professions Initiative Building Colorado’s future health professions workforce.
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Best Practices for Addressing Health Professional Shortages in Rural Communities The Colorado Trust Nancy Csuti and Laurel Petralia Evaluation consultants Kaia Gallagher, Kim Riley Health Professions Initiative Building Colorado’s future health professions workforce
BEST PRACTICES FOR ADDRESSING HEALTH PROFESSIONAL SHORTAGES IN RURAL COMMUNITIES • OVERVIEW OF THE HEALTH PROFESSIONS INITIATIVE • What types of programs are being funded? • What types of students are being supported? • EMERGING LESSONS RE BEST PRACTICES FOR ADDRESSING HEALTH PROFESSIONAL SHORTAGES • “Grow-your-Own” • Rural Immersion Training
THE COLORADO TRUSTHEALTH PROFESSIONS INITIATIVE • Three year: (2005-2008), $10.2 million initiative • Funding to increase the number of physicians, dentists, pharmacists, nurses and allied health professionals • 21 grantee organizations: hospitals, universities, community colleges and community health centers
HOW DO THE TCT-HPI GRANTEES DIFFER FROM ONE ANOTHER? • Train different types of health professionals • Work at different points along a training continuum • Represent different types of organizations and training institutions
Students Training Crop of Healthcare Providers Jobs COMMUNITY
Pre Career Allied Health Nursing Advanced Students Training Jobs COMMUNITY
HPI Grantees with a Rural Focus by Professional Training Category
HOW ARE THE HPI GRANTEES DEVELOPING A TRAINING INFRASTRUCTURE?
HOW WILL THE HPI IMPACT HEALTH PROFESSIONAL RECRUITMENT/RETENTION IN RURAL AREAS? HPI GRANTEES ARE WORKING TO: • Increase the geographic accessibility of training programs in rural/underserved areas • Increase the financial accessibility of training to rural/underserved residents • Meet the unique needs of non-traditional students • Prepare students to work in rural/underserved settings
GROW-YOUR-OWN STRATEGIES • Begin with recruiting students into the health professions • Develop and strengthen training capacity in rural settings • Incorporate financial and other types of support for health professional students • Focus on training students for a unique role in rural settings
PREPARING STUDENTS FOR A UNIQUE ROLE AS RURAL PROVIDERS Health professionals in rural/ underserved communities are: -- Likely to serve in a generalist role -- Likely to have less support from other health professionals -- Benefit from training opportunities that anticipate these types of roles
PROVIDING SUPPORT TO HEALTH PROFESSIONAL STUDENTS • Most HPI students are “older” • Many are seeking to advance their training (e.g., through career-lattice programs) • Many are supporting families and need flexible training opportunities • Many are returning to school and need academic support
IMPLICATIONS FOR COMMUNITY-BASED RURAL RECRUITMENT AND RETENTION (R/R) STRATEGIES • R/R strategies need to encompass a long range perspective starting with the recruitment of students into health careers. • Communities should partner and support rurally based training programs. • “Grow-your-own” students will be more successful when programs offer varied types of support, financial, academic and social. • Students anticipating a rural career should be offered training opportunities to prepare them to work within rural settings.
CONTACT INFORMATIONKaia Gallagher, Ph.D., PresidentCenter for Research Strategies225 East 16th Avenue, #1150Denver, Colorado 80203(303) 860-1705kaia.gallagher@crsllc.org Laurel Petralia, MS Program OfficerThe Colorado Trust1600 Sherman StreetDenver, Colorado 80203(303) 837-1200laurel@coloradotrust.org