Rural Multiracial and Multicultural Health Conference

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Rural Multiracial and Multicultural Health Conference

  1. 1. National Rural Health Association 18th Annual Multiracial and Multicultural Health Conference Dec. 4-6, 2012 Asheville, NC
  2. 2. Welcome The National Rural Health Association welcomes you to the 18th AnnualRural Multiracial and Multicultural Health Conference, “Diversity in ruralhealth care and leadership: Now is the time.” We are pleased to have passionate professionals come together to shareinformation and skills and form partnerships to collaborate with each other toensure access to quality health care for all. We hope this conference will be both a valuable learning experienceand an enjoyable time. Be sure to attend educational sessions and visitthe display table area and posters, but also take the time to explore Ashevillewith your colleagues. Most importantly, take back valuable knowledge to share in your community. On behalf of NRHA, we thank you for attending this event and taking thetime to assist in our collective efforts to improve the health of rural multiracialand multicultural populations and Sovereign Nations in America. Sincerely, Lance Keilers 2012 NRHA president
  3. 3. NRHA Multiracial and ulticultural Health M Conference agenda Tuesday, Dec. 4 Noon – 5 p.m. Registration Wednesday, Dec. 5 8 a.m. – 5 p.m. Registration 8 – 9 a.m. Breakfast, posters, display tables Burghley A room 9 – 9:30 a.m. Conference welcome Burghley B room Alan Morgan, NRHA CEO Sandra Pope, NRHA Rural Multiracial and Multicultural Health Council chair 9:30 – 10:45 a.m. Rural Healthy People 2020: Priorities for the next decade Burghley B room Gail R. Bellamy, PhD, Florida State University Blue Cross Blue Shield of Florida Center for Rural Health Policy and Research director and professor Jane N. Bolin, JD, PhD, Texas A&M University Health Science Center Southwest Rural Health Research Center director and associate professor Get the “hot off the press” report of Rural Healthy People (RHP) 2020 priorities, and see how they differ from RHP 2010. Find out how you Page 3
  4. 4. can be involved in the next steps for RHP 2020, identifying whichhealth care objectives should be the rural targets for communities andfunders, and how RHP 2020 can benefit your community.10:45 – 11 a.m.Break, posters, display tablesBurghley A room11 a.m. – 12:15 p.m.  Concurrent sessions 1A. esources to develop community health worker R programs: Toolkit, lessons learned from cancer prevention program in rural S.C. Vanderbilt I room Jessica Bellinger, PhD, University of South Carolina Rural Health Research Center research assistant professor Kathleen Spencer, University of North Dakota Rural Assistance Center librarian Community health workers can be effective partners in addressing health disparities in minority populations. Explore an overview of a community-based participatory project in rural South Carolina seeking to identify culturally-appropriate strategies to increase access to cervical cancer prevention and control services. The Rural Assistance Center’s Community Health Worker Toolkit will be demonstrated. Social media as a health education tool in the rural U.S.-Mexico border region David Denali, PhD, A.T. Still University School of Health Management assistant professor Jim Guillory, DO, A.T. Still University School of Health Management professor Michael Samuels, DrPH, A.T. Still University School of Health Management professor Mary-Katherine Smith, DrPH, A.T. Still University School of Health Management assistant professor Review availability of traditional and modern technology for promoting health education and disease prevention by public health agencies. Explore uses of social media for conveying public health information and their potential application for health promotion. Page 4
  5. 5. 1B. Developing rural community and health care leadership capacity Vanderbilt II room Kim Byas, American Hospital Association regional executive Angela Jukkala, PhD, University of Alabama-Birmingham assistant professor Rural health care professionals often fill leadership roles with little formal education or mentoring while isolation, work schedules and scarce resources limit opportunities to develop leadership skills. Discover the keys to effective leadership and how to increase knowledge and skills to support interprofessional teamwork within health care settings and rural communities.1C. Multiracial, multicultural curriculum for oral health professionals: The Alaska dental health aide therapist Amherst room Louis Fiset, DDS, University of Washington Dental Health Aide Therapist Educational Program curriculum coordinator Mary Williard, DDS, Alaska Native Tribal Health Consortium Dental Health Aide Therapist Education director Alaska’s dental therapists provide access to care for 35,000 rural Alaska natives. Examine the program that produces graduates who return to their home communities as oral health providers and role models, providing economic stimulation to their villages. Emphasizing culturally relevant learning leading to culturally competent providers, this program uses multiracial and multicultural considerations as a driving force. State policy levers for addressing preventive dental care disparities for rural children Amy Martin, DrPH, University of South Carolina Rural Health Research Center deputy director and research associate professor Rural children are less likely than urban to receive dental services. Examine two state-level policies that could expand access to preventive care in rural settings: Reimbursement of fluoride varnish applications by non- dental clinicians and provision of dental hygiene services in primary care safety net settings without supervision or under general, indirect or public health supervision. Page 5
  6. 6. 12:15 – 1:30 p.m.           Networking lunch1:30 – 2:45 p.m.  Concurrent sessions 2A. Federal grants technical assistance workshop: ORHP programmatic funding opportunities and grant writing tips Vanderbilt I room Leticia Manning, Office of Rural Health Policy public health analyst Learn about ORHP’s community-based grant opportunities and gain grant writing tips necessary to apply for funding. 2B. Culture as relationship not competency: Care of Muslim patients in rural America Vanderbilt II room Reem Alkadhi, MD, Duke/Southern Regional Area Health Education Center family medicine resident Sushma Kapoor, MD, Duke/Southern Regional Area Health Education Center assistant director Daniel Marlowe, PhD, Duke/Southern Regional Area Health Education Center applied psychosocial medicine director Discover the concept of cultural attunement, a relational expansion of cultural competency. While competency describes the behavioral practices of a health professional toward a patient, attunement denotes an ongoing process of relating between caregiver and receiver taking into account general cultural beliefs, as well as how those general beliefs manifest specifically for that individual. Integrating cultural competency, experiential learning into interdisciplinary education Michael Bradfield, East Tennessee State University medical student Joe Florence, MD, East Tennessee State University professor and director of rural programs Sharon Loury, PhD, East Tennessee State University College of Nursing assistant professor Page 6
  7. 7. Hear discussion on interdisciplinary, rural, primary care training for professional students, using a research practice course as an example. By participating in experiential learning in culturally diverse settings, future health care workers are cultivated to be leaders in community-based health care. 2C. Bridging the gap: Engaging non-traditional partners in farmworker health Amherst room Alexis Guild, Farmworker Justice migrant health policy analyst Farmworkers have a low utilization of health care services, requiring creative approaches to increase access including reaching out to non-traditional health partners already working within the community. Discover the benefits, challenges and strategies to engaging non-traditional partners through the lens of two of Farmworker Justice’s health projects. Farmworkers and the social determinants of health Jessica Felix-Romero, PhD, Farmworker Justice communications director Farmworkers, as a population, are at increased risk for a variety of poor health outcomes from occupational injury to diabetes to HIV. Explore the various social determinants of health impacting Latino farmworkers at the levels of policy, socioeconomics and environment, living and working conditions and community networks. 2:45 – 3 p.m.              Break, posters, display tablesBurghley A room3 – 4:15 p.m. Plenary session: Health care reform: Equal or unequalhealth careBurghley B roomJeannette South-Paul, MD, University of Pittsburgh department chairReview the most pressing health disparities, outline the challengesof a new health care system and suggest approaches to addressthese disparities from both private and public sectors. Page 7
  8. 8. 5 – 7 p.m. Networking receptionsponsored by AT&TGarden Terrace GalleryThursday, Dec. 68 a.m. – noon              Registration8 – 8:30 a.m.             Breakfast, posters, display tablesBurghley A room  8:30 – 9:45 a.m.              Plenary session: Washington updateBurghley B roomMaggie Elehwany, JD, National Rural Health Association government affairs vice presidentJoin rural health’s top lobbyist for an insider’s update aboutwhat’s going on in Washington and what to expect next year.9:45 – 11 a.m.  Concurrent sessions 3A. Mexican Nationals accessing health care services across the border: Is a bi-national coordinated health care network possible? Vanderbilt I room Paul Dulin, New Mexico Department of Health Office of Border Health director Residents of Mexico have accessed health care services for many years, if not from the 1800s. These residents are accessing preventive and primary care, and in some cases, emergent care in four U.S. border states. Review a case study on how this impacts the sustainability of EMS and hospital facilities in the border region and efforts to build a bi-national network of care. Communicable disease issues in the rural U.S.-Mexico border region David Denali, PhD, A.T. Still University School of Health Management assistant professor Page 8
  9. 9. Jim Guillory, DO, A.T. Still University School of Health Management professor Michael Samuels, DrPH, A.T. Still University School of Health Management professor Mary-Katherine Smith, DrPH, A.T. Still University School of Health Management assistant professor Learn the state of communicable disease in the rural U.S.-Mexico border region, and discover the general state of communicable disease status. Two specific issues spotlight major communicable disease issues: tuberculosis and HIV/AIDS. Review theory of herd immunity, specific examples of communities where it has broken down, and policy recommendations for health education efforts to prevent reoccurrences.3B. Distance to health care among vulnerable patient groups Vanderbilt II room Kevin Bennett, PhD, South Carolina Rural Health Research Center associate professor Jan Probst, PhD, South Carolina Rural Health Research Center director John Stewart, University of South Carolina Institute for Families in Society, Division of Policy and Research on Medicaid and Medicare senior research associate Discuss the highlights of recent research studies including access to dialysis facilities among rural ESRD patients, distances to services among rural HIV patients and the proximity of acute care services and its relationship to income. All studies further examined the experience of rural minority populations. Frontier extended stay clinics: An effective model Patricia Atkinson, Southeast Alaska Regional Health Consortium program director Explore the frontier extended stay clinic model, a geographically isolated medical clinic designed to provide primary, emergency and extended stay care 24 hours a day when hospital services are not readily available. This model is ideal for communities requiring emergency and after-hours care, but not requiring the resources of a full-service hospital. Page 9
  10. 10. 3C. The Health Sciences and Technology Academy: The effect of an after-school program to bridge achievement gap Amherst room Ann Chester, PhD, West Virginia University health sciences assistant vice president Feon Smith, PhD, Marshall University adult and technical education assistant professor Learn about the Health Sciences and Technology Academy, a 9th through 12th grade pipeline to health professions for rural under-represented populations in West Virginia. Standardized test scores from 336 students (50 percent academy, 50 percent non-academy) were compared and matched by grade, gender, race and grade point average.11 – 11:15 a.m.           Break, posters, display tablesBurghley A room11:15 a.m. – 12:30 p.m.  Concurrent sessions 4A. Evaluating needs, access to care among African- American breast cancer survivors in the Alabama Black Belt Vanderbilt I room Angela Jukkala, PhD, University of Alabama at Birmingham School of Nursing assistant professor African-American breast cancer survivors experience many quality-of-life challenges following completion of initial treatment. Learn about breast cancer survivorship needs among African-Americans, particularly in the Alabama Black Belt, and support and education needs identified through community-based participatory research. Topics include access to care, body image, sexuality, depression and menopausal concerns. The American Cancer Society’s Community Health Advisor program Marcie Fisher-Borne, PhD, American Cancer Society health disparities and evidence-based practice director, North Carolina State University assistant professor Kathlene E. Stith, American Cancer Society South Atlantic Division community health advisor manager Page 10
  11. 11. The combined efforts of community organizations and individuals will make a difference in eliminating the high incidence and deaths of communities at higher risk for breast, cervical and colon cancers. The American Cancer Society is currently working with community health advisors in Alabama, Arkansas, California, Louisiana, Mississippi and Tennessee cities as well as counties in West Virginia, Kentucky and North Carolina, including the Cherokee Indian reservation.4B. Creating a culture of diversity and inclusion: A nonprofit model for inclusion, engagement Vanderbilt II room Craig Wesley, National MS Society diversity and clinical outreach manager Discover the MS Society’s diversity councils’ advice on the best approaches to reaching and engaging underserved communities. Explore the difference between diversity and inclusion, how to operationalize effective strategies for creating a culture of diversity and inclusion, and outreach and engagement strategies. Rural palliative care: Developing capacity with multicultural considerations Al Hernandez-Santana, JD, California State Rural Health Association policy director Karla Weng, Stratis Health program manager, rural program area lead Examine issues that present challenges to palliative care for rural communities and the unique strengths and opportunities rural communities have in developing palliative care services with a particular focus on multicultural considerations. Learn to identify results, lessons learned and best practices in developing community-based palliative care services across multi- setting, interdisciplinary teams.4C. Writing for publication: The how-to’s and wherefore’s Amherst room Angeline Bushy, PhD, University of Central Florida College of Nursing professor and Bert Fish chair Learn about the benefits and obstacles of authoring articles, the process of writing for publication and how Page 11
  12. 12. to get started. Strategies for planning, writing and editing a manuscript will be outlined. Word choices, sentence structure and paragraph organizations will be highlighted. Technology and software designed to assist writers will be reviewed.12:30 – 1:40 p.m. Networking lunchBurghley B room1:45 – 3 p.m. Plenary session: Challenges in American Indian healthcare and leadershipBurghley B roomDonald Warne, MD, North Dakota State University associate professor and directorThe American Indian (AI) population suffers from amongthe worst health disparities in the nation. AIs are alsosignificantly under-represented in the health care workforceand in leadership positions. Hear an overview of AI healthand workforce disparities and strategies to reduce thesedisparities.3 – 4 p.m.               Town hall meetingBurghley B roomThis will be a forum for giving voice to topics or issuesfrom all points of view, providing an opportunity to expressopinions, offer recommendations and pose questions relatedto what was heard throughout the conference. Everyone isinvited to share their perspectives.4 p.m.               Conference adjournsPlan now to attend the 2013 Rural Multiracialand Multicultural Health Conference Dec. 3-5in San Antonio, Texas. Page 12
  13. 13. PostersCollaborative partnership to increase response to domesticviolence, sexual assault in tribal communitiesPaula Ciniero, Alaska Public Health Nursing itinerant public health nurseAn examination of health disparities in the long-term follow upof neonatal intensive care unit graduatesBarb Jackson, PhD, University of Nebraska Medical Center associate professorHoward Needelman, MD, University of Nebraska Medical Center associate professorHolly Roberts, PhD, University of Nebraska Medical Center pediatrics assistant professorCultural competency and the Barren River District HealthDepartment: A vision of excellenceKorana Durham, Barren River District Health Department public health services coordinatorInnovations in patient-centered care: Enriching the cultural,linguistic competencies of critical access hospitalsKenneth D. Johnson, JD, HHS Office for Civil Rights, civil rights division chiefUsing storytelling to promote diabetes prevention and controlin rural, ethnic minority populationsAlexis Williams, Centers for Disease Control and Prevention public health advisorWe’re not just urban: Strategies for addressing healthdisparities in rural New YorkPamela Planishek, New York State Department of Health Office of Minority Health and Health Disparities Prevention graduate student internHELPING: A framework for home-based community workKevin Gillespie, Integrated Services of Appalachian Ohio executive directorWilliam Madsen, PhD, Family Centered Services Project founder/directorHealth risk behaviors and barriers to care in an African-American faith community: A rural health needs assessmentAudrey Burnett,PhD, James Madison University health sciences assistant professorUse of video novelas as an outreach tool on safe medicationuse to Latino womenDeborah Kallgren, Food and Drug Administration Office of Women’s Health special assistantCritical information for pregnant women taking prescriptiondrugs: The FDA Pregnancy Exposure Registry websiteBeverly Gallauresi, Food and Drug Administration health programs coordinator Page 13
  14. 14. The South Carolina collaborative approach to the HealthInformation Technology Regional Extension CenterGrishma Patel, South Carolina Rural Health Research Center research associateCrossing levels: Moderators of health leading up to and duringthe recession for American Indians and Alaskan NativesSamuel Towne, South Carolina Rural Health Research Center research associate21st century well-woman examLinda Prine, MD, Institute for Family Health director of women’s health,Reproductive Health Access Project medical directorDisplay tablesCenters for Disease Control and Prevention – National DiabetesEducation ProgramThe National Diabetes Education Program is a collaborative effort betweenthe Centers for Disease Control and Prevention, the National Institutes ofHealth and more than 200 partner organizations.National Center for Interpretation Testing, Researchand PolicyThe National Center for Interpretation is a nonprofit language interpretertesting and training facility affiliated with the University of Arizona.Public Health FoundationThe Public Health Foundation is a national nonprofit organization,providing the community with training, information and technicalassistance to support the nation’s public health system.Tourette Syndrome AssociationThe mission of the Tourette Syndrome Association is to identify the causeof, find the cure for, and control the effects of Tourette Syndrome.Via College of Osteopathic MedicineVCOM’s mission is to prepare globally minded, community-focusedphysicians for the rural and medically underserved areas of theAppalachian Region and to improve human health, especially of thosemost in need. Page 14
  15. 15. Remembering RosemaryRosemary McKenzie’s passion for rural health care and dedicationto multicultural and multiracial populations were unparalleled.Rosemary served as the National Rural Health Association’sminority liaison and program services manager for 27 years. Shedied in March due to complications from pancreatic cancer.“The world has lost a very cool woman,” NRHA member MarilynKasmar said. “But she has certainly left a legacy behind in allof us. We will work hard to carry on the work she believed sostrongly in.”To carry on Rosemary McKenzie’s legacy and honor her memory,the National Rural Health Association has established theRosemary McKenzie Legacy Award to be presented annuallyduring the Rural Multiracial and Multicultural Health Conferencebeginning in 2012. Donations are being accepted for a scholarshipto help award winners attend this educational event.Tax-deductible contributions may be sent toNRHA honoring Rosemary521 E. 63rd St.Kansas City, Mo. 64110 Page 15
  16. 16. pack your bag. Plan now to attend these upcoming events. Rural Health Policy Institute Rural Quality & Clinical Conference Feb. 4-6 July 17-19 Washington, D.C. Chicago, Ill. Rural Medical Educators Conference Rural Health Clinic Conference May 7 Oct. 1-2 Louisville, Ky. Austin, Texas Annual Rural Health Conference Critical Access Hospital Conference May 7-10 Oct. 2-4 Louisville, Ky. Austin, TexasRuralHealthWeb.org

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