MSU’S DEVELOPMENT AND EXPANSION OF THE HEALTHCARE WORKFORCE - PowerPoint Presentation

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MSU’S DEVELOPMENT AND EXPANSION OF THE HEALTHCARE WORKFORCE

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DIVISION OF HEALTH SCIENCES(

https://www.montana.edu/healthsciences/

)

Mission: To foster education, training, and research to improve health and healthcare

services across Montana

Three arms:

Education

Research

Community Outreach

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Interprofessional Institute

IPE is when students from two or more professions learn about,

from and with each other to enable effective collaboration and

improve

healthcomes

.

Projects: Research seed money, Teaching Scholar’s program

IPE collaborations in rural and Native American sites, and IPE

educational events.

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Teaching Scholars

Oral Health and Systemic Disease IPE Workshop

Kathy Jutila, MD and Frank Roberts, DDS, PhD

Montana State University-WWAMI and UW-RIDE

Introduction

Educational Objectives

Conclusion

Curriculum

There is a lack of knowledge in understanding the relationship between oral health and systemic disease.

Oral health depends on health care delivery from multiple disciplines in a team approach.

Interprofessional education (IPE) promotes teamwork among healthcare professionals. MSU and UW-RIDE are working together to educate healthcare students on the importance of good oral health.

At the end of this workshop, students will be able to:

Define the meaning of oral health and the prevalence and consequences of oral disease

Recognize relationships between oral and systemic diseases

Highlight the role of primary care and community health teams in promoting oral health

Understand concepts and impact of interprofessional education and collaborative practice

Periodontal Disease

Diseases Related to Oral Health

Oral Health

IPE Session

Agenda for workshop includes:

Introduction to Oral Health:

Presentation to provide framework for oral health and disease.

Breakout groups

: Groups of dental, medical, nursing and dietary students will discuss perceptions of consequences of poor oral health.

Using interprofessional education to teach oral health:

A discussion of how collaborative teaching can result in a multidisciplinary approach to patient care.

Periodontal disease and its relationship to systemic disease: This review will emphasize cardiovascular disease, diabetes and poor pregnancy outcomes.Oral exam techniques: A video demonstrating a proper oral exam.Students will be given pre- and post- workshop questionnaires with the question: What systemic diseases are associated with poor oral health? The answers will be qualitatively analyzed to assess impact of workshop.

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CENTER FOR AMERICAN INDIAN AND RURAL HEALTH EQUITY (CAIRHE)

Mission: Focus on health equity research projects that develop

develop and evaluate evidence-based solutions to health differences

driven largely by social, economic and environmental factors

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CENTER FOR MENTAL HEALTH RECOVERY AND RESEARCH

Mission: To establish an academic center of excellence

that addresses the mental health challenges of Montana

and similar rural states by advancing mental health prevention,

diagnosis, treatment, and workforce development

Amongst the numerous research and educational projects is the

support and funding of mental health telehealth

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WWAMI- Montana’s medical school

Established in 1973 with progressively increased class size

Both primary care and specialty students are returning to Montana

Imperative to be integrating with Montana residencies

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Montana Regional Initiatives in Dental Education

(RIDE)

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RIDE MISSION:

Develop

dentists

who will make a personal commitment to

serving

the needs of

rural

and

underserved

communities

.

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WHY MONTANA RIDE

:

Higher education STEM opportunities for Montanans

32 student slots

Investment in expanded dental workforce in rural and underserved areas in Montana (WWAMI model).

79% of WA RIDE grads are in rural/underserved

Increased MT clinical capacity through student rotations in community health centers, tribal health and IHS sites

During the RIDE pilot

(2016-2019)

, 56 Montana rotations provided 10,200 hrs of service to MT dental clinics.

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American Dental Association Survey

% of US Dental Grads Going to Rural Areas

RURAL DENTIST SHORTAGE

:

Without targeted programs, less than 1 of every 20 graduating dentists choose to practice in rural areas.

Just as WWAMI addresses the shortage of primary care doctors, RIDE has a similar intention for dentists.

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MONTANA DENTAL

EDUCATION:

1

st

year Montana DDS students would train alongside MSU WWAMI medical students at Deaconess Hospital. The space will house dental distance learning classrooms.

In preparation for the Montana RIDE program we have cultivated a clinical rotation network of 18 active MT rotation sites.

Since 2016, 56 student clinical rotations have been held in Montana, providing 10,200 hrs of service with dental patients.

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Partnerships & Conversations:

University of Montana 2019 IPE Training

University of Montana, College of Health Professions & Biomedical Sciences

Indian Health Service

Rocky Mountain Tribal Epidemiology

Ctr

Missoula Urban Indian Health Center

Montana American Indian Health Leaders

New Rotation Sites in Lame Deer, Blackfeet CH, and Libby CHC-

(in dev.)

GROWING MONTANA RIDE PARTNERSHIPS

Montana State University AHEC

Montana Dept. of Public Health & Human Services

Montana State University WWAMI

Montana Dental AssociationMontana Healthcare FoundationHeadwaters FoundationTeledentistry network with clinics in Polson, Browning and Hardin

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MONTANA RIDE PARTNERS

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OFFICE OF RURAL HEALTH/AREA HEALTH EDUCATION CENTER

Focus is on connecting students to healthcare careers, professionals to communities,

and communities to better health.

Montana Healthcare Workforce Advisory Committee

website: healthinfo.montana.edu

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MSU College of Nursing

Sarah E. Shannon, PhD, RN, FAAN -- Dean & Professo

r

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MSU CON: A history of serving Montana

UNDERGRADUATE

Established 1937

Distributed campus model

Traditional bachelor’s degree (BSN)

4-years (120

cr

)

Finish Dec & May

208 grads/

yr

Accelerated bachelor’s degree (ABSN)

Prior bachelor’s

15-month program

Finish August

Available all locations64 grads/yr Est.2004Est.1976Est.2002

Est.1939

Est.1937

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BSN preparation: ROI

Increased percent of BSN-prepared nurses associated with

Lower patient mortality

Higher patient satisfaction

Higher nurse satisfaction

BSN preparation

Needed for practice in areas where nurses practice to the full scope of the RN license such as rural, ambulatory, or public health

Required for progression to graduate education

BSN education is a better value for students in time and $$

Montana’s major employers require BSN within 3-5 yrs of hireBachelor degree: 120 credits/4 years (60 pre/co-reqs and 60 nsg

) Associate degree: 72-73 credits/3 years (28 pre/co-reqs and 44 nsg)RN-to-BSN: 49 additional credits over

minimum of 3 semesters full-time study

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MSU CON: Graduate Education

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GRADUATE

Master of Nursing (MN)

Focus on rural clinical nurse leadership

Applicants accepted with associate or bachelor degree5-10 graduates/yr

Doctor of Nursing Practice (DNP)Family Nurse Practitioner (FNP)Psych/Mental Health Nurse Practitioner (PMHNP) 20-30 graduates/yrFuture directions: Acute Care Nurse Practitioner (ACNP) ✭

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Lack of access to primary care in rural America

Despite decades of spending, millions of rural Americans do not have adequate access to primary care.

Can we solve with physicians? No

Aging of physician workforce

Changing social demographics of physician workforce

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Lack of access to primary care in rural America

Can we solve with NPs? Yes

Compared to primary care MDs, primary care NPs more likely to practice in rural areas

NPs significantly more likely than primary care MDs to care for vulnerable populations

NPs more likely to accept Medicaid recipients, provide care for the uninsured, and accept lower payments than physicians who do not work with NPs

After controlling for differences in patient severity and sociodemographic factors, the cost of care provided to Medicare beneficiaries by NPs significantly lower than primary care provided by physicians even controlling for lower payment NPs receive relative to physicians

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Jennifer Show, DNP, FNP-BC

Enrolled member, Assiniboine Tribe, Fort Belknap

1998 Valedictorian Harlem HS

MSU Presidential Scholarship

Dual bachelor’s from MSU in psychology and nursing

2 years as RN at IHS on both Blackfeet and Fort Belknap Indian Reservations

5 years active duty in Navy Nurse Corps

3 years in Navy Reserves

2016 MSU DNP graduate

Currently Diabetes Coordinator/Nurse Practitioner for the Fort Belknap Indian Community in newly established, Tribally-run, Diabetes Care Clinic

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Questions

&

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