Advisoy Panel
Minutes
May 15, 2000
Days Inn
Flatwoods, WV

Attendees:  Dennis McCutcheon, Tommy H. Mullins, Bill Shires, Elizabeth
Degges,
Imogene Foster, Clarke Ridgway, William McCutcheon, Richard Meckstroth, April
Vestal, Jacquelynn Copenhaver, Alicia Tyler, Stephen Thomas, Tom Hefner, Kelly
Blake, Rosie Cannarella, Kathryn Greenlief, Glenna Michael, Jennifer Plymale,
Anna Reno, Robert Blake, Chuck Conner, Penny Asbury, Carla Campbell, Elizabeth
Richmond, Shirley Neel, Joan Hypes, Jennifer Allen, Patti Crawford, Mary
Louise
Brown, JoAnn Raines, Denzil Hawkinberry, Annie McIntosh, Bill Duty, Jim
Welshonce, Peg Callaghan, Gaye Mitchell, Malinda Turner, Norman Ferrari, Randy
Lowe, Hilda Heady, Sandra Baker.

Dennis McCutcheon, Chair, called the meeting to order at 2:42 PM.

Introductions of those in attendance were made.

A motion to accept the Consent Agenda was made. (McIntosh/Shires)

Dennis McCutcheon announced that Sarah Lee Neal passed away.  The panel paused
for a moment of silence in memory of Sarah Lee Neal.  She was a strong
supporter of the program.

A motion to accept Policy 93-01, “Annual Fiscal Reports and Budgets” as
written
with revisions implemented. (Welshonce/Lowe) This policy was unanimously
approved and accepted.

Another motion to accept Policy 95-09, “Preparation and Timely Submission of
Monthly Reports” as written with revisions was made. (Tyler/Mitchell) Motion
carried.

Imogene Foster passed out pamphlets and extended an invitation for those
interested to the Judith C. Kandzari Lectureships on June 9, 2000.  For
further
information contact Imogene Foster. 

Community Members Group
Dennis announced that there is a new committee and Annie McIntosh is the
Chair.  Annie McIntosh reported that there were 12 present at their first
meeting and all went well. They discussed the role of the Community Members in
RHEP and ways to carry out these roles. They decided that quarterly meetings
would be helpful in keeping the community voices focused and better
informed. A
mission statement was established. 

School Committee
Dr. Ferrari reported that four different topics were discussed.  This
committee
adopted a nepotism policy (regarding supervision of student rotations) that
will be consistent with the already existing school policies to be
presented to
the panel at the July meeting. The policy states that the students may not do
rotations with relatives as defined in the policy. 

The School Sub-Committee’s final report on “Parameters of Community Service”
was adopted by the School Committee and will be sent to the Community
Service/Curriculum Committee and the Faculty Development Committee for review
before the recommendations are presented to the Panel.

The School Committee had a discussion on the lack of adequate evaluation
and is
encouraging the Evaluation Committee to do on line electronic evaluations of 
rotations and  preceptors. The School Committee would like to have
something in
place by July so schools and students will have access to the collated data
instead of waiting on this data to be entered periodically causing the data to
be outdated.

A discussion on rural rotations was held without a final resolution being
made.  Dr. Ferrari did a diagram as drawn, starting with a discussion of rural
rotations which is the global umbrella and under that umbrella, there is the
other rural and RHEP. Dr. Ferrari’s interpretation is that RHEP rotations are
those rural rotations where 20% of the student’s time is spent in community
service, IDS and/or community-based research along with the rural experience.
An interpretation that is in some disagreement is that RHEP rotations are only
those considered primary care as governed by Policy 97-02 versus non-primary
care.  There is concern as to whether or not this category exists (non-primary
care RHEP rotations).  All WVU School of Medicine students are asked to
complete their 20% obligations even though their rotation was a non-primary
care rotation meeting this definition (i.e. if a consortium board was willing
to offer a rotation in rural radiology, which could mean circuit riding to
five
or six different hospitals as long as the rotation was accepted by the local
consortium board that they were serving a rural community in a clinical
service
and were meeting the 20% community service, IDS requirement that was living up
to the spirit of RHEP and met this definition.).  Some of the other school and
sites do not think this category exists and feels that RHEP is primary care
exclusively. The two interpretations could become synonymous and force WVU to
drop the 20% requirement to fall into this category. The curriculum committee
would prefer not to see this happen, as there is a lot of value in this
component.  School Committee will re-discuss this before bringing something
formal to the Panel.  Hilda suggested that a joint policy review session be
held in July to discuss and resolve this and other policy issues regarding the
curriculum and the on-site clinical director’s role.  This joint meeting at a
minimum should be the School Committee, the Faculty Development Committee, and
the Site Coordinator’s Group. April Vestal will work with the committee chairs
to set up this policy discussion for July.  Dr. Ferrari stated that there are
school representatives, community representatives and site coordinators on the
committee and anyone was welcome to participate in the discussion.  He
concluded that there is confusion that all rural had to be RHEP and all RHEP
had to be primary care and these two categories somehow maybe did not exist
when in fact, in some minds they do. 








 See diagram:






                                   IDS &
                                   Community Service
                                             20%




                                                                        




                                                        


Community Outreach/Curriculum Committee and Faculty Development Committee
April Vestal reported that this committee is working on the rewriting the
description of the committee since becoming a joint committee.  She gave an
overview of the Field Faculty survey.  
April announced that Faculty Development Day would be October 6th and 7th at
Snowshoe Resort.

Visions Workgroup
Hilda conveyed that this group was charged to come up with a reflective
view of
the values and principles, vision and mission statement of the program and
come
up with recommendations by November.  This group reviewed background
materials,
such as the history of the program, a review of the original mission
statement,
values and guiding principles of the integration of the Kellogg and the RHI
program in 1995, and the results of the retreat from last year. The group’s a
discussions have centered on the strengths and weaknesses of the program and
areas needing improvement to further the mission.  A discussion of the value
area and principles that guide our behavior in terms of those core values was
developed at today’s meeting.  A vision statement will be established in
July. 


Finance
Chuck gave a report that twelve of thirteen budgets were approved.  Two
special
projects were approved:  Computer upgrades at Rivers & Bridges and funding
assistance to the Evaluation Committee to complete a comprehensive research
evaluation of the RHEP program.  The potential payment distribution schedule
for the next fiscal year was reviewed and is still under discussion.

Dr. Weston, via Hilda, proposed a resolution for the upcoming budget for next
year and the reauthorization of the RHI act (see attached).  The resolution is
to establish a Finance Sub-Committee to work on a budget reallocation model of
funding for the next fiscal year (see attached).  This work request is to be
completed by November 2000.  A discussion followed with Hilda announcing that
on June13, a legislative information session will be held with the site
coordinators. 

Tom Whittier stated that the charge of this sub committee speaks to the costs
for each consortium and community based training. It doesn’t speak at all to
other costs at the institutions, which are major portions of our budget and
should be addressed also.  Hilda stated that item number 5 in the resolution
document allows the committee to discuss all areas of the budget.  This
statement provides the mechanism for this sub-committee and the finance
committee to look at the central administration budget or any budget that
Hilda
and Dr. Weston might direct to the committee. Dr. Ferrari made a motion to
direct the Finance Committee to form a sub-committee to review the five items
as directed and report back to the panel at the September 2000 meeting.
(Ferrari/Wm. McCutcheon) Motion carried.

Hilda asked for volunteers for this sub-committee.  Those willing to serve are
as follows: David Hughes, Randy Lowe, Chuck Conner, Tommy Mullins, Dan Durbin,
Tom Whittier, Anna Reno, Gaye Mitchell, Robert Blake, Bill Duty, Jay Prager,
and Tom Hefner.  Hilda thanked all of those for the interest and volunteering
to serve on this sub-committee.

Student Advisory Panel
Marcus Speaker reported that the Panel discussed a retreat and expressed
concerns of finding a way to hook up students with field faculty through the
web.  He also stated that the Panel is drafting a description regarding the
purpose of the panel.

Denzil Hawkinberry endorsed the need for this retreat in order to build the
relationship of the Student Advisory Panel and the community members to
communicate more openly.  Don’t jump into this; get two representatives from
each school and charge them with meeting and discussing particulars of the
retreat.

April announced that Denzil and Cindy Smith were attending their last meeting
as Student Advisory Panel Representatives as they graduated in May.  Hilda
stated that they might still be involved in some capacity as it is refreshing
to have such a caliber of students and expressed the Panel’s appreciation for
their work and also that their input was of great value to RHEP.

Executive Director’s Report
The National Community Campus Partnerships for Health Annual Conference was
held in Washington, DC on April 29 through May 2, 2000, with a contingent from
West Virginia of 25 people attending the conference.  Most of those
individuals
were with RHEP or HSTA. There were four workshops on the agenda.  One of the
things  that stand out when going to the national meetings with other
partnerships attending is the difference in the definition of “community” and
particularly “community member”.  This year the board of the organization has
made a specific request in expertise sharing and would like for us to come up
with ways to advise other partnerships in other parts of the country on how to
go about getting more grass roots involvement in their partnerships and how to
look at varying definitions of community and what they mean.

The national association offered to assist us in holding a regional conference
at which RHEP would essentially become the learning laboratory for a number of
different individuals within our region or country that want to look at
community based partnerships.  The conference would be held in West Virginia
and would be organized around specific tracts like governments,
infrastructure,
curriculum, service learning, finance, policy development, etc.    

Hilda reported that RHEP’s tenth year anniversary (beginning with passage of
the RHI ACT and the Kellogg CPI grant) would be in 2001 in terms of community
based training in West Virginia. She suggests a two and a half day celebration
in conjunction with the regional conference discussed above focused on
community based training (Celebration and Education Conference), This could
involve a reunion of alumni of the programs as well. Hilda has started to
explore ways to get this type of program funded and types of training or
tracts
for this event will be accepted.  The anniversary date is October 18, 2001.
Contact Hilda for input in this planning process.

Hilda stated that she and Dr. Weston are planning the Legislative contact
process and will have a meeting with Site Coordinators June 13.  We are up for
reauthorization in 2001 and is our opportunity to request increased
appropriations.

Hilda introduced Mr. Ed Cox, with the Legislative Auditor’s Office, who is in
the process of reviewing RHEP.  Mr. Cox stated the he is mainly reviewing the
WVRHEP Advisory Panel and the Recruitment and Retention Committee and making
recommendations for improvements or use for example, our web site as a model.
His committee will report to interim sessions this year.

Other Business
Dr. Cannarella stated that WVRHEP put West Virginia on the map at the national
Community Campus Partnerships for Health annual conference.  She reported that
other states are struggling to do what we do as far as RHEP is concerned.  

Hilda conveyed that the International Rural Center on Aging Conference in
Charleston is June 7 through 11.  RHEP will have poster session about the
communication that was developed by putting the computers in homes of our
community members. Annie announced the Annual Pig Pickin’ Picnic at her
home is
planned for June 17, 2000.

Anna Reno announced that the Aging Conference will be sending a tour bus to
Calhoun County on June 7th, to visit sites that cater to older people and they
are visiting due to a project  “Aging Well in Calhoun County” which is funded
by Sisters of St. Joseph and Benedum.

Bill Duty made a motion to adjourn and the motion was unanimously carried.

Meeting adjourned