1. Salisbury Rural Health 1 Comprehend, Collaborate, Complement, Partnership Edwina Gray-Wright, MHA Integrator, Salisbury VAMC Rural Health Program September 2011

2. Goals Office of Rural Health (ORH) Enhance Outreach Increase appropriate referrals Reduce stigma Promote healthy outcomes/resilience/recovery Increase consumer and provider satisfaction Transform care for Rural Veterans 2

3. RURAL HEALTH PROGRAM FUNDAMENTALS  Comprehend – Engage the community, its leaders and providers to better understand the needs of our Veterans.  Collaborate – Engage those Veterans encountered, their families, and other VA consumers.  Complement - Focus on health issues among Veterans to address commonalities  Partnerships – Build to improve screening, health maintenance and compliance..quality of life. 3

4. VISN 6 RURAL HEALTH PROGRAMS in NC ASHEVILLE SALISBURY DURHAM HAMPTON 4 FAYETTEVILLE

5. RURAL HEALTH PROGRAM INTEGRATOR CONTACTS Asheville VAMC – Shawn Butler (828) 298-7911, ext 4346 Durham VAMC – Bobbie Brooker (919) 286-0411, ext 2089 Fayetteville VAMC – Joyce Hawkins (910) 488-2120, ext 7384 Hampton VAMC - Linda Erdman-Cline (acting) (757) 722-9961, ext 7762 Salisbury VAMC – Edwina Gray-Wright (704) 638-9000, ext 4960 5

6. SALISBURY Rural Health Program MOTTO: We will go where ever the Veteran is! VSO VFW VHA DOD TOWN HALLS CHURCHES CENTERS: COMMUNITY, SENIOR, CIVIC SCHOOLS: COLLEGES, UNIVERSITIES FAIRS, FESTIVALS, SHOWS BALL GAMES, PARKING LOTS YOU JUST NAME THE PLACE, AND WE’LL GO THERE 6

7. SALISBURY RURAL HEALTH TEAM CLINICAL STAFF Wanda – Nurse Educator Sharon –Nurse Educator Melissa – Nurse Educator ADMINISTRATIVE STAFF Lisa – Program Support Assistant Tony – Veteran Liaison Dwight – Public Affairs Officer Edwina – Integration Program Manager COMING SOON – SOCIAL WORK, MORE ADMINISTRATIVE SUPPORT 7

8. 8 ENROLLMENT EDUCATION DEVELOP PARTNERSHIPS

9. SALISBURY RURAL HEALTH PROGRAM Goal #1 Registration and Enrollment Goal #2 Education until health care improves Goal #3 Establish Partnerships 9

10. GOAL #1 OUTREACH Enrollment via engagement of Veterans in their community or surrounding areas. Registration – assist with the completion of form 1010 for healthcare. Primary Care and Mental Health service connection. Provide additional information and assistance on form 21-526 (with the support of VSO offices). Assist in the navigation of the Department of Veterans Affairs system……or at least refer to the appropriate department. Reach out to as many Veterans in Rural American as is possible. 10

11. HELLO HAVE YOU EVER SERVED IN THE MILITARY?? WE ARE HERE TO HELP YOU FIND OUT ABOUT ALL THAT IS AVAILABLE AND HELP YOU GET ALL THAT YOU ARE ELIGIBLE FOR. 11

12. GOAL #2 EDUCATIONAL ENHANCEMENT Increase the veteran’s knowledge of, compliance with and awareness of chronic diseases such as Cardiovascular Disease (CVD), Congestive Heart Failure (CHF)and Diabetes Mellitus (DM). Present and provide education and guidance on healthcare information that is geared towards the 9 healthy choices as defined by VHA National Center for Health and Disease Prevention. 12

13. Goal #2 EDUCATIONAL ENHANCEMENT (CONT.) 9 HEALTHY LIVING MESSAGES: 1.Be involved in your health care 2.Be Tobacco Free 3.Eat Wisely 4.Be Physically Active 5.Strive for a healthy weight 6.Limit Alcohol consumption 7.Get recommended screening tests and immunizations 8.Manage stress 9.Be safe 10.Your Choice 13

14. GOAL #3 COMMUNITY PARTNERSHIPS Identify and partner with community organizations to create forums in the rural areas for health education classes, programs and outreach. Identify and partner with community leaders to ensure that Veterans have every opportunity to maximize their health outcomes through VHA, VBA and NCA services. 14

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16. How is SALISBURY doing? Outreach Efforts thru Oct 2010 thru July 2011 (Female Only) Total Number Rural Veterans Encountered: 1904 (159) Total # Rural Veterans Engaged: 1243 (158) Number of completed applications received: 633 (39) Number of new enrollees*: 432 (18) Number schedule but not seen yet: 88 (4) Number of newly seen and now vested: 344 (13) Performance (Total Vested/Total Enrolled): 80 % *Enrolled AFTER Documented Contact with RH Team 16

17. W.G. (Bill) Hefner VA Medical Center Rural Health team wishes to take this opportunity to thank you for inviting us to the VISN 6 Rural Health Program Conference. This opportunity allowed us to reach out and educate veterans on the benefits they have earned. We appreciate your hospitality and look forward to working with you again. Thank You “Helping to get veterans the benefits they have earned” Rural Health Program 17 THANK YOU FOR ALLOWING US TO SERVE YOU!!!!

18. QUESTIONS 18