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Una Vida Sana!

• Assessing and Improving the Health Status of
  Richmonds Hispanic Community Through Health
  Professional Student Service Learning

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NHMA March 19, 2011

• Mark Ryan, MD
• Department of Family Medicine, VCU School of
  Medicine
• Allison Gregory, FNP-BC
• Department of Family and Community Health, VCU
  School of Nursing
• Sallie Mayer, Pharm.D., MBA, BCPS, CDE
• Department of Pharmacotherapy and Outcomes
  Science, VCU School of Pharmacy

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Una Vida Sana!

• Una Vida Sana! (UVS) is a multi-disciplinary
  service learning program with a focus on
  providing cardio-metabolic disease screenings to
  the Hispanic community in Richmond, VA
• Supported by a grant from VCUs Council on
  Community Engagement

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Background

• City of Richmonds Hispanic community has
  increased from 5,704 (2000 estimate) to at least
  9,292 (2008 estimate).
• Large proportion first generation immigrants.
• Similar changes in surrounding counties.

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Barriers to health care access

• Richmond City Latino Needs Assessment, 2008
• 65 very worried about access
• Recommended increased access to and hours of
  health care services
• Explore use of mobile clinics
• Extend weekend and evening hours
• Expand promotora programs

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Health professional interest

• SOM LCME requires increased service learning
  opportunities, encourages student participation
• SOP ACPE encourages community engagement,
  integrating service learning.
• SON ANCC requiring increased inter-professional
  collaboration and cultural competence.

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Health professional interest

• Interest from students for increased service
  learning opportunities, and opportunities to work
  with Spanish-speaking communities.
• Student interest developed independently of
  school requirements.

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Program design

• Develop mobile, community-based project to
  provide cardio-metabolic disease screenings.
• Cross-disciplinary team with academic and
  community partners.

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Participants

• VCU SOM, SON, SOP
• VCUHS Office of Language Services
• City of Richmond Hispanic Liaison Office
• CrossOver Ministry
• Promotoras
• Clinical care/volunteers

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Venues

• Churches and faith communities
• Community events
• Government events
• Future
• Community centers
• Housing developments

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Event organization

• Measurements
• BP, height/weight/BMI
• Cholesterol and blood glucose
• Framingham risk score calculation
• Provider review/counseling
• Referral coordinator (if needed)
• Promotora teaching

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Event organization

• Patients are provided a data sheet including
  their measurements/BMI, lab values, blood
  pressure, etc.
• Patients can pick up educational materials.
• Students work in multi-disciplinary teams.

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Event organization

• Opportunities to expand services in the future
• Dental care/education
• Flu shots
• Additional screening services

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Project goals

• Hold events every 2 months.
• Establish new model of service learning, and
  determine the validity of the approach.
• Develop a health profile of the adult Hispanic
  community, especially regarding cardio-metabolic
  risks.

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Project goals

• Patient satisfaction measures
• Developed a patient survey to assess how well the
  project meets the communitys needs.
• Learner impact/satisfaction
• Used a previously-developed survey
• CrossOver eligibility screening
• Enhanced impact for promotoras.

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Results

• (I will note some of the findings to date. We
  will have an event Feb 5, and I would like to
  include that data)
• (Data will consist of s screened w/ certain
  abnormalities)
• (I will be happy to forward this once ready)

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Future plans

• Strengthen the projects service learning
  structure.
• Enhance UVS student groups role.
• Increase capacity
• For students
• For the community
• Increase community input.
• Increase the services offered.