¡Una Vida Sana! Assessing and Improving the Health Status of Richmond’s Hispanic Community Through Health Professional Stu...
NHMA March 19, 2011  <ul><li>Mark Ryan, MD </li></ul><ul><ul><li>Department of Family Medicine, VCU School of Medicine  </...
¡Una Vida Sana!
¡Una Vida Sana! <ul><li>¡Una Vida Sana! (UVS) is a multi-disciplinary service learning program with a focus on providing c...
Background <ul><li>City of Richmond’s Hispanic community has increased from 5,704 (2000 estimate) to at least 9,292 (2008 ...
Barriers to health care access <ul><li>Richmond City Latino Needs Assessment, 2008: </li></ul><ul><ul><li>65%  “very worri...
Health professional interest <ul><li>SOM: LCME requires increased service learning opportunities, encourages student parti...
Health professional interest <ul><li>Interest from students for increased service learning opportunities, and opportunitie...
Program design <ul><li>Develop mobile, community-based project to provide cardio-metabolic disease screenings. </li></ul><...
Participants <ul><li>VCU SOM, SON, SOP </li></ul><ul><li>VCUHS Office of Language Services </li></ul><ul><li>City of Richm...
Venues <ul><li>Churches and faith communities </li></ul><ul><li>Community events </li></ul><ul><li>Government events </li>...
Event organization <ul><li>Measurements: </li></ul><ul><ul><li>BP, height/weight/BMI </li></ul></ul><ul><ul><li>Cholestero...
Event organization
Event organization <ul><li>Patients are provided a data sheet including their measurements/BMI, lab values, blood pressure...
Event organization <ul><li>Opportunities to expand services in the future: </li></ul><ul><ul><li>Dental care/education </l...
Project goals <ul><li>Hold events every 2 months. </li></ul><ul><li>Establish new model of service learning, and determine...
Project goals <ul><li>Patient satisfaction measures </li></ul><ul><ul><li>Developed a patient survey to assess how well th...
Results <ul><li>Preliminary results suggest that in the patients we have screened there is not yet a high burden of establ...
Results <ul><li>12 (15%) patients referred for further care; 9 of them to CrossOver. </li></ul><ul><li>Few referrals have ...
Challenges <ul><li>Appropriate sites with sufficient patient access and participation. </li></ul><ul><li>Incomplete referr...
Challenges <ul><li>Sufficient faculty volunteers to meet student interest and patient needs. </li></ul><ul><li>Patient mis...
Future plans <ul><li>Strengthen the project’s service learning structure. </li></ul><ul><ul><li>Enhance UVS student group’...
Contact information <ul><li>Mark Ryan: </li></ul><ul><ul><li>[email_address] </li></ul></ul><ul><li>Sallie Mayer: </li></u...
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Una vida sana

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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

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