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Richard D. Kiovsky, M.D. Program Director, IN-AHEC

AHEC. Partnering for the Next Generation of Hoosier Health Professionals IRHA Annual Meeting June 8, 2011. NETWORK. Richard D. Kiovsky, M.D. Program Director, IN-AHEC. Goals Today. AHEC: A National Initiative IN-AHEC History and Mission Nuts & Bolts of our Program

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Richard D. Kiovsky, M.D. Program Director, IN-AHEC

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  1. AHEC Partnering for the NextGeneration of HoosierHealth ProfessionalsIRHA Annual MeetingJune 8, 2011 NETWORK Richard D. Kiovsky, M.D. Program Director, IN-AHEC

  2. Goals Today • AHEC: A National Initiative • IN-AHEC History and Mission • Nuts & Bolts of our Program • IN- AHEC Objectives & Activities • Successes • Regional AHEC Directors

  3. AHEC: A National Initiative • Created in 1972, Section 751 PHS Act Title VII • Reauthorized in 2010 health care reform for $125 million • Funding: via Federal cooperative agreements and matching State and local funds • Recipients: Schools of Medicine/ Osteopathic Medicine; Parent Institutions; Incorporated Consortia; Nursing Schools • 48 States, 56 Programs, 253 Regional AHEC’s • Federal Appropriation $34 Million FY 2012

  4. Distributionof AHEC Programs & Centers NAO

  5. History of Indiana AHEC Statewide medical education plan Indiana Commission for Higher Ed: “Recommendations for Med Ed” IUSM Primary Care Initiative Preliminary AHEC planning Regional planning with communitiesFederal award (HRSA, Title VII)Indiana 6 AHEC Regions State Legislature Appropriates Funding 1969 1992 1995 1999 2001 2006

  6. AHEC Mission The mission of the Indiana Area Health Education Centers Program (Indiana AHEC Program) is to improve access to and quality of health care for all Indiana residents and eliminate health disparities. Through community-academic partnerships for health professions training, the Indiana AHEC Program improves the distribution, diversity, and retention of the health care workforce in a system that provides high-quality health care to Hoosiers.

  7. What’s the Challenge for Indiana? • Not enough primary care providers to meet current demand (2009 data) • Physicians – 5000 needed • Nursing – 3000 needed • Dentists – 2000 needed • Public bears the burden of increased cost for those without access to primary care • Demand for primary care in Indiana increasing, not decreasing • Twice as many insured demanding services • Twice as many served in Community Health Centers • Can’t graduate enough primary care doctors – need Mid-level providers

  8. What do we do? • Find displaced workers and students likely to serve vulnerable communities and get them into college and primary care training • Rural or urban backgrounds • Minorities and disadvantaged • Prepare primary care students to serve in our most vulnerable underserved counties—training rotations • Urban inner cities • Rural communities • Support primary care clinicians serving where they are needed most • Enhance practices of safety net providers serving Medicare, Medicaid, and uninsured • Provide quality continuing health professions education • Disseminate important information on the health care workforce through our IN Workforce Studies Center

  9. What AHECs are NOT about! • Patient care delivery systems or clinics • Exclusively medicine • An organization that will replace several existing programs • Independent educational programs • Just Indiana University

  10. Indiana AHEC DevelopmentA Discipline Snapshot nursing medicine allied health pharmacy mental health community healthworker physician assistants dentistry public health

  11. Three Stages of Workforce Development(AHEC logic models) Causal Problem Statements Workforce Problem Statement Health Careers Recruitment and Preparation Too few students choose a career in health care (particularly disadvantaged and underrepresented minority students). Healthcare provider supply, distribution, diversity and quality are inadequate to meet the health needs in America. Health Professionals Training and Placement Too few healthcare providers and graduates choose to work in rural or underserved areas. Health Professionals Retention Healthcare providers are not staying in underserved areas to provide quality healthcare. NAO

  12. AHEC – 4 Buckets of Activities We identify talented youth or displaced adult workers who are interested in health careers and nurture them throughout the educational pipeline We arrange clinical rotations for health professions students in AHEC underserved sites across Indiana We support existing primary care professionals in underserved areas Continuing education Links to academic health centers We disseminate important information on the health care workforce • A coordinated infrastructure for the education of the health care workforce for Indiana

  13. AHEC Objectives, Activities Connecting students to health careers Improve knowledge and awareness of health career opportunities among URMD students • Health careers awareness and enrichment programs (both quick and intensives), academic readiness/success

  14. Pike H.S. Jumpstart Program Kelton Stewart, DDS IU School of Dentistry Students Carving Teeth

  15. Tricia Kurtz, MS3, & Matt Waldron, MD AHEC Objectives, Activities Connecting health professionals to communities Increase exposure of health professions students to medically underserved communities and other health professions disciplines. • Clinical rotations • Interdisciplinary training • Service learning

  16. AHEC Clinical Sites

  17. A Success Story “We very much appreciate the role that Ms. Lynn Olszewski and AHEC played in bringing Dr. Maya into HealthLinc and the community health center movement” Dr. Timothy Ames, MD Medical Director HealthLinc, Inc. Valparaiso, IN 11/10/2009

  18. BHOC’s Hanna Swayer and Mike Owen with first-responder training simulators AHEC Objectives, Activities Connecting communities to better health Enhance access to CE and clinical support tools • Medically underserved-oriented CE • Interdisciplinary training • Health library, technology access, other learning resources

  19. FY09-FY10 (2-year) Summary Find and develop more of the right kinds of students • 28,635 students in K-16 health careers awareness activities • 1,376 students in K-16 enrichment programs >20 hours • 77% under-represented minorities or disadvantaged Develop more clinical training sites close to home • 3,911 HP students in community-based training • 928 HP student in 4,938 hours of service learning Support health professionals to improve retention • 4,129 health professional in targeted continuing education • 28% in Medically Underserved Communities

  20. How are we doing? • AHEC finds students who will serve • 77% of 12,000 K-12 participants are minority or disadvantaged • AHEC students enter college health training • 92% of AHEC high school graduates have applied, enrolled, or completed post-secondary training, 86% of them in a health related field • AHEC impacts med students intent to serve • 45% of med students in AHEC rotations strengthened their commitment to practice in medically underserved communities; 9% changed their minds in favor of an underserved practice • 27% of AHEC medical residents intend to practice in medically underserved areas

  21. AHEC provides return on investment • More providers choosing primary care service in underserved settings and staying there • 2009: an AHEC MD signs in rural Indiana • 2010: an AHEC MD signs at a urban Indiana CHC • Class of 2014: at least 10 AHEC med students • R-MED: at least 3 AHEC med students • Economic impact of one rural primary care physician • $1.5 million in local revenue • $.9 million in payroll; 23 jobs in MD office, hospital

  22. Partners Matter? ISDH Task Forces Member: • Rural Health Roundtable Task Force • Indiana Primary Care System Review Task Force • Oral Health Task Force • Public Health Task Force ICHE: • Data Sharing for Tracking Learners across Education Pipeline DWD: • Collaboration Work One Regions with AHEC Region CD’s to enhance youth healthcare promotion (JAG Program) IUSOM: • R-MED IMPACT & Rural Admissions • Curricular Reform (IPE / AHEC Underserved) • 2010 Future of Nursing Report: AHEC / Nursing Coalition

  23. IN-AHEC New Innovative Programs • Dept. of Workforce Development – WIB’s • Public Health Careers Exploration • InterProfessional Education • Community Health Engagement Program • IU Center for Workforce Studies • Data Warehouse Summit • Student Tracking Initiative

  24. “Thank you so much for giving me, seriously, a lifetime opportunity!! I have found the career for me” WCI-AHEC High School Student “I loved the activities we did at Nurse Camp. The Birthing Betty & CPR Training were awesome!” MICI-AHEC Crispus Attucks “The AHEC Rural Clinical Rotation far exceeded what I first believed it would be.” NWI-AHEC MS-3 Medical Student

  25. Contact Information Richard D. Kiovsky, M.D. Professor of Clinical Family Medicine Program Director Indiana AHEC Network 714 N. Senate Ave., Suite 205 Indianapolis, IN 46202 (317) 278-0310 rkiovsky@iupui.edu

  26. AHEC Program Office • Hosted by Indiana University School of Medicine - 2001 • Phyllis Hoffman – Administrative Assistant • Richard Kiovsky, MD – Executive Director • Jonathan Barclay – Assoc. Dir of Programming • Angela Holloway – Assoc. Dir of Development • Jennifer Custer – Underserved Program Manager • Terry Zollinger, Ph.D., Director of Evaluation • Research Assistants

  27. West-Central IN-AHEC • Started 2001 • Hosted by Indiana State University • Louise Anderson, RN, MSN, Director Landsbaum Center for Health Education, 1433 N. 6-1/2 Street, Terre Haute, IN • Louise.anderson@indstate.edu WCI-AHEC Louise Anderson

  28. Northwest IN-AHEC • Started 2002 • Hosted by Purdue-Calumet • Lynn Olszewski, RN, MSA, Director, Academic Learning Ctr, 9900 Connecticut Dr., Crown Point, IN 46307 • lynno@calument.purdue.edu NWI-AHEC Lynn Olszewski

  29. South-Central IN-AHEC • Started 2003 • Hosted by Hoosier Uplands Economic Development Corp. • Michael Edwards, Director 500 West Main Street Mitchell, IN 47446 medwards@hoosieruplands.org SCI-AHEC Michael Edwards

  30. Northeast IN-AHEC • Started 2005 • Hosted by Indiana Purdue Fort Wayne • Mary Ross, MSW, Director Sch. of Health Sciences 2700 S. Lafayette St. Ft. Wayne, IN 46806 rossm@ipfw.edu NEI-AHEC Mary Ross

  31. Metropolitan-Indianapolis/Central Indiana AHEC • Started 2006 • Hosted by St. Vincent Health • Kimberly McEIroy Jones, Ph.D., Director St. Vincent Health 9101 Wesleyan Rd., Suite 310 Indianapolis, IN 46268 • kmjones@stvincent.org MICI-AHEC Kim McElroy Jones

  32. Southwest IN-AHEC • Started 2007 • Hosted by University of Southern Indiana • Jennifer Williams, MPH Director Univ. of Southern Indiana, 8600 University Boulevard Evansville, IN 47712 • jlcraig3@usi.edu SCI-AHEC Jennifer Williams

  33. East IN-AHEC • Stated 2009 • Hosted by Mary Margaret Hospital • Rhonda Savage, MPH, Director 4 South Park Avenue Batesville, IN 47006 • aheceast@gamail.com East IN - AHEC Rhonda Savage

  34. Northcentral IN-AHEC • Started 2010 • Hosted by Fulton Economic Development Corporation Director, TBA 822 Main Street Rochester, IN • tlee@fultondevelopment.org NCI-AHEC TBA

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