West Virginia Rural Health Education Partnerships Advisory Panel Meeting Minutes November 18, 1996 Days Inn, Flatwoods, West Virginia Dennis McCutcheon opened the meeting with the introduction of Advisory Panel members and others attending the meeting. Mr. McCutcheon asked for a motion to approve the consent calendar. On the move by Dr. Ferrari and second by Dr. McCutcheon the panel voted to approve the consent calendar as presented. Sharon Lansdale, Executive Director of the West Virginia Center for Rural Health Development presented information regarding the development of the Rural Health Alliance. The Center for Rural Health Development is a private non-profit corporation dedicated to providing leadership on rural health issues through advocacy, communication and education. In December, the Board Directors of the Center directed her to develop a proposal for a rural health alliance in West Virginia. The Alliance’s diverse, grassroots constituency is composed of individual, organizational state and local government leaders; researchers; educators; consumer groups; business and industry representatives; individuals; and others concerned with rural health. If interested please contact the Rural Health Alliance of West Virginia, 101 Dee Drive, Charleston, WV 25311 (phone: (304) 344-4471. Ms. Lansdale distributed the brochure for the WV Rural Health Alliance. Committee Reviews and Reports: Clarke Ridgway and Rudy Filek reported for the Curriculum and Research and Community Service Committees. They reviewed what the joint meeting/debate held in October had agreed upon concerning the various requirements of student rotations. The committees agreed that 20% of their time over the length of the rotation (3 months) will be devoted to IDS, community service, and community-based research activities. Hilda R. Heady reported for the Finance Committee. She referred to the minutes of the two finance committee meetings that were held July 15, and October 24. There were a number of special fund requests that the committee reviewed and approved. Rainelle was approved for $31,239.00, Pleasant Valley $65,000, Rivers and Bridges $12,365 and Winding Roads $11,600 to a total of $119,664.00. Also the request from Webster Nicholas of $39,187 was approved pending some square footage calculations that the administration has now received and will be distributed out to the finance committee. The Committee had requested at the July 15th meeting, information on cost ranges for upgrading computers and equipment at each of the Learning Resource Centers. They do anticipate a number of upgrade requests that were included with this group of requests and they expect to get some in the next fiscal year as well. The committee decided to give a range and then approve a 20% over run cost. This 20% is to be used only if sites cannot stay in the range assigned without have to come back to the committee. The ranges for lap tops is $3300-$4200, for desktops is $2300-$2700 and the color printers were $200-$300. The other significant piece of work and request that has come out of the finance committee has been directing that site reviews be done of the Consortia (particularly those who have carry over funds). This review will involve only the original RHI sites, since the Western Counties Consortium and the 4 Kellogg sites have had state RHI funds just since the first of July, 1996. A team lead by a financial officer with the University System and other members from the schools will begin by reviewing the largest consortia first and will hopefully complete all reviews by March. These reviews should indicate if there are budgetary policy changes or additions that need to be made. If such recommendation come forth, these will be referred to the Finance Committee. Helen Baker gave the Faculty Development Task Force Report and Recommendations. She reported that the Faculty Development Task Force which was established in the Spring, 1995, at the request of Dr. Weston, concluded their work in November. Their full report and recommendations are listed in the November Consent Calendar. They also created specific Policy statements, which, if approved by the RHEP Board, would set in process implementation of these recommendations. The policies are: Creation of “Faculty Development Committee,” Designation of “On-Site Director of Clinical Education” within each Consortium, Consortium-Level Faculty Development, Creation of a “Faculty Development Desk” at the RHEP Central Office, and Application of Technology for Faculty Development. The rationale for these recommendations are included in their minutes. She reported on the three statewide conferences. The first conference was held on October 26, 1995 in Barboursville with 128 registered participants. The second conference was held Saturday and Sunday, April 20-21, 1996 in Canaan Valley with 89 registrants. The third conference was held Monday, October 28, 1996 in Charleston with 105 participants. Hilda R. Heady presented the School Committee Report. She stated that they did have some closure regarding competencies in the field that was raised by the Eastern Panhandle particularly their Martinsburg site. The Eastern WVRHEP Board had concerns as to competencies for students in relation to their scope of procedures and the Board’s responsibility for liability. Dr. Ferrari reported on his trip to the Eastern Panhandle Consortium. The issue revolved around what procedures students were credentialed to do and the issue to whether the schools should credential or certify that students were competent in performing various procedures. The bottom line is, procedures must be supervised by credentialed faculty (from any discipline) that the site allows the practitioner/faculty to do. One of the other items discussed was the rural rotation requirement for the students who are in the educational track who are already RNs and are working toward a Bachelor’s of Science in Nursing degree. Jane Martin asked for a rotation exemption for the RN to BSN student (students who are already professionals). The School Committee recommended that each RN to BSN be assessed individually. If that student is not working in a rural setting and if that student has not had any rural experience, the schools will work to provide the opportunity for them to experience this. They will also provide the opportunity to participate in IDS seminars. There was some discussion regarding the policies to be voted on. The following policies were approved: Policy 94-01, “Minimal Requirements for Student Rural Rotations, and Requirements for School Based Student Orientations, Policy 95-06, “Student Attendance”; Policy 95-08, “Faculty and Staff Salary Guidelines”; Policy 96-03, “Reimbursement of Student Travel Expenses”; Policy 96-04, “Collaboration of Schools and Sites on Student conduct While on Rotation”; and Policy 96-05, “Creation of a Faculty/Staff Development Committee as a Panel Committee” Hilda R. Heady presented the Executive Director’s Report. The growth and development of the individual consortia level governing boards continue. Two are in board development training and one has retained a facilitator for that process. The most common theme has been the continuing debate over role and function of the lead agency and the local board relative to governance or advisory functions. A special meeting of the Lead Agency Administrators was held on this issue. The sites that tend to have the most successful and productive boards are those that have been able to achieve some sort of balance and make decisions using collaborative model. Both the lead agencies and the Board have been encouraged to look beyond seeing this as an either/or or black and white issue and to focus on what areas are served best by collaboration. We have offered to the various sites, our support of an outside facilitator during board development and training. Hilda announced that there is a national organization developing for community partnerships involved health professions training programs. This is an outgrowth of the Pew Foundation Health Professions funded programs and the Health Professions Schools in Service to the Nation program funded by the federal government. They have contacted the WVRHEP program and are attempting to solicit board members to board of the organization. They are particularly looking for community members who have been part of some community based program to be a part of this new organization. If anyone is interested in learning more about this organization please contact Hilda. Hilda passed out a list of the newly appointed advisory members. She reminded the panel of the Legislative Dinner that will be held on February 17th. Dr. Weston and Hilda submitted a paper to the National Rural Health Alliance of Australia to talk about WVRHEP which has been accepted. They will be out of the country part of January and February. The next WVRHEP 2-day meeting will be March 17 and 18, 1997. Hilda reported on the progress concerning the annual WVRHEP report to the Legislative Oversight Committee on Education and the Arts and a draft was handed out for any comments and questions. Alicia Tyler in the University System office is providing the leadership in putting this report together. Amy Reasinger reported on the Annual Recognition Dinner to be held on February 17, 1997 at the Charleston House. The Rural Health Day has also been scheduled for February 17. In the process of developing nominations for award recognition for outstanding field faculty, outstanding community member, outstanding student research project and outstanding student community service project. Jacquelynn Copenhaver, assisted by Nancy Johnson, presented the performance management update for Rivers and Bridges Consortium. Their 6 month goals for June through November 1996 were: 1) a. Develop two community activities and two research projects, one of each focusing on the needs of the geriatric population and their care givers and the others focusing on the needs of adolescents and their care givers. b. If at all possible, one or both of these projects should encompass state health goals (Healthy People 2000) and be implemented in collaboration with at least one other RHEP Consortium. 2) Promote the Learning Resource Center as a Consortium and community resource. 3) Develop affiliated member network list and approach with assistance of R&B Board. 4) Continue to develop the role of our local Board. They gave a summary report on how they accomplished these goals through community outreach activities, research projects and interdisciplinary sessions for June through November 1996. Their next six months goals are as follows: 1) Expansion of number of rotations and clinical experiences available throughout the Consortium. 2) Conduct needs assessment with Consortium preceptors; plan spring faculty development. 3) Develop the role of local Advisory Group; in development of community activities and research and in fostering local recruitment efforts. 4) Development of community and research activities focusing on geriatric and adolescent issues. Chuck Conner presented his performance management update for Winding Roads Consortium. Chuck explained how he accomplished the following six month goals (November 1995-May 1996). 1) Train/integrate new secretary 2) Develop consortium board/have 3 meetings 3) Update LRC to graphical internet access 4) Develop full use of satellite system at LRC 5) Begin integration of Jackson County sites into RHEP activities and 6) Increase faculty participation in faculty development activities. His new six month goals for December 1996 to May 1997 are: 1) Continue development of Jackson County sites 2) Upgrade LRC computers and software 2) Implement a research plan that enhances students learning and serves our communities 4) Develop a WRHC site newsletter to be published 6 times a year to keep students who have rotated in contact and updated and 5) Keep WRHC web-site updated. The meeting was adjourned at 5:00 pm. The next meeting will be held March 17 and 18, 1997 at the Days Inn in Flatwoods. WVRHEP Advisory Panel Attendance List 11/18/96 Hilda R. Heady Georgianna Tillis Dennis McCutcheon Chuck Conner Don Weston Robert L. Blake Tom Whittier David Martin Elizabeth (Betsy) Degges Mark Allen Sarah Lee Neal April Vestal George E. Miller Alicia Tyler Bob Mathews Sharon Lansdale Sharon Boni Barbara Rice Richard L. Meckstroth Jan Adkinson Mike Moore Amy Reasinger Helen Baker Cecil Pollard Frances N. Smith Rudy Filek Jo Ann Raines Clarke Ridgway Malinda Turner Heather Krugman Lana Cantoni