Health Professions Workforce AHEC as a national resource National Scope by the NAO: Donald E. Proulx, Associate Director University of Arizona AHEC Program Tucson, Arizona Sample AHEC Activities: Sean Clendaniel, Center Director Northern Arizona AHEC/ North Country HealthCare, Flagstaff, Arizona
Federal AHEC Mission to improve the supply and distribution of health care professionals, with an emphasis on primary care, through community and academic educational partnerships to increase access to health care in rural areas by forming linkages between health care delivery systems in rural and urban medically underserved communities and educational resources.
non-partisan and work with state, federal, and private institutions.
focus on the entire range of health professions.
have the cooperation of many agencies and individuals who share a common mission.
address the issues of education, recruitment, and retention of health professionals in underserved areas.
AHECs are unique agencies
1. Develop health career programs in medically underserved rural and urban areas to increase health professionals who represent diverse and disadvantaged people. FOUR AHEC PROGRAM GOALS
2. Support clinical community-based multi- and inter-disciplinary training of primary care students and residents in health professional shortage areas (HPSAs) and medically underserved communities (MUCs) FOUR AHEC PROGRAM GOALS
3. Provide current clinical updates and continuing professional education for health care providers in HPSAs and MUCs to reduce their isolation, to nurture their retention, and to enhance their practice environments . FOUR AHEC PROGRAM GOALS
4. Promote improved health literacy, health promotion and disease prevention for increased access to quality and culturally appropriate care in uniquely different neighborhoods of medically underserved and diverse populations. FOUR AHEC PROGRAM GOALS
AHEC Linkages LINKAGES AHEC CENTERS COMMUNITIES HOSPITALS PRACTITIONERS SCHOOLS PUBLIC HEALTH CLINICS/HEALTH CENTERS ADVOCACY GROUPS ACADEMIC HEALTH CENTERS
The NAO is the national organization that supports and advances the Area Health Education Center (AHEC) network in improving the health of individuals and communities by transforming health care through education.
www.nationalahec.org National AHEC Network 109 VIP Drive, Suite 220 Wexford, Pennsylvania 15090 1-724-935-1560 fax 1-888-412-7424 voice [email_address]
Arizona AHEC Program Service Regions SEAHEC GVAHEC WAHEC NAHEC EAHEC Program Office Tucson (The University of Arizona) Mohave La Paz Navajo Yuma Coconino Apache Cochise Pinal Pima Santa Cruz Gila Graham Greenlee Yavapai Maricopa
Arizona’s five regional AHECs use a variety of venues including classroom presentations, career clubs and HOSA school sponsorships, local mentoring, and summer enrichment programs to nurture the interests of community students in health careers. The AHEC ‘value-added’ approach to all of these activities is to use minority and rural health professions students and practitioners as presenters, mentors, and role models.
In Arizona this year (FY 2008) 10,854 students ranging from fifth grade through college were introduced to health careers through AHEC programs
649 high school students completed health career or academic enhancement programs of 20 hours or more through the regional AHECs
These programs were successful in targeting minorities and disadvantaged students; 89% represented minority and socioeconomically disadvantaged, rural and urban medically underserved communities, including tribal villages and Mexican border neighborhoods
In Arizona, the regional AHECs supported health professional training in 64 rural, tribal, border, medically underserved sites. 91% of these sites were in community health centers or other federal safety net sites. Twelve (12) were rural hospital sites.
87 community preceptors supported 509 student clinical community-based rotations; the majority (70%) of these preceptors were primary care physicians, nurse practitioners, and physician assistants .
The Arizona AHECs and some community colleges serving rural regions of the state provide community-based training and entry-level college basic certificate education for Community Health Workers of all types serving in all settings who assist citizens with access to quality, culturally appropriate, and continuity of care.
Community Health Workers serve in neighborhood outreach programs through community health centers, rural and urban HPSA practice sites, FQHC sites, National Health Service Corps sites, rural hospitals, and local health departments.
Remote area w/ few cities and regional centers– think frontier
Law of small numbers a significant challenge for health professions training and medical care
HPSA scores very high throughout, plus MUA/ MUP areas everywhere
Huge health disparities
NAHEC Relationship to North Country HealthCare began as a free clinic. In 1996 it transitioned to become a Federally Qualified Community Health Center (FQCHC). At this time NAHEC and North Country merged. NAHEC Learning Center
MyHealthCareer.net We have created a place online where students and professionals can join together by means of internet based communications and shared experience. The goal is to encourage and support students as they enter their chosen heath career. We have a multitude of statewide and national partners actively involved in the development and use of this
To increase the supply and distribution of certificated, licensed and/or degreed allied health workforce in Northern Arizona.
Capacity Building and Training “Roadmap” Advisory Board Marketing/ Recruitment Training Programs Applied Experiences Articulated Programs Continuing Education Function Career Fairs Summer workshops Developmental Education Partners Yavapai College Northern Arizona Area Health Education Center Northern Arizona Vocational Institute of Technology Humboldt Unified School District Coconino Association for Vocational, Industrial, and Technology School Coconino County One-Stop Center and Investment Act Office Northern Arizona Council of Governments Veterans Upward Bound Function Practicums Externships Internships Clinical Rotations Function Community + College (2+2) High School + Community College + University (2+2+2) Community College to Community College Function Contract Training Workshops Conferences Seminars Mini-Med School Non-credit courses Community Health Education Function Medical Assistant Respiratory Therapy Medical Radiography Pharmacy Technician Retention programs Future Programs Partners Yavapai College Northern Arizona Area Health Education Center Gateway Community College Future Partners Partners Yavapai College Northern Arizona Area Health Education center North Country Community Health Center Mountain Valley Rehabilitation Hospital Yavapai Regional Medicar Center Verde Valley Medical Center Bradshaw Mountain Labs Future Partners Partners Yavapai College Gateway Community College Northern Arizona University Arizona State University Future partners Partners Yavapai College Northern Arizona Area Health Education Center University of Arizona Tele-health Greater Flagstaff Economic Council Future partners
This new medical school is using an innovative curriculum to train physicians, especially those who wish to remain in medically-underserved communities. Students spend the first year at the Mesa campus. Students will permanently relocate to NAHEC for years two, three, and four to complete the remainder of their training. The first cohort of 10 second year students will arrive in September of 2008. Beginning in 2010, NAHEC will host 30 students in total, plus faculty members.
Iina Coalition Students work in interprofessional teams in collaboration with community coalitions or agencies to identify community resources and needs, and develop, implement, and evaluate an intervention to address a selected community health issue. Students will gain knowledge and skill in community health while providing service to the community. To complete the learning process, students will evaluate the outcomes of the intervention . The Iina Coalition, Inc.., a private, nonprofit organization located in Chinle, Arizona, serves a population of over 31,000 people in the central region of the Navajo Nation. The Coalition coordinates planning, programs, and services to promote health and wellness. Mission statement “ THROUGH T’AA NIHI ANIIT’EEGO (EMPOWERMENT) IINA COALITION WILL FOSTER PARTNERSHIP OF COMMUNITY RESOURCES BY CREATING A PATH FOR MENTAL, PHYSICAL, SOCIAL AND SPIRITUAL WELLNESS WITHIN A SAFE ENVIRONMENT FOR CENTRAL DINE COMMUNITIES.
VIHSTA Students work in interprofessional teams in collaboration with community coalitions or agencies to identify community resources and needs, and develop, implement, and evaluate an intervention to address a selected community health issue. Students will gain knowledge and skill in community health while providing service to the community. To complete the learning process, students will evaluate the outcomes of the intervention . VIHSTA is a collaborative training program between NAU, U of AZ, NAHEC and SEAHEC and rural or underserved communities to provide training for health sciences students so that they will be competent to serve Arizona’s diverse population and to collaborate with other professionals and community members to promote community health. V isionary I nterprofessional H ealth S ciences T raining in A rizona Health Professions Communities Universities