Advisory Panel Meeting July 17, 2000 Days Inn, Flatwoods, WV DRAFT MINUTES Attendees: Chuck Conner, Kirsten Bradford, Tina Charlebois, Tammi Woodrum, Nancy Johnson, Lora Adkins, Jacquelynn Copenhaver, April Vestal, Annie McIntosh, Tommy Mullins, Randy Lowe, Elizabeth “Betsy” Degges, Lynne Welch, Imogene Foster, Clarke Ridgway, Jo Ann Raines, Richard Meckstroth, Bill Shires, Gaye Mitchell, Jim Welschonce, Norman Ferrari, Tom Whittier, Penny Asbury, Dennis McCutcheon, Hilda Heady, Malinda Turner, Kathryn Greenlief, Rhonda Carpenter, Joan Hypes, Judy Koehler, Nancy Dunn, Georgianna Tillis, Ann Cather, Brenda Michael, Margaret Novacich, Mark Allen, Rosie Cannarella, Parr Thacker, Patti Crawford, Alicia Tyler, Bill Duty, Robert Blake, Kelly Blake, Anna Reno, Shannon Bell, Hannah Hazzard, Erin Condo, Jennifer Allen, Allison Witte, Tom Hefner, Glenna Michael, Carla Campbell, Patti Crawford, Sandra Baker. Chair, Dennis McCutcheon, called the meeting to order at 2:40 PM. A welcome was extended to those attending and introductions of new people attending was made as follows: Shannon Bell Site Coordinator at Cabin Creek Health Center Consortium Erin Condo Graduate Student working on Recycled Medical Equipment Grant and is in a dual masters program in social work and public administration. Nancy Johnson last time in attendance due to resigning at Rivers & Bridges to attend LPN School Lora Adkins who has accepted a position at Rivers & Bridges as the support staff Dr. Ferrari introduced Ann Cather Associate Dean at student services at WVU Medical School and Brenda Michael WVU School Scheduling Coordinator Hannah Hazzard Medical student on the Student Advisory Panel Joan Hypes introduced her secretary, Judy Koehler (first time in attendance) Kathryn Greenlief introduced her secretary, Rhonda Carpenter (first time in attendance) Everyone remaining introduced themselves. The consent agenda was approved. (Ferrari/Lowe) Motion Carried Policy 00-01: “Nepotism Policy Regarding” Student Rotations Dr. Ferrari, chair of the school committee, clarified the policy and comments regarding the policy This policy does not in any way prevent students from rotating in clinics where a defined relative is employed. We are trying to avoid having relatives to be responsible for the student’s final evaluation and trying to hold fairness for that student and other students rotating in the RHEP program. Comments regarding this policy were passed out and a few minutes taken for their review. A motion to accept this policy as written and presented was made. A short discussion followed. (Ferrari/Whittier) Motion carried. Appalachian Adventure Chuck Conner and Jacquelynn Copenhaver did a presentation of an “Appalachian Adventure”. The “Appalachian Adventure” was developed at Winding Roads Consortium and Rivers & Bridges Consortium to introduce students to Appalachian culture. This adventure was based around an IDS (Interdisciplinary Sessions) team concept and curriculum including multiple sites along with multiple field faculty and site coordinators who heightened the experience. Everyone had an assignment that they reported on at the end of the day about how their assignment related to health professions. This introduces health professions to meet as a team and creates problem-based learning. Students have to do research and bring information to the adventure. Chuck introduced those helping with this presentation were National Park Service personnel, Tammi Woodrum, Tina Charlebois, and Kirsten Bradford (a former RHEP student who is now a Physician Assistant at Family Health Care). Those not present who help put on this adventure are Sherry Duval and Dr. Carol Christiansen, one of the originators of this health concept. Chuck gave a brief explanation of what an IDS is all about. IDS teaches what resources are available and how to work as a team. IDS also teaches problem-based learning. With the combination of IDS and problem-based learning, students will generally be able to develop and foster an interest in primary health care. They develop innovative experiences, they expand community health issues, and initiate collaborative research and primary care that promotes collaboration between health team members. Empowers the community to be involved in health care. This adventure is strictly voluntary and provides students an understanding of appreciation for Appalachian culture and develops leadership skills. Kirsten Bradford gave a brief overview of her experience of her “Appalachian Adventure”. Kirsten learned that along with professional skills, “a friendly handshake, a warm hug and tentative eyes go a long way.” New River Gorge brochures were passed out. Tina Charlebois gave a brief description of the parks visited. Tammi Woodrum gave brief history of one of the areas visited while on this adventure. The floor was opened for discussion. Hilda concluded that there are all kinds of different ways that anybody in our partnerships can be involved in these presentations and on these hikes. It is also a chance for us to push our own perceptions about our own curriculum of RHEP. Community Members Group Annie reported that students and the community are not communicating enough and a discussion was held on how to change this. They discussed sources of information concerning local community health needs and the need for communicating with legislators. These members need to educate community people on talking to legislators. She expressed concerns regarding decision making process and policy creation and its effect on curriculum, evaluation, community involvement and program implementation. She asked that community people be encouraged to attend the Community Members Group meetings. Recruitment and Retention Alicia reported that the reauthorization experience has been a positive experience with good question asked. She has been mainly involved in the recruitment and retention aspect. She has provided information on experience of nurse practitioners, physician assistants and graduates that received awards and where they are practicing. She stated that there are 25 midlevel providers that are serving their obligations (11 physician assistants and 13 nurse practitioners). They asked about the retention of the medical students. Alicia reported tracking recruitment and retention information on the medical school graduates are not being kept all the way along and this is something that needs to be worked on. She stated that the recruitment and retention committee met in May and a report was given on the scholarship program. Fewer applications were submitted. There were ten medical student awards and four out of the ten students declined and two matched with out-of-state residencies. Jodie Jackson and Elaine Mason will doing some focus groups with primary care residents in WV and asking about the scholarship program regarding the advantages and disadvantages and will be funded by the Rural Health Access Program (WVRHAP). Interviews were conducted and awards were presented in March. There were nine awards presented, these included two Physician Assistant awards, four Nurse Practitioners awards and three still interviewing. The committee will look at needs for other disciplines (i.e. PT, OT, and Dentistry). Executive Director’s Report Hilda passed out Advisory Panel Book insertions, Advisory Panel meeting dates for 2000 and 2001 and date savers for Faculty Development Day on October 6 & 7, 2000 and Annual Awards Day (a.k.a. Legislative Day) at the Embassy Suites on February 19, 2001. RHI Reauthorization and Legislative Strategy Hilda announced that the RHI Act is up for reauthorization. This reauthorization is done on a five-year cycle. The first year being 1995. There is a need to educate communities and legislators regarding the impact the RHEP has made. The chart in your packet indicates that ninety percent of our efforts to educate legislators about RHEP and its impact in local communities need to take effect before the session actually begins. Coordinated Legislative strategies are in the back of our Advisory Panel packet with a timeline of when to engage what strategy. A preliminary fact sheet for the state is also enclosed. Hilda reported that Ed Cox with the Performance Evaluation Research Division (PERD) has given us some preliminary information regarding his observations. He has reported positively about our website and TRACKER, however, has suggested that we inform the Secretary of State office of our meeting dates. This will be done. With the use of information technology and additional funding, RHEP needs to develop tracking for those who are retained in the program. The Legislative Interim Session will be August 20, 21 & 22. Hilda would like for volunteers to be present to meet with Hilda for their input and to physically attend the presentation at the session if possible. She would like to have at least one campus person, one community member, one student and one field faculty present. Please let Hilda know at the close of the meeting if you are willing to attend. Bill Shires suggested that the RHEP video could be sent to each legislator. Hilda will do math on this and ask for funding for from the Vice Chancellor. If funds are available, copies of the videos will be distributed to the sites for distribution by community members or site coordinators to their local delegations. Most of the changes in the program are most visible and can be showcased easily are at the community level. Changes that have occurred at all of the schools are less visible and have great impact on our mission. These are the changes in curriculum, attitudes, and impact on schools as part of the program/partnership. Hilda recommended that this item be put on the September School Committee agenda, so the schools can consider adding information about these changes to their displays at Legislative Day. We might also consider asking school representatives to send letters to the chairs of various committees or their own delegation explaining how being part of the RHEP partnership has led to changes in health professions education. Hilda asked the school representatives to start thinking of how to incorporate this into our legislative strategies. Tommy Mullins asked which interim committee is the oversight of this? Hilda responded that the government operations is the oversight committee to receive the PERD report. He also asked if protocol will allow the interim session to review the video? Hilda will contact Ed Cox regarding this matter. Randy Lowe suggested possibly emailing legislators and linking it to the web site with a presentation of the video. Hilda will come up with a letter regarding the video. Jennifer stated that there is one email address to Legislature instead of sending this to each individually legislator. Hilda will check with Ed Cox if we can email the committee before the interim sessions. Visions Hilda reported that the Visions Workgroup will meet their expected report and deadline by giving outstanding recommendations at the Nov. meeting. The committee has worked on and finalized their mission statement. A sub-group has been designated to look at goals, values and objectives. Special Subcommittee/Finance Hilda made a motion asking for additional time for a special subcommittee to finish their report in November.. (Degges/Shire) Motion carried. The reason for additional time is that there was not enough balanced representation and not enough people in different categories to complete the report. Other Business A motion was made to identify any/all acronyms being used for the first time. (Degges/Whittier) Motion carried. Betsy asked what happened to the Curriculum Committee? The Curriculum Committee is now a joint Community Outreach/Curriculum Committee. This joint committee has a manual that has been put on the web. Kelly stated that there is an overlap in meetings (too many meetings going on at the same time) which are one and one half-hours long . The Community Committee will meet on Panel meeting months. Motion to adjourn. (Lowe/Welch) Motion carried. Meeting adjourned at 4:15 PM