Welcome

Hi everyone, I've created this blog so that we can all have one place to put any thoughts or ideas that we would like to share with the whole group. It can serve as an easy and quick way to follow what everyone else is doing and to ask questions of everyone. This may be a little easier than email because all messages are saved in one place and you won't have to go searching through your emails to find old messages. You can also post links to this blog on the side panel. Just to let you know how it works, if you have a new topic, then you can create a new post in the upper right hand corner and if you would like to respond to someone else's post, there is a comments button in the bottom right hand corner of each post where you can go to make comments or ask/answer questions. It also shows a little number to tell how many comments have been made so you know when someone comments on your post. Let me know what you all think of this, whether you want to use it or just use emails and meetings, or if you have questions.

Tuesday, July 3, 2007

7/3/07 update

Hey everyone,

Today I ordered the puzzles and they should be here on time. The hardcopies of the institute of medicine report are in and the rooms are booked for the seminars. Carrie is also checking if she can upload a PDF version of the report to TUSK so that we only have to buy 1 copy and everyone can see it. Sarah talked to Keith White (the director of evaluation and assessment at Tufts) about the pre and post tests and I sent the questions to Kristin Dardano as well to get more feedback. I made a list of common definitions for the binders for the students which I will email to you with my sources in case you want to make changes or add words for me to define. I also looked into transportation for the tour and determined that for everyone to go in one vehicle, you would have to rent a 12 passenger van for one day, which would cost about $130. We have been emailing back and forth with Maureen from New North Citizen's Council all day and she confirmed our dates and times that we sent her and suggested some places for food, such as El Pilon (Dominican), Frigo's (Italian) andGus and Paul's (Jewish and potentially kosher). She also said that she can be a tour guide for the Springfield tour if we can get the vehicle.

I am not going to be here on Thursday, but I will come in on Monday instead. Next week I will get the binders for the students together (I'm already working on it), put the folders for the panelists together, create an evaluation sheet for the panelists, and work on whatever else you all need.

See you next week and sorry for the scatteredness of this post.

Thursday, June 28, 2007

6/28/07 update

Today I think you all just about finalized the questions for the pre-test and I'm going to type it and email it to you to check. We also confirmed that the panel training will take place on July 12th from 11-12:30. We are going to create the puzzles and get them for the first seminar. I emailed Maddie to try to reserve rooms for the seminars and I emailed the final schedule to Tanya to add into the student schedules. The major thing that you all need to work on is devoloping your seminars. If you need any Springfield Statistics, there are a lot in the binder in Sarah's office, or ask me when I am around and I can look things up for you. I did not find the HIV statistics for Springfield, but I think we can on Tuesday. I think that is about it for today, I'll have more Tuesday.

Have a nice weekend!

Tuesday, June 26, 2007

6/26/07 update

Today I drafted a letter to the panel members and a memorandum of agreement between Baystate and New North CC. We still have not been able to set the time for the panel training session because the person at New North Citizen's Council is difficult to reach. But the session will definitly be on July 12th. I also edited the questions that you all looked at on the pre-test, so that looks better. When we meet on Thursday, you can all look at it and hopefully finalize the pre-test so we can get it on TUSK. We also ordered the Institute of Medicine reports, we got 8 hard copies and they should arrive soon.

Things we are still working on are transportation for the students, finalizing that time for the panel session, booking rooms for the seminars, finding anatomy puzzles for the first seminar, and finding a good map of springfield to give the students.

See you Thursday

Tuesday, June 19, 2007

new questions

Here are some more questions you came up with for the pre/post test

Julie F's Questions:

Which of the following is true?
1) African-American nonhispanics at or below the poverty level are four times as likely to report fair or poor health than white non-hispanics at two times or greater the poverty level
2) Hispanics between the ages of 18 and 64 are twice as likely as white non-hispanics to have no usual source of health care
3) In 2003, the rate of new HIV infection among African-American non-hispanics was more than ten times the new infection rate for white non-hispanics.
4) All of the above are true.
Answer: 4

Which of the following is not true?
1) Accidents are the leading cause of death for all racial/ethnic groups ages 25-44.
2) While heart disease is the leading cause of death for all other racial/ethnic groups, cancer is the leading cause of death for Asian/Pacific Islanders.
3) Homicide is the third leading cause of death for hispanic and African-American non-hispanics between the ages of 25-44.
answer: 1.

Carrie's Questions/notes from Social Health Determinants by Richard Wilkinson and Michael Marmot:

Which of the following is a concomitant of good health in childhood?
1) educational receptivity
2) good parenting
3) good maternal health and education
4) all of the above
Answer: 4

Cultural Competence: a set of congruent behaviors, attitudes and policies that come together in a system, agency, or among professionals and enables that system, agency, or those.
- A developmental process
Cultural destructiveness -> cultural incapacity -> cultural blindness
cultural pre-competence -> cultural competency -> cultural proficiency

Thursday, June 14, 2007

6/14/07 Update

For the community partnership with New North Citizen's Council our contact person is Maureen Holland. The website for NNCC is http://www.newnorthcc.org/ (I'll also post this in the links section on the side panel of the blog). Our goal is to have a workshop for the panel members on June 28th at 9am. The potential panel session dates are:
July 19 (8-9:30pm, 12-1pm, or 4-5pm)
July 26 (12-1pm or 4-5pm)

Thursday, June 7, 2007

Today's Update

So far, I've created a spreadsheet for the budget, including a column for the expected from your original proposal and a column for the actual as you spend the money or change things. The spreadsheet will automatically create subtotals and total everything spent as you put the numbers in and if you change the expected numbers, then it will adjust those subtotals and total as well. There is also another sheet with it for me to keep track of my hours so you all know when I've worked and for how long. Sarah is also working on finding out about the transportation for taking students off campus on the city tour and site visits.

Sarah also wanted to let you all know that she has a meeting with New North Citizen's Council tomorrow at 1:30 to discuss the community partnerships. Anyone else interested should feel free to attend that meeting as well, but she knows that everyone's schedules are packed and you may be busy.

Tuesday, June 5, 2007

Brainstorming for Pre/Post Test Questions

Sarah's brainstorm notes:
- Carrie, do you have info on the student demographics and areas of interest?
1. Define health disparities.

2. Do health disparities exist?
- add questions about Springfield and the community (demographics, languages spoken).
3. Define social determinants of health.
4. How do social determinants of health affect health outcome?
5. Define cultural competence.
6. Using cultural competence in reproductive health.
7. Specific skills: interpreter services, etc.

Julie F.'s ideas:
- have a couple of sources for the answers to each question.
- get questions on national and state data and Sarah and Carrie's questions can focus on concepts.
I. Which of the following is not true of Massachusetts Birth Data from 2005?
1. The Black non-hispanic infant mortality rate was more than twice as high as the white non-hispanic infant mortality rate.
2. The teen birth rate for hispanics was more than 5 times that for white non-hispanics.
3. The rate of low birth weights for black non-hispanics and hispanics is more than double that of white non-hispanics.
(answer - 3)
II. Compared with mothers with some college education or more, mothers with a high school education or less were more likely to:
1. Smoke during pregnancy
2. Receive inadequate prenatal care
3. (other distractor ideas: deliver via cesarean section, breastfeed, etc.)

Carrie's notes (from the email):
Questions:
Which is an example of a Health care disparity
A: a white woman is unable to buy the third tier medication for depression
B: a Hispanic woman misses her appts for birth control because she has to walk to the bus stop
C: an African American woman arrives 25 min late for her visit and is frustrated she will not be seen
D: you try to reach a woman but her phone is disconnected. You send her a letter removing her from your practice

Which of the following contribute to Health care disparities:
A: race
B: socioeconomic status
C: where you live
D: age

An advocate for a patient
A: improves a patient’s access to care
B: provides a patient with the resources with which to negotiate the health care system
C: irritates the doctor into giving the patient better care
D: knows the health care system and can help facilitate completing recommended health interventions

Being disenfranchised means:


Using interpreters does what to health care

Health care providers are biased at baseline

How will an increase in awareness of health care disparities change behavior?


What is bad behavior”
A: I cannot believe she is always late! Doesn’t she care about her health?
B: Everything I offer for her she refuses. I don’t know how to help her.
C: She tells me she cannot buy her meds, but did you see her hair and nails!
D: She doesn’t care, why should I?

Every patient deserves our best care…..how do we provide that?