Medicaid Technical Assistance and Policy Program HealthCare Access Initiative Overview and Funded Project Descriptions

Transcription

1 Medicaid Technical Assistance and Policy Program HealthCare Access Initiative Overview and Funded Project Descriptions Fostering innovative partnerships between Office of Medical Assistance (OMA) and Ohio's academic medical centers and health sciences colleges and universities, in collaboration with the Ohio Department of Mental Health, Ohio Department of Health and Ohio Board of Regents, the Medicaid Technical Assistance and Policy Program (MEDTAPP) Healthcare Access Initiative (HCA) supports the development and retention of healthcare practitioners to serve Ohio s Medicaid population using emerging healthcare delivery models and evidence-based practices. The MEDTAPP HCA was designed to align with established, successful programs and leverage existing resources to attract, train and retain healthcare practitioners to serve Medicaid beneficiaries in the following areas: Child and Adolescent Psychiatry, Community Psychiatry with a Geriatric and/or Integrated Behavioral Health/ Primary Care Focus, Pediatrics, Family Practice, Advanced Practice Nursing, and Dentistry. In June 2012, 15 departments and programs from six of Ohio's medical schools and health sciences institutions of higher education, in conjunction with local clinics, nontraditional community-based practice sites, hospitals, mental health clinics and other health care sites were selected to participate in the first round of the HCA Initiative. Round 2 of the HCA Initiative began October 1, 2012, and will include two additional Ohio medical schools and one additional health sciences institution. These three newly funded institutions HCA projects will foster training of approximately 600 additional medical professionals to better serve the Medicaid population. The Office of Medical Assistance anticipates more than $10 million in federal funds in state fiscal year 2013 to support the goals of this initiative. Under the MEDTAPP HCA, OMA has selected the following university partners as funding recipients: The University of Akron The College of Nursing will enhance family psychiatric nurse practitioner student and faculty training related to serving Ohio s Medicaid beneficiaries. This project will create easily accessible child/adolescent/family curriculum within the current Family Psychiatric Nurse Practitioner track of the College of Nursing graduate program, including intensive exposure to public sector agencies and interdisciplinary training models. Increased student exposure to public and community mental health providers serving the Medicaid population is expected to result in more post-graduation employment in these agencies. Project Contact: Kathleen R. Tusaie PhD, APRN, BC ktusaie@uakron.edu Case Western Reserve University The School of Dental Medicine will create customized training curriculum, train and place an oral health patient navigator to serve Medicaid families, and place new dentists in settings serving Medicaid populations. Project Contact: Susan Griffith susan.griffith@case.edu The Department of Pediatrics will create Case Western Reserve University s Children s Access Now (CaseCAN) to rapidly expand the number of pediatricians and child health professionals serving Ohio s pediatric Medicaid beneficiaries. Trainees will work with multidisciplinary teams, integrating care of disadvantaged children within Page 1 of 5

2 patient-centered medical homes and medical neighborhoods. All individuals in the program will participate in structured educational programming, experiential learning, and mentored support. Project Contact: Leona Cuttler, MD The Department of Psychiatry will enhance existing programs with the addition of new faculty and unique curricular elements and clinical placement opportunities to help increase the number of psychiatrists serving Ohio s Medicaid beneficiaries. Efforts will focus on serving Ohio s underserved Medicaid and medically indigent populations, both in the context of training experiences and following completion of training. Project Contact: Miriam Plax, MA miriam.plax@uhhospitals.org The Department of Family Medicine and the MetroHealth System, with support from the Urban Health Initiative (UHI), will serve as the central hub to coordinate the integration of primary care and behavioral health trainees into the Patient Centered Medical Home (PCMH) model by teaching trainees the fundamental principles of PCMHs, integrating them in to the interdisciplinary team-based approach of practicing healthcare, and developing their leadership skills to better serve the needs of the underserved Medicaid population. Training programs will foster integration across the continuum of medical education, from medical students to residents to faculty. Placement efforts focus on adding practitioners to serve in Northeastern Ohio s disadvantaged neighborhoods and community clinics. Leanne Chrisman, MD lchrisman@metrohealth.org Christine Alexander, MD calexander@metrohealth.org Cleveland State University The School of Nursing in partnership with Cleveland State University School of Social Work, Northeast Ohio Medical University (NEOMED) College of Medicine, Sisters of Charity Foundation, St. Vincent Charity Medical Center, CareSource, Care Alliance, MetroHealth System, University Hospitals, and the Cleveland Metropolitan School District will engage 50 healthcare mentors serving the Ohio Medicaid population to facilitate training of 50 mentees through a newly designed mentor training project. The focus of this project will be on the Central neighborhood of Cleveland, Ohio. This training project will achieve increased retention of the number of healthcare practitioners working with underserved and Medicaid populations and facilitate interdisciplinary collaboration and curriculum development focused on healthcare issues specific to serving Ohio s Medicaid population. Project Contact: Pamela Rutar, EdD, MSN, RN, CNE p.rutar@csuohio.edu Kent State University The College of Nursing will implement the Psychiatric Mental Health Family Nurse Practitioner education program. This program will prepare nurses to provide advanced and integrated physical and mental healthcare and treatment to individuals, families, and/or groups with complex psychiatric mental health problems. Curriculum content will emphasize the needs of the medically underserved across the lifespan and improvement of mental health outcomes for the Medicaid population. Wendy Umberger PhD, PMHCNS-BC wlewando@kent.edu The Ohio State University An interdisciplinary curriculum development, coordination, outreach, and oversight team will create interdisciplinary educational programs for graduate and undergraduate students focused on serving Medicaid and other low income populations. The two new programs will target graduate and undergraduate students in healthrelated disciplines and returning students currently employed in healthcare settings. Page 2 of 5

3 Deb Larsen, PT, PhD (Course or Interdisciplinary Specialization) Bill Hayes, PhD (General Information) The Departments of Psychiatry, College of Nursing, College of Social Work, and other partners will implement a new paradigm for educating professionals to provide behavioral health services to the underserved, including a lecture/forum series targeted at early engagement of undergraduate health professional, medical, nursing, and social work students; integration of psychiatric and physical healthcare; and development of an online Mental Health Services in Primary Care Settings Certificate Program. Tamara Davis, PhD (Social Work Clinical Mental Health Project) davis.2304@osu.edu Dale Svendsen, MD (Psychiatric Training Opportunities) dale.svendsen@osumc.edu Barb Warren, PhD (Certificate Program) bwarren@con.ohio-state.edu The College of Dentistry will provide dentistry fellows with specialty training and placements related to serving disadvantaged children and special populations. The College of Dentistry's MEDTAPP project will provide innovative training opportunities for future dental professionals related to nutrition and social determinants of health to assist them in dealing with the non-biologic factors related to dental disease and care compliance. Project Contact: Paul Casamassimo, DDS, MS casamassimo.1@osu.edu The Moms2B Program will create non-traditional, community-based practice placement and precepting opportunities in impoverished neighborhoods for family, pediatric, psychiatric, and midwifery advanced practice nursing students, as well as medical, social work, medical dietetics, and nutrition students. Pat Gabbe, MD (General Information) pat.gabbe@osumc.edu Lisa Durham (Social Work Students) durham.49@osu.edu Sharon Ryan, DNP (Nursing Students) sran@con.ohio-state@osu.edu The College of Nursing will establish a training center integrating primary and behavioral healthcare. Advanced Practice Nursing students, including Adult Nurse Practitioners, Family Nurse Practitioners, and Pediatric Nurse Practitioners, Psychiatric Mental Health Nurse Practitioners, Women s Health Nurse Practitioners and Nurse Midwifery students will be assigned clinical placements, where they will work with faculty preceptors and members of a healthcare team in delivering comprehensive, transdisciplinary integrated primary care. Undergraduate RN students and graduate advanced practice nursing students will facilitate health coaching for patients, especially those with chronic disorders. Project Contact: Margaret Graham, PhD, RN, FNP, PNP mgraham@con.ohio-state.edu Ohio State University leadership will also focus on enhancing healthcare practitioner training partnerships with high volume Medicaid sites. Specifically MEDTAPP funding will support the creation of opportunities for many practice placement and learning experiences with Medicaid patients. Participants will include medical students and residents as well as nursing and social work students. Dan Clinchot, MD (Medical Student Training Programs) dan.clinchot@osumc.edu Lisa Durham (Social Work Students Training Programs) durham.49@osu.edu Page 3 of 5

4 Ohio University The Interprofessional Health Teams Project contains two components of healthcare training to better equip professionals for their imminent practice with Ohio s Medicaid population. The first component is curricular and the second is experiential, including evidence-based critical reflection exercises. This training program is for medical and allied health students to develop skills in delivering interprofessional care to Ohio s Medicaid population in high volume Medicaid settings. Project Contact: Jeffrey DiGiovanni, PhD digiovan@ohio.edu The FNP + DNP = 1+1 year Residency Program is a project bridging master s prepared nurse practitioners a Doctorate of Nursing Practice (DNP) residency through employment and training at FQHCs and rural health clinics. The goal of this project is to promote employment and retention of Family Nurse Practitioners (FNPs) in primary care health centers that care for the underserved population. Secondary goals are to develop a 1+1 year residency program for the FNP student in his/her last year of the Master s Degree of Nursing (MSN) internship and first year post-msn. Additionally, this project plans to develop an on-line DNP Practice program for the post MSN/FNP. Project Contact: Teresa Julian juliant@ohio.edu The Primary Care Scholarship program incentivizes 4 th year OU-HCOM medical students to choose residencies in primary care in Medicaid high needs areas. This design, in conjunction with dynamic curriculum and training, is intended to reduce barriers and significantly increase the choice of primary care in underserved areas as a viable career. Project Contact: Sharon Zimmerman zimmerms@ohio.edu The Integrated Mind-Body and MEDTAPP Scholars program is a training curriculum that enhances PCMH training provided to students and clinicians to teach self-care and trauma-informed care. The main goal of this program is to promote the retention of primary care physicians working with rural underserved Medicaid patients by equipping them with the evidence-based knowledge, skills and support needed to address the complex needs of impoverished patients with traumatic stress. MEDTAPP Scholars places primary care physicians in community-based practices to serve as training sites for future physicians and nurse practitioner students and serve Medicaid clients. Project Contact(s): Joe Bianco bianco@ohio.edu Tracy Marx marx@ohio.edu Northeast Ohio Medical University The Department of Psychiatry at Northeast Ohio Medical University (NEOMED) will collaborate with multiple Northeast Ohio partners including University of Akron, Summa Health System, Akron General Hospital, community behavioral health agencies, and others to implement a series of integrated behavioral health and primary care training and retention programs for healthcare practitioners committed to serving the Medicaid population. The overarching goal of these programs is to improve healthcare access and quality for the Ohio Medicaid population by establishing interprofessional education and training activities preparing members of the healthcare workforce at every point in the lifelong learning process to meet the complex needs of individuals served by Medicaid in Ohio. The department will also implement the Medicaid Health Home Technical Assistance and Consultation Team Page 4 of 5

5 (TACT) to offer technical assistance and training to newly established Medicaid Health Homes within community mental health agencies. Project Contact: Mark R. Munetz, M.D. University of Toledo The Department of Psychiatry will enhance training and retention of healthcare providers to better serve Ohio s Medicaid population using new models of interprofessional care delivery. The Interprofessional Immersive Simulation Center TM (IISC) will focus on experiential learning through clinical simulation exercises specifically written for recovery-oriented, person-centered healthcare. Team members involved in this effort include psychologists; psychiatrists; advanced practice nurses; physicians in family medicine, medicine and pediatrics; physician assistants; other healthcare providers; medical students, residents, fellows, and graduate students. Project Contact: Diane McCarthy diane.mccarthy@utoledo.edu Wright State University The Division of Child and Adolescent Psychiatry will expand residency and fellowship programs to accommodate additional practitioners trained and committed to serve Ohio s Medicaid beneficiaries. As part of this expansion, experts will enhance training and placement opportunities in community-based sites, thereby encouraging commitments to serve Ohio s Medicaid beneficiaries. Project Contact: William M. Klykylo, MD william.klykylo@wright.edu The Departments of Psychiatry, Geriatrics, Community Health, and Family Medicine will implement a communitybased collaborative medical education approach to provide a competent and caring workforce for an aging Ohio. This program will focus on serving Medicaid beneficiaries with physical and behavioral health disorders, including dementia and severe mental disorders. This approach will target all levels of medical education, from students through fellows. Project Contact: Ann Morrison, MD ann.morrison@wright.edu Page 5 of 5