1. Charlie Alfero, Executive Director Southwest Center for Health Innovation NM Primary Care Training Consortium National Center for Frontier Communities calfero@swchi.org Rural Primary Care: Delivery Systems Integration Community Health Workers Workforce Programs

2. Arthur Kaufman, MD Vice Chancellor for Community Health University of New Mexico akaufman@salud.unm.edu

3. Primary Care Providers Medical Dental Behavioral Patient / Family Support and Community Health Range of Care Prevention Diagnosis Treatment Management 4 Core Primary Care Service Rural Health Integration a Must PAYMENT SYSTEM

4. US Spends much less on Social Services than other Western C ountries This is why

5. The Language of Failed Policy Racism Minority Poverty Social Determinants of Health Disparities / Inequities Unaffordable Education Rural Disproportions (Older, Sicker, Poorer, Life Expectancy) ACES Home Less Ness Categorical and Soft Money Discretionary / Entitlement

6. A Diagram of the Medical Model – Patient View Complex Health Systems Strategies for Tomorrow – Brown Where are Social Services, Employment And Education?

7. Core Principles of Rural Modeling  Robust Rural Primary System  Integrated (Core) Primary Care Services  Medical, Behavioral, Dental and Family Support  Community Engagement  Hospital  Long Term Care  Other Social Services  Training

8. Excellent Health Average Health Very Poor Health % Population Population Health Strategies Comprehensive Patient Support Intensive Care Coordination % of Cost Primary Care Linked Strategies Specific Strategies are Necessary to Address the Underlying Causes of Ill Health - I-PaCS

9. 9

10. Three Part Strategy to Address Health  Comprehensive Patient Support  Intensive Care Coordination  Population Health Strategies Rural Relevance: Extend Reach of Primary Care Providers in Shortage Areas

11. Primary Care is Better with CHWS 11 Hidalgo Medical Services Model CHW TeamLevel II CY2015PatientsRate UDS Table 6 Section K: Colorectal Cancer Screening CHW Assisted Provider1830.621 All Providers28610.337 UDS Table 6B Section I: Coronary Artery Disease: Lipid Therapy CHW Assisted Provider400.816 All Providers1020.792 Table 6B - Section D Pap Tests CHW Assisted Provider1080.693 All Providers15630.479

12. Rural Workforce Development A NEW MEXICO STRATEGY FOR MOBILIZING FOR ACCESS AND SHORTAGE PROBLEMS

13. Mission: To enhance access to quality health care, particularly primary and preventive care, by improving the supply and distribution of healthcare professionals through community and academic partnerships.

14. Studies show that rural, poor and minority students are more likely to enter into Primary Care practice and more likely to serve in communities and populations similar to their own. Training experience in Primary Care settings and the location of a Primary Care residency program also impacts a person’s decision to practice in those places. From these studies, we developed the FORWARD NM model for communities to “Grow Their Own.” FORWARD NM OUTREACH FY 11-14FY 15 Stage 1 Students 7,380 1,214 Stage 2 Students 391 138 Stage 3 Students 24055

15. New Mexico Primary Care Training Consortium (NMPCTC) Primary Care in the Land of Enchantment

16. Mission and Vision Mission “The New Mexico Primary Care Training Consortium improves the quality of essential health services by supporting existing and developing new training opportunities to increase primary care workforce in New Mexico.” Adopted Nov. 2014. Vision For New Mexico to be an innovative leader in training family medicine physicians and other primary care providers working in the most underserved populations in high quality, integrated primary care health systems.

17. CONSORTIUM MEMBERS FARMINGTON: Presbyterian Medical Services (PMS) ALBUQUERQUE: First Choice Community Healthcare Clinics ROSWELL: Former – Eastern NM Family Medicine Program Santa Fe Albuquerque Las Cruces Silver City

18. Why a New Mexico Consortium? There is a historical relationship between the NM Family Medicine Residency Programs. Formalizing, strategizing and building that relationship serves to increase quality of primary care training in New Mexico by: Providing statewide advocacy, administration and financing of residency program development and operations Developing joint marketing and resident/faculty recruitment activities Developing and implementing Quality Improvement (QI) Shared professional development opportunities Expansion of existing and development of new residency and rural rotation programs Improve faculty and resident recruitment and training Building formal support

19. Family Medicine Residency Support and Expansion Existing and Potential Locations Conceptual Reach of Residency Training Hub / Spoke Model Residency Hubs 1 + 2 Locations Rural Rotations from Hubs Potential Residency Hubs

20. Charlie Alfero, Executive Director of SW-CHI and NMPCTC 301 West College Ave; Suite 16 Silver City, NM 88061 Calfero@swchi.org (575) 538-1618

21. Charlie Alfero 301 West College, Suite 16 Silver City, NM 88061 Calfero@swchi.org 575-538-1618