Who is your health force? Does your community have what it needs? What’s to do?

1. Who is your health force?Does your community have what it needs?What’s to do? Kelley Withy, MD, PhD withy@hawaii.edu Hawaii State Rural Health Association Annual Conference Maui Beach Hotel, April 5, 2011

2. Camara Jones MD, PhD CDC Brian Roberts, UH Neal Palafox, MD UH JABSOM

10. Current medical model Primary Prevention Safety net programs and secondary prevention • Some Determinants of Health Status • Education • Environment • Income • Genetics • Personal behavior • Health Care Access (facilities and providers) Medical Care and tertiary prevention

11. Who is your health force?

12. Meet Mr. Y and his health (work)force

13. Home Health Nurse, Care Coordinator, patient navigator, physical therapist

14. Community Health Worker, Social worker, Psychologist

15. Receptionist, primary care provider, nurse

16. Pharmacist and Lab Technician

17. Distance consult and IT Specialist

18. Dentist and Dental Hygienist

19. Nutrition, smoking counselor

20. Transcriptionist, Audioloigist, Transport

21. EMT, Xray, Telehealth, Insurer

22. Hospital and specialist services

23. Do you have the health force you need?

24. What do we know about health force supply?

25. https://www.hiwi.org/

26. https://www.hiwi.org/

29. Greatest Demand Specialties

30. http://www.surveymonkey.com/s/3SMRP6Q

31. http://www3.jabsom.hawaii.edu/native/docs/hh_2011/Mapping_Hawaii_Healthcare_Resources_&_Needs.swfhttp://www3.jabsom.hawaii.edu/native/docs/hh_2011/Mapping_Hawaii_Healthcare_Resources_&_Needs.swf

32. CSAC Shortage

33. Psychiatrist Shortage

34. Psychologist Shortages

35. Social Worker Shortages

36. Supply and Demand Comparisons-Care Givers 1/3 of the adult population are, or will be, caregivers. A majority are female and family members. 31% of households have caregivers. Average length of care is 5 years. Adult illnesses: Alzheimers, Cancer, Mental disorders, Heart Disease, Stroke Childhood Illnesses: ADHD, Autism, Developmental Delay, Mental Health

37. Supply and Demand ComparisonPrimary Care (NP, PA, MD, DO) State of Hawaii: 2010 Primary Care Demand = 1228 Primary Care Supply = 915 25% State Shortage

44. Current medical model Primary Prevention Safety net programs and secondary prevention • Some Determinants of Health Status • Education • Income • Environment • Genetics • Personal behavior • Health Care Access (facilities and providers) Medical Care and tertiary prevention

45. What can WE do together?

46. Pipeline into the health force K-12 students (Health Careers Pathway, HOSA, AHEC) Non-traditional students (CC system, DLIR) Unemployed (One stop shops) In need of healthcare skills and support (Caregiver training) ***Recognize Interest and steer them the right way!***

47. Training and Support Create training programs Import training programs Visiting training programs Support visiting students (AHEC) Support local learners and caregivers Teach!

48. If you are a health care provider… • Healthcare Providers: • Think 3/2/1 every year! • Identify three future health students • Teach two students • Mentor one young provider

49. Support for Caregivers Stress Management Skills Support of family and friends Access to information on caregiving Emergency Response--Monitoring Devices Transportation Assistance Respite Services and social support Caregiving Skills Training Coordination and Navigation of Services Community Programs

50. Self Identification as a Caregiver Leads to being more proactive in: Seeking resources Seeking caregiver skills Speaking to health professionals Gaining confidence