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The   Alaska  Community Health Aide Program November 2010, HINZ Conference  Don Lemieux, BSc, CAT, Health Science Lecturer
Community   Health Aide Program  (CHAP) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Anaktuvuk Pass, AK
State of Alaska vs. USA Size Comparison NZ land mass
Community Health Aides and Practitioners (CHA/Ps) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Community Health Aides and Practitioners (CHA/Ps) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHAP History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr Walter Johnson, MD http://jukebox.uaf.edu/CHA/htm/wjohnson1.htm
CHAP History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr Walter Johnson, MD 1968 Community Health Aides
CHAP History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Dr Walter Johnson, MD Current Dental Health Aide Therapists
180 Village Clinics   550 Community Health Aides/Practitioners 270,000 Patient Encounters
 
CHA Training ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHA Selection & Training ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alaska Community Health Aide/Practitioner Manual (CHAM) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Alaska Community Health Aide/Practitioner Manual (CHAM) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Alaska Community Health Aide/Practitioner Manual (CHAM) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Alaska Community Health Aide/Practitioner Manual
CHA Selection & Training ,[object Object],lllllllllllllllllllll
Quality Assurance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Certification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Funding Model 2007 Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gage, S. Community  Health Aide Program Overview 2007, Alaska Association of  Community Health Aide Program Directors
Disparities in Indigenous Health ,[object Object],[object Object],[object Object],[object Object],Bramley,D., Hebert,P., Tuzzio, L.,Chassin,H.,Disparities in Indigenous Health: A Cross-Country Comparison Between New Zealand and the United States.  Am J Public Health  2005;95:844-850 http://en.wikipedia.org/wiki/File:Flag_of_New_Zealand.svg http://en.wikipedia.org/wiki/File:Flag_of_the_United_States.svg
Community Health Aide Program ,[object Object],[object Object],[object Object],[object Object],[object Object]
Community Health Aide Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contact Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NZ Contact Information ,[object Object],[object Object],[object Object],[object Object],19 Tawa Street, Te Kuiti 3910

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The Alaska Community Health Aide Program

  • 1. The Alaska Community Health Aide Program November 2010, HINZ Conference Don Lemieux, BSc, CAT, Health Science Lecturer
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  • 3. State of Alaska vs. USA Size Comparison NZ land mass
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  • 9. 180 Village Clinics 550 Community Health Aides/Practitioners 270,000 Patient Encounters
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Editor's Notes

  1. Alaska Native Tribal Health Consortium was formed in 1998.  A question i pose with this picture is “ Is this the NZ workforce of the future?”
  2. The Indian Health Service is a federal programme dedicated to improving the health and well being of Alaska Natives and American Indians. Anatuvik pass 302 pop
  3. NZ is one sixth the land mass of Alaska. The state of Colorado is approximately the same size as New Zealand.
  4. The training is competency based.
  5. Please note I said administer drugs rather than prescribe. There are instances in some of the remote Islands where automated drug dispensers are employed.
  6. Dr Walter Johson one of the original docs to work with TB patients still resides in Anchorage. In the 60's, it was still a volunteer programme primarily ISD Act. Fed's listened to tribes... 1988 doubled federal funding. looked at quality factors and sought to develop a good workforce. 2001 work force issues- Got 3 million in federal funding.need to increase dental health and behaviour health aides I noted that it was not unanimous to emphasise that is was scrutinised and is still in existence today.
  7. Dr Walter Johson one of the original docs to work with TB patients still resides in Anchorage. In the 60's, it was still a volunteer programme primarily ISD Act. Fed's listened to tribes... 1988 doubled federal funding. looked at quality factors and sought to develop a good workforce. 2001 work force issues- Got 3 million in federal funding.need to increase dental health and behaviour health aides
  8. 1988 doubled federal funding. looked at quality factors and sought to develop a good workforce. 2001 work force issues- Got 3 million in federal funding.need to increase dental health and behaviour health aides The University of Otago played a role in training some of the initial Dental Health Aides that started in New Zealand. December 3, 2004 The first Alaskan dental therapists educated and trained at the University of Otago will be awarded their Diplomas at the University’s graduation ceremony tomorrow (Saturday 4 December).
  9. Note a combination of health professionals used in Alaska. RN,s NP’s, Physician Assistants, Community Health Aides, GP,s etc
  10. TABE is the test of adult basic education. One to one model preceptorship- 1983 1985 Presession I developed Give basic tools in patient care 1981 I’ve left this info here though probably not relevant for you at this time
  11. Dr Rob Burgess, CHAM 1987 And that book made a significant change in how the material was organized for health aides.  It allows you to go in with a symptom, and from that symptom, go in and collect a complete, focused, problem-specific history, exam, lab tests, and then it takes you to charts that allow you to analyze the information, sort of what we call compare and match, history and exam, for an assessment, and from that assessment, takes you directly to the page number for the plan.
  12. Put this slide here to denote that the manual has been well reviewed in the medical community
  13. CHA’s are regulated through a number of mechanisms. Physicians make visits to CHA’s at least twice a year and CHA’s must have specified CME’s credits to maintain certification.
  14. Certification allows for billing into the Medicaid system 1980’s IHS
  15. Certification allows for billing into the Medicaid system 1980’s IHS I put this slide in to denote that a mature programme can represent a significant programme financially.
  16. This slides emphasises that Alaska Natives/ American Indians are not the worse off Health wise, which I have heard anecdotally. Rather Maori have worse health disparities with Australia taking the lead of the three.