new york state ahec system l.
Skip this Video
Loading SlideShow in 5 Seconds..
New York State AHEC System PowerPoint Presentation
Download Presentation
New York State AHEC System

Loading in 2 Seconds...

play fullscreen
1 / 21

New York State AHEC System - PowerPoint PPT Presentation

  • Uploaded on

Thomas Rosenthal:. Thomas Rosenthal:. New York State AHEC System. Community partnerships placing health professionals where they are needed most. Mission.

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'New York State AHEC System' - medwin

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
new york state ahec system

Thomas Rosenthal:

Thomas Rosenthal:

New York State AHEC System

Community partnerships placing health professionals where they are needed most.


“…to enhance the quality of and access to health care, improve health care outcomes and address health workforce needs of medically underserved communities and populations by establishing partnerships between the institutions that train health professionals and the communities that need them the most.”

New York = 42nd State AHEC system in US.

The new model for community driven health service planning through participation in education.


1) Create a dynamic statewide needs-based Area Health Education Center system.

2) Improve the training, recruitment and distribution of health professionals working in New York’s medically underserved communities.

3) Strengthen the professional environment to increase retention and improve the effectiveness of health professionals in New York’s medically underserved areas.


1) Developing opportunities and arranging placements for future health professionals to receive their clinical training

2) Encouraging local youth, especially those from underrepresented and disadvantaged backgrounds, to pursue health careers

3) Providing continuing education and professional support to health practitioners enhancing their skills in those communities

new york state ahec system5
New York State AHEC System
  • Time line:
    • Organizational development 1998-99
      • Federal Funding
    • Building statewide capacity 2000-04
      • Federal and State Funding
    • Refinement, improvement 2004-10
    • Model Funding 2010 and beyond.
      • Federal, State, Local, Service Funding
new york state ahec system6
New York State AHEC System


Covering all of NY.

making all of nys a campus
Making All of NYS a Campus
  • Federal Requirements:
    • Clinical placements and community faculty development
    • Continuing education
    • Recruitment of young people and underrepresented populations to health careers
    • Workforce/community needs assessment
    • Evidence of impact, tracking
to make ahec work in nys
To Make AHEC Work in NYS
  • Statewide network of health profession schools committed to AHEC concepts
  • Community empowerment
    • Each AHEC is a 501 (c) (3) corporation
    • Community Board of Directors
  • New resources to impact state’s health disparities
health career needs in nys
Health Career Needs in NYS
  • 11% of NY’s total workforce (490,000 jobs).
    • Health Jobs will grow by 29% over 10 years.
      • Twice the rate of non-health jobs.
      • Greatest growth in outpatient settings and SNFs.
  • Shortage professions:
    • Registered nurses, pharmacists, radiologic technicians, respiratory therapists, LPNs.
    • Distribution continues to be a problem.
          • Center for Health Workforce Studies, School of Public Health, University at Albany,
distribution of health workforce
Distribution of Health Workforce.
  • 102 primary care health professional shortage areas (HPSAs) in NYS. (2002)
  • 48 our of 62 NYS counties contain a primary care HPSA community.
  • 841 primary care physicians needed to eliminate NYS HPSAs.
  • Physicians serving urban HPSAs has increased but number serving rural NY have declined. (Calman, 2002)
specialty distribution
Specialty Distribution
  • Specialists in oversupply
    • Reduce hours slightly,
    • Practice outside traditional specialty domain,
    • Increase the rate at which they perform investigations (BMJ, 2002)
    • Do not move to HPSA communities.
      • In England and India physicians have taken non-physician jobs rather than populate rural communities. (Rosenthal, 2002)
source of workforce
Source of Workforce
  • Medical School Applicants (National Numbers)
    • Under represented minorities
      • Dropped by 20% (From 4,500 to 4,000) between 1997 and 2001.
      • Comprise 12% of the applicant pool
        • 50% of all applicants get admitted
        • 46% of URM students get admitted.
    • 22% of Americans live in rural areas.
      • Comprise 14% of applicant pool.
  • Other professions are similar but less well documented.
impact of hpsas campus
Impact of HPSAs -> Campus

Impact of Family Medicine Residency Training Location on Eventual Practice Location.

Rosenthal TC, Danzo A. Rural-based graduate medical education: An issue whose time has come. Journal of Rural Health. 2000;16:196-7.

workforce supply continuum
Workforce Supply Continuum




Students need to have experience with career and employment options, an appreciation for their own interests and aptitudes, and a feeling they can make a difference in the best matched setting. They get this during training.

pipeline questions
Pipeline Questions:
  • When are career decisions made in life?
  • How does goal setting impact educational performance?
  • Are health career decisions similar to other career decisions?
  • When do role models have the greatest impact on career decisions?
pipeline questions18
Pipeline Questions:
  • Is nurture or nature more important?
    • Family values.
    • Socio-economic factors.
    • Empowerment.
    • Caregiver gene.
  • Influence of job availability/security?
  • Influence of job income?
educational experiences
Educational experiences:
  • What length of time is the minimum to influence location decisions?
  • What components of a community based experience are essential?
  • How to best integrate training in underserved communities with educational objectives?
  • How to develop and prepare community based faculty?
educational experiences20
Educational experiences:
  • Are student community oriented projects important to location decisions?
  • What is the role of diversity training?
  • How does distance learning technology impact training?
  • What factors influence retention of providers in underserved communities?
    • Family, schools, income.
    • Living in community vs commuting.
  • Does teaching in AHEC sponsored programs enhance retention?
  • If communities participate in curriculum development of training programs affect location choice?