RGV Nonprofit Business Summit  Tuesday, August 9, 2016

John RonnauSenior Associate Dean, Office of Interprofessional Education

 UTRGV School of Medicine

Topics:• Mission of UTRGV & School of Medicine

• UTRGV Connections to the Community

• Interprofessional Education & Practice

University of Texas Rio Grande Valley

Institutional emphasis on community engagement–

The University of Texas Rio Grande Valley provides a high quality, innovative, and affordable education to the students of South Texas, Texas, the United States and the world. The University will transform Texas and the nation through student success, research, healthcare, and commercialization of university discoveries.

Office of Community Engagement, Cristina Trejo, Director

“. . . build on the strengths of the Rio Grande Valley. We seek collaborative partnerships that not only enhance the academic and research mission of the university but also build our regional communities.”

UTRGV School of Medicine

Mission . . . educate a diverse group of dedicated students who will become physicians who will serve across all the disciplines of medicine; to bring hope to patients by advancing medical knowledge through research; to integrate education and research to advance the quality and accessibility of patient care in an integrated manner; and to engage with the Rio Grande Valley (RGV) communities to benefit Texas and worldwide.  

UTRGV School of Medicine

Values Patient Advocacy: Dedication to serving patients and their families through the practice

of ethical, evidence-based, patient-centered medicine.

Community-Focus: Commitment to improving health outcomes and reducing health disparities of at-risk populations through community and population-based interventions.

Cultural-Awareness: Use tools and empathy to successfully work with the diverse and unique needs of any community.

Collaborative Leadership Style: Contributions to effective interprofessional teams, as well as personal investments in providing leadership on matters of community health.

Life-long Problem-Solving: Use of critical thinking to approach all health matters including clinical, community, and social issues.

Bringing the Mission and Values to Life

UTRGV School of Medicine Community Initiatives

• Colonia outreach

UTRGV SOM, in partnership with the Hidalgo County Dept. of Health and Human Services and others presents health screenings and other services to Valley residents who live in Hidalgo and Cameron County. 

UTRGV School of Medicine Community Initiatives (cont.)

• John Austin Pena Clinic

o Funded by Methodist Healthcare Ministries

o In partnership with Hidalgo County Dept. of Health and Human Services

o Collaborative team-care model

o Care for triply-diagnosed teens

UTRGV School of Medicine Community Initiatives (cont.)

• Preventative Medicine Residency

• Dept. of Population Health

• South Texas Diabetes and Obesity Institute

Advance medical research, develop better treatments and improve the health of residents in South Texas and beyond.

• UniMovil

Mobile medical unit funded by United Health Foundation

Why IPE?Social Determinants of Health

“. . . socioeconomics, education, housing, employment, and one’s lived environment . . . determine 90% of health outcomes while only 10% are determined by biomedical health care” . . . (p. 1)  

Westerhaus, M., Finnegan, A. Haidar, M., Kleinman, A., Mukherjee, J., and Farmer, P. (2015). The Necessity of Social Medicine in Medical Education, Academic Medicine (Published on-line).

Top issues impacting colonia residents’ access to good jobs:

• Low educational attainment and lack of skills needed to obtain jobs that offer a living wage and upward mobility

 • Limited English proficiency

• Low access to quality financial services and products that protect savings and assets

 • Little or no access to the Internet

Source: Southwest Colonias in the 21st Century. Federal Reserve Bank of Dallas.

What is IPE?Interprofessional education occurs when students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes (World Health Organization, 2010)

. . . deliberatively learn together . . . purpose of improving collaboration and learning to work with colleagues at the highest scope of their professional capacity to collectively improve care for patients.(Oregon Health & Science University School of Medicine's Interprofessional Education (IPE) Initiative)http://www.ohsu.edu/xd/education/student-services/about-us/provost/interprofessional-educatio-ipe.cfm

Adapted from Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative.

IPE Accreditation Standards

• School of Medicine

LCME Standards; ACGME Competencies; IOM Core Competency Areas; Core Entrustable Professional Activities (EPAs)

• College of Health Affairs

Communication Sciences & Disorders; Dietetics; Nursing; Occupational Therapy; Pharmacy; Physician Assistant; Social Work

Triple Aim:

• Improving the patient experience of care (including quality and satisfaction)

• Improving the health of populations and

• Reducing the per capita cost of health care.

Institute for Healthcare Improvement (IHI)http://www.ihi.org/Engage/Initiatives/TripleAim/pages/default.aspx

15

Health Care Spending

• The U.S. spent an average of $9,086 per person on health care in 2013 or 17% GDP

• 50% more than Australia, Canada, Denmark, France, Germany, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland and the United Kingdom

Dan Mangan , CNBC, “US health-care spending is high. Results are...not so good.” Thursday, 8 Oct 2015 | 3:50 PM ET http://www.cnbc.com/2015/10/08/

http://www.hospitalsafetyscore.org/newsroom/display/hospitalerrors-thirdleading-causeofdeathinus-improvementstooslow

Healthcare Errors

• Up to 440,000 Americans are dying annually from preventable hospital errors.

• Third leading cause of death in the United States.

18

19

  Many groups committed to promoting health in the RGV including:

Public health initiatives in Cameron County and Brownsville—Hike and bike trails, farmers’ markets, Cyclobia Brownsville

  Hidalgo County Dept. of Health and Human Services—Hidalgo Fit  City of Edinburg—Hike and bike trail; No-smoking in public places ordinance  City of McAllen—Hike and bike trail  City of Harlingen—Healthy Harlingen; Half-marathon

UTRGV’s goal is to form partnerships and work in partnership with the community.

UTRGV School of Medicine Community Initiatives (cont.)

AIME/Longitudinal Community-Based Experience

Year-1-- six communities in three Counties (Cameron, Hidalgo, Starr)

Potential UTRGV Community HubsThe following communities have offered facilities at no-cost to UTRGV to establish community hubs and

IPE sites. Starr County

• La Victoria Community Center Rio Grande City

Hidalgo County• El Paraiso

Los Ebanos, Mission• San Carlos Community Resource

Center Edinburg

Hidalgo County• Proyecto Desarrollo Humano

Peñitas •Alamo Community Resource Center

Alamo

Cameron County• City of La Feria Community

Resource CenterLa Feria

Potential UTRGV Community Hub Activities

Community needs and strengths assessment Social and behavioral services Health care system navigation Nutritional services Community garden Farmers’ market

 Potential UTRGV Community Hub Activities (cont.)

Educational services Human performance services Wellness and prevention services Recreational services Grant writing Career Counseling Health services via periodic community health fairs

RGV Nonprofit Business Summit  Tuesday, August 9, 2016

John RonnauSenior Associate Dean, Office of Interprofessional Education

 UTRGV School of Medicine

Topics:• Mission of UTRGV & School of Medicine

• UTRGV Connections to the Community

• Interprofessional Education & Practice