TRIPLE AIM IMMERSION PROJECT - UAMS...

TRIPLE AIM IMMERSION PROJECT

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Non-English Speaking Patients Problem/Goal: Healthcare providers/staff can enhance communication skills for patients and families with limited English proficiency (LEP). These skills can improve the quality and safety of the care we provide. Develop a case study for the Simulation Center to train clinicians on how to effectively and appropriately communicate with a patient/family who has LEP or is legally blind or deaf that meets federal law. The outcome of the simulation should be a patient/family who is well--- informed about their medical care resulting in a positive health care experience at UAMS. In your simulation case study, what are best practices to help this family navigate the health care system. Key items to consider:

• Research the difference between Bilingual and Medical Interpreting. • Research the roles of medical interpreters and sign interpreters and how Federal Laws protect patients

requiring interpreting services. • Medical interpreters need a high level of communication skill in both English and a foreign language and

medical terminology. They act as conduits by listening to the professional and orally translating information into a patient's native language in layman's terms and then interpret the patient's response back to the professional, using proper medical terminology.

• Identify barriers that the LEP patient/family might encounter. • Look at and describe potential outcomes if the appropriate resources are in place and utilized verses if

they are not. • Review the National Standards for Culturally and Linguistically Appropriate Services (CLAS) and Non-

Discrimination Section 1557 of the Affordable Care Act and how these could apply. Triple Aim Goal(s) Addressed: Patient care/experience improvement Maximum Number of Teams: 2 Facilitators: Ms. Jane Corley ([email protected])

mailto:[email protected]


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Building Trust for LGBTQ Patients in Healthcare Background Information: This year, UAMS scored 90 out of 100 points achieving the status of “Top Performer” among health care providers recognized by the Human Rights Campaign (HRC) Foundation, the educational arm of the country’s largest LGBTQ civil rights organization. The honor is given to organizations that meet LGBTQ---inclusive benchmarks that are part of the HRC Foundation’s Healthcare Equality Index (HEI), a unique national benchmarking survey that encourages equal care for LGBTQ Americans by evaluating inclusive policies and practices related to LGBTQ patients, guests, and employees. The role of effective communication and patient-centeredness in providing safe and high-quality health care to diverse patient populations is well accepted. Effective patient–provider communication has been linked to an increase in patient satisfaction, better adherence to treatment recommendations, and improved health outcomes. Patient-centered care “encompasses qualities of compassion, empathy, and responsiveness to the needs, values, and expressed preferences of the individual patient. Combining the elements of effective communication and patient-centeredness into care delivery has been shown to improve patients’ health and health care. Like many other populations identified as at-risk or disadvantaged, research has demonstrated that LGBTQ individuals experience disparities not only in the prevalence of certain physical and mental health concerns, but also in care due to a variety of factors, including experiences of stigma, lack of awareness, and insensitivity to their unique needs. Problem/Goal: LGBTQ people face many barriers within health care, including discrimination, ignorance, and fear. The lack of informed care, sensitive language, research, and data prevents access to competent routine care and screening. LGBTQ health is emerging as a national concern due to the growing body of evidence indicating significant health care disparities experienced by the LGBTQ community. Many LGBTQ people, especially transgender, avoid seeking both preventative care and care for urgent or life-threatening conditions. In the health care setting—an environment that is already a source of considerable fear, stress, and anxiety—LGBTQ patients today too often bear the additional burdens of discrimination and feeling unwelcome, vulnerable, and invisible. Fortunately, there are practices and strategies that health care providers and hospitals can implement to begin building trust and making the health care environment more welcoming, inclusive, and safe for LGBTQ patients and their families. After researching best practices:

• Identify organizational protocols to advance cultural competence, improve communication, and support equitable and more patient-centered care for the LGBTQ community.

• Identify institutional priorities that clearly delineate responsibilities and expectations of clinical employees, their supervisors, colleagues and staff.

These recommendations can be in the form of an informal or formal document that would be available to leadership and managers as a resource to consistently and appropriately address challenging situations. Triple Aim Goal(s) Addressed: Patient care/experience improvement Maximum Number of Teams: 2 Facilitators: Barbie Brunner ([email protected])



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Mental Health Awareness

Problem/Goal: In an attempt to increase awareness of mental health issues in our community, students are invited to develop proposals that target increasing awareness and reducing stigma associated with mental health diagnoses/issues such as depression, anxiety, grief, relationship conflicts, academic difficulties or other issues that interfere with an individual’s maximal functioning. Projects may focus on patients in the state/community or for the UAMS student population.

Triple Aim Goal(s) Addressed: Patient experience improvement, Population health improvement

Maximum Number of Teams: 3

Contact Person: Dr. Purushottam Thapa ([email protected])



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Over-the-Counter Medication Safety

Problem/Goal: The Over---the---Counter Medication Safety Campaign seeks to educate 5th and 6th graders, as well as their parents and caregivers on:

• Reading medicine directions • Following OTC label directions • Proper measurement of medicine • Safe storage and disposal of medicine • Consulting with parent or guardian before taking medications

To educate those in our community about over---the---counter medications, students are invited to develop proposals that address education of children and parents/caregivers regarding medication safety.



Contact Person: Dr. Eddie Dunn ([email protected]) and Dr. Kat Neill ([email protected])

***This proposal is a student submission.


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Professional Wellness Problem/Goal: Health care professionals need skills in managing the stress of taking care of acute and chronic illnesses and injuries all in the context of a rapidly changing health care system. Across primary, subspecialty, and inpatient care stress levels can be high. Providers who are resilient in the face of stress have better patient outcomes, better patient satisfaction scores, fewer medical errors, fewer days missed from work, higher professional fulfillment/satisfaction, lower burnout, and higher retention rates. Students are invited to develop projects that target professional wellness in health care professional trainees, clinical staff, or faculty. Quadruple Aim Goal(s) Addressed: Patient experience improvement, Provider satisfaction/fulfillment improvement, Reduction of burnout Maximum Number of Teams: 2 Contact Person: Dr. Wendy Ward ([email protected])



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Integrated Behavioral Health

Problem/Goal: Behavioral health needs in both primary, subspecialty, and inpatient care environments are high. Patients and their families have a variety of issues—stressful events, depression, anxiety, oppositional behavior, substance abuse, etc.

Students are invited to develop projects that target UAMS patients and their families that address the need for integrating behavioral health screening, assessment, access to care options, provision of educational information, and/or intervention opportunities.



Facilitators: Dr. Wendy Ward ([email protected])



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Generation RX

Problem/Goal: Generation Rx is an educational program that increases public awareness of prescription medication abuse and encourages health care providers, community leaders, parents, teens, and college students to actively work to prevent abuse. Goals of Generation Rx are to:

• Increase awareness among healthcare providers about the opportunity to serve as educators and health information resources regarding prescription medication abuse prevention.

• Increase awareness among health care providers about prescription medication abuse. • Provide healthcare professionals with the materials necessary to effectively implement a prescription

medication abuse prevention program in their community. • Encourage students to implement prescription medication abuse prevention programming after

graduation.

In an attempt to educate health care professionals and the community about prescription medication abuse, students are invited to develop proposals that address Generation Rx goals.



Facilitators: Dr. Eddie Dunn ([email protected]) and Dr. Kat Neill ([email protected])



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Operation Diabetes

Problem/Goal: Operation Diabetes seeks to help healthcare professionals and students identify individuals in the community with previously undiagnosed diabetes and those who are at risk for developing the disease. In addition, the program seeks to increase overall awareness of diabetes and the role various healthcare professionals play in preventing and managing the effects of diabetes.

In an attempt to educate those in our community about diabetes, students are invited to develop proposals that address increasing awareness of, dispelling myths associated with, early identification of those at risk for the disease, and educating the public as well as other health professionals about diabetes.



Facilitators: Dr. Eddie Dunn ([email protected]), Dr. Lanita White ([email protected]), and Dr. Kendra Jones ([email protected])

***This proposal is a student submission from the Academy of Student Pharmacists (ASP) and the Student National Pharmaceutical Association (SNPHA).





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Operation Heart

Problem/Goal: Through public awareness, community outreach, and patient---specific education on cardiovascular risk factors, students can empower patients to take control of their health and prevent cardiovascular disease before it starts. Through participation in Operation Heart students will work in their communities to encourage lifestyle modifications, monitor associated risk factors, and provide education about medications for heart disease.

In an attempt to educate those in our community about heart disease, students are invited to develop proposals that address increasing awareness of, dispelling myths associated with, early identification of those at risk for the disease, and educating the public as well as other health professionals about heart disease.








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Operation Immunization

Problem/Goal: Operation Immunization is an immunization education campaign designed to increase the public's knowledge of immunizations while raising the number of adults receiving immunizations. Operation immunization encourages participants to continually increase community awareness of immunization information and advise patients where they can obtain the proper immunizations year---round.

To educate those in our community about preventative health immunizations, students are invited to develop proposals that address increasing awareness of, dispelling myths associated with, early identification of those at risk for contracting disease, and educating the public as well as other health professionals about immunization therapy.








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Cystic Fibrosis Awareness Event

Problem/Goal: In an attempt to increase awareness for cystic fibrosis (CF) in our community, we would like to host an interprofessional health screening/education event in coordination with the Cystic Fibrosis Foundation of Arkansas. The event supports the importance of teamwork and collaboration among an interprofessional team, patient and family---centered care, and an overall improved patient care/experience. Additionally, this activity would support a relationship between UAMS and cystic fibrosis patients and caregivers prior to the time period when these patients transition from care at Arkansas Children’s Hospital to the adult CF clinic at UAMS.

Triple Aim Goal(s) Addressed: Patient care/experience improvement


Facilitators: Dr. Kat Neill ([email protected]) and Mr. Larry Taylor



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Remember the Ribbon

Problem/Goal: Over 1.2 million Americans are living with HIV with 12.5% unaware that they are infected. Remember the Ribbon strives to educate communities on the prevention and management of HIV and AIDs. In addition, the programs through education seeks to reduce the stigma associated with HIV in underserved communities and to increase the awareness healthcare professional have regarding their role in preventing and managing HIV. In effort to educate communities about HIV and available resources, students are invited to submit proposals that address HIV awareness, education, and prevention within Arkansas. Triple Aim Goal(s) Addressed: Population health, Patient experience improvement Maximum number of teams: 3 Facilitators: Dr. Kendrea Jones ([email protected]) and Dr. Lanita White ([email protected])




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Celebration of Community Events Problem/Goal: Celebration of dates that are important to our community are opportunities to share interests that are common in our workforce and the populations we serve. Celebrations support community involvement, teamwork, and positivity in the workplace. Health professionals must be sensitive to the energy in our environments of care where many individuals are engaging at difficult times in their personal and family lives – difficult diagnoses, challenging treatments, times of illness and vulnerability, so providers must understand all contributions to the experience of care for the patients and families who visit our hospital and clinics. Student teams are invited to submit proposals to celebrate regular community milestones (Halloween, Thanksgiving, New Year’s Day, and St. Patrick’s Day) in a way that support Provider Wellness and the Patient Experience. Triple Aim Goal(s) Addressed: Population health, Patient experience improvement Maximum number of teams: 2 Facilitators: Dr. Kat Neill ([email protected])



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UAMS Student Response to Disaster Events Problem/Goal: Time and again when disaster strikes, the caring community that is UAMS responds. Our employees and students donate their time, talents and money to rescue and recovery efforts on many occasions. A number of organizations mobilize quickly to help hurricane victims, fire victims, and flooding victims – whatever the need may be in the moment. Student teams are invited to submit proposals to develop a standing format for the response of interprofessional UAMS students to support community needs of this nature. Triple Aim Goal(s) Addressed: Population health, Patient experience improvement, Efficient care (per capita cost) Maximum number of teams: 2 Facilitators: Dr. Kat Neill ([email protected])



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Training Video for Interprofessional Teams to Care for Older Adults with Depression

Problem/Goal: There is an unrecognized crisis in interprofessional education and collaborative opportunities for primary care providers in Arkansas to meet the needs of the growing population of older adults with MH disparities. Arkansas is among the top ten states with both highest ranking of adults with serious mental illness and the poorest outcomes (Mental Health America, 2016). Alcohol and substance misuse accompany mental illnesses in older persons. One-fifth (19.7%) of emergency department visits in Arkansas involve older persons over 70 with pharmaceutical misuse and abuse. Most shocking are the suicide rates of Arkansans 55-74 years of age (15.1) and 75 years and older (19.1) is higher than the national average in both age categories (14.4 and 10.1 respectively). The rate of suicide in the 75+ age group has been consistently high since 1999.

It is well-known through comparative effectiveness research that collaborative models with the integration of behavioral health in primary care will improve the mental health of diverse populations of persons 65 years and older including Caucasian, Latino, African-Americans, and mixed-race populations. The US Preventative Task Force recommends routine screenings and follow-up for depression are in place. The Community Preventive Services Task Force recommends the very activities in this proposal including screening, management, and medication adherence for older persons with depression. However, these recommendations are often not implemented in underserved communities.

The goal of this proposal is to create a proposal for a series of student led, and developed, videos to prepare interprofessional teams on the assessment, screening, diagnosis, and treatment of older adults with depression in rural and underserved areas of the state of Arkansas. Students WILL NOT make the videos, they will write the proposal to create the videos (ex: what will be included in the video, resources needed to create the video including funding possibilities)

Triple Aim Goal(s) Addressed: Population health, Patient experience improvement

Maximum number of teams: 2

Facilitators: Dr. Melodee Harris ([email protected]) and Dr. Kat Neill ([email protected])



TRIPLE AIM IMMERSION PROJECT ARKANSAS DRUG TAKE BACK

Background Information: LEFTOVER MEDICINE IS TOXIC WASTE!!! These materials should not be put into landfills. It poses a danger to people, pets, and the environment if not disposed of properly. If flushed or thrown away, medication chemicals can get into the waterways, affecting our drinking water. Unwanted medicines should be disposed of properly like other household hazardous waste. High temperature incineration at properly permitted facilities is the safest disposal method for toxic leftover medicines.

What is Arkansas Take Back? Take Back is an ongoing educational program to encourage everyone to “Monitor, Secure and Dispose” of their prescription medications. Arkansas participates in the U.S. Drug Enforcement Administration’s National Prescription Take Back Initiative with collection events each spring and fall. Through a partnership with the Rotary Clubs of Arkansas, some collection sites are available yearJ round.

Why do we need a safe medicine return and disposal program? • Toxic leftover drugs are endangering our children, families, and environment. About 1/3 of medicines sold go

unused.• Storing unwanted or expired medicines in our homes contributes to the epidemic of medicine abuse and

accidental poisonings.• When flushed or thrown away, unused medicines are hazardous waste that pollutes our waters and

environment. Medicine take back programs offer the only secure and environmentally sound way to disposeof leftover medicines.

Problem/Goal In an attempt to decrease the dangers of inappropriate disposal of unused medicines, students are invited to develop proposals that target increasing awareness about the dangers of inappropriate disposal and providing education about safe drug take back options.

Triple Aim Goal(s) Addressed: Population Health Improvement


Facilitators: Dr. Kat Neill ([email protected])


M*A*S*H

Background: The two-week Medical Applications of Science for Health (M*A*S*H) program was piloted

in 1988 by UAMS Regional Programs to expose Arkansas high school students to the numerous health

career options available. Now, more than 30 M*A*S*H programs are held each summer, exposing over

400 Arkansas students to health careers. One day during the two-week M*A*S*H programs, students

travel to UAMS to experience what it’s like to be a UAMS student. The goal is to increase the number of

Arkansas applicants applying to UAMS colleges and retain them in Arkansas to practice while

emphasizing the importance of primary care, patient-centered care, and rural practice. M*A*S*H is just

one of many early pipeline exposure programs offered by UAMS Regional Programs to guide Arkansas

students from middle school through college in their pursuit of a health career.

Problem/Goal: As the health care field changes, the early pipeline programs must adapt to adequately

prepare pre-health students for the future. An age-appropriate introduction to interprofessional

education should be developed and implemented for M*A*S*H 2018. After researching similar

programs and best practices,

1. Develop four 45-minute, hands- on/interactive, interprofessional activities for M*A*S*H

UAMS tour days that will showcase:

a. how different professions function both independently and as a team.

b. the training facilities at UAMS (Simulation Center, Clinical Skills Center, etc.).

c. what sets UAMS education apart from other schools.

d. an emphasis on primary care.

2. Develop a protocol for recruiting UAMS student educators to facilitate activities.

3. Develop a training manual for UAMS student educators/facilitators.

4. Identify key faculty, personnel, and supplies needed for each activity.

Objective: Early exposure to interprofessional education can lead to more positive student attitudes

toward interprofessional collaboration in the future.

Triple Aim Goal(s) Addressed: Improve population health


Facilitators: Ms. Amber Marshall ([email protected])


Problem/Goal: How can we encourage students and faculty to become involved in research advocacy?

President Trump's 2018 budget request to Congress calls for massive cuts in spending on scientific research, medical research, and disease prevention programs. The National Cancer Institute would be hit with a $1 billion cut compared to its 2017 budget. The National Heart, Lung and Blood Institute would see a $575 million cut, and the National Institute of Allergy and Infectious Diseases would see a reduction of $838 million. The administration would cut the overall National Institutes of Health budget from $31.8 billion to $26 billion. However, Trump’s budget proposal is simply a starting point and any cuts would have to be made through the congressional appropriations process. Therefore, advocating for the research that scientists perform is critical. Scientific advocacy helps to ensure that, in difficult economic times, lawmakers do not reduce funding for scientific research.

Projects could focus on:

Developing a social media guide for research advocacy Developing a workshop to train students and faculty on how to perform research advocacy Identifying appropriate avenues for research advocacy Developing a “tool kit” for research advocacy

Triple Aim Goal(s) Addressed: improving the health of the population and decreasing the cost of care by supporting basic medical research.


Contact Person: Dr. Mari Davidson ([email protected])


Focus on Research Advocacy

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