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A prescription for the development of the SWOSU Rural Health Center and Pharmacy Residency Program.

A prescription for the development of the SWOSU Rural Health Center and Pharmacy Residency Program.

TABLE OF CONTENTS Executive Summary…………………………………………………………..1-2 Planning……………………………………………………………………….3-4 Design………………………………………………………………………5-6-7 Development………………………………………………………………..5-6-7 Implementation/Maintenance………………………………………………5-6-7 Executive Summary The first challenge to face is bringing all of the stakeholder’s interests to the pharmacy counter; while following all the mandates in the design of a program and mission statement that encapsulates them. Employers insurance companies, PBM’s need to be identified and asked for their “two cents worth.”  The planning for this program will first require research. In identifying the mission, stakeholders, customers, and narrowing the focus are the first phase. Second, I would look at the competition and what requirements are mandated by specific programs. AHQR, Centers for Medicare and Medicaid, are just a few to start. Hospitals have JACOH which has extended its reach. The state has regulations. Design, development and implementation will be influenced by the planning. The input from the stakeholders, funding, and such can determine this area as well. Measurement and implementation are variables of parameters set by the funding, health regulator groups, stockholders and how outcome measurement is to be guided by the above parameters. Maintenance of the program is contingent on how funding grants run, if an endowment trust can be set up, and the commitment of the University, College of Pharmacy, and other interested groups. I can see a number of ways to place this program apart from others. Many do not cost anything. It is time to use what tax dollars have been investing in for many years that often goes to waste. Producing a model for streamlining use of information, showing where duplication exists as well of waste could be an additional bonus. IT APPEARS AS IF SOME INFORMATION HAS BEEN LEFT OUT. I WILL BE HAPPY TO FILL THOSE IN FOR YOU AND SHOW YOU WHAT I HAVE TO BRING TO THIS POSITION. 2 Planning This occurs after there is a clear mission/vision statement. A team has a rough idea of a time line. Assignments and roles have been given more thought. This allows for a direction to be pointed. Concerns and dreams should be noted. Again the first thing to do is more research. What to the other residency programs offer? How long have they been in existence? Is there any faculty on staff that has knowledge or experience with them? At OU? How about Rural Health Centers functioning under the new national office? Where is the State Office located? Funding and grants for the program? On and on? Kansas City VA Medical Rural Residency Program Ambulatory Care Residency Program Newsletter: November, 2011 talking about focused expansion of rural programs. Healthcare in Urban and Rural Areas 2006 AHQR report. Health Affairs: At the Intersection of Health, Health Care and Policy “Creating a Framework for Getting Quality into the Public Health. Texas Tech Pharmacy Practice Residency 2009 ASHP Midyear Meeting Lemke Rural Review Case and Handout Profiles of Progress 2009 State IT Indicatives National Rural Health Association Issue Paper: Recruitment and Retention of a Quality Health Workforce in Rural Areas :A series of policy papers on The Rural Health Careers Pipeline Number 3: Pharmacists and Pharmacy Technicians A number of other sources examined by me. Funding must be considered before any undertaking can be planned. Money is needed to start the program, build, maintain, guarantee the advancement, and provide for the longterm future of the program. Starting with the Office of Rural Health makes the most sense. AHQR Health Human Services (A Number of Different Agencies to look for funding under which I have a good idea). Oklahoma State Grants Foundations Other Federal Agencies ( Again I have ideas here) Pharmacies Groups Foundations Churches and Faith/Biased Federal Initiates (Also State Office for this) 3 Forming Campus partnerships to further SWOSU and increasing our social equity on campus is another area of planning to explore. There are at least six areas that could be expanded to serve students and possible ground breaking areas for these departments to provide experience based involvement in learning based curriculums. Social Services Public Relations Journalism Business PHARMACY Writing Services– Fellowship in Grant Writing Community Nonprofit Administration Setting up state, regional and local meeting to explore the input and needs of health care workers will be necessary. What directions do these stakeholders see us going with our vision? How will this impact the planning, development and implantation? Are they willing to contribute funds? What is Person Center Thinking? What resources are there to help us learn about this and expand this culture that is prominent in the Federal program thinking to our students and other stakeholders? http://ddti.unc.edu/pct-training.html http://elpnet.net/person.html http://www.qualitymall.org/directory/dept1.asp?deptid=23#org http://www.communityworks.info/ Check with the Center for Learning and Leadership at OU. Problems I see with this Person Center Planning are an area to shine in the Academic world. Show where people have left common sense in the application of academic knowledge: Example of splitting tablets. Options that is most likely to occur. What is the best solution? Does the pharmacy graduate think about trying these options for the patient that has no funds? What does the school show the student to do? Does the pharmacist really have time to execute academic knowledge in real world situations? How can a pharmacist access communication barriers such as hearing, literacy, and social barriers? How is this program going to address these issues? 4 Design/Development/Implementation/Maintenance If the executions of the first steps have occurred with the correct care, regard for profession, an enthusiastic spirit of birthing a new adventure, and careful skill, the remaining events should go smooth in clock like fashion. A model that demonstrates a checklist of what a rural residency in pharmacy entails will have been developed. The rural health center on the campus of SWOSU will be in the process of being built or have been completed. The campus will have new programs in the previously mentioned programs. This will have helped to accomplish the funding, relationship building, the mission statement from input of all stockholders, and in this phase more in depth implementation has resulted in a program that stands out in specific ways using low cost marketing methods to advance the advertisement of the health center. Below are some of the resources/ideas that make the program stand out/ services provided by center: Vaccines for Children Program Enrollment and Profile Form – push for all area pharmacists to enroll in program to increase overall vaccination of children. Pharmacists that have learned to sign to speak with deaf customers, completed a basic Spanish course, taking a Person Centered Thinking competency, and been made aware of picture exchanges as well as other communication resources. National Action Plan to Improve Health Literacy Health Literacy Digest Picture Based Activities for English Language Learning http://www.adrc-tae.org/tiki-index.php?page=PersonCentered Example is to create a Person Centered Discharge Plan such as Oregon. http://www.dds.ca.gov/ConsumerCorner/StickerBook.cfm http://www.dds.ca.gov/ConsumerCorner/Publications.cfm http://www.hdadvocates.org/techassist/tap/index.asp http://www.centralmasshealthliteracy.org/ http://www.healthliteracynow.org/ http://library.cdha.nshealth.ca/chpamphlets/http://www.ok.gov/health/ http://www.healthimperatives.org/sphere/about-us http://www.ruralhealthresearch.org/centers.php 5 http://www.myrxadvocate.com/?gclid=CPOHnMWSiLACFYQGRQodGDsfPA https://www.thehitcommunity.org/ http://www.okpolicy.org/ http://tulsa.schusterman.org/resources/resources-links/council-on-foundations http://www.info.com/nonprofit%20training?cb=50&cmp=4439 http://www.compasspoint.org/ http://www.healthimperatives.org/ http://www.ehrdocs.com/careers_AppealsMngmt_Coordinator.php http://www.oklahomafamilynetwork.org/ http://oasis.bowmansystems.com/ http://ok.gov/sde/special-education http://ok.gov/sde/resources http://www.theoatc.org/ http://www.okrehab.org/guide/indexmanual.html http://www.ok.gov/odc/ https://www.americanhealthcareallianceonline.com/About_Main.aspx Integrated – programs to increase awareness for literacy based programs, resources on campus and within the region, workforce programs, and more. By being innovative in showing private providers that are in place to give patients information, the Edward C. Christensen Rural Health Center will set itself apart. The center will launch new services and jobs that stimulate economic growth, decrease health disparities and increase quality of life for customers as well as the professional health care providers. Keeping providers up to date with the necessary data and training so they can continue to assist those in need that come to them will enable this venture to sustain substantial growth without creating jealousy among past groups by decreasing the profits of their domain. It is only by having this type of futuristic planning that this program will rocket forward with the uncertain times ahead. This framework allows for the program to weather theoretical Earth Quakes and Tornadoes Oklahoma is famous for around the nation. I can accomplish these things. My time off has allotted me the luxury of educating myself regarding where to look for information, sources, and forge a number of relationships besides ones I have already gained in over twenty years of a pharmacy career, time teaching, getting a Master’s, twenty plus years working for nonprofits as a volunteer in numerous roles, gaining an appreciation for the patient’s perspective, and as a mother fighting to pave a future for child that faces multiple disabilities. All of these qualities have prepared me for the position of Rural Health Development Coordinator. 6 Other SWOSU Academic areas – Why would we bypass the possible benefits to our own colleagues and students? Utilization of resources on campus or the promotion of these programs is unwise for SWOSU or for continued advancement of our own program. End user person – What is the dynamics of the rural community, family, or person that will be served? Culture make-up? Languages spoken? Educational achievement? Industry base? Other educational options? What tools are available to help us prepare our students in working with this population? How can we set our program apart? The planning for this program will first require research. Indemnifying the mission, stakeholders, customers, and narrowing the focus are the first phase. Second, I would look at the competition and what requirements are mandated by specific programs. AHQR, Centers for Medicare and Medicaid, are just a few to start. Hospitals have JACOH which has extended its reach. The state has regulations. Design, development and implementation will be influenced by the planning. The input from the stakeholders, funding, and such can determine this area as well. Measurement and implementation are variables of parameters set by the funding, health regulator groups, stockholders and how outcome measurement is to be guided by the above parameters. Maintenance of the program is contingent on how funding grants run, if an endowment trust can be set up, and the commitment of the University, College of Pharmacy, and other interested groups. I can see a number of ways to place this program apart from others. Many do not cost anything. It is time to use what tax dollars have been investing in for many years that often goes to waste. Producing a model for streamlining use of information, showing where duplication exists as well of waste could be an additional bonus. Planning This occurs after there is a clear mission/vision statement. A team has a rough idea of a time line. Assignments and roles have been given more thought. This allows for a direction to be pointed. Concerns and dreams should be noted. Again the first thing to do is more research. What to the other residency programs offer? How long have they been in existence? Is there any faculty on staff that has knowledge or experience with them? At OU? How about Rural Health Centers functioning under the new national office? Where is the State Office located? Funding and grants for the program? On and on? Kansas City VA Medical Rural Residency Program Ambulatory Care Residency Program Newsletter: November, 2011 talking about focused expansion of rural programs. Healthcare in Urban and Rural Areas 2006 AHQR report. Health Affairs: At the Intersection of Health, Health Care and Policy “Creating a Framework for Getting Quality into the Public Health. Texas Tech Pharmacy Practice Residency 2009 ASHP Midyear Meeting Lemke Rural Review Case and Handout Profiles of Progress 2009 State IT Indicatives National Rural Health Association Issue Paper: Recruitment and Retention of a Quality Health Workforce in Rural Areas :A series of policy papers on The Rural Health Careers Pipeline Number 3: Pharmacists and Pharmacy Technicians A number of other sources examined by me. Funding must be considered before any undertaking can be planned. Money is needed to start the program, build, maintain, guarantee the advancement, and provide for the longterm future of the program. Starting with the Office of Rural Health makes the most sense. AHQR Health Human Services (A Number of Different Agencies to look for funding under which I have a good idew0. Oklahoma State Grants Foundations Other Federal Agencies ( Again I have ideas here) Pharmacies Groups Foundations Churches and Faith/Biased Federal Initiates (Also State Office for this) Forming Campus partnerships to further SWOSU and increasing our social equity on campus is another area of planning to explore. There are at least five areas that could be expanded to serve students and possible ground breaking areas for these departments. Public Relations Journalism Social Services Business Writing Services Expansion – Fellowship in Grant Writing Community Nonprofit Administration Setting up state, regional and local meeting to explore the input and needs of health care workers will be necessary. What directions do these stakeholders see us going with our vision? How will this impact the planning, development and implantation? Are they willing to contribute funds? What is Person Center Thinking? What resources are there to help us learn about this to and expand this culture that is prominent in the Federal program thinking to our students and other stakeholders? Check with the Center for Learning and Leadership at OU. http://ddti.unc.edu/pct-training.html http://elpnet.net/person.html http://www.qualitymall.org/directory/dept1.asp?deptid=23#org http://www.communityworks.info/ Problems I see with this Person Center Planning an area to shine in the Academic world. Show where people have left common sense in the application of academic knowledge: Example of splitting tablets. Options that is most likely to occur. What is the best solution? Does the pharmacy graduate think about trying these options for the patient that has no funds? What does the school show the student to do? Does the pharmacist really have time to execute academic knowledge in real world situations? How can a pharmacist access communication barriers such as hearing, literacy, and social barriers? How is this program going to address these issues? Design/Development/Implementation/Maintenance If the executions of the first steps have occurred with the correct care, regard for profession, enthusiastic spirit of birthing a new adventure, and careful skill, the remaining events should go smooth in clock like fashion. A model that demonstrates a checklist of what a rural residency in pharmacy entails will have been developed. The rural health center on the campus of SWOSU will be in the process of being built or have been completed. The campus will have new programs in the previously mentioned programs. This will have helped to accomplish the funding, relationship building, the mission statement from input of all stockholders, and in this phase more in depth implementation has resulted in a program that stands out in specific ways using low cost marketing methods to advance the advertisement of the health center. Below are some of the resources/ideas that make the program stand out/ services provided by center: Vaccines for Children Program Enrollment and Profile Form – push for all area pharmacists to enroll in program to increase overall vaccination of children. Pharmacists that have learned to sign to speak with deaf customers, completed a basic Spanish course, taking a Person Centered Thinking competency, and been made aware of picture exchanges as well as other communication resources. National Action Plan to Improve Health Literacy Health Literacy Digest Picture Based Activities for English Language Learning http://www.adrc-tae.org/tiki-index.php?page=PersonCentered Example is to create a Person Centered Discharge Plan such as Oregon. http://www.dds.ca.gov/ConsumerCorner/StickerBook.cfm http://www.dds.ca.gov/ConsumerCorner/Publications.cfm http://www.hdadvocates.org/techassist/tap/index.asp http://www.centralmasshealthliteracy.org/ http://www.healthliteracynow.org/ http://library.cdha.nshealth.ca/chpamphlets/ http://www.mayoclinic.org/ http://www.ok.gov/health/ http://www.healthimperatives.org/sphere/about-us http://www.ruralhealthresearch.org/centers.php http://www.myrxadvocate.com/?gclid=CPOHnMWSiLACFYQGRQodGDsfPA https://www.thehitcommunity.org/ http://www.okpolicy.org/ http://tulsa.schusterman.org/resources/resources-links/council-on-foundations http://www.info.com/nonprofit%20training?cb=50&cmp=4439 http://www.compasspoint.org/ http://www.healthimperatives.org/ http://2012vision.eventbrite.com/ http://www.ehrdocs.com/careers_AppealsMngmt_Coordinator.php http://www.oklahomafamilynetwork.org/ http://oasis.bowmansystems.com/ http://ok.gov/sde/special-education http://ok.gov/sde/resources http://www.theoatc.org/ http://www.okrehab.org/guide/indexmanual.html http://www.ok.gov/odc/ https://www.americanhealthcareallianceonline.com/About_Main.aspx Integrated – programs to increase awareness for literacy based programs, resources on campus and within the region, workforce programs, and more. By being innovative in showing private providers that are in place to give patients information the Edward C. Christensen Rural Health Center will set itself apart. The center will launch new services and jobs that stimulate economic growth, decrease health disparities and increase quality of life for customers as well as the professional health care providers. Keeping providers up to date with the necessary data and training so they can continue to assist those in need that come to them will enable this venture to sustain substantial growth without creating jealousy among past groups by decreasing the profits of their domain. It is only by having this type of futuristic planning that this program will rocket forward with the uncertain times ahead. This framework allows for the program to weather theoretical Earth Quakes and Tornadoes Oklahoma is famous for around the nation. I can accomplish these things. My time off has allotted me the luxury of educating myself regarding where to look for information, sources, and forge a number of relationships besides ones I have already gained in over twenty years of a pharmacy career, time teaching, getting a Master’s and working for nonprofits as a volunteer in numerous and varied organizations.

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