"Hispanic Health Initiative: Student Experiences with a Patient Navigator Program" Sheila Smith PhD RN Marilyn G. King, DNSc, RN Diana Inman, MS, APRN,

Slides:



Advertisements
Similar presentations
Tavondia Burdett, RN, MA Vicki Whitehurst, RN, MSN
Advertisements

Breastfeeding: A WIC Priority
LOVE THY NEIGHBOR City MatCH: Denver, CO March of Dimes Panel Marie James, Director Jeremiah Wellness Center Macedonia Baptist Church Byron L. Craig, Pastor/Teacher.
Galveston County Health District 4Cs Clinics Summary Needs Assessment for 5 Year Competitive Grant And 4Cs Healthcare Barriers.
Reducing Health Disparities through Integrated Behavioral Health: A Model for Training Cambre Horne-Brooks Ana J. Bridges Kim Shuler Trey Andrews Community.
Medical Reserve Corps Conference “Special Needs” April 21, 2006 “Communication That Builds Community”
Crisis as Catalyst: The Affordable Care Act and Public Health in Philadelphia September 24, 2010 Nan Feyler, JD., MPH Chief of Staff Philadelphia Department.
Birthing experiences of immigrant and refugee women in Canada Immigrant and Refugee Women’s Health Project (IRWHP) Knowledge Mobilization on Maternal and.
Medicaid Redesign Consumer Concerns by Quela Robinson Staff Attorney New Mexico Center on Law and Poverty December 7, 2011.
El Proyecto de Salud Indigena: A Culturally Competent Model for Working with Indigenous Mexican Migrants Rebecca J. Hester, Ph.D Post-Doctoral Research.
MOMS and EDIT Veronica Sheffield MS BSN RN. Meeting Members Where They Are One of the CCO mandates is the use of Traditional Health Workers. (THW) THW.
A HEALTH CARE VICTORY FOR THE HISPANIC COMMUNITY: IMPACTS OF THE AFFORDABLE CARE ACT BY STEVE DEL CASTILLO, PHD adelante con la salud: latino health care.
Unequal Access, Unequal Outcomes: The Health Status of Georgia’s Latinos Georgia Latino/Hispanic Health Agenda and Leadership Project Natalie D. Hernandez,
PAMPHLET BACKGROUND Latino migrant farm workers (LMFW’s) in Franklin county live in isolation. Some do not leave their residence except to walk to the.
ER NAVIGATOR Community Outreach for Personal Empowerment.
By: Shanna Vander Galien, APSW PPC Trainee. Overview Announced in 2009 A MCHB grant funded project Intensive 9-12 month collaborative peer learning process.
KILN COMMUNITY MENTORING PROJECT Djerica Lamousnery April 20 th, 2011.
Shepherd Internship Rachel Tullio. Little Flower Clinic ●Healthcare for the homeless clinic ●Services ○Visits with a Medical Provider ○Disease/Case Management.
Cultural Sensitivity - Texas Provider Training 2013.
First Choice Community Health Center University of New Mexico History –Long history of graduates practicing in the CHC, large Spanish speaking population,
Medicare Patients Rights and Better Care Transitions Michael Burgess New York StateWide Senior Action Council, September 13, 2012.
2 ACHE – Equity of Care Steven R. Carson, RN, BSN, MHA Vice President, Clinical Integration Chief of Operations May 6, 2015.
A Program Offered by the OU College of Nursing Funded by the George Kaiser Family Foundation Healthy Women, Healthy Futures.
Health Systems – Access to Care and Cultural Competency Tonetta Y. Scott, DrPH, MPH Florida Department of Health Office of Minority Health.
Division of Nursing’s Workforce Diversity and Health Equity Agenda Mary Beth Bigley, DrPH, MSN, ANP Director, Division of Nursing Bureau of Health Professions.
Health Professions Students at the U.S. - Mexico Border: Decreasing Barriers to Accessing Care Marylyn McEwen, MS, APRN, BC Marion K. Slack, Ph.D. University.
Equity in Care Teri G. Fontenot President/CEO
Deborah Trautman, PhD, RN Chief Executive Officer American Association of Colleges of Nursing June 11, 2015 Advancing Partnerships in the Nursing Community.
Health Care Reform Through the Cancer Lens State and Private Sector Reforms for Hispanic Healthcare Edward E. Partridge, MD National Board President American.
Accessibility and Barriers to Services for Children Experiencing Developmental Disabilities in the Asian Pacific Islander Community Dian Baker PhD(c),
Fast facts about the Latino community in Minnesota.
Low German Mennonite Farmworkers: Increasing Access to Preventive and Primary Health Care Services Kansas Public Health Association, Inc Fall Conference.
Southwest Community Health Center “Caring for Community” A non-profit, community health center providing primary care, health education, and advocacy for.
Challenges & Successes Health Information Technology Perspectives of 3 Leaders A Rural Health Perspective Holly Jeffreys, DNP, APRN, FNP-BC.
Quentin R. Burdick Grant Interdisciplinary Learning in Rural Healthcare at East Tennessee State University East Tennessee State University.
HAE-RA HAN, PHD, RN JOHNS HOPKINS UNIVERSITY SCHOOL OF NURSING Community-Based Participatory Research as a Tool to Maximize Recruitment of Linguistic Minorities.
Introduction to Nursing Care of the Childbearing Family
Health Literacy within the Reality of Newcomers' Culture and Language
0 1 Breastfeeding: A WIC Priority Improves health outcomes for infants –Fewer infections and disease –Improved IQ –Lower rates of obesity and diabetes.
Sickle cell disease is complex and expensive, with major barriers to healthcare delivery Rare disease, Minority health disparities, Incomplete control.
ACS MapPlace – Health Profile and Community Resources Mapping Project Carolina Casares, MD MPH Kenneth Portier, PhD.
Health Disparities – Unequal Access and Unequal Outcomes February 16, 2006 African-American Health Information & Resource Center Ms. Ella Williamson, Director.
Ashley Bridges James Furstenau Laura Kraszewski Kaija Sherman KENT COUNTY COMMUNITY MEDICAL CLINIC.
Copyright © 2013, 2009, 2005 by Mosby, an imprint of Elsevier Inc. Chapter 3 Community-Based Nursing Practice.
Crossing Borders: Promotoras and Advanced Practice Registered Nurses Meet Prenatal Needs of Underserved Latinas Rosa Bustamante-Forest, APRN, MPH Program.
Nuevas Avenidas Mental and Behavioral Health Program The Nuevas Avenidas (New Avenues) Program established new routes to primary, preventative, and behavioral.
 Increased life expectancy  Disease prevention  Early diagnosis and treatment of diseases  Improved outcomes  Increased quality of life.
Community Health Worker Model by Linda Stone, CEO.
Presented by: Shaleana Eubanks-Worlds, MS Project Coordinator SAVE OUR BABIES An Orange County Healthy Start Coalition Program.
Language Barriers in Health Care Lauren Houle Honors Project Spring 2010.
Vulnerable Populations. Objectives Identify populations considered to be vulnerable Describe health care disparities Define and understand the importance.
AACN – Manatt Study In February 2015, the AACN Board of Directors commissioned Manatt Health to conduct a study on how to position academic nursing to.
Creating Culturally Competent Midwives for Rural Virginia Carolyn M. Rutledge, PhD, CFNP Laurel Garzon, PhD, CPNP Juliana Fehr, PhD, CNM, FACNM.
Chronical Mental Illness: A Living Nightmare BY: PATRICIA L. PICKLES, Ph.D. Quevarra Moten.
Cynthia Thomas, MD Tracey Smith, PHCNS-BC, MS.  Cost?  Life expectancy?  Rank in world in healthcare?  Infant mortality?
Chapter 8 Adolescents, Young Adults, and Adults. Introduction Adolescents and young adults (10-24) Adolescence generally regarded as puberty to maturity.
Creating a Medical Maternity Home With Four Different Addresses Jennifer Frank, MD, FAAFP University of Wisconsin School of Medicine and Public Health.
ACCESSING AND ENGAGING IN MATERNITY SERVICES. Effective Midwifery Care for woman in vulnerable populations Continuity of CareInformed consent Midwife.
Spirit of Health-School of Nursing Presented by Kathleen Rindahl, RN, DNP, FNP-C 13 Clinic Days = 192 Client Visits Background: Spirit of Woman, located.
An Overview of the Charleston PASOs Program. Vision and Mission Vision: Healthy Latino women and children with access to needed resources. Mission: To.
English for Health: Developing and Promoting Health Literacy Partnerships Jeff Burkhart Executive Director Beth Gaytan Associate Director.
Project Spotlight ED Care Triage (2biii)
Office of Minority Health and Disparities Elimination
Estephanie Olivares, HHSD Program Coordinator
The Starting Line: The ACA, Mothers, Babies & Health (In)Equity Martine Hackett Ph.D., MPH Department of Health Professions Hofstra University Affordable.
CULTURALLY COMPETENT PATIENT NAVIGATION IN THE PREVENTION OF CANCER IN UNDERSERVED HISPANIC WOMEN: THE SAN ANTONIO EXPERIENCE Donald J. Dudley, M.D.,
+ Contextualised ESOL course developed by Shipley as part of EIF – 3 year project in Bfd. Health literacy. 10 hour course, 5 sessions + regular stork walks.
Addressing Disparities in Survivorship Care
Marilyn Givens King,DNSc
TRIFOLD AREA – THIS GUIDE WILL BE REMOVED BEFORE PRINTING – TRIFOLD AREA – THIS GUIDE WILL BE REMOVED BEFORE PRINTING – TRIFOLD AREA – THIS GUIDE WILL.
Presentation transcript:

"Hispanic Health Initiative: Student Experiences with a Patient Navigator Program" Sheila Smith PhD RN Marilyn G. King, DNSc, RN Diana Inman, MS, APRN, BC, CPNP Deborah Williamson DHA, RN, CNM

Health Disparities Racial and ethnic disparities in health care and mortality Well documented Poorly understood. Marginalized

Increase in Hispanic Population Recent new growth area the cultural norms and health beliefs of the Hispanic population are less well understood by health care providers Language barriers, poverty, and cultural differences with poorer utilization of preventive services

MUSC Hispanic Health Initiative to create educational innovations that address cultural effectiveness among nursing faculty and students to expand the availability of health services in the Latino community, to promote health services research that improves health outcomes

Traditional Patient Navigator Lay person who appreciates the patient fears and advocates for individuals, families, or communities scheduling appointments identifying transportation to medical appointments serving as a medical interpreter (if qualified), and providing educational and emotional support for individuals and families.

HHI Scholars Program The MUSC College of Nursing has a 4 semester, 16 month accelerated baccalaureate program. 6 cohorts students will be recruited, socialized, integrated, and activated into the patient navigator role over the course of this project. 3 cohorts have completed their experience 4 th cohort in the recruitment phase

HHI Experiences Socialization Meeting Hispanic community leaders Faculty led seminars Integration Care of the Hispanic community in OB Peds, Community courses Activation Community leadership experiences Women’s Health Paired with pregnant Hispanic family Prenatal Labor support Community experiences Mom’s Morning out Health fairs Migrant Head Start Communities and Schools Rural Mission Reach 2010 Diabetes

HHI Scholar Socialization Prenatal Care Experience Engagement Nervous Shocked Excited Useless Awkward Judgmental Isolated Confident Welcomed Trusted Connected Supportive Continuity Cultural Linguistic Contact Cultural Linguistic Engagement

Hispanic Family Pregnancy Care Experience Engagement Embarrassed Alone Powerless Nervous Reluctant Confused Modest Lack of support Approachable Trusting Thankful Pleased Happy Eager Cultural Linguistic Contact with HCP Cultural Linguistic Engagement with HCP

Focus Group What are the barriers you see in accessing healthcare

Health Literacy and Well Women Care Communication and Empathy from healthcare providers – not receptive to patients, become frustrated, and do not try to understand the patients situation Transportation – if the family does not have a car, or access to a car, they call a taxi to take them to their appointment Cost –have to pay everything out of pocket before receiving service. They often do not seek care until it is absolutely necessary because they cannot afford appointments Scheduling appointments – – although they can communicate in clinics with Spanish-speaking providers, they have difficulty scheduling appointments over the phone.

How would you compare healthcare in the United States to healthcare in your home country? In Mexico, they also have to pay out of pocket for services, however, it is not as expensive. They are not denied care if they do not have insurance, and do not have to pay up front before receiving these services. Waiting time (in emergencies) is a big concern here in the United States, especially if you do not have insurance

Jennifer and Amelia Jennifer a senior MUSC student nurse Blair Certified Nurse Midwife and MUSC & adjunct faculty Amelia immigrated from Mexico 30 weeks gestation Second pregnancy, first in US Maria 4year daughter Senor T husband