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Quentin R. Burdick Grant. Interdisciplinary Learning in Rural Healthcare at East Tennessee State University. Addressing the Problems of Healthcare Disparities in Rural America. Shortage of Healthcare Providers Inadequate access to Healthcare Specialty practice shortage
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Quentin R. Burdick Grant Interdisciplinary Learning in Rural Healthcare at East Tennessee State University
Addressing the Problems of Healthcare Disparities in Rural America • Shortage of Healthcare Providers • Inadequate access to Healthcare • Specialty practice shortage • Shortage in Mental Health services
Through Interdisciplinary Training • Expand interdisciplinary educational experiences for students from different departments at East Tennessee State University through rural community-based experiential learning. • highlight the value of interdisciplinary actions • improve health care quality • special considerations to rural quality issues
Program Objectives • Develop and train an Interdisciplinary Quality Management Team made up of Faculty and community rural health partners • Develop a campus wide Seminar on Rural Health Quality Improvement • Develop and conduct a three credit-hours course entitled Quality Improvement in Rural Healthcare integrated with Nursing, Medicine, Social Work, Public Health, and Nutrition curricula
Faculty • Interdisciplinary ETSU Faculty • Public Health • Nutrition • Social Work • Nursing • Medicine • Rural Health Services Consortium (RHSC) Clinic Team Member
ETSU Faculty Partnership with Rural Health Services Consortium CliniciansRural Primary Care Clinics
Program Learning objectives • Chronic Care Model • Quality Improvement Processes • Interdisciplinary Teaming • Community Best Practices • Diabetes Management Focus • Rural higher incidence and prevalence • Poorer outcomes for rural residents
Results • One-day Graduate Seminar for Health Sciences Feb 2005 “Interdisciplinary Teams Focusing on Diabetes Care” • Student interest tool for course recruitment • Speakers • Leonard Jack, Jr., PhD, MSc, lead behavioral health scientist within the Program Division of Diabetes Translation (DDT) at the Centers for Disease Control and Prevention (CDC) in Atlanta. • Jose Velasco, Medical Director Rural Health Services Consortium • ETSU Nutrition Faculty
Results • 3 credit-hours multidisciplinary course • 4 weeks in Summer 2005 • 30 students • Five disciplines - Public Health, Social Work, Medicine, Nutrition, Nursing • Five interdisciplinary project groups each led by one ETSU Faculty member and RHSC clinician • Credit earned within students major department
Course Didactic Week • 30 classroom hours in first week • Quality Improvement in Rural Healthcare • Diabetes 101 • Interdisciplinary Teaming-role contributions in diabetes management • Best Practices in Rural Diabetes Management • Representatives from regional providers • Diabetes Collaborative • Rural Health Services Consortium
Student Projects • QI Diabetes Medical Record Audit Diabetes Collaborative Guidelines • African American Women’s Diabetes Support Group • Business Plan for Interdisciplinary Teaming • Regional Diabetes Resources Database • Community Diabetes Health Fair
Student Projects • Designed to improve outcomes of chronic care
Student Projects • Each employed Quality Improvement Process model: • What are we trying to accomplish? • How will we know that change is an improvement? • What changes can we make that will result in improvement?
Strategies for Technology Integration • Course web site (Blackboard) • Communication • Assignments • Faculty and student literature resources • Introduced web conferencing among rural clinic sites and ETSU • Project group trained to use MS Access software for community diabetes resource database enabling RHSC to upload to clinics’ website in the future • RHSC Information Technology staff enabled project groups to use newly available wireless connectivity for their laptop computers at rural clinics
Student Project Outcomes • Power Point presentations to Rural Health Services Consortium administration • Business Plan • Diabetes Community Resources Database • Diabetes Medical Record Audit and Flow Sheet Design • Community diabetes meal planning event • Community diabetes education fair