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![Agenda
• NM Cooperative Extension: Building Health Extension [Koukel]
• Partnering with the Academic Health Center [Kaufman]
• The Health Extension Toolkit [Nkouaga]
Presenter:
Sonja
Koukel](https://image.slidesharecdn.com/nmextensionforhealthwebinar-150408102751-conversion-gate01/85/Extension-for-Health-in-New-Mexico-3-320.jpg)
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Extension for Health in New Mexico
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- 2. Presenter: Sonja Koukel Presenters Dr. Arthur Kaufman ViceChancellor for Community Health University of New Mexico Health Sciences Center Dr. Sonja Koukel Community & Environmental Health Specialist New Mexico State University Extension Carolina Nkouaga Director of Operations, Community Health University of New Mexico Health Sciences Center
- 3. Agenda • NM CooperativeExtension: Building Health Extension [Koukel] • Partnering with the Academic Health Center [Kaufman] • The Health Extension Toolkit [Nkouaga] Presenter: Sonja Koukel
- 4. Presenter: Sonja Koukel 58% 23% 10% 9% Chart Title 1st Qtr2nd Qtr 3rd Qtr 4th Qtr Based on the Na onal Preven on Strategy Ac on Plan, U.S. Department of Health & Human Services
- 5. BAA (Board onAg Assembly) – BoHS (Board on Human Sciences) Presenter: Sonja Koukel
- 6. 33 Counties 18 HEC 1Tribal Funding: • Federal • State • County Programs • Discretion of Agents • Based on Community Need • Incentives for Program Delivery Presenter: Sonja Koukel
- 7. Challenges to Collaboration 225miles Presenter: Sonja Koukel
- 8. Challenges to Collaboration •The name: Health “Extension” – History and Structure: Cooperative Extension and the Medical System - Parallel, non-communicating systems – Competition: Land grant vs Flag ship Universities for funding and recognition – Confusion: Cooperative “Extension” is a “brand.” Health Extension can cause confusion for funders and legislators – Proof (deliverable): Does cooperation really help communities? Is it really a win-win? 8 Presenter: Sonja Koukel
- 9. • Start fresh- modeling existing extension programs • Refocus existing extension programs to focus on health outcomes • Hybrid - approaches that include some of each of the first two ideas Building Health Extension Presenter: Sonja Koukel
- 10. Building Health Extension •2013 Memorandum of Understanding • Academic Affiliation • Service Affiliation • Research Affiliation Presenter: Sonja Koukel
- 11. Selected Collaborations andDeliverables – Academic Affiliation: Explore opportunities for providing public health students to work alongside/partner with County Extension agents in community program development, delivery and assessment • Deliverable: – NMSU Extension partners with UNM College of Nursing » Community nursing – required class toward degree requirements » Extension Emergency Preparedness Program » Individuals with chronic conditions are discharged into home settings » UNM provides expertise in caring for medically fragile individuals in emergencies Presenter: Sonja Koukel
- 12. Selected Collaborations andDeliverables – Service Affiliation: Provide opportunities to work collaboratively in health-related educational delivery 1. Deliverable – NMSU Extension subcontracted under a UNM contract funded by NM Health Insurance Exchange – Provide activities through the higher education system to maximize enrollment and provide health insurance coverage information – Five county agents held nearly 50 events reaching more than 6,000 New Mexicans Presenter: Sonja Koukel
- 13. Selected Collaborations andDeliverables 2. Deliverable – Cooking school program for people with diabetes – Jointly funded by Extension and NM Dept. of Health – UNM Health Extension Rural Office (HERO) agent working with largely immigrant Hispanic population – Dept. of Health provided funding to this Family Clinic – Extension collaborated with HERO to provide the cooking program WIN-WIN! – NM Dept. of Health provided funding – HERO provided audience – Extension provided dietician, educator, food supplies, and curriculum Presenter: Sonja Koukel
- 14. Selected Collaborations andDeliverables – Research Affiliation: Explore collaborations on grant- writing to support shared models of education and service spanning the agricultural and health sectors • Deliverable – Extension Health Specialist working with UNM Occupational Therapy Graduate Program to develop an AgrAbility Program Grant Proposal for New Mexico » AgrAbility – Assistive Technology Program for Farmers with Disabilities » Works through non-profit disability organizations » Works across discipline areas including Agriculture and youth programs. Presenter: Sonja Koukel
- 15. New Institutional VisionStatement “The University of New Mexico Health Sciences Center will work with community partners to help New Mexico make more progress in health and health equity than any other state by 2020.” Presenter: Art Kaufman
- 16. Comments from aSampling of Community Health Leaders • You’re known as the “University of ABQ” • You’re only present while grant funds last • You don’t build upon local wisdom, organizations, and programs • You need to commit to long term partnerships • You need to have full-time presence in all communities like the Agriculture College Presenter: Art Kaufman
- 17. Establish Health ExtensionRural Offices • Place full-time agents in rural communities across the state • Link community health priorities with UNM resources • Monitor effectiveness of university programs in addressing community health needs Kaufman, A, et al: Health Extension in New Mexico: An Academic Health Center and the Social Determinants of Disease. The Annals of Family Medicine, Jan. 2010, vol. 8 No. 1. Presenter: Art Kaufman
- 18. McKinley County –Crownpoint Youth/Pipeline Development into Health Professions • “Grow our own” • “Health Summit” – Eastern Navajo Mid-Schoolers • Future mentoring Presenter: Art Kaufman
- 19. Example of HEROsand CES Collaboration • Local Primary Care Health Centers without resources for patient education • HEROs recruited Extension Agents to teach nutrition classes within clinics • HEROs link own pipeline programs to Cooperative Extension’s 4-H program to recruit kids into health careers 19 Presenter: Art Kaufman
- 20. Health Extension, CooperativeExtension and CHWs Working Together on Social Determinants Cooperative Extension gives nutrition classes in primary care clinics Food Co-op Economic development ollas honey eggs chickens plants Housing renovation Urban Gardening Presenter: Art Kaufman
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- 22. 22 Well Rx SurveyResponses (N = 1,374) Presenter: Art Kaufman
- 23. Map of HEROsand their regions 23 Components of HERO Hub Local Higher Educa on Ins tu ons Community Hospitals & Health Centers Civic Organiza ons County Health Councils Area Health Educa on Centers UNM HSC Programs & Resources Helen Tso, Shiprock Juliana Anastasoff, Taos Alisha Herrick, Silver City Marnie Nixon, Las Cruces Evelyn Rising, Hobbs Elaine Luna, Las Vegas Francisco Ronquillo, Albuquerque Charlene Poola, Albuquerque Presenter: Art Kaufman
- 24. Funding for HEROs •$344,000 health insurance exchange • $600,000 AHRQ HEROTrails • $1 million AHRQ IMPaCT grant (of $4 million nationally) • $3 million AHRQ SHEPERD grant (of $120 million nationally) Presenter: Art Kaufman
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- 32. Presenter: Carolina Nkouaga University ofNew Mexico Health Sciences Center Presenter: Carolina Nkouaga
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- 40. THANK YOU! The Beginning… 2012 Priester Conference •Kansas • Kentucky • New Mexico • Oregon