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NV AHEC – How It All Began

NV AHEC – How It All Began. IMIA Conference Boston, MA October 10 – 12, 2008 Dallice Joyner, M.Ed. Virginia. Virginia’s population - 7.7 million on July 1, 2007 2006: one in every 10 Virginians was foreign-born. One out of every three Virginians lives in Northern Virginia. Virginia.

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NV AHEC – How It All Began

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  1. NV AHEC – How It All Began IMIA Conference Boston, MA October 10 – 12, 2008 Dallice Joyner, M.Ed.

  2. Virginia • Virginia’s population - 7.7 million on July 1, 2007 • 2006: one in every 10 Virginians was foreign-born. • One out of every three Virginians lives in Northern Virginia.

  3. Virginia

  4. NV AHEC • 8th and final AHEC established • first priority has been to offer training and support to its region’s primary health care workforce.

  5. NV AHEC • 1996 - Hired 1st staff • 1997 - Conducted survey • 1998 – Started cultural competence trainings • 1999 - Medical Language Bank started

  6. How Did NV AHEC Decide What Services To Provide?

  7. NV AHEC Needs Assessment • Survey of community provider needs • Conducted in 1997 • Purpose of survey • To examine the scope of need among providers • To cater, specifically to Northern Virginia’s needs

  8. How Did NV AHEC Acquire Funding?

  9. NV AHEC Survey • Totally grant funded • AHF funded NV AHEC survey • Survey cost: $12,000.00 • Total Cost: $98,000 (FY98)

  10. AHF needs assessment overwhelmingly supported the need for cultural competence training and communicating with diverse cultural during health care encounters.

  11. Survey • 834 primary care providers and hospitals • 2 mailings • follow up phone calls

  12. Survey • 29% response rate • 36% Practitioners: nurses, clinical social workers and physical therapists • 32% of the respondents were physicians

  13. NV AHEC Set Up

  14. NV AHEC • Did not start with a languages services program • Started with cultural competence workshops (a result of the survey)

  15. NV AHEC Directed to healthcare providers working with the poor, the un – or under- insured and the areas’ large number of immigrants and refugees, all of who have significant difficulty accessing primary health cares services.

  16. NV AHEC Priorities:(Then) • Addressed through: • Cultural competence training • Medical interpreter bank

  17. Set Up • Staff of 3 • Executive Director • Program Coordinator • Office Manager

  18. Appointment System:

  19. Appointment System:

  20. Program Coordinator: • Coordinated cultural competence workshops • Researched interpreter trainings nationally

  21. NV AHEC Priorities:(Now) • Proficiency testing • Interpreters training • Contract interpreter services • Contract translation • Continuing Education • Consultation To work in health and human services settings.

  22. Where Are We Now? • Contract interpreters: • 150 covering 50 languages • 670 hours per month • 24/7 contract interpreting capacity • Contract translations - 30 languages

  23. Where Are We Now? • Training of Trainers • Connecticut AHEC • Tulane University • Proficiency Testing • Phone • paper • Interpreting in Health and Community Settings • Interpreting in Community Settings

  24. Where Are We Now? • Introduction To the Art of Translation • New Provider Series (January, 2009) • Health Literacy • Health Care Beyond words • Cultural Competency and Cultural Diversity • Health Care in Cultural Perspective • How to Communicate Effectively Through an Interpreter

  25. Where Are We Today? • $1M Budget • Fee-for-Service • Grants

  26. Lessons Learned • TRAINING is not enough!! • Personal • Flexible • Focus on excellence • Customized needs analysis • Keep the door opened • Interpreters are our ambassadors • Interpreters are the “bridge”

  27. Thank You!!!

  28. Dallice Joyner, M.Ed.Northern Virginia AHEC703-549-7060djoyner@nvahec.orgwww.nvahec.org

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