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NV AHEC – How It All Began
IMIA ConferenceBoston, MA
October 10 – 12, 2008Dallice Joyner, M.Ed.
Virginia
• Virginia’s population - 7.7 million on July 1, 2007
• 2006: one in every 10 Virginians was foreign-born.
• One out of every three Virginians lives in Northern Virginia.
Virginia
NV AHEC
• 8th and final AHEC established
• first priority has been to offer training and support to its region’s primary health care workforce.
NV AHEC
• 1996 - Hired 1st staff
• 1997 - Conducted survey
• 1998 – Started cultural competence trainings
• 1999 - Medical Language Bank started
How Did NV AHEC Decide What Services To Provide?
NV AHEC Needs Assessment
• Survey of community provider needs
• Conducted in 1997
• Purpose of survey – To examine the scope of need among
providers– To cater, specifically to Northern Virginia’s
needs
How Did NV AHEC Acquire Funding?
NV AHEC Survey
• Totally grant funded
• AHF funded NV AHEC survey
• Survey cost: $12,000.00
• Total Cost: $98,000 (FY98)
AHF needs assessment overwhelmingly supported the need for cultural competence
training and communicating with diverse cultural during health
care encounters.
Survey
• 834 primary care providers and hospitals
• 2 mailings
• follow up phone calls
Survey
• 29% response rate
• 36% Practitioners: nurses, clinical social workers and physical therapists
• 32% of the respondents were physicians
NV AHEC Set Up
NV AHEC
• Did not start with a languages services program
• Started with cultural competence workshops (a result of the survey)
NV AHEC
Directed to healthcare providers working with the poor, the un – or under- insured and the areas’ large number of immigrants and refugees, all of who have significant difficulty accessing primary health cares services.
NV AHEC Priorities:(Then)
• Addressed through:– Cultural competence training– Medical interpreter bank
Set Up
• Staff of 3– Executive Director– Program Coordinator– Office Manager
Appointment System:
Appointment System:
Program Coordinator:
• Coordinated cultural competence workshops
• Researched interpreter trainings nationally
NV AHEC Priorities:(Now)
• Proficiency testing• Interpreters training• Contract interpreter services • Contract translation• Continuing Education • Consultation To work in health and human services
settings.
Where Are We Now?
• Contract interpreters: – 150 covering 50 languages– 670 hours per month
• 24/7 contract interpreting capacity
• Contract translations - 30 languages
Where Are We Now?
• Training of Trainers– Connecticut AHEC– Tulane University
• Proficiency Testing – Phone– paper
• Interpreting in Health and Community Settings
• Interpreting in Community Settings
Where Are We Now?
• Introduction To the Art of Translation• New Provider Series (January, 2009)
– Health Literacy– Health Care Beyond words– Cultural Competency and Cultural Diversity– Health Care in Cultural Perspective– How to Communicate Effectively Through an
Interpreter
Where Are We Today?
• $1M Budget
• Fee-for-Service
• Grants
Lessons Learned
• TRAINING is not enough!!• Personal• Flexible• Focus on excellence• Customized needs analysis• Keep the door opened• Interpreters are our ambassadors• Interpreters are the “bridge”
Thank You!!!
Dallice Joyner, M.Ed.Northern Virginia AHEC
www.nvahec.org
