¡Una Vida Sana! Assessing and Improving the Health Status of Richmond’s Hispanic Community Through Health Professional Student Service Learning NHMA March 19, 2011 • Mark Ryan, MD – Department of Family Medicine, VCU School of Medicine • Allison Gregory, FNP-BC – Department of Family and Community Health, VCU School of Nursing • Sallie Mayer, Pharm.D., MBA, BCPS, CDE – Department of Pharmacotherapy and Outcomes Science, VCU School of Pharmacy ¡Una Vida Sana! • ¡Una Vida Sana! (UVS) is a multidisciplinary service learning program with a focus on providing cardiometabolic disease screenings to the Hispanic community in Richmond, VA • Supported by a grant from VCU’s Council on Community Engagement Background • City of Richmond’s Hispanic community has increased from 5,704 (2000 estimate) to at least 9,292 (2008 estimate). • Large proportion first generation immigrants. • Similar changes in surrounding counties. Barriers to health care access • Richmond City Latino Needs Assessment, 2008: – 65% “very worried” about access – Recommended increased access to and hours of health care services – Explore use of mobile clinics – Extend weekend and evening hours – Expand promotora programs Health professional interest • SOM: LCME requires increased service learning opportunities, encourages student participation • SOP: ACPE encourages community engagement, integrating service learning. • SON: ANCC requiring increased interprofessional collaboration and cultural competence. Health professional interest • Interest from students for increased service learning opportunities, and opportunities to work with Spanishspeaking communities. • Student interest developed independently of school requirements. Program design • Develop mobile, community-based project to provide cardio-metabolic disease screenings. • Cross-disciplinary team with academic and community partners. Participants • VCU SOM, SON, SOP • VCUHS Office of Language Services • City of Richmond Hispanic Liaison Office • CrossOver Ministry – Promotoras – Clinical care/volunteers Venues • • • • Churches and faith communities Community events Government events Future – Community centers – Housing developments Event organization • Measurements: – BP, height/weight/BMI – Cholesterol and blood glucose – Framingham risk score calculation • Provider review/counseling • Referral coordinator (if needed) • Promotora teaching Event organization • Patients are provided a data sheet including their measurements/BMI, lab values, blood pressure, etc. • Patients can pick up educational materials. • Students work in multi-disciplinary teams. Event organization • Opportunities to expand services in the future: – Dental care/education – Flu shots – Additional screening services Project goals • Hold events every 2 months. • Establish new model of service learning, and determine the validity of the approach. • Develop a health profile of the adult Hispanic community, especially regarding cardio-metabolic risks. Project goals • Patient satisfaction measures – Developed a patient survey to assess how well the project meets the community’s needs. • Learner impact/satisfaction – Used a previously-developed survey – CrossOver eligibility screening • Enhanced impact for promotoras. Results • (I will note some of the findings to date. We will have an event Feb 5, and I would like to include that data) • (Data will consist of %s screened w/ certain abnormalities) • (I will be happy to forward this once ready) Future plans • Strengthen the project’s service learning structure. – Enhance UVS student group’s role. • Increase capacity: – For students – For the community • Increase community input. • Increase the services offered.