VA Rural Health Summit

Health Workforce Council ReportApril 6, 2011JANET McDaniel, Chair

Health Workforce Recommendations

Establish VA Rural Health Workforce Council

Provide retention incentives for providers to remain in rural communities

Explore health care training models and alternatives for rural areas

More aggressively engage the VA Community College system

Health Workforce Recommendations

Increase communication among training programs

Engage academic centers in strategies to improve workforce in rural areas

Research dual certification programs Develop/support educational

opportunities for integrating primary care with behavioral health

2010-2011 Work Plan

Recommendation—Engage academic centers in strategies to improve workforce in rural areas

Objective—Assess current academic programs for educating rural workforce

2010-2011 Work Plan

Recommendation--Develop/support educational opportunities for integrating primary care with behavioral health

Objective—Assess current academic programs for integration of primary care and behavioral health education

Assess current academic programs for educating rural workforce--Strategies

Literature review-Training models/best practices

Survey academic programs:Rural recruitment and rotationsMultidisciplinary trainingPatient-centered medical homes Integrating behavioral health & primary

careBarriers & efforts to overcome barriersPolicy changes needed

Survey of Academic Health and Medical Programs—Preliminary Findings Methods—Sample—Surveys mailed to 111 programs 6 Medical Schools (5 in VA, 1 in TN) 8 NP 4 PA 16 Nursing--University 20 Nursing-- Community Colleges 4 Pharmacy 7 Public Health 12 Residency programs 5 Directors of Graduate Medical Education 13 Counselor Education 5 Clinical Psychology 3 Counseling Psychology 4 Social Work 2 Marriage and Family Therapy

Response Rate 44% (n=48)

Survey of Academic Health and Medical Programs—Preliminary

Findings--Demographics

Survey of Academic Health and Medical Programs—Preliminary Findings-Recruit From Rural Areas

Survey of Academic Health and Medical Programs—Preliminary Findings—Recruitment Methods

Survey of Academic Health and Medical Programs—Preliminary Findings—Rural Rotations

Survey of Academic Health and Medical Programs—Preliminary Findings—

Multidisciplinary Teams

Survey of Academic Health and Medical Programs—Preliminary Findings—Multidisciplinary Teams Education

Methods

Survey of Academic Health and Medical Programs—Preliminary Findings—Learn About Patient-Center

Medical Homes

Survey of Academic Health and Medical Programs—Preliminary Findings—Practice in Patient-Center Medical Homes

Survey of academic institutions—Preliminary Findings--Integrating Primary Care and Behavioral Health—

Barriers to Educating Rural Healthcare Workforce

Actions Taken to Overcome Barriers

Policy Changes Needed to Overcome Barriers

To Do List—2011-2012 & Beyond

Finalize analysis of survey of academic institutions—rural focus

Finalize analysis of survey on education to integrate primary and behavioral health care

Develop and share recommendations related to education, clinical rotations, and policy

Seek input from key stakeholders Continue to provide “rural voice” on

workforce issues in VA