Quentin R. Burdick Quentin R. Burdick GrantGrant

Interdisciplinary Learning Interdisciplinary Learning in Rural Healthcarein Rural Healthcare

atat East Tennessee State UniversityEast Tennessee State University

Addressing the Problems of Addressing the Problems of Healthcare Disparities in Rural Healthcare Disparities in Rural

AmericaAmerica

Shortage of Healthcare Providers Shortage of Healthcare Providers Inadequate access to HealthcareInadequate access to Healthcare Specialty practice shortageSpecialty practice shortage Shortage in Mental Health servicesShortage in Mental Health services

Through Interdisciplinary Through Interdisciplinary TrainingTraining

Expand interdisciplinary educational Expand interdisciplinary educational experiences for students from different experiences for students from different departments at East Tennessee State departments at East Tennessee State University through rural community-based University through rural community-based experiential learning. experiential learning. highlight the value of interdisciplinary actionshighlight the value of interdisciplinary actions improve health care quality improve health care quality special considerations to rural quality issues special considerations to rural quality issues

Program ObjectivesProgram Objectives1.1. Develop and train an Interdisciplinary Quality Develop and train an Interdisciplinary Quality

Management Team made up of Faculty and Management Team made up of Faculty and community rural health partnerscommunity rural health partners

2.2. Develop a campus wide Seminar on Rural Health Develop a campus wide Seminar on Rural Health Quality ImprovementQuality Improvement

3.3. Develop and conduct a three credit-hours course Develop and conduct a three credit-hours course entitled Quality Improvement in Rural Healthcare entitled Quality Improvement in Rural Healthcare integrated with Nursing, Medicine, Social Work, integrated with Nursing, Medicine, Social Work, Public Health, and Nutrition curriculaPublic Health, and Nutrition curricula

FacultyFaculty

Interdisciplinary ETSU Faculty Interdisciplinary ETSU Faculty Public HealthPublic Health NutritionNutrition Social Work Social Work NursingNursing MedicineMedicine

Rural Health Services Consortium (RHSC) Rural Health Services Consortium (RHSC) Clinic Team MemberClinic Team Member

ETSU Faculty Partnership with ETSU Faculty Partnership with Rural Health Services Consortium Rural Health Services Consortium

CliniciansCliniciansRural Primary Care ClinicsRural Primary Care Clinics

Program Learning objectives Program Learning objectives

Chronic Care ModelChronic Care Model Quality Improvement ProcessesQuality Improvement Processes Interdisciplinary TeamingInterdisciplinary Teaming Community Best PracticesCommunity Best Practices

Diabetes Management FocusDiabetes Management Focus Rural higher incidence and prevalence Rural higher incidence and prevalence Poorer outcomes for rural residentsPoorer outcomes for rural residents

ResultsResults One-day Graduate Seminar for Health One-day Graduate Seminar for Health

Sciences Feb 2005 Sciences Feb 2005 “Interdisciplinary Teams “Interdisciplinary Teams Focusing on Diabetes Care”Focusing on Diabetes Care” Student interest tool for course recruitmentStudent interest tool for course recruitment SpeakersSpeakers

Leonard Jack, Jr., PhD, MSc, lead behavioral health scientist Leonard Jack, Jr., PhD, MSc, lead behavioral health scientist within the Program Division of Diabetes Translation (DDT) at the within the Program Division of Diabetes Translation (DDT) at the Centers for Disease Control and Prevention (CDC) in Atlanta. Centers for Disease Control and Prevention (CDC) in Atlanta.

Jose Velasco, Medical Director Rural Health Services Jose Velasco, Medical Director Rural Health Services Consortium Consortium

ETSU Nutrition FacultyETSU Nutrition Faculty

ResultsResults 3 credit-hours multidisciplinary course3 credit-hours multidisciplinary course

4 weeks in Summer 20054 weeks in Summer 2005 30 students 30 students

Five disciplines - Public Health, Social Work, Five disciplines - Public Health, Social Work, Medicine, Nutrition, NursingMedicine, Nutrition, Nursing

Five interdisciplinary project groups each led by one Five interdisciplinary project groups each led by one ETSU Faculty member and RHSC clinicianETSU Faculty member and RHSC clinician

Credit earned within students major departmentCredit earned within students major department

Course Didactic WeekCourse Didactic Week

30 classroom hours in first week30 classroom hours in first week Quality Improvement in Rural HealthcareQuality Improvement in Rural Healthcare Diabetes 101Diabetes 101 Interdisciplinary Teaming-role contributions in Interdisciplinary Teaming-role contributions in

diabetes managementdiabetes management Best Practices in Rural Diabetes ManagementBest Practices in Rural Diabetes Management

Representatives from regional providersRepresentatives from regional providers Diabetes CollaborativeDiabetes Collaborative Rural Health Services ConsortiumRural Health Services Consortium

Student ProjectsStudent Projects

QI Diabetes Medical Record Audit Diabetes QI Diabetes Medical Record Audit Diabetes Collaborative GuidelinesCollaborative Guidelines

African American Women’s Diabetes Support African American Women’s Diabetes Support GroupGroup

Business Plan for Interdisciplinary TeamingBusiness Plan for Interdisciplinary Teaming Regional Diabetes Resources DatabaseRegional Diabetes Resources Database Community Diabetes Health FairCommunity Diabetes Health Fair

Student Projects Student Projects

Designed to improve Designed to improve outcomes of chronic outcomes of chronic carecare

Student ProjectsStudent Projects

Each employed Quality Each employed Quality Improvement Process Improvement Process model:model: What are we trying to What are we trying to

accomplish?accomplish? How will we know that How will we know that

change is an change is an improvement?improvement?

What changes can we What changes can we make that will result in make that will result in improvement?improvement?

PLAN

DOSTUDY

ACT

Strategies for Technology Strategies for Technology IntegrationIntegration

Course web site (Blackboard) Course web site (Blackboard) CommunicationCommunication AssignmentsAssignments Faculty and student literature resourcesFaculty and student literature resources

Introduced web conferencing among rural clinic sites Introduced web conferencing among rural clinic sites and ETSUand ETSU

Project group trained to use MS Access software for Project group trained to use MS Access software for community diabetes resource database enabling community diabetes resource database enabling RHSC to upload to clinics’ website in the futureRHSC to upload to clinics’ website in the future

RHSC Information Technology staff enabled project RHSC Information Technology staff enabled project groups to use newly available wireless connectivity groups to use newly available wireless connectivity for their laptop computers at rural clinicsfor their laptop computers at rural clinics

Student Project Student Project OutcomesOutcomes

Power Point presentations to Rural Health Power Point presentations to Rural Health Services Consortium administrationServices Consortium administration

Business PlanBusiness Plan Diabetes Community Resources DatabaseDiabetes Community Resources Database Diabetes Medical Record Audit and Flow Diabetes Medical Record Audit and Flow

Sheet DesignSheet Design Community diabetes meal planning eventCommunity diabetes meal planning event Community diabetes education fairCommunity diabetes education fair