NAMI Family to Family Education Program in Central Nebraska.

NAMI Family to Family NAMI Family to Family Education Program Education Program in Central Nebraskain Central Nebraska

Quick Facts about NebraskaQuick Facts about Nebraska

Nebraska land area is 76,872.41 square miles (NAMI Central Nebraska Nebraska land area is 76,872.41 square miles (NAMI Central Nebraska covers 15,000 square miles of this land area) compared to all of the United covers 15,000 square miles of this land area) compared to all of the United States at 3,537,438.44States at 3,537,438.44

There are 22.3 persons per square mile in Nebraska as compared to the There are 22.3 persons per square mile in Nebraska as compared to the

United State average of 79.6 person per square mile. (with Omaha and United State average of 79.6 person per square mile. (with Omaha and Lincoln maintaining the majority of the state’s population.)Lincoln maintaining the majority of the state’s population.)

7.3% of Nebraska’s population is under 5 years old. 25.1% of Nebraska’s 7.3% of Nebraska’s population is under 5 years old. 25.1% of Nebraska’s population is under 18 years old. 13.3% of Nebraska’s population is over population is under 18 years old. 13.3% of Nebraska’s population is over 65 years old. (All higher than the national average.)65 years old. (All higher than the national average.)

91.6% of the population is white with persons of Hispanic/Latino origin 91.6% of the population is white with persons of Hispanic/Latino origin being the largest minority population at 7.5%.being the largest minority population at 7.5%.

http://quickfacts.census.gov/qfd/meta/long_POP060200.htm

Telehealth is . . .Telehealth is . . .

The use of technology The use of technology

to improve access to quality care. . .to improve access to quality care. . .

Scottsbluff

McCookBenkleman

Imperial

Grant

Ogallala

Cambridge Alma

Franklin

Red Cloud SuperiorHebron Fairbury

Pawnee City

Falls City

Auburn

Nebraska CitySyracuse

Tecumseh

Friend

SewardYork

Aurora

Central City

Henderson

David CityOsceola

ColumbusSchuyler

OshkoshSidney

Kimball

Alliance

Chadron GordonValentine

Ainsworth Bassett

Atkinson

Lynch

Creighton

Bridgeport

OaklandWestpoint

Fremont

Norfolk

Kearney

Lexington

CozadGothenburg

Callaway

Broken Bow Ord

Grand Island

HastingsMinden

Holdrege

Lincoln

Wahoo

Sioux City, Iowa

BlairGenoa

Nebraska Hospitals

Rural Hospitals

Nebraska Critical Access HospitalsPublic Health Labs

Kansas Critical Access Hospitals

Nebraska Public Health Depts.A. Auburn Southeast District Health Dept.B. Hemingford Panhandle Public Health Dept.C. Burwell Loup Basin Public Health Dept.D. Clay Center Clay County Health Dept.E. Columbus East Central District Health Dept.F. Crete Public Health SolutionsG. David City Butler County Health DeptH. Dakota City Dakota County Health Dept.I. Fremont Three Rivers Health Dept.J. Gering Scotts Bluff County Health Dept.K. Grand Island Central District Health Dept.L. Hastings South Heartland District Health Dept.M. Holdrege Two Rivers Public Health Dept.N. Lincoln Lincoln-Lancaster County Health Dept.O. McCook Red Willow County Health Dept.P. North Platte West Central District Health Dept.Q. Ogallala Sandhills District Health Dept.R. Omaha Douglas County Health Dept.S. O’Neill North Central District Health Dept.T. Osceola Polk County Health Dept.U. Papillion Sarpy/Cass Dept. of Health and WellnessV. Trenton Southwest Nebraska Public Health Dept.

X. Wayne Northeast Nebraska Public Health Dept.Y. Wisner Elkhorn Logan Valley Public Health Dept.Z. York Four Corners Health Dept.

1. Ainsworth Brown County2. Albion Boone County3. Alliance Box Butte General4. Alma Harlan County Health Sys5. Atkinson West Holt6. Auburn Nemaha County7. Aurora Memorial8. Bassett Rock County9. Beatrice Beatrice Community10. Benkelman Dundy County11. Blair Memorial Community12. Bridgeport Morrill County13. Broken Bow Jennie Melham14. Callaway Callaway District15. Cambridge Tri-Valley Health System16. Central City Litzenberg Memorial17. Chadron Chadron Community

19. Columbus Columbus Community20. Cozad Cozad Community21. Creighton Creighton Area22. Crete Crete Area23. David City Butler Area24. Fairbury Jefferson County25. Falls City Community Medical Ctr.26. Franklin Franklin County27. Fremont Fremont Area

Nebraska Telehealth Hospital NetworkRevised Plan for July 1, 2005

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28. Friend Warren Memorial29. Geneva Fillmore County30. Genoa Genoa Community31. Gordon Gordon Memorial32. Gothenberg Gothenberg Memorial33. Grand Island St. Francis Medical Center34. Grant Perkins County35. Hastings Mary Lanning Memorial36. Hebron Thayer County37. Henderson Henderson Health Services38. Holdrege Phelps Memorial39. Imperial Chase County40. Kearney Good Samaritan Health Sys41. Kimball Kimball County42. Lexington Tri-County43. Lincoln Bryan/LGH44. Lincoln St. Elizabeth's45. Lynch Niobrara Valley46. McCook Community Hospital47. Minden Kearney County48. Nebraska City St. Mary's49. Neligh Antelope Memorial50. Norfolk Faith Regional Health Srvcs51. North Platte Great Plains Regional Medical Ctr52. Oakland Oakland Memorial53. Ogallala Ogallala Community Hospital54. Omaha Nebraska Medical System

55. Omaha University of Nebraska Medical Ctr56. Omaha Alegant Health Immanuel57. O'Neill Avera St. Anthony's58. Ord Valley County59. Osceola Annie Jeffrey60. Oskosh Garden County61. Osmond Osmond General62. Pawnee City Pawnee County63. Pender Pender Community64. Plainview Plainview Public65. Red Cloud Webster County66. Schuyler Alegent Health67. Scottsbluff Regional West Medical Center68. Seward Seward Memorial69. Sidney Memorial Health70. St. Paul Howard County71. Superior Broadstone Memorial72. Syracuse Community Memorial73. Tecumseh Johnson County Hospital74. Tilden Tilden Community75. Valentine Cherry County76. Wahoo Saunders County77. Wayne Providence78. West Point St. Francis79. York York General80. Omaha Creighton Hospital81. Winnebago Winnebago Indian Hospital82. Grand Island College Park

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Dark Fiber Solutions Network Hubsi. Lincoln Bryan LGH, 1600 S. 48thii. Wilber Head End, 901 N. Main, Wilberiii. DFS York, 600 ½ Grand Ave, York

iv. NP GPRMC, 601 W. Leota St., North Plattev. Geneva Head End, 300 C. St, Genevavi. Kearney Head End, 804 Ave. A., Kearney

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Telehealth ServicesTelehealth Services Clinical Consults/ Clinical Consults/

TelemedicineTelemedicine Mental Health ConsultsMental Health Consults Tele-EmergencyTele-Emergency Rehab-SpeechRehab-Speech Wound-Ostomy CareWound-Ostomy Care Compassionate CallsCompassionate Calls

Education Education Administrative MeetingsAdministrative Meetings Video Medical Video Medical

InterpretingInterpreting Health Alert NetworkHealth Alert Network

Telehealth ConnectionTelehealth Connection

Telehealth vs. Distance Learning Telehealth vs. Distance Learning

Telehealth SavingsTelehealth Savings

Mileage Cost SavingsMileage Cost Savings Time SavingsTime Savings

Travel Cost SavingsTravel Cost Savings

Environmental SavingsEnvironmental Savings

Ability to attend/have a class Ability to attend/have a class

Other Other

Family to FamilyFamily to FamilyEducation ProgramEducation Program

Lessons LearnedLessons Learned


Develop a working relationship with your Develop a working relationship with your telehealth staff.telehealth staff.

Keep telehealth staff informed before, during, Keep telehealth staff informed before, during, and after the 12 week program.and after the 12 week program.


Put together a telehealth staff contact list that Put together a telehealth staff contact list that includes contact person’s name, office phone#, includes contact person’s name, office phone#, after hours cell#, and email address for each after hours cell#, and email address for each site.site.


Provide telehealth staff with Provide telehealth staff with instructors/facilitators cell#s.instructors/facilitators cell#s.


Need to have backup teacher/facilitator for Need to have backup teacher/facilitator for each site for the duration of the 12 weeks to each site for the duration of the 12 weeks to cover absents/illness. Consider alternative cover absents/illness. Consider alternative class schedule.class schedule.


Schedule a standing conference call each week Schedule a standing conference call each week between teachers/facilitators to cover needs for between teachers/facilitators to cover needs for that week’s class, resolve any challenges, that week’s class, resolve any challenges, address questions that come up, etc.address questions that come up, etc.

Lessons LearnedLessons Learned Pre-set a procedure for Pre-set a procedure for

calling off class during calling off class during bad weather. (Ours was bad weather. (Ours was if any one of the if any one of the locations closed schools locations closed schools due to weather, the F2F due to weather, the F2F class was cancelled at class was cancelled at all sites.) Don’t forget to all sites.) Don’t forget to let your telehealth staff let your telehealth staff know.know.

Lessons LearnedLessons Learned Put together a class Put together a class

registration list that includes registration list that includes phone# and email of each phone# and email of each class participant for each class participant for each location. Share this location. Share this information with each information with each teacher at the beginning of teacher at the beginning of the classes. (Helps to put the classes. (Helps to put names to faces.)names to faces.)

Create a calling tree at each Create a calling tree at each site if a class has to change site if a class has to change locations or class has to be locations or class has to be rescheduled.rescheduled.


Have funds for:Have funds for: gas if family members have to travel to gas if family members have to travel to

another location for one class. another location for one class. food, drinks, tissues, flip charts, pens, and food, drinks, tissues, flip charts, pens, and

other supplies for each site.other supplies for each site. Affiliates may want to consider stipends for Affiliates may want to consider stipends for

teachers.teachers.


Have a central location, and a contact person, Have a central location, and a contact person, in each region (each affiliate), to be in each region (each affiliate), to be responsible for keeping student notebooks up responsible for keeping student notebooks up to date and ready for the next class.to date and ready for the next class.


Have a back up plan when telehealth site(s) go Have a back up plan when telehealth site(s) go down. Teachers should be prepared to do the down. Teachers should be prepared to do the whole class.whole class.

Team work is vital when jumping in at Team work is vital when jumping in at unexpected events taking place during the unexpected events taking place during the class. (cell phones from distraught children, class. (cell phones from distraught children, coughing fits, etc)coughing fits, etc)


No side bar discussions. All discussion are No side bar discussions. All discussion are done as a group.done as a group.

Breaks are important.Breaks are important.


Handouts of brochures, resources, wall Handouts of brochures, resources, wall magnets, etc. need to be available to each site magnets, etc. need to be available to each site before the class is scheduled.before the class is scheduled.

Have laminated charts at all sites (especially Have laminated charts at all sites (especially the emotional chart).the emotional chart).


Hold a face-to-face debriefing meeting, within Hold a face-to-face debriefing meeting, within a week after the class is complete, with all a week after the class is complete, with all teachers/facilitators.teachers/facilitators.

Personalize all “thank you” cards and Personalize all “thank you” cards and certifications with teacher & facilitator certifications with teacher & facilitator signatures.signatures.


Suggest having telehealth-experienced Suggest having telehealth-experienced facilitators/teachers available at each site to facilitators/teachers available at each site to walk teachers, new to the telehealth system, walk teachers, new to the telehealth system, through the first 2-4 classes.through the first 2-4 classes.


Trust the program process (We had anticipated Trust the program process (We had anticipated barriers but it flowed once we started. The barriers but it flowed once we started. The process of the program curriculum carries it’s process of the program curriculum carries it’s self.)self.)

We can not plan for all situations, but through We can not plan for all situations, but through planning, building relationships between planning, building relationships between instructors, and building relationships with our instructors, and building relationships with our participants, it works!participants, it works!

Evaluation CommentsEvaluation Comments““The telehealth was also helpful – that even The telehealth was also helpful – that even

though it was a small class we could get though it was a small class we could get more out of it with other sights. Thanks!”more out of it with other sights. Thanks!”

““Our teaching team was great. The ability to use Our teaching team was great. The ability to use telehealth was a big asset and allowed us to telehealth was a big asset and allowed us to learn as a larger group.”learn as a larger group.”

““The telehealth course was very handy and the The telehealth course was very handy and the equipment worked well. We interacted well equipment worked well. We interacted well with the 2 other groups. I highly recommend with the 2 other groups. I highly recommend it! We bonded over the air!”it! We bonded over the air!”

Our appreciation and thanks goes out to Our appreciation and thanks goes out to NAMI National, NAMI Nebraska, the Family-NAMI National, NAMI Nebraska, the Family-To-Family teachers, and most of all our To-Family teachers, and most of all our participating family members. This pilot participating family members. This pilot project could not have had the success we had project could not have had the success we had with out them.with out them.

QUESTIONS . . . ?QUESTIONS . . . ?

Contact informationContact information

NAMI Central NebraskaNAMI Central Nebraska

Jean L. Wojtkiewicz,Jean L. Wojtkiewicz,

Affiliate President Affiliate President

P.O. Box 2555P.O. Box 2555

Kearney, Nebraska 68848Kearney, Nebraska 68848

Phone: 308-224-9644Phone: 308-224-9644

Email: Email: [email protected]@yahoo.com

American Telemedicine AssociationAmerican Telemedicine Association

1100 Connecticut Avenue, NW1100 Connecticut Avenue, NW

Suite 540Suite 540

Washington, D.C. 20036Washington, D.C. 20036

Phone: 202-223-3333Phone: 202-223-3333

Email: info@americantelemedEmail: info@americantelemed

Website: Website: www.americantelemed.orgwww.americantelemed.org

mailto:[email protected]

http://www.americantelemed.org/

NAMI Family to Family Education Program in Central Nebraska.

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