Una vida sana
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Una vida sana

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Overview of Una Vida Sana service learning project.

Overview of Una Vida Sana service learning project.

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  • --Population increase likely under-estimated due to undocumented individuals. --This demographic shift is likely to long-standing, and I believe will continue to increase.
  • --LCME: Liaison Committee on Medical Education --ACPE: Accreditation Council for Pharmacy Education --ANCC: American Nurses Credentialing Center
  • --Community events: Imagine Festival --Government events: mobile Mexican Consulate Ventanilla de Salud
  • --Additional screening services could include mental health screenings, point-of-care HIV screenings, etc
  • --COM eligibility screening provides more info re: pts ’ day-to-day life
  • Likely seeing a lot of people w/ pre-clinical concerns, and we are probably selecting for healthier individuals.
  • Likely seeing a lot of people w/ pre-clinical concerns, and we are probably selecting for healthier individuals.

Una vida sana Una vida sana Presentation Transcript

  • ¡Una Vida Sana! Assessing and Improving the Health Status of Richmond’s Hispanic Community Through Health Professional Student Service Learning
  • NHMA March 19, 2011
    • Mark Ryan, MD
      • Department of Family Medicine, VCU School of Medicine
    • Sallie Mayer, Pharm.D., MBA, BCPS, CDE
      • Department of Pharmacotherapy and Outcomes Science, VCU School of Pharmacy
    • Allison Gregory, FNP-BC
      • Department of Family and Community Health, VCU School of Nursing
  • ¡Una Vida Sana!
  • ¡Una Vida Sana!
    • ¡Una Vida Sana! (UVS) is a multi-disciplinary service learning program with a focus on providing cardio-metabolic disease screenings to the Hispanic community in Richmond, VA
    • Supported by a grant from VCU’s Council on Community Engagement
  • Background
    • City of Richmond’s Hispanic community has increased from 5,704 (2000 estimate) to at least 9,292 (2008 estimate).
    • Large proportion first generation immigrants.
    • Similar changes in surrounding counties.
  • Barriers to health care access
    • Richmond City Latino Needs Assessment, 2008:
      • 65% “very worried” about access
      • Recommended increased access to and hours of health care services
      • Explore use of mobile clinics
      • Extend weekend and evening hours
      • Expand promotora programs
  • Health professional interest
    • SOM: LCME requires increased service learning opportunities, encourages student participation
    • SOP: ACPE encourages community engagement, integrating service learning.
    • SON: ANCC requiring increased inter-professional collaboration and cultural competence.
  • Health professional interest
    • Interest from students for increased service learning opportunities, and opportunities to work with Spanish-speaking communities.
    • Student interest developed independently of school requirements.
  • Program design
    • Develop mobile, community-based project to provide cardio-metabolic disease screenings.
    • Cross-disciplinary team with academic and community partners.
  • Participants
    • VCU SOM, SON, SOP
    • VCUHS Office of Language Services
    • City of Richmond Hispanic Liaison Office
    • CrossOver Ministry
      • Promotoras
      • Clinical care/volunteers
  • Venues
    • Churches and faith communities
    • Community events
    • Government events
    • Future interests:
      • Community centers
      • Housing developments
  • Event organization
    • Measurements:
      • BP, height/weight/BMI
      • Cholesterol and blood glucose
      • Framingham risk score calculation
    • Provider review/counseling
    • Referral coordinator (if needed)
    • Promotora teaching
  • Event organization
  • Event organization
    • Patients are provided a data sheet including their measurements/BMI, lab values, blood pressure, etc.
    • Patients can pick up educational materials.
    • Students work in multi-disciplinary teams, including Spanish interpreters.
  • Event organization
    • Opportunities to expand services in the future:
      • Dental care/education
      • Flu shots
      • Additional screening services: this could be through or group, or through partnerships with other organizations.
  • Project goals
    • Hold events every 2 months.
    • Establish new model of service learning, and determine the validity of the approach.
    • Develop a health profile of the adult Hispanic community, especially regarding cardio-metabolic risks.
  • Project goals
    • Patient satisfaction measures
      • Developed a patient survey to assess how well the project meets the community’s needs.
    • Learner impact/satisfaction
      • Used a previously-developed survey that includes measures of cross-cultural awareness and cultural competency.
    • Enhanced impact for promotoras .
  • Results
    • Preliminary results suggest that in the patients we have screened there is not yet a high burden of established disease, but that we are working with a community at risk of developing cardio-metabolic disease in the future.
  • Results
    • 12 (15%) patients referred for further care; 9 of them to CrossOver.
    • Few referrals have been successfully completed—average 1 in 6.
    • 57 students have participated, including 8 student leaders.
  • Challenges
    • Appropriate sites with sufficient patient access and participation.
    • Incomplete referrals:
      • Patients who do not come to CrossOver for their financial screening and/or appointments.
      • Patients who do not qualify for services at CrossOver.
    • Technical difficulties with CardioCheck and low temperatures.
  • Challenges
    • Sufficient faculty volunteers to meet student interest and patient needs.
    • Patient misunderstanding of the group’s capabilities.
    • Difficulty coordinating the participating groups’ schedules.
    • Are we reaching the communities that most need our services?
  • Future plans
    • Strengthen the project’s service learning structure.
      • Enhance UVS student group’s role.
    • Increase capacity:
      • For students
      • For the community
    • Increase community input.
    • Increase the services offered.
  • Contact information
    • Mark Ryan:
      • [email_address]
    • Sallie Mayer:
      • [email_address]