TYPHON Creating Innovation and Efficiency - University of Colorado
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TYPHON Creating Innovation and Efficiency
What is Rural in Colorado?
Understanding Rural According to the American Community Survey, Rural Colorado Consists of: • 10% poverty rate • 11% have not completed high school • 5.2% Unemployment rate • Colorado covers 103,718 sq mi with a 2014 estimated population of 5,355,866 people- 689,445 living in rural Colorado (13% of the population)
Rural Healthcare in Colorado • There are just over 80 hospitals in Colorado • Half are located in rural areas • Over 50 rural health clinics in Colorado • 15 federally qualified health centers in the state • Rural per capita income is approximately $43,360
Why Rural Student Placements are So
Important
• Severe shortage of health preceptors in
Colorado especially in rural and
underserved areas
• This shortage is hurting the states
pipeline of qualified healthcare workers
• It is vital to the well-being, quality of life
and economic development of the entire
state that excellent healthcare be
available in all regions
Why Rural Student Placements are So
Important
• Studies have shown that when a
student receives training in rural
and underserved areas, they are
more likely to practice there
• Training the next generation of
students to treat the most neglected
in our society, is an important step
in tackling our health professional
shortage problem
Why Rural Student Placements are So
Important
• Recruiting Healthcare providers to rural
locations is a challenge for every state
• Only 11.4% of all physicians in the U.S.
practice in rural, despite rural making
up 20% of the population
• Rural placements are essential to
providing our nursing students a well-
rounded, diversified education.The number of students interested in rural practice, far out weighs the number of preceptors in these locations. How do we offset this gap?
Video
What is Typhon?
• Has the potential to function as a:
– complete electronic student tracking system
– comprehensive patient encounter logs and
reports
– evaluation and survey component for
assessment
– student and preceptor biographic databases
– clinical site database
– curriculum mapping
– secure document managementImprovement and Enhancements to
Placement Performance and
Operations
• Typhon has been at the college for years,
but under utilized and inconsistent with
the rural placement option.
• By determining if a site is considered
rural (determined by AHEC), and
marking the "rural" box, we can
adequately and efficiently run reports
and place students at rural sites.AHEC
Area Health Education Center
• Increase access to health education for
community residents in rural and urban
medically underserved areas in Colorado
AHEC regions.
• Positively impacts the healthcare
pipeline by supplying more rural
primary care providers to rural ColoradoRural Colorado Zip Codes
Implementation Status • Reviewed, processed, and completed over 1,000 clinical sites and determined if they are rural. • We are able to run reports on rural sites, and use them for grants and research. • We plan to use this list, to reach out to those rural sites, where we have not placed a student recently, and re- establish those connections.
Case Total Last Case Clinical Site Name Rural Site AHEC
241 5/4/2016 Ebert Family Clinic Yes
273 5/4/2016 Southwest Women's Health Associates Yes
146 4/27/2016 Aspen Medical Care Yes
1 4/26/2016 Cain, Dr. Leonard Yes
225 4/26/2016 High Country Healthcare Yes Western Colorado AHEC
832 4/13/2016 Castle Valley Children's Clinic Yes
241 4/12/2016 Glenwood Medical Associates Yes
259 4/5/2016 Mountain Family Health Centers - Edwards Yes
241 3/28/2016 Valley View Hospital Association Yes
114 3/25/2016 Salud Family Health Centers Sterling Yes
14 3/23/2016 Eagle County Public Health Yes
1 12/6/2013 10 K Medical Yes
132 11/22/2013 San Luis Valley Health Yes
53 7/25/2013 Ouray Family Medicine Yes
278 7/22/2013 Southwest Midwives Yes
50 7/13/2013 Brown, Anne Private Practice Yes Western Colorado AHEC
178 3/7/2013 Avanti Cardiology Yes
111 12/12/2012 Vail Valley MC OB/GYN Yes
104 12/11/2012 Peterson,Linda MD & Miller, Mindy MD Yes
120 6/4/2012 Valley Wide Health System - Convenient Care Clinic Yes San Luis Valley AHEC
55 6/1/2012 Valley Wide Health Systems - Alamosa Family MC Yes San Luis Valley AHEC
343 11/24/2009 United Medical Center of Berthoud Yes
107 11/10/2009 Planned Parenthood Glenwood Springs Yes
0 Alamosa County Public Health Department Yes
0 Archuleta School District Yes
0 Arkansas Valley Regional Medical Center Yes
0 Aspen Valley Hospital Yes
0 Aspen Valley Pediatrics Yes
0 Banner Health - Family Care Clinic Yes
0 Bent County Public Health Agency Yes
0 Brinton, William Yes
0 Bristlecone Health Services Inc. YesCreating Efficiencies We will continue to update rural sites as we add them to Typhon.
How does this benefit the Rural
Preceptor?
• Anschutz Health Sciences Library Benefits
• Up to date research information
• Connecting with technology and campus life
• Learn new trends
• Potential new employees who know the
system
• Clinical Instructor title on CV
• They get AWESOME CU students!!Tax Credit Preceptors Health
Professional Shortage Areas
HB 15-1238
A BILL FOR AN ACT 101 CONCERNING
THE CREATION OF A CREDIT AGAINST
THE STATE INCOME 102 TAX FOR
CERTAIN HEALTH CARE PRECEPTORS
OFFERING THEIR 103 PROFESSIONAL
SERVICES IN HEALTH PROFESSIONAL
SHORTAGE 104 AREAS.Typhon at CU College of Nursing • Under-utilized, creating inefficiencies in placement and tracking • Typhon costs $250 a year compared to eClinicalworks at $449 a month or Care Cloud at $349 a month • Cost efficiency savings - using a system already in place has the potential to streamline the GPO work and aid in placing our students in rural sites more frequently • Helps the university both in budget and community partnership
How does this impact the University?
CU Strategic Priority #5
To enhance diversity, university wide and to foster
a culture of inclusion.
• Re-build lost rural connections
• Have our students in rural locations promoting
CU
• With the health shortage in Colorado, specifically
the rural and underserved, by having our
students in these areas, will bring excellent
health care, and provide the necessary health care
assistance needed in these areas.How does this impact the University? • This will possibly impact the healthcare workforce by supplying more CU Graduates to these areas, once licensed, and wanting to go back to where they were mentored. • Build on meaningful relationships within the underserved, underrepresented, and rural communities. • Broader picture = successful recruitment and retention strategies. Will help address the shortage of APNs in the rural and remote areas in the state of Colorado.
Next Steps (for next year’s award)
• Letter to Alumni
• Accreditation
– EBI Assessment Surveys to Alumni
• American Association of the Colleges of Nursing
(AACN)
– Improve curriculum
• Grant and Research DataRevenue Generation • Marketing CU Denver to all of Colorado – non-Urban sites • Introduces rural preceptors to our services and educational offerings
Inspiring Colleagues • Inspire co-workers to take a new look at how their departments work with the systems already in place • Training other Typhon users of the benefits (run reports, categorize…)
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