USPHS Scientific & Training Symposium: SCIENTIFIC PROGRAM AGENDA
11:00
a.m. – 12:00 p.m. Track 3: Innovative Prevention and Treatment Strategies in Federally Funded Health Programs
Gila Room, Tucson Convention Center
Chronic Disease Management in Rural Populations
This session will look at approaches for addressing diabetes and other chronic illnesses in rural settings.
Improving Quality in Rural Health Care
CAPT Lisa Toney, USPHS, MHA, RPh, CAPT, USPHS, Director Professional Services, Sells Indian Hospital
Presentation (pps, 2.61 MB)
Peter Ziegler, M.D., Clinical Director, Sells Indian Hospital
This presentation will discuss a replicable model used to successfully improve chronic disease management of diabetes and cardiovascular disease in 15 rural communities.
At the end of the session, participants will be able to:
• Describe how rural providers can take the lead in improving quality health care
• Identify three ways to use the chronic care model described to improve chronic disease management in any ambulatory care setting
• Share "best practice" examples for improving rural health care with other rural providers across the nation
Campesino Diabetes Management Program
Ms. Emma Torres, BSW, Executive Director of Campesinos Sin Fronteras
This presentation will examine the impact community health workers (also known as promotoras) had on the self management practices of people with diabetes in a farmworker community on the U.S.-Mexico Border. The program was completely promotora-driven, resulting in an innovative and responsive approach to community needs. Social support was used to help people with diabetes to initiate and sustain lifestyle changes. Promotoras implemented a community-based intervention that included weekly support groups, home/hospital visits, telephone support, and advocacy to people with diabetes. A 12-month pre/post study design was used to investigate the relationship between promotora contact, perceived support, and clinical outcomes. The findings document improvements in both clinical and social health indicators.
At the end of the session, participants will be able to:
• Describe the barriers to diabetes self management in a United States-Mexico border community
• List three key aspects of an innovative community health worker model designed to build support for diabetes care in the community
• Discuss the integration of clinical and community based methods in approaching diabetes care
02:45
p.m. – 03:45 p.m. Track 3: Innovative Prevention and Treatment Strategies in Federally Funded Health Programs
Gila Room, Tucson Convention Center
Lessons Learned: An Effective Chronic Care Model for Human Immunodeficiency Virus Patients
LT Heather Huentelman, PharmD, BCPS, USPHS, HIV Clinical Pharmacist, Phoenix Indian Medical Center
Presentation (pps, 1.87 MB)
This presentation will discuss the Phoenix Indian Medical Center’s (PIMC) interdisciplinary chronic care management program for patients with human immunodeficiency virus (HIV), Recent publications estimate the average lifespan for patients living with HIV is 24 years from diagnosis, making it clear that HIV is a chronic disease. PIMC’s chronic care program for HIV patients has been on the forefront of implementing new clinical information systems. The HIV Management System (2007) and iCare (2008) improve clinical services through pre-clinic screening tools, registry management, and care reports. Pre-clinic screening provides reproducible, consistent, and individualized assessment; allowing for improved adherence to guidelines and max-packing clinic visits. The most important outcome for this multi-disciplinary approach has been that patients are living longer, more productive and improved lives.
At the end of the session, participants will be able to:
• Define the basic principles of the chronic care model described
• Identify how clinical information systems can be used to introduce max packing into primary care
• Describe the benefits and barriers in utilization of alternate resources to address HIV
04:00
p.m. – 04:30 p.m. Track 3: Innovative Prevention and Treatment Strategies in Federally Funded Health Programs
Gila Room, Tucson Convention Center
Early Intervention for Dental Caries
Margaret Perry, BSDH, MBA, Oral Health Coordinator for the Pima County Health Department and Coordinator of the Southern Arizona Oral Health Coalition
pps (12.81 MB) | pdf (3.66 MB)
This presentation will provide an overview of “First Focus on Kids,” a preventive oral health program implemented at ten low income pre-schools in 2007. The session will describe the program and how it was implemented. Key elements included establishing tooth brushing programs; utilizing a basic screening survey and the application of fluoride varnish; and training staff and parents on the importance of early childhood oral health, and the use of dental benefits under Medicaid and state children’s health insurance programs.
Preliminary data show that of the 400+ children screened, 70 percent had pre-caries white spot lesions, suggesting early intervention of screening, referral and fluoride varnish is necessary for the prevention of dental decay.
At the end of the session, participants will be able to:
• Identify appropriate partners for addressing oral health needs in the community
• Develop a prevention and early intervention program to address the high rates of dental decay in young children
04:30
p.m. – 05:00 p.m. Track 3: Innovative Prevention and Treatment Strategies in Federally Funded Health Programs
Gila Room, Tucson Convention Center
Oral Disease in Patients with Human Immunodeficiency Virus
CAPT Gregory Todd Smith, DDS, MSD, USPHS (Ret), National Consultant, Periodontics, Indian Health Service
This session will examine the particular challenges and issues associated with treating oral disease in patients with human immunodeficiency virus (HIV).
At the end of the session, participants will be able to:
• Recognize oral manifestations of HIV infection
• Describe how to appropriately treat oral lesions associated with HIV infection