Medical and Dental Care@100%: Innovation 7
Engaging Higher Education
The projects presented in the ten innovations areas are all designed to address barriers to vital services. Action teams should review all projects and prioritize those that have the best chance of addressing the barriers identified in the 100% New Mexico countywide survey. Your collaborative and result-focused local work is nothing less than heroic.
Project: Medical and Dental Care.7.1
Project 1: The “addressing shortages of providers” project
Learn how Oregon is using incentive programs to address provider shortages and to reach their underserved areas in need of quality medical care. Provider incentive programs aid in supporting underserved communities in their recruitment and retention of high quality providers. The Office of Rural Health (ORH) partners with the Oregon Health Authority (OHA) and the Health Resources Service Administration (HRSA) to offer a variety of programs, each with their own requirements and benefits. ORH works with health care providers to find incentive programs that will help them take their skills where they’re most needed. ORH also works with Oregon practice sites to identify incentive programs that can assist with their recruitment and retention efforts. You also will benefit from reviewing the University of New Mexico (UNM) programs and program of National Health Service Corps.
UNM Family Medicine incentive: https://aae.how/123
Office of Rural Health (ORH) partners with the Oregon Health Authority: https://aae.how/124
National Health Service Corps Rural Community Loan Repayment Program: https://aae.how/125
Project: Medical and Dental Care.7.2
Project 2: The “Care for U” project
Learn how a small university in rural New Mexico rises to meet the needs of its student body. Eastern New Mexico University’s ENMU Health Services offers preventive and acute health services, similar to your family health care clinic, at little or no cost to students with a current ENMU student ID. In addition to flu shots, blood tests, prescriptions and other medical services, they make health awareness presentations to student groups. They also provide family planning services, pap smears, STI (sexually transmitted infections) screening and treatment, and contraception products. As with any medical clinic, they guarantee complete confidentiality for patients.
Eastern New Mexico University Health Services: https://aae.how/126
Project: Medical and Dental Care.7.3
Project 3: The “Project ECHO and telemedicine for health care provider mentoring” project
Project ECHO uses ongoing telementoring to equip primary care practitioners in rural areas with the knowledge they need to provide high-quality specialty care. Created by Sanjeev Arora, MD, a social entrepreneur and liver disease specialist at the University of New Mexico Health Sciences Center in Albuquerque, Project ECHO is a nationally — and globally — recognized model for bringing best-practice health care to patients who can’t get it because of where they live. Project ECHO uses a hub-and-spoke telementoring model to move knowledge instead of people. By participating in virtual clinics with teams of specialist mentors, primary care practitioners in rural and underserved areas acquire the expertise they need to treat patients with complex health problems — including Hepatitis C, HIV, chronic pain, opioid addiction, mental illness, diabetes and cancer. Practitioners who attend ECHO report that participation in a virtual community of practice helps reduce their sense of isolation. They often identify neighboring clinicians who can provide them consultation and referral resources.
Project: Medical and Dental Care.7.4
Project 4: The “integrate ACEs data and Resilient Community Survey into primary care” project
Before you see a doctor, you must first complete numerous forms detailing any surgeries you’ve had, which medications you’re allergic to, whether you use drugs, how often you drink, whether you feel safe at home and other factoids that medical professionals find extremely useful. This all makes sense, but there’s something missing: data on ACEs scores and information from the Resilient Community Survey. So your mission is to persuade a doctor, or group of doctors, to add those surveys to their intake process — preferably under the auspices of the university project which would then also research how knowing such things would change how medical care is administered.