Arizona AHEC Program Update: Leveraging Partnerships for a Broader Impact Marica Martinic, Program Manager, NAHEC/North Country HealthCare Ines

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Arizona AHEC Program Update: Leveraging Partnerships for a Broader Impact Marica Martinic, Program Manager, NAHEC/North Country HealthCare Ines Pampara, Director, WAHEC/Regional Center for Border Health Jack Beveridge, President & CEO, Empowerment Systems Arizona Rural Health Conference, 27 July 2016

AHEC Purpose The purpose of AHEC is to develop and enhance educational networks (including clinical training) to improve the distribution and diversity of health professionals who serve rural and underserved populations and can provide quality care in the context of a transforming health care system.

AHEC Structure Academic-community partnership Program office (UA Health Sciences) and Centers (5 in AZ) Core Services K-12 health career preparation Community-based clinical/non-clinical rotations Interprofessional Education Continuing Education HRSA priorities Diversity of health workforce Distribution of health workforce Practice transformation

Leveraging Partnerships for a Broader Impact Marica Martinic, NAHEC Manager

Overview NAHEC - North Country HealthCare unique relationship Coconino Apache Patient-Centered Medical Home and population health WAHEC initiatives Teaching Health Center Mohave La Paz Yuma Yavapai Maricopa Pinal Navajo Gila Graham Gree nlee NAHEC EAHEC Partnerships are integrated into all of our services GVAHEC Pima Santa Cruz Cochise Program Office Tucson (The University of Arizona) SEAHEC

Pipeline for Community-Based Health Professions Education Youth Programs Health Professions Student Rotations Continuing Education

Key Partnerships AT Still University SOMA Family Medicine Residency Youth Programs Research Telehealth

Amanda Aguirre President & CEO & Ines Pampara Director WAHEC July 27, 2016 Flagstaff, Arizona

Committed to improving the quality of life of the residents along the U.S.-Mexico Border by increasing accessibility to quality training and affordable healthcare

Graduating Allied Health Professionals YTD 1113 Students graduated 84 % Job Placement 91% Retention Rate

FY 2015-2016 for Yuma, La Paz & Mohave County 21 Trainings 304 Participants Youth Mental Health First Aid is the help offered to a young person experiencing a mental health challenge, mental disorder, or a mental health crisis. The first aid is given until appropriate help is received or until the crisis resolves.

Binational Council Resolution Ms. Amanda Aguirre, President & CEO, Regional Center for Border Health, Inc. Dr. Martha Ofelia Lopez Rivera, Secretaria de Salud Publica, Sonora Yuma County Health Services District Enrique Reina, Mayor, Ayuntamiento de San Luis Rio Colorado Maria Ramos, Council Members, City of San Luis To improve the health of the City of Somerton residents by promoting proper nutrition, physical activity and prevention of childhood obesity

NAU Speech Pathologist NAU Social Work Chatham University P.A U of A -College of Nursing

Interprofessional Clinical Rotations University of Arizona, AZ (College of Medicine, Nursing and Pharmacy) (FYE 2015-2016) 56 Students Northern Arizona University, AZ (School of Nursing, Physician Assistant, Social Work) Walden University, MN Chatham University, PA Indiana University, IN Arizona State University, AZ University of Queensland, Australia University of Phoenix, AZ George Town University, DC Maryville University, St. Louis Midwestern University, AZ Frontier Nursing University, KY

» As of May 2016, RCBH is a Behavioral Health Services Intake Coordination of Care Agency in Yuma County» October 1 st 2015- SLWIC (Rural Health Clinic)became Specialty Provider (integration of primary care with behavioral health services)» RCBH offers: Substance abuse evaluation & t treatment Family & individual therapy Anger management sessions Family support services DUI screening Domestic violence Integrated health services Regional Center for Border Health, Inc. Family Behavioral Integrated Services Psychiatry Telehealth clinic Treatment and education services Group support counseling sessions

RCBH SLWIC PCMH Family Behavioral Integrated Services Intake Coordination of Care

Thank You! Amanda Aguirre President & CEO amanda@rcfbh.org Ines Pampara Director ipampara@rcfbh.org www.rcfbh.org

Funding & support from the AZ AHEC Program Office and USDHHS HRSA

Gail Emrick, MPH Executive Director SEAHEC Floribella Redondo President, Arizona Community Health Worker s Association Colleen Cagno, MD Faculty, UA Family & Community Medicine, Director Medical Residency Program Omavi Bailey, MD Medical Resident, UA Family & Community Medicine

» Outreach and Community Mobilization» Case Management and Care Coordination» Home-based Support» Health Promotion and Health Coaching» System Navigation» Community / Cultural Liaison» Participatory Research

» SEAHEC integral part of state-wide Coalition working towards credentialing of CHWs» SEAHEC - Member of ADHS CHW Advisory Council» SEAHEC is Fiscal Agent for AzCHOW

Strategies utilized: Training, Outreach & Social Media CHW quarterly trainings include health insurance literacy, ACA 101 and more Benefits of utilizing CHWs:» Have the trust of community members» Knowledgeable of community needs» Experts in reaching uninsured and underserved» Understand the dynamics of border

» Number of counties served 3» Number of CHWs trained 12» Number of people reached 10,000+» Number of people enrolled 3,300+ in Year 1 of project» People accessing primary care provider Target 50% of enrolled

Somali Prenatal Group funded by AzAHEC» Unique partnership formed between UA FCM, IRC CHWs, and SEAHEC» Integrates residents/chws to provide prenatal group education to Somali refugees» Monthly group prenatal care supplements standard prenatal visits» CHW in-person interpretation» Facilitates community building through interactions of women

Use of visual aids Sharing personal experiences Eliciting participation and interaction Being concise Culturally relevant information Language and Cultural barriers More time spent with patients + Patient education

For follow up Q/A, contact: Gail Emrick, SEAHEC at gemrick@seahec.org

The mission: Connecting students to health careers, health professionals to communities, and communities to health promotion

One of 5 area health education centers state-wide Serving Maricopa, western Pinal and southern Yavapai counties Satellite office at Lifebridge in northwest Phoenix Focus on interdisciplinary professional development and health care career promotion Offering internships, preceptorships and mentoring

Healthcare workforce development Multidimensional wellness and chronic disease self management education Training CDSME trainers and lay leaders Coordination with community health workers Providing Internship Opportunities Credentialing and Continuing Education Support for mentoring and preceptor programs Training for community referral network users

Empowerment Systems, Inc. is the parent company Synergistic sustainability Evidence-based programs (i.e. Chronic Disease Self-Management Program) Win-Win-Win peer support specialists as CDSMP lay leaders Partnerships and system integration Leveraging resources is not a luxury