RGV Nonprofit Business Summit Tuesday, August 9, 2016 John Ronnau

1. RGV Nonprofit Business Summit •  Tuesday, August 9, 2016 • John Ronnau • Senior Associate Dean, Office of Interprofessional Education •  UTRGV School of Medicine • Topics: • Mission of UTRGV & School of Medicine • UTRGV Connections to the Community • Interprofessional Education & Practice

2. University of Texas Rio Grande Valley Institutional emphasis on community engagement– The University of Texas Rio Grande Valley provides a high quality, innovative, and affordable education to the students of South Texas, Texas, the United States and the world. The University will transform Texas and the nation through student success, research, healthcare, and commercialization of university discoveries. Office of Community Engagement, Cristina Trejo, Director “. . . build on the strengths of the Rio Grande Valley. We seek collaborative partnerships that not only enhance the academic and research mission of the university but also build our regional communities.”

3. UTRGV School of Medicine Mission . . . educate a diverse group of dedicated students who will become physicians who will serve across all the disciplines of medicine; to bring hope to patients by advancing medical knowledge through research; to integrate education and research to advance the quality and accessibility of patient care in an integrated manner; and to engage with the Rio Grande Valley (RGV) communities to benefit Texas and worldwide.

4. UTRGV School of Medicine • Values • Patient Advocacy: Dedication to serving patients and their families through the practice of ethical, evidence-based, patient-centered medicine. • Community-Focus: Commitment to improving health outcomes and reducing health disparities of at-risk populations through community and population-based interventions. • Cultural-Awareness: Use tools and empathy to successfully work with the diverse and unique needs of any community. • Collaborative Leadership Style: Contributions to effective interprofessional teams, as well as personal investments in providing leadership on matters of community health. • Life-long Problem-Solving: Use of critical thinking to approach all health matters including clinical, community, and social issues.

5. Bringing the Mission and Values to Life • UTRGV School of Medicine Community Initiatives • Colonia outreach • UTRGV SOM, in partnership with the Hidalgo County Dept. of Health and Human Services and others presents health screenings and other services to Valley residents who live in Hidalgo and Cameron County.

6. UTRGV School of Medicine Community Initiatives (cont.) • JohnAustinPenaClinic • Funded by Methodist Healthcare Ministries • In partnership with Hidalgo County Dept. of Health and Human Services • Collaborative team-care model • Care for triply-diagnosed teens

7. UTRGV School of Medicine Community Initiatives (cont.) • Preventative Medicine Residency • Dept. of Population Health • South Texas Diabetes and Obesity Institute • Advance medical research, develop better treatments and improve the health of residents in South Texas and beyond. • UniMovil • Mobile medical unit funded by United Health Foundation

8. Why IPE? Social Determinants of Health “. . . socioeconomics, education, housing, employment, and one’s lived environment . . . determine 90% of health outcomes while only 10% are determined by biomedical health care” .. . (p. 1) Westerhaus, M., Finnegan, A. Haidar, M., Kleinman, A., Mukherjee, J., and Farmer, P. (2015). The Necessity of Social Medicine in Medical Education, Academic Medicine (Published on-line).

10. Top issues impacting colonia residents’ access to good jobs: • Low educational attainment and lack of skills needed to obtain jobs that offer a living wage and upward mobility • Limited English proficiency • Low access to quality financial services and products that protect savings and assets • Little or no access to the Internet • Source: Southwest Colonias in the 21st Century. Federal Reserve Bank of Dallas.

11. What is IPE? Interprofessional education occurs when students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes (World Health Organization, 2010) . . . deliberatively learn together . . . purpose of improving collaboration and learning to work with colleagues at the highest scope of their professional capacity to collectively improve care for patients. (Oregon Health & Science University School of Medicine's Interprofessional Education (IPE) Initiative) http://www.ohsu.edu/xd/education/student-services/about-us/provost/interprofessional-educatio-ipe.cfm

14. IPE Accreditation Standards • School of Medicine • LCME Standards; ACGME Competencies; IOM Core Competency Areas; Core Entrustable Professional Activities (EPAs) • College of Health Affairs • Communication Sciences & Disorders; Dietetics; Nursing; Occupational Therapy; Pharmacy; Physician Assistant; Social Work

15. Triple Aim: • Improving the patient experience of care (including quality and satisfaction) • Improving the health of populations and • Reducing the per capita cost of health care. • Institute for Healthcare Improvement (IHI) • http://www.ihi.org/Engage/Initiatives/TripleAim/pages/default.aspx

16. Health Care Spending • The U.S. spent an average of $9,086 per person on health care in 2013 or 17% GDP • 50% more than Australia, Canada, Denmark, France, Germany, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland and the United Kingdom • Dan Mangan ,CNBC, “US health-care spending is high. Results are...not so good.” Thursday, 8 Oct 2015 | 3:50 PM EThttp://www.cnbc.com/2015/10/08/

17. Healthcare Errors • Up to 440,000 Americans are dying annually from preventable hospital errors. • Third leading cause of death in the United States. http://www.hospitalsafetyscore.org/newsroom/display/hospitalerrors-thirdleading-causeofdeathinus-improvementstooslow

20. Many groups committed to promoting health in the RGV including: • Public health initiatives in Cameron County and Brownsville—Hike and bike trails, farmers’ markets, CyclobiaBrownsville • Hidalgo County Dept. of Health and Human Services—Hidalgo Fit • City of Edinburg—Hike and bike trail; No-smoking in public places ordinance • City of McAllen—Hike and bike trail • City of Harlingen—Healthy Harlingen; Half-marathon • UTRGV’s goal is to form partnerships and work in partnership with the community.

22. UTRGV School of Medicine Community Initiatives (cont.) AIME/Longitudinal Community-Based Experience Year-1-- six communities in three Counties (Cameron, Hidalgo, Starr)

23. Potential UTRGV Community HubsThe following communities have offered facilities at no-cost to UTRGV to establish community hubs and IPE sites. Starr County • La Victoria Community Center Rio Grande City Hidalgo County • El Paraiso Los Ebanos, Mission • San Carlos Community Resource Center Edinburg Hidalgo County • Proyecto DesarrolloHumano Peñitas • Alamo Community Resource Center Alamo Cameron County • City of La Feria Community Resource Center La Feria

24. Potential UTRGV Community Hub Activities • Community needs and strengths assessment • Social and behavioral services • Health care system navigation • Nutritional services • Community garden • Farmers’ market

25. Potential UTRGV Community Hub Activities (cont.) • Educational services • Human performance services • Wellness and prevention services • Recreational services • Grant writing • Career Counseling • Health services via periodic community health fairs

27. RGV Nonprofit Business Summit •  Tuesday, August 9, 2016 • John Ronnau • Senior Associate Dean, Office of Interprofessional Education •  UTRGV School of Medicine • Topics: • Mission of UTRGV & School of Medicine • UTRGV Connections to the Community • Interprofessional Education & Practice