Randy BangsDirector of Mission Trails R.O.P.

Lynn R. Brooks, CAVSDirector of Volunteer, Health Career, and Spiritual Care Services

Salinas Valley Memorial Healthcare System

Summer Health Institute:Summer Health Institute:Collaborative Hospital-Based Collaborative Hospital-Based Program That Program That

Works!Works!

Health Care Crisis-Health Care Crisis-Drives Local SolutionsDrives Local Solutions

Costs&

$$$

Costs&

$$$

WorkforceShortages

WorkforceShortages

Higher Acuity

Higher Acuity

Shorter Hospital

Stays

Shorter Hospital

Stays

Out-PatientCare

Out-PatientCare

Diversity of

Population

Diversity of

Population

Senior

Population

Senior

Population

Retention&

Recruitment

Retention&

Recruitment

HealthCare

HealthCare

Projected Shortages In Projected Shortages In All Health Professions-All Health Professions-

2020 2020 RN’s –45%RN’s –45%

LVN’sLVN’s DENTISTSDENTISTS

LAB TECH’sLAB TECH’s PHARMACISTSPHARMACISTS

RAD TECH’sRAD TECH’s PHYSICIANSPHYSICIANS RESP TECH’s RESP TECH’s Geographic Geographic

Maldistribution-rural shortagesMaldistribution-rural shortages

Gender and race/ethnicity imbalancesGender and race/ethnicity imbalances

Specialty shortages/Primary Care ShortagesSpecialty shortages/Primary Care Shortages

MENTAL HEALTH- MENTAL HEALTH- Needs in all categoriesNeeds in all categories

Healthcare Career Healthcare Career AdvocacyAdvocacy

Benefit to hospitals and communitiesBenefit to hospitals and communities Hospital – Stable work forceHospital – Stable work force

Quality healthcareQuality healthcare Fiscally soundFiscally sound

Community Colleges - Directly linked to Community Colleges - Directly linked to the economic development of their the economic development of their communitiescommunities

Curriculum guided by local industry needsCurriculum guided by local industry needs Community partnershipCommunity partnership

CommunitiesCommunities Educated workforceEducated workforce Quality community services Quality community services

HealthcareHealthcare

RHORC as a Bridge BuilderRHORC as a Bridge BuilderRegional Health Occupation Resource Regional Health Occupation Resource

CentersCenters

IndustryNeeds

Industry + RHORC + Colleges

Health Occupations

Training

http://www.healthoccupations.org/

RHORC as a Bridge BuilderRHORC as a Bridge BuilderRegional Health Occupation Resource Regional Health Occupation Resource

CentersCenters

IndustryNeeds

Industry + RHORC + Colleges

Health Occupations

Training

http://www.healthoccupations.org/

Educational Educational InstitutionsInstitutions

UniversitiesUniversities

Community CollegesCommunity Colleges

High School Health AcademiesHigh School Health Academies

R.O.P. R.O.P.

Regional Occupational Regional Occupational ProgramProgram Mission Trails ROP serves Mission Trails ROP serves eight school eight school

districts districts in in Monterey CountyMonterey County, offering , offering training opportunities for high school training opportunities for high school students in grades 10, 11 and 12 as well students in grades 10, 11 and 12 as well as adultsas adults

ROP provides ROP provides career technical education career technical education courses in many subject areas, providing courses in many subject areas, providing the opportunity for students to learn the opportunity for students to learn career and technical skills along with career and technical skills along with their regular academic studies. their regular academic studies.

Most classes also add a “Most classes also add a “Community Community Classroom Classroom” aspect, ” aspect, where students intern where students intern or work in a setting or work in a setting related to the ROP related to the ROP course. course.

Regional Occupational Regional Occupational ProgramProgram

Career PathwaysCareer Pathways Agriculture & Natural Resources Agriculture & Natural Resources Arts, Media & Communications Arts, Media & Communications Building, Trades & ConstructionBuilding, Trades & Construction Education, Child DevelopmentEducation, Child Development Engineering & DesignEngineering & Design Finance & BusinessFinance & Business Health Science & Medical TechnologyHealth Science & Medical Technology Hospitality, Tourism & RecreationHospitality, Tourism & Recreation Information TechnologyInformation Technology Manufacturing & Product DevelopmentManufacturing & Product Development Marketing, Sales & ServiceMarketing, Sales & Service Public ServicesPublic Services TransportationTransportation

Regional Occupational Regional Occupational ProgramProgram

Guidance & Alternative Education Guidance & Alternative Education ServicesServices CounselingCounseling Career AssessmentCareer Assessment Placement servicesPlacement services General Education Diploma/Basic General Education Diploma/Basic Skills LabSkills Lab

Co-op EducationCo-op Education Interview & Resume workshopsInterview & Resume workshops Career Fairs & PanelsCareer Fairs & Panels Postsecondary OptionsPostsecondary Options Job Shadow/InternshipJob Shadow/Internship

Health Occupations CourseHealth Occupations Course Prerequisites:Prerequisites: 1111th th grade level in English grammar, grade level in English grammar,

good attendance, good attitude and a commitment to good attendance, good attitude and a commitment to learn. learn.

Course Description:Course Description: Orientation to Health Careers, Orientation to Health Careers, Communication Skills, Anatomy and Physiology (basic body Communication Skills, Anatomy and Physiology (basic body systems), and Patient Care Procedures. Two components: systems), and Patient Care Procedures. Two components: Theory/LabTheory/Lab Proficiency Proficiency → → Community classroom/Job Shadowing Community classroom/Job Shadowing

Course Goals:Course Goals: Proficiency in the following Proficiency in the following knowledge/skills:knowledge/skills: Employment opportunities in the areas of Diagnostic, Employment opportunities in the areas of Diagnostic,

Supportive and Therapeutic health servicesSupportive and Therapeutic health services Medical TerminologyMedical Terminology Medical EthicsMedical Ethics ConfidentialityConfidentiality Environmental and Patient SafetyEnvironmental and Patient Safety Body MechanicsBody Mechanics Patient Care Procedures (i.e., Vital Signs, Wheelchairs, Patient Care Procedures (i.e., Vital Signs, Wheelchairs,

Height and Weight) Height and Weight)

Job Shadowing ReportJob Shadowing Report Define Job Shadowing (10 points)Define Job Shadowing (10 points)

Explain what you learned during your experience (60 points)Explain what you learned during your experience (60 points) Describe skills you learned and procedures you observed.Describe skills you learned and procedures you observed.

Complete Patient or Non-Patient Department Report as Complete Patient or Non-Patient Department Report as appropriate according to criteria below (30 points)appropriate according to criteria below (30 points) Patient Departments Patient Departments

Signs and Symptoms (10 points)Signs and Symptoms (10 points) What does the patient complain of? What does the physician see What does the patient complain of? What does the physician see (subjective and objective?) Special diagnostic tests necessary for (subjective and objective?) Special diagnostic tests necessary for diagnosis can be included here, GB series, GI series, and IVP for diagnosis can be included here, GB series, GI series, and IVP for example.example.

Treatment (10 points)Treatment (10 points) General kinds of treatment available (ex: surgery, medication, General kinds of treatment available (ex: surgery, medication, diets, bed rest, radiotherapy, and physical therapy).diets, bed rest, radiotherapy, and physical therapy).

Prognosis (10 points)Prognosis (10 points) Predicted outcome. Is the prognosis good, fair, guarded, or poor? Predicted outcome. Is the prognosis good, fair, guarded, or poor? Are there any sequel (after effects)? Is complete cure likely? Is Are there any sequel (after effects)? Is complete cure likely? Is this a terminal condition, or is it a chronic condition in which this a terminal condition, or is it a chronic condition in which the patient may need help to cope with this disability? the patient may need help to cope with this disability?

Non-Patient Departments Non-Patient Departments Describe other departments you were able to visit. Include: patients Describe other departments you were able to visit. Include: patients and/or equipment you observed, the atmosphere (calm, friendly, tense, and/or equipment you observed, the atmosphere (calm, friendly, tense, depressing), sounds and smells.depressing), sounds and smells.

Other MTROP Health Other MTROP Health ClassesClasses

Physical Therapy AidePhysical Therapy Aide

Health Unit CoordinatorHealth Unit Coordinator

Medical ReceptionistMedical Receptionist

Dental AssistingDental Assisting

Dental RDADental RDA

Dental X-rayDental X-ray

Student AssessmentStudent Assessment Controlling InfectionControlling Infection

Asepsis Hand WashAsepsis Hand Wash GlovingGloving

Body Mechanics - Body Mechanics - Bed makingBed making UnoccupiedUnoccupied Strip BedStrip Bed Open/Close BedOpen/Close Bed

Vital SignsVital Signs Temperature/Pulse/RespirationTemperature/Pulse/Respiration Blood PressureBlood Pressure

ObservationsObservations ChartingCharting ReportingReporting

Medical TerminologyMedical Terminology Medical AbbreviationsMedical Abbreviations Medical SpecialistMedical Specialist

SafetySafety Patient SafetyPatient Safety Safety of SelfSafety of Self Fire Safety Procedures Fire Safety Procedures

Extra CreditExtra Credit Laps Laps  ChaptersChapters

CommunicationCommunication ReadingReading WritingWriting SpeakingSpeaking ListeningListening Medical MathMedical Math  

Opportunities in Medical FieldOpportunities in Medical Field Nurse – LVN, RNNurse – LVN, RN Medical AssistantMedical Assistant Nurses AssistantNurses Assistant Unit CoordinatorUnit Coordinator Medical Records SpecialistMedical Records Specialist

Satisfaction/SocialSatisfaction/Social Work with fellow students as a teamWork with fellow students as a team Understand & Demonstrate patient Understand & Demonstrate patient

considerationconsideration Ethics/Personal QualitiesEthics/Personal Qualities

PunctualityPunctuality AccuracyAccuracy DependabilityDependability Good AttendanceGood Attendance Appropriate DressAppropriate Dress Good GroomingGood Grooming

Job ShadowJob Shadow

Proficiency Level: 3=Exceeds Skills requirements, 2 = Meets Skills Requirements, 1=Preparatory

Health & Human Services Health & Human Services Academies Highly EffectiveAcademies Highly Effective

New approach to schoolingNew approach to schooling Combines required graduation classes and Combines required graduation classes and technical training technical training

Prepares student for the diverse job and Prepares student for the diverse job and career opportunities in: career opportunities in:

Health Health MedicineMedicine Biological Science Biological Science Human Services Human Services Biotechnology Biotechnology

Graduates are prepared academically and Graduates are prepared academically and vocationally for skilled entry-level jobs vocationally for skilled entry-level jobs and/or entrances into colleges and and/or entrances into colleges and universities for continued training.universities for continued training.

Hospitals/Healthcare Hospitals/Healthcare AssociationsAssociations

Resources Resources Education and Talent Education and Talent Auxiliaries/FoundationsAuxiliaries/Foundations

Grants and ScholarshipsGrants and Scholarships Current EmployeesCurrent Employees VolunteersVolunteers Community MembersCommunity Members

Workforce Advocacy Workforce Advocacy ProgramsPrograms

R.O.P. (Regional Occupational R.O.P. (Regional Occupational Program) Program) Job ShadowingJob Shadowing

Collaboration with Nursing Collaboration with Nursing EducationEducation

Health AcademiesHealth Academies

High School/College Job ShadowingHigh School/College Job Shadowing

Community Programs (Rotary)Community Programs (Rotary)

College Internships College Internships

Patient Ambassador ProgramPatient Ambassador Program Pre-nursing college student (18+)Pre-nursing college student (18+)(continues)

Advocacy Programs Advocacy Programs (Continued)(Continued)

Human Resource Department OutreachHuman Resource Department Outreach Health to School Speaker’s BureauHealth to School Speaker’s Bureau Career FairsCareer Fairs Junior AchievementJunior Achievement

Cal Works Cal Works (Welfare to Work)(Welfare to Work)

Medical Adventure CampMedical Adventure Camp

Summer Health InstituteSummer Health Institute

Summer Health InstituteSummer Health Institute PurposePurpose

Educate and motivate high school students Educate and motivate high school students in health careersin health careers

FormatFormat Case Study methodology – multi-disciplinaryCase Study methodology – multi-disciplinary

28 Hospital staff members presented28 Hospital staff members presented

Articulated College CourseworkArticulated College Coursework Based on Jump Start Program-San DiegoBased on Jump Start Program-San Diego

Site VisitsSite Visits Paid ExperiencePaid Experience Externship in Clinical and Support Externship in Clinical and Support departmentsdepartments Student Research/Return PresentationsStudent Research/Return Presentations MentoringMentoring

Participating AgenciesParticipating Agencies Visiting Nurse Association—Home Visiting Nurse Association—Home

Health & HospiceHealth & Hospice

Hartnell CollegeHartnell College

Stanford Medical School Center of Stanford Medical School Center of ExcellenceExcellence

University of California, Santa Cruz University of California, Santa Cruz Biology LabsBiology Labs

SHI Curriculum OverviewSHI Curriculum Overview

WEEK 1WEEK 1Introduction to HospitalIntroduction to HospitalPresented Case Study at HospitalPresented Case Study at HospitalExternship PreparationExternship Preparation

WEEK 2WEEK 2 Hartnell Nursing Lab—1 unitHartnell Nursing Lab—1 unit

WEEK 3WEEK 3Visiting Nurse Association and Departmental Visiting Nurse Association and Departmental

ExternshipsExternshipsLibrary Research OrientationLibrary Research OrientationPrinciples of Public SpeakingPrinciples of Public SpeakingHospital Administration/Organization PresentationsHospital Administration/Organization Presentations

WEEK 4WEEK 4

Externships Externships Site Visits to UCSC & StanfordSite Visits to UCSC & StanfordResearch and Case Study Draft ReviewResearch and Case Study Draft ReviewStudent case study presentationsStudent case study presentationsCumulative FinalCumulative Final

WEEK 5WEEK 5Community Advocacy ProjectsCommunity Advocacy ProjectsAdvocacy PresentationsAdvocacy PresentationsProgram EvaluationsProgram EvaluationsGraduationGraduation

NICU Case Study SampleNICU Case Study Sample Baby Boy H was born today at 03:07 hrs to a 27 y.o. G2 Baby Boy H was born today at 03:07 hrs to a 27 y.o. G2 now P2 O+ female at 35 1/7 weeks gestational age; now P2 O+ female at 35 1/7 weeks gestational age; birth weight was 2500 gm. The mother received good birth weight was 2500 gm. The mother received good prenatal care (HBSAg neg. RPR non-reactive, Rubella prenatal care (HBSAg neg. RPR non-reactive, Rubella Immune.) She was scheduled for a visit today, the day Immune.) She was scheduled for a visit today, the day of her delivery at which appointment the Group B Strep of her delivery at which appointment the Group B Strep screen would have been performed. She was admitted in screen would have been performed. She was admitted in advanced pre-term labor and delivered 2 hours later. advanced pre-term labor and delivered 2 hours later. On further questioning she commented that she had been On further questioning she commented that she had been leaking amniotic fluid for over 18hours. Her leaking amniotic fluid for over 18hours. Her admitting temperature was 100.6F. She received one admitting temperature was 100.6F. She received one dose of IV Penicillin 5 million units one hour prior dose of IV Penicillin 5 million units one hour prior to delivery. to delivery.

At delivery the baby was given APGARs of 5 at 1 minute At delivery the baby was given APGARs of 5 at 1 minute (1 off for color, 1 off for HR, 1 off for respiratory (1 off for color, 1 off for HR, 1 off for respiratory effort and 2 off for tone) and 7 at 5 minutes (1 off effort and 2 off for tone) and 7 at 5 minutes (1 off for color, 2 off for tone.) The baby was positioned for color, 2 off for tone.) The baby was positioned under the radiant warmer, suctioned, dried and under the radiant warmer, suctioned, dried and stimulated. Positive pressure ventilation was briefly stimulated. Positive pressure ventilation was briefly provided and discontinued once HR respiratory effort provided and discontinued once HR respiratory effort and color improved. However free flowing oxygen was and color improved. However free flowing oxygen was necessary to maintain color and the baby was necessary to maintain color and the baby was transferred to the NICU. You have been called by the transferred to the NICU. You have been called by the team to evaluate. team to evaluate. CONTINUES…

Case Studies Outlined Case Studies Outlined by Physicianby Physician

Necrotizing Fasciitis

Heart Case

NICU

8:30 Lab CoatsMorning

ReviewMorning

Review  Morning Review

8:30-8:45 a.m.

8:45Orientation Checklist

(Green)8:30-9:00 a.m. 8:30-9:00 a.m.

 Floor Orientaion and

NICU Overview

9:00 Finalize PaperworkPre-Admission

Process Diagnostic Imaging   8:45-10:30 a.m.

9:15 Rules of Engagementand

Admission Paperwork Chuck Morris    

9:30   Diane Mallett 9-10 a.m.  4 teams x 15 mnute rotations

through

9:45   9-10 a.m.    NICU with Dr. Kasting

and floor/room

10:00   Pharmacy NICU Nursing  orientation

10:15Team and VNA

Assignments Lihjen Wang Sharon Roberts VISITING  

10:30   10-11 a.m. 10-11 a.m. NURSE 10:30-11 a.m.

10:45 Other Ambassador Stuff     ASSOCIATIONHand Massage

Roberta Troxell

11:00Communicating

w/Compassion LUNCH LUNCH (VNA) RETURN DEMO

11:15Advance Care Planning

Literacy 11-11:45 11-11:45   LUNCH

11:30         11:15-12:00

11:45  APGAR Scoring/

Assessment Social Services    

12:00 CP4 Dr. Kasting Art Gabudao   CEO-Planning

12:15 Welcome Luncheon 11:45-12:30 11:45-12:30   Jim Griffith

12:30Introduction to

MentorsRespiratory

TherapyDischarge Planning/Case

Mgt   12:00-12:45

12:45and Administration

12:00-1:15 p.m. Jason Villavert Sonia Morrison   Affiliates

1:00   12:30-1:15 12:30-1:15   Mike Hutchinson

1:15 1:15-3:00 BREAK Case Study Wrap-Up   12:45-1:45

1:30Components of

a Case Study Laboratory Dr. Kasting    

1:45Format Overview

Susan Cerney 1:15-2 p.m.   Mind/Body Connection

2:00Student

Case Study 1:30-2:15 BREAK    

2:15Assignments

and Physical Therapy Health Promotion   Eva Geidt

2:30Introduction to

Case Study #1 Mary Neimy Kristina Morales  

2:45 Dr. Kasting 2:15-3 2:15-3   1:45-3

3:00 Wrap-Up Wrap-Up Wrap-Up   Wrap-Up

3:15Discussion

3:00-3:30 p.m.Discussion

3:00-3:30 p.m.Discussion

3:00-3:30 p.m.  Discussion

3:00-3:30 p.m.

PATHOLOGYPATHOLOGY

Suite

Surgical Sterile FieldSurgical Sterile Field

VISITING NURSES ASSOCIATION

Hartnell Hartnell College College NursingNursing

Skills LabSkills Lab

Stanford

U.C. Santa CruzU.C. Santa CruzBiology LabsBiology Labs

EXTERNSHIPSEXTERNSHIPS

Student Case StudiesStudent Case StudiesRespiratory Case StudyRespiratory Case Study Mr. Ardin is admitted to the hospital after sustaining two Mr. Ardin is admitted to the hospital after sustaining two

fractured ribs and a lung contusion following a motor vehicle fractured ribs and a lung contusion following a motor vehicle collision. His previous health history was positive for smoking collision. His previous health history was positive for smoking and emphysema. He has been on oxygen at 21/min and has been and emphysema. He has been on oxygen at 21/min and has been fairly comfortable on MSO4 via PCA.fairly comfortable on MSO4 via PCA.

Neurological Case StudyNeurological Case Study Mr. Spina, a 22-year-old male is injured while surfing. He is Mr. Spina, a 22-year-old male is injured while surfing. He is

diagnosed with complete C6 spinal cord injury.diagnosed with complete C6 spinal cord injury.

Cardiology Case StudyCardiology Case Study Mr. Eddy has been a patient in the critical care unit for three Mr. Eddy has been a patient in the critical care unit for three

days being treated for a large acute anterior wall myocardial days being treated for a large acute anterior wall myocardial infarction. Mr. Eddy continues to have chest pain unrelieved infarction. Mr. Eddy continues to have chest pain unrelieved with a nitroglycerin drip and MS04. He is obtunded, tachycardic, with a nitroglycerin drip and MS04. He is obtunded, tachycardic, hypotensive, oliguric, and has crackles in both lungs.hypotensive, oliguric, and has crackles in both lungs.

Burn Case StudyBurn Case Study You are working the day shift and are assigned to care for Miss You are working the day shift and are assigned to care for Miss

Frieri, an 18-year-old female admitted during the night. She Frieri, an 18-year-old female admitted during the night. She was burned in a house fire. She sustained some full-thickness was burned in a house fire. She sustained some full-thickness and partial-thickness burns over 30% of her body.and partial-thickness burns over 30% of her body.

Hepatic Case StudyHepatic Case Study Mr. Lopath, age 50, is admitted to your floor from the ED. He Mr. Lopath, age 50, is admitted to your floor from the ED. He

is lethargic, cachectic in appearance and mildly combative. He is lethargic, cachectic in appearance and mildly combative. He smells strongly of ETOH and has a notably swollen abdomen and smells strongly of ETOH and has a notably swollen abdomen and lower extremities.lower extremities.

Case Studies Must Case Studies Must IncludeInclude

•Chief Complaint/Present Illness

•Medical History

•Basic and Specific Tests

•Diagnosis

•Treatment

•Follow-up Testing

•Outcomes

•References

HEPATIC ENCEPHALOPATHY

PRESENTED BY:

Montse , Holly Spier, Nayibe Andrade, Isabel Montenegro

Community Health Community Health AdvocacyAdvocacy

During the 1During the 1stst 5 years of SHI—Stanford 5 years of SHI—Stanford University mentioned an important criteria University mentioned an important criteria in selection of students for medical school in selection of students for medical school is advocacy for improvement of the health is advocacy for improvement of the health of their community, which begins with the of their community, which begins with the ability to identify community health issuesability to identify community health issues

Students were learning about health inside Students were learning about health inside the hospital, but outreach wasn’t part of the hospital, but outreach wasn’t part of the curriculumthe curriculum

2008—added advocacy projects, based on top 2008—added advocacy projects, based on top health needs in the community (as reported health needs in the community (as reported in the 2001 Tellus Report)in the 2001 Tellus Report) Type II DiabetesType II Diabetes Elderly FallsElderly Falls Access to Preventive Healthcare for Migrant Access to Preventive Healthcare for Migrant Families and uninsuredFamilies and uninsured

Objectives of Advocacy Objectives of Advocacy ProjectsProjects

To provide our SHI students with the To provide our SHI students with the opportunity to advocate, within opportunity to advocate, within their community, a health issue that their community, a health issue that they feel needs to be addressedthey feel needs to be addressed

To provide them with the resources To provide them with the resources needed to fulfill the requirements needed to fulfill the requirements we set for themwe set for them

To give the students the power to To give the students the power to create change within their communitycreate change within their community

GoalGoal That our students have a better That our students have a better understanding of the preventable understanding of the preventable health issues within their own health issues within their own community.community.

Our students will be able to speak Our students will be able to speak on such issues to community members on such issues to community members and medical staff with confidence.and medical staff with confidence.

Each group assigned to a health Each group assigned to a health issue will create and carry out an issue will create and carry out an advocacy project that they design advocacy project that they design and develop.and develop.

The number one cause of Emergency Room The number one cause of Emergency Room visits among adults over 65, is preventable visits among adults over 65, is preventable Elderly Falls.Elderly Falls.

More than 90 percent of hip fractures occur More than 90 percent of hip fractures occur as a result of falls, with most of these as a result of falls, with most of these fractures occurring in persons over 70 years fractures occurring in persons over 70 years of age. of age.

Elderly persons who fall are 10 times more Elderly persons who fall are 10 times more likely to be hospitalized and eight times likely to be hospitalized and eight times more likely to die as the result of a fall.more likely to die as the result of a fall.

Hip fracture survivors experience a 10 to 15 Hip fracture survivors experience a 10 to 15 percent decrease in life expectancy and a percent decrease in life expectancy and a meaningful decline in overall quality of meaningful decline in overall quality of life. life.

Elderly FallsElderly Falls

Physical TherapyPhysical Therapy Wednesday, July Wednesday, July 1616thth presentation presentation

Avalon Villa Avalon Villa SerraSerra Thursday, July Thursday, July 1717thth presentation presentation

http://www.http://www.niania..nihnih..govgov/ / HealthInformationHealthInformation/ Publications/falls./ Publications/falls.htmhtm

Philips LifelinePhilips Lifeline MSSP & Linkages MSSP & Linkages ProgramsPrograms

Director of ROPDirector of ROP

Falls Prevention

More than 100 Monterey County high More than 100 Monterey County high school students have parents that are school students have parents that are migrant workers. migrant workers.

Health-care facilities for migrants Health-care facilities for migrants need special investments in terms of need special investments in terms of educational outreach work to educate educational outreach work to educate migrants on the need for prevention of migrants on the need for prevention of STDs, translation facilities and timely STDs, translation facilities and timely health-care facilities. health-care facilities.

There are over eight special assistance There are over eight special assistance programs available for uninsured programs available for uninsured individuals in our county alone.individuals in our county alone.

Accessing Health Care Accessing Health Care for Migrant Familiesfor Migrant Families

DiabetesDiabetes 20.8 Million people 20.8 Million people suffer from diabetessuffer from diabetes

Over 90% of obese Over 90% of obese people suffer from people suffer from type II Diabetestype II Diabetes

9.5 percent are 9.5 percent are Hispanic/Latino Hispanic/Latino Americans aged 20 Americans aged 20 years or older (2.5 years or older (2.5 mil)mil)

The total annual The total annual economic cost of economic cost of diabetes in 2007 was diabetes in 2007 was estimated to be $174 estimated to be $174 billion billion

http://diabetes.niddk.http://diabetes.niddk.nihnih. . gov/dm/pubs/statisticsgov/dm/pubs/statistics//

Clinica de SaludClinica de Salud Tuesday, July Tuesday, July 1515thth tour tour

HELPHELP Tuesday, July Tuesday, July 1515thth Training Training

Partners for Partners for PeacePeace Wednesday, July Wednesday, July 1616th th presentation presentation

The Health The Health DepartmentDepartment

Head StartHead Start

Students worked in team setting to formulate plan Students worked in team setting to formulate plan for accessing resources and develop timelinesfor accessing resources and develop timelines

We used resources and people we met at hospital We used resources and people we met at hospital and community to ask questions, design topic of and community to ask questions, design topic of discussion and prepare for questionsdiscussion and prepare for questions

For example: First Five of Monterey CountyFor example: First Five of Monterey County Received Spanish and English pamphlets and cookbooks with Received Spanish and English pamphlets and cookbooks with healthy recipeshealthy recipes

Presented at local housing complexPresented at local housing complex Preventive health resourcesPreventive health resources Healthy eating habitsHealthy eating habits

Conclusion: We accomplished something very Conclusion: We accomplished something very importantimportant

Reached out to communityReached out to community Spoke directly to people in needSpoke directly to people in need Sense of prideSense of pride

Accessing Health Care Accessing Health Care for Migrant Families for Migrant Families

ProjectProject

ADVOCACY PROJECTSADVOCACY PROJECTS

Diabetes Awareness

Health Access

SHI OutcomesSHI Outcomes 115 students graduated to date 115 students graduated to date (6 years)(6 years) Diverse group Diverse group

Over half – 1Over half – 1stst generation with generation with college goalscollege goals

Health Academy/R.O.P. preparedHealth Academy/R.O.P. prepared

Highly motivated to succeedHighly motivated to succeed

Increased community Increased community collaborationcollaboration

Student Evaluation Student Evaluation AveragesAverages

3.43 3.39 3.563.68

3.01

3.52 3.44 3.51

0

0.5

1

1.5

2

2.5

3

3.5

4

Overall SVMHHospital

Hartnell VNA NASA Stanford UCSC Labs NatividadExternships

Factors to ConsiderFactors to Consider ResourcesResources

Financial (Sample Budget in packet)Financial (Sample Budget in packet) Supply CostsSupply Costs Program CostsProgram Costs

Instructors, Paid Externships, Transportation, Instructors, Paid Externships, Transportation, AdministrativeAdministrative

Hospital Administrative SupportHospital Administrative Support Meeting SpaceMeeting Space Case Study Presenters/MentorsCase Study Presenters/Mentors RecognitionRecognition

Welcome Luncheon and GraduationWelcome Luncheon and Graduation

Community College CollaborationCommunity College Collaboration Financial, Instructor and Facility AvailabilityFinancial, Instructor and Facility Availability Administrative Support for development of their Administrative Support for development of their piecepiece

Potential Community Partners – Participant or Potential Community Partners – Participant or SponsorSponsor

Future Healthcare Future Healthcare ProfessionalsProfessionals