THE NEWCOMER HEALTH PROGRAM. Nurse Training 2015

Transcription

1 THE NEWCOMER HEALTH PROGRAM Nurse Training 2015

2 JILL GRUMBINE, RN BSN PROGRAM COORDINATOR TONISHA HAYNES SENIOR SUPPORT TECHNICIAN XIMENA TAGLE HODZIC PROGRAM SPECIALIST

3 OBJECTIVES 1. Participants will gain an understanding of the refugee program 2. Participants will be able to explain the public health implications of refugee resettlement 3. Participants will be able to define the different categories of newcomers

4 BACKGROUND How did the Newcomer Health Program come to be?

5 A BRIEF HISTORY OF THE REFUGEE PROGRAM Refugee Act of 1980 Vietnam War Basis for US Refugee Admissions Program Ad hoc Refugee Task Force Indochinese Communist Regimes Ethnic and religious organizations Hungary, Poland, Yugoslavia, Korea, China, Cuba World War II Displaced Persons Act Europe

6 A BRIEF HISTORY OF THE REFUGEE PROGRAM DoS (PRM) VA DHH (ORR) Refugee Act of 1980 Commonwealth Catholic Vietnam Charities War Church World Communist Service Regimes Basis for US Refugee Admissions Program Catholic Ad hoc Charities Refugee Task of Force the Diocese of Indochinese Arlington International Ethnic and religious Rescue organizations Committee Hungary, Poland, Yugoslavia, Korea, China, Cuba Voluntary Agencies World War II Lutheran Immigration and Refugee Services Displaced Persons Act Europe

7 Refugees Victims of Torture Asylees Source: James Gordon Source: Julien Harneis Congolese child Trafficking Victims NEWCOMERS SIV holders Iraqi children Unaccom panied Minors Cuban / Haitian Somali women Public Domain CAMs Amerasians Public Domain Afghani interpreter (SIV)

8 WHY NEWCOMERS? A PUBLIC HEALTH PERSPECTIVE Experience Background After arrival Malnutrition Hygiene Trauma Incidence Exposure Care Know how Language

9 WHY NEWCOMERS? EVOLUTION OF REFUGEE SCREENING METHODS Examination on arrival Early XX century 20 s to 30 s Pre-departure examination (focused on TB) New quarantine regulations 40 s to 60 s 70 s to 90 s Overseas medical examination Domestic guidelines Increased communication and data security Changes in exclusion grounds 90 s +

10 THE NHP IN PRACTICE How does it impact my work as a nurse?

11 REFUGEE POPULATIONS IN VIRGINIA AN OVERVIEW Alexandria Arlington Harrisonburg Fairfax Chesapeake Chesterfield Chickahominy Henrico Loudoun Newport News Prince William Hampton Norfolk Virginia Beach Fredericksburg Richmond City Roanoke Charlottesville

12 REFUGEE POPULATIONS IN VIRGINIA COUNTRIES AN OVERVIEW OF ORIGIN Chesapeake Chesterfield Chickahominy Hampton Norfolk Virginia Beach Afghanistan Iraq Bhutan Ethiopia Iran

13 WHAT CAN THE NHP DO FOR ME? Training Technical Cultural Special Cases Information Guidance Guidance Reimbursement Direct (VDH) Health Liaisons

14 WHAT CAN THE NHP DO FOR ME? THE HEALTH LIAISON PROGRAM Training Technical Cultural Voluntary Special Agencies Cases Information Falls Church Arlington Harrisonburg Guidance Guidance Fredericksburg Charlottesville Richmond Reimbursement By Anton.aldemir (Own work) [CC BY-SA 4.0], via Wikimedia Commons Kurdish refugee children Direct (VDH) Newport News Roanoke Health Liaisons

15 WHAT CAN THE NHP DO FOR ME? WAYS TO CONTACT No confidential information Urgent: OK Multiple recipients Fax Confidential info OK Urgent: Add Portland Press Herald Call Best for urgent 1 business day response In person Periodic visits High intensity service areas Summit Daily

16 WHAT WHAT DOES CAN THE THE NHP NHP EXPECT DO FOR FROM ME? ME? Fax SUBMISSIONS WAYS AND TO CONTACT DOCUMENTATION No confidential information Urgent: OK Multiple recipients Billing Confidential info OK Urgent: Add Supplemental Data Collection Vaccine Follow- Up Portland Press Herald Call In person Best for urgent 1 business day response Webvision Periodic visits High intensity service areas Procedure codes Summit Daily

17 WHAT DOES THE NHP EXPECT FROM ME? SUBMISSIONS SERVICES AND DOCUMENTATION Health Screening Billing Referrals Interpretation Webvision Supplemental Data Approval Collection for deadline exceptions Vaccine Follow- Up Include Mental Health Procedure codes As directed

18 WHAT DOES THE NHP EXPECT FROM ME? COLLABORATION SERVICES Health Screening Mental Health Council Referrals Health Liaisons Interpretation Approval for deadline exceptions Include Mental Health As directed

19 TOOLS AND DATA How do I access the information I need?

20 WHAT INFORMATION IS AVAILABLE? DATABASES SAMS (Security Access Management System) EDN (Electronic Disease Notifications) General access to data Contained in SAMS, but independent system Includes overseas screenings (when available) Limited by current patient location

21 WHAT INFORMATION IS AVAILABLE? TROUBLESHOOTING DATABASES SAMS (Security Access Management System) EDN (Electronic Disease Notifications) General access to data Contained in SAMS, but independent system Includes overseas screenings (when available) Limited by current patient location Contact SAMS Contact EDN Contact EDN Contact EDN

22 WHAT INFORMATION IS AVAILABLE? SAMS (Security Access Management System) General access to data TROUBLESHOOTING EDN (Electronic Disease Notifications) Contact Newcomer Health Program Contained in SAMS, but independent system Initial staff registration Any other questions Includes overseas screenings (when available) Limited by current patient location Contact SAMS Contact EDN Contact EDN Contact EDN

23 COMING SOON

24 WHAT COMES NEXT? Training Local resources Local populations Best practices Ongoing Support Guidance Reimbursement Site Visits

25 QUESTIONS?

26 TRAINING NEEDS ASSESSMENT PLEASE RESPOND TO THE FOLLOWING What kind STATEMENTS of training do I need?

27 1. In what district do you currently work? A. Alexandria B. Arlington C. Central Shenandoah D. Fairfax F. Peninsula G. Prince William H. Roanoke I. Thomas Jefferson J. Other E. Henrico F. Peninsula

28 2. Are you the primary refugee nurse in your district? A. Yes B. No, but I sometimes work with refugees C. No, and I never work with refugees

29 3. I can differentiate between the general classification of immigrant and those covered by the Newcomer Health Program. A.True B.False Samantha Craggs/CBC

30 4. I can confidently define who is a refugee, an asylee, a parolee, and a SIV holder. A. True B. False Syrian refugees Reuters

31 6. I can confidently define who is a Central American Minor, as well as an Unaccompanied Refugee Minor. A. True B. False

32 5. I can confidently define who is a Trafficking Victim, as well as a Victim of Torture. A. True B. False

33 7. I understand the Public Health implications of providing timely services to newcomers. A. True B. False Refugees at the AZ Health Department

34 8. I can name the main populations that arrive to my District, and I am familiar with the most important aspects of their culture and background. A. True B. False Nepali couple

35 9. I understand what services the Newcomer Health Program provides to local Health Departments. A. True B. False New arrival at the Peninsula Health Department

36 10. I know when and how to contact the NHP staff. A. True B. False New arrivals at the Peninsula Health Department

37 11. I know which resettlement agencies operate in my district. A. True B. False

38 12. I know my local health liaison. A. True B. False

39 13. I know how to contact my local health liaison. A. True B. False

40 For all your work and attention!