NAMI Family to Family Education Program in Central Nebraska

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NAMI Family to Family Education Program in
Central Nebraska
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Quick Facts about 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
  States at 3,537,438.44
• 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
  Lincoln maintaining the majority of the states
  population.)
• 7.3 of Nebraskas population is under 5 years
  old. 25.1 of Nebraskas population is under 18
  years old. 13.3 of Nebraskas population is over
  65 years old. (All higher than the national
  average.)
• 91.6 of the population is white with persons of
  Hispanic/Latino origin being the largest minority
  population at 7.5.

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Telehealth is . . .

• The use of technology
• to improve access to quality care. . .

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Telehealth Services

• Education
• Administrative Meetings
• Video Medical Interpreting
• Health Alert Network

• Clinical Consults/ Telemedicine
• Mental Health Consults
• Tele-Emergency
• Rehab-Speech
• Wound-Ostomy Care
• Compassionate Calls

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Telehealth Connection

• Telehealth vs. Distance Learning

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Telehealth Savings

• Mileage Cost Savings
• Time Savings
• Travel Cost Savings
• Environmental Savings
• Ability to attend/have a class
• Other

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Family to FamilyEducation ProgramLessons Learned
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Lessons Learned

• Develop a working relationship with your
  telehealth staff.
• Keep telehealth staff informed before, during,
  and after the 12 week program.

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Lessons Learned

• Put together a telehealth staff contact list that
  includes contact persons name, office phone,
  after hours cell, and email address for each
  site.

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Lessons Learned

• Provide telehealth staff with instructors/facilita
  tors cells.

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Lessons Learned

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

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Lessons Learned

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

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Lessons Learned

• Pre-set a procedure for calling off class during
  bad weather. (Ours was if any one of the
  locations closed schools due to weather, the F2F
  class was cancelled at all sites.) Dont forget
  to let your telehealth staff know.

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Lessons Learned

• Put together a class registration list that
  includes phone and email of each class
  participant for each location. Share this
  information with each teacher at the beginning of
  the classes. (Helps to put names to faces.)
• Create a calling tree at each site if a class has
  to change locations or class has to be
  rescheduled.

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Lessons Learned

• Have funds for
• gas if family members have to travel to another
  location for one class.
• food, drinks, tissues, flip charts, pens, and
  other supplies for each site.
• Affiliates may want to consider stipends for
  teachers.

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Lessons Learned

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

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Lessons Learned

• Have a back up plan when telehealth site(s) go
  down. Teachers should be prepared to do the whole
  class.
• Team work is vital when jumping in at unexpected
  events taking place during the class. (cell
  phones from distraught children, coughing fits,
  etc)

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Lessons Learned

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

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Lessons Learned

• Handouts of brochures, resources, wall magnets,
  etc. need to be available to each site before the
  class is scheduled.
• Have laminated charts at all sites (especially
  the emotional chart).

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Lessons Learned

• Hold a face-to-face debriefing meeting, within a
  week after the class is complete, with all
  teachers/facilitators.
• Personalize all thank you cards and
  certifications with teacher facilitator
  signatures.

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Lessons Learned

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

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Lessons Learned

• Trust the program process (We had anticipated
  barriers but it flowed once we started. The
  process of the program curriculum carries its
  self.)
• We can not plan for all situations, but through
  planning, building relationships between
  instructors, and building relationships with our
  participants, it works!

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Evaluation Comments

• The telehealth was also helpful that even
  though it was a small class we could get more out
  of it with other sights. Thanks!
• Our teaching team was great. The ability to use
  telehealth was a big asset and allowed us to
  learn as a larger group.
• The telehealth course was very handy and the
  equipment worked well. We interacted well with
  the 2 other groups. I highly recommend it! We
  bonded over the air!

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

• NAMI Central Nebraska
• Jean L. Wojtkiewicz,
• Affiliate President
• P.O. Box 2555
• Kearney, Nebraska 68848
• Phone [phone]
• Email jlwojo_at_yahoo.com

American Telemedicine Association 1100
Connecticut Avenue, NW Suite 540 Washington, D.C.
20036 Phone [phone] Email
info_at_americantelemed Website www.americantelemed.
org