ANNUAL REPORT

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1 ANNUAL REPORT Northwest Area Health Education Center (AHEC) of Wake Forest School of Medicine, part of the North Carolina AHEC Program.

2 Contents 3 Mission Statement, Five Core Components and Regional Map 3 Top Ten Strategies 3 Guiding Objectives for Partnerships and Collaborations 4 Core Component 1: Health Careers, Diversity and Recruitment 6 Core Component 2: Health Science Student Support 7 Core Component 3: Graduate Medical Education and Patient Services Support 8 Core Component 4: Continuing Education Activities and Services 12 Core Component 5: Information and Library Services 15 Funding Sources and Expenditures 15 Advisory Committee Members 16 Partners On the cover: Medical student Amber Campbell at the Share the Health Fair held at Marketplace Mall in Winston-Salem

3 Northwest Area Health Education Center (Northwest AHEC) ANNUAL REPORT The Northwest AHEC staff and I are very pleased to share our Annual Report. During this past fiscal year, we were fortunate to continue to have critical support and guidance from the senior leadership of Wake Forest Baptist Medical Center (WFBMC) and our NC AHEC colleagues. We continued to partner with more than 220 different organizations across the region, including more than 35 distinct administrative units and academic departments of Wake Forest Baptist Medical Center. Northwest AHEC continued to seek new opportunities and new ways of partnering in an effort to enhance our mission fulfillment across the five core components of the continuum of health care education: Health Careers, Diversity and Recruitment; Health Science Student Support; Graduate Medical Education and Patient Services Support; Continuing Education Activities and Services; and Information and Library Services. While we are proud of our core components accomplishments shared in this annual report, we ve begun several quality and process improvement initiatives across the core components. We look forward to sharing these with you on an annual basis. Like many educational organizations, this past fiscal year presented several challenges. The major ones were: state budget levels requiring even more prioritization among major opportunities; changes within our WFBMC leadership, thereby requiring us to ensure new leaders are educated and familiarized with Northwest AHEC s unique role within WFBMC and its regional roles/responsibilities; continued regional partner-organizational changes; and the Regional Extension Center/Practice Support Services across the state requiring strategic and critical thinking to address how best to fit this evolving health care area within our existing/typical processes, systems and infrastructure. Because of these challenges, we have been able to grow capacity and expertise by first increasing efficiency, and therefore, were quite fortunate to be able to move forward with our mission. Our success is very much contingent upon the relationships that we have forged and maintained with our talented, innovative, and resourceful partners during a span of almost 40 years. We continue to be appreciative of strong support and guidance from our Boards of Advisors, Wake Forest Baptist Medical Center senior leadership, the NC AHEC Program, the UNC Higher Education System, and the NC General Assembly. The Northwest AHEC staff and I continue to be motivated by our accomplishments and the many future challenges/issues. We anticipate an exceptionally stellar year in , as we will mark/celebrate 40 years of service to health professionals and health professions students in our 17-county region. Michael P. Lischke, EdD, MPH Director, Northwest AHEC

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5 Ashe Alleghany Surry Stokes The Northwest Area Health Education Center is an educational and training program designed to enhance the health of the public in its 17-county region by improving the supply, distribution, and quality of health and human service personnel, especially in Watauga Avery Caldwell Burke Wilkes Alexander Catawba Yadkin Forsyth Davie Iredell Davidson Rowan primary care, through diverse community / academic partnerships. Five Core Components Health Careers, Diversity and Recruitment Health Science Student Support Graduate Medical Education and Patient Services Continuing Education Activities and Services Information and Library Services Northwest AHEC will continue to leverage resources based upon our Top Ten Strategies as well as our Guiding Objectives for Partnerships and Collaborations. Using process improvement methods, we will continue critical examination of our internal Northwest AHEC processes to determine the best ways to increase our efficiency and effectiveness. Top Ten Strategies Develop a leadership and organizational culture of performance and accountability. Establish critical quantitative benchmarks and focus on achieving them. In addition to rigorous expense discipline, focus on pricing. Focus on higher-margin services and products. Do NOT allow mission to be used to justify poor performance. Balance focus on core services with development of new high-margin services. Proactively and aggressively address partnership issues equity of partnership. Recognize quality as a key strategic imperative make it a priority. Adopt new information technology. Increase capacity by first increasing efficiency; strategically add new capacity. Northwest AHEC Bases Guiding Objectives for Partnerships and Collaborations All parties should strongly agree with the objectives for partnership: Mission Alignment: To honor and respect the individual missions of each organization while investing in the complementary missions to create a shared future. Shared Resources: To combine human and material resources where appropriate to enhance mission attainment, support ongoing programming, and initiate new programming. Everyone brings something to the table. Shared Relationships: To broaden visibility and value of each organization s programming and community presence through the extension of existing relationships and the development of new relationships. Mutual Benefits: To expand and create opportunities that increase and improve the effectiveness of each organization with regard to mission attainment. Leveraged Impact: To enhance program results through leveraged resources, combined resources and the development of new resources. Measurable Outcomes: To demonstrate effectiveness of programming toward mission attainment. Northwest AHEC 3

6 CORE COMPONENT 1 Health Careers, Diversity and Recruitment Grades 9-16 Programs The chart below summarizes activities for July 1, 2011, through June 30, Northwest AHEC Health Careers Type of Program # Programs # Hours # Participants Structured Awareness Total Structured programs are defined as programs involving more than one scheduled event, typically programs totaling more than 20 hours. 2 Awareness programs are defined as a series of events within a program totaling less than 20 hours per program. This fiscal year, there was a significant decrease in the total number of programs (-87%) versus FY11 due to our intentional revisioning on a statewide AHEC level which encouraged the focus from K-12 awareness programs to grades 9-16 structured programs. It is widely believed that there are better outcomes from higher level and structured programs. Awareness Activities and Programs Northwest AHEC provided technical assistance and partnership for the following activities/programs: Health Occupations Students of America (H.O.S.A.), Regions 5 and 7 Annual Fall Leadership Retreat The primary focus and mission of H.O.S.A. is to promote career opportunities in health care. Therefore, Northwest AHEC has now partnered with H.O.S.A. for the past two years on this health career-oriented activity as well as hosting it. Participants include both educators and students, who have an opportunity to learn from health care professionals at WFBMC through a variety of specific departmental presentations and tours. Additionally, the retreat focuses on topics such as leadership, college admissions and medical careers. Some 179 educators, responsible for grades 9-12, from 25 counties (17 of the counties are within the Northwest AHEC region), as well as students from those grades and same counties participated in the 2011 N.C. H.O.S.A. Region 5 and 7 Fall Leadership Retreat. Sisters in Science Annual Symposium The American Medical Women s Association WFSM Chapter continued to collaborate with Northwest AHEC to implement the Sisters in Science Annual Symposium. This program provides a rare opportunity for high school girls to interact one-on-one or in small groups with women in medicine and science. This year s event registered 73 high school females from Winston- Salem/Forsyth County Schools. Student National Medical Association (SNMA) Annual Pre-medical Student Conference Northwest AHEC and the WFSM chapter of SNMA continued to partner and implemented the 2012 annual conference. The purpose of this activity is to lay the foundation to increase the number of minority medical school applicants and matriculates into the four North Carolina medical schools Wake Forest, UNC-Chapel Hill, East Carolina and Duke to more accurately reflect the rich diversity of the communities in which they will ultimately serve. Northwest AHEC was pleased to provide staff support, funding and keynote speakers for this event which enrolled 118 diverse potential medical students. Winston-Salem/Forsyth County Schools Annual Science Fair Northwest AHEC has continued to be a supportive partner of the Winston-Salem/Forsyth County Schools Annual Science Fair. Rather than supporting the participants during the day at SciWorks, this year Northwest AHEC formally hosted the middle and high school science fairs in its Deacon Tower office space and subsequently, hosted the formal luncheon awards presentation at the Bridger Field House facility. More then 123 students, parents, high school science teachers/administrators and local scientists participated in this annual WS/FCS Science Fair ANNUAL REPORT

7 Structured Activities and Programs Rising 9th Graders: Project SEARCH (Student Education, Awareness and Recruitment for Careers in Health) Academy One-week summer residential opportunity on campus of Wake Forest University. Northwest AHEC began collaborating with WFU Biology Department and continued its relationships with local school systems in its 17-county region. The eight students who participated this year represented five (29%) of our 17 counties: Alexander, Burke, Forsyth, Guilford and Stokes. Participants gain exposure to college-level Biology Lab. Students work with a guidance counselor to plan their academic course schedule. Students also tour the medical center, listen to presentations, tour labs, meet health care professionals, etc. Rising 11th Graders: Project SEARCH (Student Education, Awareness and Recruitment for Careers in Health) Academy One-week summer residential opportunity on campus of Wake Forest University. Northwest AHEC began collaborating with WFU Chemistry Department and continued its relationships with local school systems in its 17-county region. The nine students who participated this year represented seven of our 17 (41%) counties: Alexander, Ashe, Burke, Catawba, Forsyth, Iredell and Surry. Participants gain exposure to college-level Chemistry Lab. Students work with a guidance counselor to plan their academic course schedule. Students also tour the medical center, listen to presentations, tour labs, meet health care professionals, etc. Grades 9-12: Camp Med Summer Day Camps (13 distinct one week-long camps) One-week summer day camp held throughout the 17-county region in various venues (schools, community colleges, hospitals, etc.). Northwest AHEC collaborated with local school systems and hospitals/medical centers in its 17-county region. Students explore a variety of health professions and receive access to the NC Health Careers manual, which provides information about 88 unique health careers. Individual Camp Med activities were implemented in 13 of our 17 (76%) counties with 187 participants this fiscal year. Grades 9-12: Future Leaders in Health Care (FLHC) Conference Weekend educational conference for high school students from across NC with an expressed interest in health care. Opportunity to learn more about health professions and post-secondary programs oriented toward careers in health. Program is implemented as part of a NC AHEC statewide initiative. A total of 11 students were able to participate in the FLHC Conference and represented the following five counties (29% of counties covered): Alexander, Ashe, Forsyth, Iredell and Surry. Other Structured Programs Northwest AHEC provided technical assistance and partnership for the following activity/program: Winston Lake YMCA Health Careers Achievers Program Wake Forest School of Medicine s Northwest AHEC and the Office of Student Affairs collaborated and partnered with the Winston Lake YMCA to implement the Health Careers Achievers Program. The program was initiated by two WFSM students, Tracy Cassagnol and Brianna Crosby, who were awarded Albert Schweitzer Fellowships in The program continued this year under the leadership of Brittany Larson and Margaux Noble. The students planned, developed and implemented the two-week program hosted by the Winston Lake YMCA. A total of 20 high school students participated in a health careers program, including tours of WFBMC, researching major disease states, etc. At the end of the program, groups of students made presentations to the community about their research, thus not only educating themselves and their peers, but the community as well. During FY13, this program will be included under the Camp Med umbrella of programs, as it aligns well with this existing model. Northwest AHEC 5

8 CORE COMPONENT 2 Health Science Student Support Northwest AHEC ORPCE Rotations and Housing by Student Type and Institution Number of Student Weeks 1 (Paid and Unpaid 2 ) Duke ECU ECSU UNC-CH UNC-C UNC-G UNC-W WFU WSSU Western Carolina Methodist MD PA NP PharmD Total , A student week is defined as one student for one week (for example, four student weeks could mean four students for one week each as well as one student for four weeks). 2 Some students are precepted by health care professionals who are not eligible for payment, such as Veterans Affairs physicians or those who are paid by medical schools. Total The Northwest AHEC Office of Regional Primary Care Education (ORPCE) assisted in the coordination of health profession students community-based education activities for 202 students. These rotations were determined and organized by each of the school s curriculum for 1,865 student-weeks with 336 preceptors across our region. This year, placements were facilitated for 10 schools and 15 academic programs. The students received free housing, e.g., rent, utilities, etc. and preceptors were supported and recognized for their efforts in providing invaluable service to the education of the next generation of clinicians. During FY12, a statewide AHEC preceptor survey was administered. A total of 456 active preceptors were contacted in the Northwest AHEC 17-county region, and of those, 207 responded or 45%, which was the second highest number of responses among the nine regional AHEC s. Other Accomplishments Northwest AHEC managed 11 apartments and worked with 11 host families to house students on community rotations. One housing request was not met in FY12, due to non-availability of housing for the requested date. This was a significant decrease versus FY11 when seven requests were not met. The highest demand for housing came from WFSM medical and physician assistant students (741 student weeks) and 411 for UNC-CH medical, nurse practitioner and pharmacy students. Northwest AHEC continued financial support for the outreach nursing programs of UNC-Greensboro (Hickory). A total of 16 students were enrolled during the past year in the 2012 MSN cohort, and 21 students graduated in May 2012 from the RN/BSN cohort. In January 2012, more than 450 community participants utilized the services of the 2012 Share the Health Fair, a free annual health fair organized by WFSM medical students to serve the community by making basic health screenings and educational resources available to those who might not otherwise receive them. This health fair provided an opportunity for the 190 WFSM medical and PA students, as well as, WSSU nursing and allied health students to develop and implement a true, real word indigent care, interdisciplinary screening clinic with a wide diversity of community participants that they may not have had otherwise. This Share the Health Fair has proven to be an exceptional interdisciplinary health profession student experience ANNUAL REPORT

9 CORE COMPONENT 3 Graduate Medical Education and Patient Support Services For the ninth consecutive year, Northwest AHEC provided technical assistance to enable the primary care and psychiatry residency programs to offer the Community Plunge (a fourhour cultural competency activity designed to provide an orientation to community demographics and health care resources) to incoming first-year residents. Family Medicine, Pediatrics and the Physician Assistants Program participated in FY12. This is the PA s sixth consecutive year of participation. Interest in the community plunge concept continues to be enthusiastically accepted and embraced throughout the Medical School and community. The NW AHEC-supported Wake Forest Baptist Medical Center primary care and psychiatry residency programs graduated 52 physicians in Twenty-seven of these new physicians (52%) have chosen to stay in North Carolina to begin their initial medical practice or to further their education in various fellowships. The following chart outlines the outcomes of the recruitment, graduation and retention of these programs in addition to their service to the uninsured and underinsured in the community Northwest AHEC supported Wake Forest Baptist Medical Center Residency Training and Service to Uninsured/Underinsured Patients Family and Community Medicine Psychiatry Internal Medicine Pediatrics Total Number and % of graduated residents staying in North Carolina after June 2012 graduation Number and % of graduated residents in North Carolina during (5-year cumulative initial practice location data) 6 (60%) n=10 0 (0%) n=5 14 (54%) n=26 7 (64%) n=11 27 (52%) n=52 29 (59%) n=49 12 (46%) n=26 75 (56%) n= (52%) n= (55%) n=270 Racial/ethnic composition number and % of Total Residents for FY12 African American 0 (0%) 5 (17%) 11 (11%) 1 (3%) 17 (9%) Latino 0 (0%) 1 (3%) 1 (1%) 0 (0%) 2 (1%) Other 1 (3%) 7 (24%) 26 (27%) 3 (8%) 37 (20%) Caucasian 29 (97%) 16 (56%) 60 (61%) 35 (89%) 140 (70%) n=30 n=29 n=98 n=39 n=196 Number and % of graduated residents employed in NC public mental health sector during N/A 2 (8%) n=26 N/A N/A N/A Number of FTE residents Estimated number of indigent/ underserved patients 5,854 A 6,589 A 9,958 B 9,894 B 32,295 A Includes inpatient and outpatient. B Includes outpatient only. Note: There is no report from OB/GYN, as the residency program received no AHEC funding for FY12. Northwest AHEC 7

10 CORE COMPONENT 4 Continuing Education Activities and Services Overall Activity Northwest AHEC planned, implemented and accredited 2,110 continuing education activities resulting in 40,674 registrations which generated 6,175 education hours. The total number of registrations represents 13,743 total unique individuals. Based on this data, individuals registered for at least 3 of our programs, on average. For FY12, the total number of CE events remained the same, the number of registrations increased 7% and the total number of education hours generated decreased 6% versus FY11. Overall, the reduction in education hours is from a decrease of 9% in traditional classes, but was mitigated by a significant increase of 49% in online activities offered in FY12. We earned accreditation from seven accreditation boards with the capability of providing credits for 74 distinct types of health care professional CE. Traditional/Classroom Activities Traditional educational activities (1,964) accounted for 93% of total activities which were virtually unchanged for FY12 versus FY11. The number of registrations increased by 14%, while the total number of education hours decreased 9% versus FY11. Therefore, more people attended less time consuming activities in FY 12 than in FY11. A review of the data seems to indicate that an increase in traditional CE registration countered the decline in registration of online activities. Online Activities Online educational activities accounted for 146 activities (7% of total activities) 2,683 registrations (7% of total registrations), and generated 540 education hours (9% of total contact hours). The number of online educational activities and registrations decreased 6% and 42%, respectively. Accredited online activities are enduring materials and only available for one year after initial accreditation. After the initial year, a course can be reaccredited only after it is thoroughly reviewed and revised. It is rare for such reaccreditation to occur, as that process requires major efforts of the content experts/faculty. The total number of education hours increased 49% versus FY11. Unlike our traditional classroom activities, the trend in our online activities appear to be fewer registrations, but more time intensive activities. UNC Chapel Hill School of Nursing RN Refresher Program The RN Refresher program was started and developed in response to the nursing shortage of the late 1980s. North Carolina state funding was received so the course could become readily available to all out-of-work nurses in the state. The model remains viable today around the state. The Northwest AHEC program continues to enroll students from our 17-county region. Of special note: During this past fiscal year, 57 students were actively enrolled in the program, which represented an estimated 24.7% of the 230 nurses enrolled statewide in the UNC-CH School of Nursing and NC AHEC RN Refresher Program. From , 649 students completed the course in the Northwest AHEC region. Of this total, 339 students completed the didactic component of the program, which consists of 140 contact hours of theory involving a full range of common nursing problems and is a medical-surgical review. The student must complete this self-paced course before beginning the clinical practicum. Of this total, 253 students completed the clinical portion of the program, which includes 160 hours of work within one of our regional partner clinical sites. Based upon student requests, a series of professional development courses have been specifically designed for nurses entering practice again. This fall was the second year that the courses were offered in a complete series: Transitions I, II and III courses enrolled 40 students; Computer Technology I and II enrolled 32 students; Electronic Access to Nursing Resources was added this fall and enrolled 17 students. Our program continued its partnership with the WFBMC Center for Applied Learning (simulation laboratory) and Winston-Salem State University. A total of 77 students attended various clinical and simulation labs at WFBMC. A Clinical Skills Summer Camp for 16 enrolled students taught at WSSU allowed them to thoroughly review concepts ANNUAL REPORT

11 Northwest AHEC Continuing Education Activities and Services Discipline Type #Activities #Participants #Hours Allied Health Traditional/Classroom Online Education Total Dentistry 1 Traditional/Classroom 48 1, Online Education Total 48 1, Interprofessional 2 Traditional/Classroom 54 2, Online Education , Total 141 3, Library/Information 4 Traditional/Classroom Online Education Total Management/ Administrative 5 Traditional/Classroom Online Education Total Medicine Traditional/Classroom 6 1,551 26,645 2,632.5 Online Education Total 1,585 26,966 2,666.5 Mental Health Traditional/Classroom 37 1, Online Education Total 38 1, Nursing Traditional/Classroom 110 2, Online Education Total 133 2, Pharmacy Traditional/Classroom Online Education Total Public Health 8 Traditional/Classroom 40 2, Online Education Total Sub-total Traditional/Classroom 1,964 37,991 5,634.5 Sub-total Online Education 146 2, Notes Northwest AHEC FY12 data differs from that generated by the Program Office as a result of one factor. Northwest AHEC counts online events (asynchronous workshops) session registrations while the Program Office does not include session registrations and only counts event registrations. 1 Programs are co-sponsored by the WFSM Department of Dentistry. 2 Interprofessional data include activities developed for and marketed to Mental Health, Nursing, Physicians, Pharmacy, Allied Health and Public Health professionals. 3 Online education includes all online grand rounds registrations and includes many of the disciplines/ audiences listed in footnote #2. Additionally, the Office of CME provides the accreditation for these activities which provide AMA Category 1 credit. 4 Library/Information includes workshops, meetings and trainings conducted by medical librarians. 5 Management/Administrative includes educational programs such as the Six Sigma series, etc. 6 Through a partnership with the Office of Continuing Medical Education, Northwest AHEC was able to provide assistance for CME credit to regional and affiliated hospitals/medical practices for their grand rounds/ teaching conferences, tumor boards and journal clubs. Catawba Valley Medical Center offered and accredited 89 activities, 1,880 participants and 97 contact hours which are supported by Northwest AHEC via staff funding to organize the activities at CVMC; therefore, they are listed in this outcomes report under Medicine. 7 Online Nursing activities include the Nurse Educator Institute (NEI), the CTA Program materials, Nursing/Legal courses, The Perinatal Post and other perinatal online activities, and the 12 Nursing Management Institute (NMI) modules coordinated in collaboration with Greensboro AHEC. 8 Public Health includes events defined as Quality Initiatives. Grand Totals 2,110 40,674 6,174.5 Northwest AHEC 9

12 CORE COMPONENT 4 (continued) Healthy NC 2020: Critical Health Objectives During the past fiscal year, Northwest AHEC Continuing Education Activities and Services met the needs of its constituents, while also providing topics that address/focus on the most critical health care needs/issues of its region and the state as identified by Healthy North Carolina 2020: a Better State of Health on behalf of the Governor s Task Force for Healthy Carolinians. The learning objectives of each activity were categorized into one of the health care need/issue categories based on the content of the training activity. Fortyseven percent, or 1,140, of Northwest AHEC s CE objectives addressed the most critical health care needs/issues as identified by the state. Following is a chart that summarizes the number of objectives from our activities and services that addressed the Governor s Task Force for Healthy Carolinians, in addition to others identified by Northwest AHEC Identified Critical Healthcare Needs/Issues Addressed by Northwest AHEC Continuing Education Activities and Services Health Issue Categories # CE Objectives Related to Health Issue Chronic Disease % Environmental Health % Health Disparities % Infectious Disease and Foodborne Illness % Injury and Violence % Maternal and Infant Health % Mental Health % Oral Health % Physical Activity and Nutrition % Sexually Transmitted Disease and Unintended Pregnancy % Social Determinants of Health % Substance Abuse % Tobacco Use % Subtotal 1, % Additional Health Issue Categories Complementary Alternative Medicine (CAM) % Cultural Competency % Leadership, Management, Education, Communication % Library Information Services % Quality Assurance/Improvement % Women s Health % Other % Subtotal 1, % Grand Total 2, % % of CE Objectives Related to Health Issue ANNUAL REPORT

13 Quality Improvement Initiatives Northwest AHEC has continued its commitment to quality initiatives and participated in several major activities/ initiatives, all of which are summarized below: Regional Extension Center (REC) During this past fiscal year, Northwest AHEC completed the staffing of its Regional Extension Center team. As a federally designated Regional Extension Center, Northwest AHEC provides individualized, on-site electronic health record (EHR) consulting tailored to each health care practice s needs at no charge, in addition to other customized practice needs. Northwest AHEC s REC provided the following services: Prepared practices for an EHR by assessing and redesigning office systems. Helped to evaluate and select certified EHR systems that offer the best value for 24 practices. Identified and enhanced workflows in practices. Successfully implemented certified EHRs. Achieved state and federal standards for Meaningful Use of EHR incentive payments to regional providers and data reporting for 41 practices. Helped nine providers use EHR as a tool to improve clinical care and satisfaction for practice staff, patients and providers, as well as achieve Patient-Centered Medical Home (PCMH) status. Provided Maintenance of Services consulting to 11 practices. Due to the dedicated and strategic efforts of Northwest AHEC s REC team, the goal of 393 providers was far surpassed during this past fiscal year. This team worked with 452 eligible providers across our 17-county region to improve the delivery of patient care through certified software systems. Other Quality Initiatives Northwest AHEC continued its collaborative partnership with other regional AHECs, the North Carolina Center for Hospital Quality and Patient Safety, and the North Carolina State University Industrial Extension Service to offer quality improvement educational activities, in addition to LEAN health care activities. These activities are accredited by Northwest AHEC (education hours are earned and awarded) and WFSM (CEU s are earned and awarded). A total of 25 activities were held with 762 registrants. Community Health Partnerships Northwest AHEC s Community Health Partnerships program was initiated to enhance the work of health coalitions in our region and to link them with the resources of the NC AHEC system. Since 2000, we have co-sponsored, with the Regional NC DHHS Healthy Carolinians/health education consultant, meetings of the Coalition Coordinators Network, and a networking and education venue for those involved with coalition work. Although the state funding was eliminated for the county s Healthy Carolinians consultant positions, many local counties used local funds to continue; therefore, Northwest AHEC continued our support of the Northwest AHEC Coalition Coordinators Network. During the past year educational topics have included grant writing, evidence-based practices in public health, building collaborative health networks, and physical activity and nutrition. In addition, community-based participatory research opportunities from both the Center for Health Promotion and Disease Prevention at UNC and the Wake Forest University Translational Science Institute have been shared. In addition, a listserv was established for the Coalition of Coordinators Network to facilitate networking and idea sharing. Northwest AHEC 11

14 CORE COMPONENT 5 Information and Library Services Building upon our 38-year tradition of classroom-based learning activities, Northwest AHEC now offers several distance learning modalities including video conferencing, live Web streaming, on-demand webcasts and custom designed Webbased courses. Our transition to provide a more direct line to additional health information and education with an emphasis on the empowerment of clinicians, has led to even more clinicians using their newly acquired skills to access a wider spectrum of online health care literature and information. Information Technology Our 12-year partnership with WFBMC s Academic Computing and Information Sciences, in addition to Carpenter Library, continually keeps us in the forefront of distance educationbased CE and enhanced library services. Listed below are the major accomplishments achieved this year: Continuing Education Leadership and Other Northwest AHEC Support Activities Completed the third year of the accredited Perinatal Post online newsletter with 309 registrants. Provided online modules for Tracheotomy Training for Primary Health Care Providers blended learning course serving 106 registrants. Developed two online courses on Perinatal Mood Disorders with 120 registrants. Provided online modules for Endotracheal Tube Choice and Use: A Training Module for Pediatric and Neonatal Intensivists blended learning course which was nominated and awarded the 2012 Center of Excellence Award in the Continuing Education Category by the National AHEC Organization (NAO). The award was presented to Dr. Adele Evans and is on display at Northwest AHEC at Deacon Tower. Provided CE to 2,683 health professional registrants through online courses. Developed and launched an ios (Apple s mobile platform) application for CME called CreditTrackr via Apple Stores. Recorded and offered eight one-hour sessions online offering AMA PRA Category 1 Credit TM for 2012 Psychiatry and Behavioral Medicine Grand Rounds. Recorded and offered 11 one-hour online sessions for 2012 Internal Medicine Grand Rounds for which AMA PRA Category 1 Credit TM was offered. Added new functionality to tag /identify/select events with multiple Healthy Carolinians 2020 Objectives. Developed and implemented 78 distinct online courses on MOODLE, the free source e-learning software platform. Continued to support and maintain the internal ORPCE database, the application of which is now in its 10th year. Processed a total of 21,388 registrations online for all CE courses (traditional and online versions). Generated a total of 9,861 unique certificates through the online certificate process rather than the paper/mailed process. Delivered six 90-minute tech skills seminars for staff to increase tech literacy, improve productivity and selfsufficiency within the department. Strategic Planning Activity Continued to utilize the analytic dashboard system created to target unserved and underserved customers, to monitor registrations/market share in our region by county. Technology Equipment Activity Planned, ordered technology and furnishings for upfit of technology and REC team s facility on the Bowman Gray campus, now known as the Northwest AHEC Technology Outreach Center (NW AHEC TOC). Also, hosted an open house for same. Statewide Activity Hosted statewide Information Technology Group discipline meeting at Deacon Tower ANNUAL REPORT

15 Website Activity The following chart summarizes the level of activity that took place on our website for this past fiscal year. In general, our website is primarily accessed by individuals to obtain information about CE activity, which might be traditional (classroom), distance education (online) and other AHEC activities. FY12 FY11 Percent Change Transactions (registering and paying for a CE activity on the website) Conversion rate (the rate in which a visit will yield a transaction) Total number of page views for fiscal year 8,653 5, % 10.82% 4.51% 139.9% 564, ,313 (11.3% A ) Average number of page views/day 1,547 1,743 (11.3% A ) Total number of visitors for fiscal year; number of unique visitors 79,995 44, ,615 65,134 (29.6%) (31%) Average number of visitors/day; average number of unique visitors/day (29.6%) (31%) Average time spent on website 8 minutes and 14 seconds 4 minutes, 5 seconds 101.6% Top five most popular web pages 1. Northwest AHEC Home 2. Northwest AHEC My Courses List B 3. Northwest AHEC Agenda Builder C 4. Northwest AHEC Certificate Request 5. Certificate Confirmation/View/Print 1. Northwest AHEC Home 2. Northwest AHEC Library Resources 3. Northwest AHEC CE General Information 4. Northwest AHEC Classroom Event List 5. Get Certificate Link A The decrease in number of page views is attributed to improved filtering of Northwest AHEC staff usage as a way to more accurately measure resource utilization. Northwest AHEC staff website usage data was included in the FY11 counts but not the FY12 counts. B When logged in, user will see a complete list of courses for which they have registered. C When registering for an activity, registrant selects sessions and other options, such as credit types, etc. Northwest AHEC 13

16 CORE COMPONENT 5 (continued) Library Services Statistics \ FY12 versus FY11 During FY12, Northwest AHEC Information and Library Services provided the following services to its 18 member institutions (health care and educational entities) Element/Activity FY12 FY11 % Change Number of members (14.29) Number of registered AHEC Digital Library (ADL) users (0.90%) Document delivery requests 1 excludes base libraries 1,641 2,024 (18.92%) base libraries (Catawba Valley and Watauga medical centers) 6,829 6, % total 8,480 8, % Interlibrary loans (68.16%) Site visits 3 (marketing, library consultation, visit % Classes % Consults 4 4,838 6,804 (28.89%) Search requests (30.72%) Base Libraries orientations % classes (32.31%) 1 Materials checked out from library collection; items from library collection which have been used and reshelved; photocopies made by library staff from library collection. 2 Documents borrowed from a library outside of the Northwest AHEC Library system. 3 Site visits are meetings with Northwest AHEC institutional members for education, administration, promotion or consult purposes which are located away from WFSM, Catawba Valley and Watauga medical centers. 4 Consults include telephone, or in person; includes number of consultations to preceptor sites. Categories of assistance can range from various types of technology assists to accreditation preparation, collection development, and training library contacts. 5 Search requests consist of in-depth database searches or reference questions that require at least 30-minutes to one hour to complete. The preceding table represents the major services provided by Northwest AHEC librarians. Services that increased in FY12 versus FY11 were base library document delivery requests, site visits and classes. All other services have declined which is mainly attributed to constituents finding alternative sources of information. Below is a chart comparing the AHEC Digital Library (ADL) usage of non-northwest AHEC paying regional health professionals in FY12 to FY11. The overall number of logins remained nearly the same, decreasing less than 1%. The number of light users remained the same while the number of heavy users; those who logged in on average more than once per week, decreased over 18%. Non-Northwest AHEC paid regional health professionals that: FY12 FY11 % Change Logged into ADL one time (2.4%) Logged into ADL 2-5 times % Logged into ADL 6-12 times % Logged into ADL times % Logged into ADL times (63.4%) total light users (52 or less per year or no more than once per week) % Logged into ADL times (18.2%) Logged into ADL 104 or more times 9 11 (18.2%) total heavy users (>52 per year) (18.2%) Grand Totals (0.9%) ANNUAL REPORT

17 Funding Sources and Expenditures $766,019 $81,000 FY12 Funding Sources (Total Budget: 5,550,350) Sub-Contracts from UNC Higher Education System and UNC Campus Projects National HRSA Title VII Grant from National AHEC Generated Revenue $402,768 $273,417 (7%) (5%) $775,674 (14%) FY12 Expenditures ($5,524,070) Technology and Library Services Continuing Education Administration and Facilities Primary Care Residency Support Health Careers Health Science Student Support $1,542,918 (28%) $498,539 (9%) $2,030,754 (37%) $4,703,329 Advisory Committee Members July 1, 2011 June 30, 2012 Regional Advisory Committee Edward Abraham, MD (Chair) Professor and Dean, Wake Forest School of Medicine Thomas J. Bacon, DrPH North Carolina AHEC Program Director UNC-Chapel Hill School of Medicine Beth Lovette, MPH, BSN Health Director, Appalachian District Health Department Jan C. Overman, PhD, MSN, RN Vice President for Academic Affairs Rockingham Community College Lynne Pearcey, PhD, RN, CNAA Dean and Professor, School of Nursing University of North Carolina at Greensboro Katherine Peters, MA Director of Staff Development J. Iverson Riddle Developmental Center Tony Rose, FACHE Chief Executive Officer Catawba Valley Medical Center Richard Sparks, FACHE President and Chief Executive Officer Appalachian Regional Healthcare System Peggy A. Valentine, EdD, RN Dean, School of Health Sciences Winston-Salem State University Wake Forest Baptist Medical Center Internal Advisory Committee Chris Godshaw, MD (Chair) Associate Dean for Graduate Medical Education Jon S. Abramson, MD Chair, Department of Pediatrics Ronny A. Bell, PHD Director, Maya Angelou Center for Health Equity Sarah Berga, MD Professor and Chair, Obstetrics and Gynecology John M. Boehme, MBA Associate Vice President, Academic and Administrative Systems Michael L. Coates, MD Chair, Department of Family and Community Medicine Thomas D. DuBose, MD Chair, Department of Internal Medicine Ann Lambros, PhD Director, Center of Excellence for Research, Teaching and Learning (CERTL) Brenda A. Latham-Sadler, MD Assistant Dean for Student Affairs; Director, Minority Affairs W. Vaughn McCall, MD Chair, Department of Psychiatry and Behavioral Medicine K. Patrick Ober, MD Medical Director, Physician Assistant Studies Northwest AHEC 15

18 Partners Alexander County Health Department Alexander County Schools Alleghany County Schools Alleghany Memorial Hospital American Council on Pharmaceutical Education American Institutes of Research Anesthesia History Association Appalachian Center at Burke Appalachian Center at Caldwell Appalachian Center at Hickory Appalachian Regional Healthcare System (Blowing Rock Hospital, Cannon Memorial Hospital, and Watauga Medical Center) Appalachian State University Appalachian State University Greater Hickory Partnership Applied Behavior Analysis Center of North Carolina Arbor Acres United Methodist Retirement Community Ashe County Schools Ashe Memorial Hospital Avery County Schools BB&T Corporation Blue Ridge Health Care Blue Ridge Pharmaceutical Association Brenner Children s Hospital Brody School of Medicine at East Carolina University Broughton Hospital Burke County Health Department Burke County Public Schools Caldwell Community College & Technical Institute Caldwell County Health Department Caldwell County Public Schools Caldwell Memorial Hospital Carolina Regional Heart Center Carolinas HealthCare System (Grace and Valdese Hospitals) Carolinas Medical Center Catawba County Department of Public Health Catawba County Schools Catawba Science Center Catawba Valley Community College Catawba Valley Medical Center CenterPoint Human Services (Local Management Entity) City of Winston-Salem Community Care Center for Forsyth County, Inc. Community Partnership for the End of Life Care Cornerstone Health Care Cornerstone Health Care Foundation Crossroads Behavioral Healthcare Davidson County Community College Davidson County Health Department Davie County Health Department Davie County Hospital Davis Regional Medical Center Diabetes Care Center Duke University School of Medicine Elizabeth City State University Elkin City Schools Family Medicine Student Interest Group Family Services, Inc. of Forsyth County Forsyth County Department of Public Health Forsyth Technical Community College Forsyth, Stokes, and Davie County Medical Society Frye Regional Medical Center Gardner-Webb University Greater Piedmont Triad Physicians of Indian Origin Greater Winston-Salem Chamber of Commerce Health Occupations Students of America (HOSA) Regions 5 & 7 Healthy Carolinians Coalitions High Country Pharmacy Association High Point Regional Health System Hillshire Brands Hoots Memorial Hospital Hospice and Palliative Care Center Hugh Chatham Memorial Hospital Iredell County Health Department Iredell Memorial Hospital Iredell-Statesville & Mooresville J. Iverson Riddle Developmental Center Kate B. Reynolds Charitable Trust Lake Norman Regional Medical Center Latino Health Coalition Lenoir-Rhyne University Lexington Memorial Hospital March of Dimes of Northwest North Carolina Mental Health Association in Forsyth County Mental Health Association in North Carolina Mental Health Association in Stokes County Mental Health Partners (Local Management Entity) Methodist University Mitchell Community College Mt. Airy City Schools National Board of Certified Counselors National Center for Complementary and Alternative Medicine, NIH National Library of Medicine, NIH NC AHEC: Program Office, Area L, Charlotte, Eastern, Greensboro, Mountain, South East, Southern Regional, and Wake NC Association of Free Clinics New River Behavioral HealthCare North Carolina Arts for Health North Carolina Baptist Hospital North Carolina Center for Pharmaceutical Care North Carolina Council of Community Programs North Carolina Department of Health and Human Services: North Carolina Division of Public Health and North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services North Carolina Hospital Association North Carolina Infusion Nurses Society North Carolina Medical Society North Carolina Quality Center North Carolina Region 5 Science Fair Northern Hospital of Surry County Northwest Community Care Network Northwest Diabetes Today Project Northwest NC Chapter of the American Red Cross Northwest Pharmacists Association Northwest Piedmont Council of Governments Northwest Public Health Incubator Group Novant Health, Inc./Forsyth Medical Center: Department of Nursing and Department of Pharmacy Office of Healthy Carolinians, State of North Carolina and Individual Healthy Carolinians Coalitions Office of Research Integrity, U.S. Dept. of HHS Partnership for Innovation and Education Piedmont Alliance for Triad Health Piedmont Behavioral Healthcare Piedmont OB/GYN Society Piedmont Triad Partnership Pioneer Community Hospital of Surry County Rowan County Health Department Rowan Regional Medical Center Rowan-Cabarrus Community College Rowan-Salisbury School District School Health Alliance of Forsyth County SciWorks Senior Services, Inc. Shaw University Divinity School Smoky Mountain Center (Local Management Entity) Southeastern Fracture Consortium Southern College Health Nurses Association Special Operations Response Team (SORT) Stokes County Health Alliance Stokes County Health Department Stokes County Schools Stokes Family Health Center Surry Community College Surry County Health & Nutrition Center Surry County Schools The Arts Council of Winston-Salem and Forsyth County The Duke Endowment The Enrichment Center Thomasville Medical Center Toe River District Health Department Twin County Hospital UNC-Chapel Hill Eshelman School of Pharmacy UNC-Chapel Hill School of Allied Health Sciences UNC-Chapel Hill School of Dentistry UNC-Chapel Hill School of Medicine UNC-Chapel Hill School of Nursing UNC-Chapel Hill School of Public Health UNC-Chapel Hill School of Social Work UNC-Charlotte UNC-Greensboro School of Nursing UNC-Wilmington University of Virginia School of Medicine Veterans Affairs Medical Center Viewmont Urology Wake Forest University Wake Forest Baptist Medical Center: Academic Computing and Information Sciences (Carpenter Library and the Print Shop) Cardiology/Heart Center Center for Applied Learning Center of Excellence for Research, Teaching and Learning (CERTL) Communication, Marketing & Media (Creative Communications) Community Clinical Oncology Program Research Base Comprehensive Cancer Center Dentistry Dermatology Endocrinology & Metabolism Family & Community Medicine Gastroenterology Infectious Diseases Internal Medicine Life Support Education Maya Angelou Center on Health Equity Neurology Obstetrics/ Gynecology Office of Alumni Affairs Office of Continuing Medical Education Orthopaedics Otolaryngology Pediatrics Physician Assistant Studies Piedmont Oncology Association Psychiatry & Behavioral Medicine Public Health Sciences Rehabilitation Services Share the Health Fair Student Committee Sisters in Science Program Committee Student National Medical Association Surgery Translational Science Institute (TSI) Urology WFU Eye Center Watauga County Schools Western Carolina University Western Piedmont Community College Wilkes Community College Wilkes County Health Department Wilkes County Schools Wilkes Regional Medical Center Winston-Salem and Forsyth County Winston-Salem State University Winston-Salem/Forsyth County Schools Women s Resource Center (Hickory) Yadkin County Health Alliance Yadkin County Health Department Yadkin County Schools ANNUAL REPORT

19

20 Northwest Area Health Education Center (AHEC) Wake Forest School of Medicine Medical Center Boulevard \ Winston-Salem, NC \ fax WakeHealth.edu/northwest-ahec

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