Wednesday, June 27, 2007

JUNE 27 REFLECTION VNM

How does the availability or lack of availability of health professionals impact rural health?

Lack of health professionals in the rural area can make accessibility and the quality of the healthcare worse. The mortality rate will be a concern and the care the baby boom population receives will be a concern.

The availability of health professions can resolve this problems.

How do we recruit health professionals to your county?

Priority is given to the grandaunts and residents of the county. County job fairs are carried out in the local education, religious and business centers. Incentives and good salary offers are utilized in recruiting.

What are the barriers and the assets of the community that could be used to retain health professionals in rural areas?

Lack of facilities and equipments for the healthcare system, specialist care and other healthcare professionals can make healthcare in the rural area difficult.

Culture, language and socioeconomic differences can also be a barrier in the county healthcare system.

Incentives and offering acceptable salaries can help in retaining healthcare professionals in the county.

Tuesday, June 26, 2007

Session 7

How does the availability or lack of availability of health professionals impact rural health?

This has become particularly clear to me over the past week. The availability of a health professional is very important for rural health in general. It is essential that they be available as much as possible in order to ensure productivity and safety within the community. I had several questions to ask a health profession as part of my assignment from class. She responded fairly quickly saying she was willing to help. However, it has been several days and I have not yet received her responses to my questions. As a result, my learning in this area has been put on hold. It is absolutely vital that health professions be available to their community in order to maintain positive rural health.

How do we recruit health professionals to your county?

The general way of hiring/recruiting health professionals is to look for college graduates. When doing so it is important to research their background, that is, area of study, extra ciricular activities, etc. It is also important not to overlook those that do not have a college degree. Oftentimes, these individuals have enough experience to fullfil the position.

What are the barriers and the assets of the community that could be used to retain health professionals in rural areas?

Some barriers are of course population. The area, being rural, does not have many people living nearby. This makes selection limited. Also, considering the county is rural, a limited amount of people are familiar with health positions available. However, the county does have a well developed health program. And of course there is always room for expansion. They must continue to progress. They should also try to reach out to the public to inform them of the programs they have available.

Thursday, June 21, 2007

Session 6 - Week of June 30

What are the challenges of learning online?

I have found that learning online is often challenging due to response time. By this I mean, if one is faced with a question or problem, it is sometimes difficult to get an immediate response back. This may be due to a timing conflict, etc. It is also sometimes difficult to find information that is needed. There is so much information on the web that it can be difficult to pick out what is necessary. However, with the presense of other technology such as telephone, email, fax, etc. learning online is actually very effective.


How have you overcome these challenges to locate information needed for your report?

I have overcome these challenges, or should I say am working on overcoming them in several ways. First of all, I have learned that it is absolutely essential to ask questions when necessary. I have never been one to ask for help, but I have learned that sometimes this is the best alternative in order to be successful. Another lesson I have learned is the importance of planning and organizing. When being presented with a report on a scale such as this one, it is vital to stay organized and on task. Procrastination causes one to work that much harder.


How have you been able to reach out into the community and get to know them using electronic communications?

Here again, the act of asking questions has assisted me a great deal. By making use of electronic means of communication, I have been able to talk to people miles and miles away from me in a matter of minutes.


What have you learned this week that is important to your role as a health professional?

I have learned that no matter what, there is always room to grow. Such growth can be accomplished through effective communication.


Why is what you are learning important to health care?

This sort of learning is important to health care for several reasons. First of all, it expands ones horizons by familiarizing one with information that may be seen in later in life. For instances, I may have to do a report on a community's health care program later in my career. In addition, this sort of learning teaches how to communicate with others and how to reach out to the community. It teaches how to communicate electronically and how useful this sort of communication may be.

Tuesday, June 19, 2007

Week of June 20 Victor N. M

What are the challenges of learning online?

With Video Conferencing, Phone over the Internet, live chatting with the instructor and numerous browsers to use in browsing...there is little challenge in learning on line like technology problem i.e. system down time.

How have you overcome these challenges to locate information needed for your report?

Yes. Timing can help in overcoming the system down time. However, i notice slow response to my e-mails from the Craven County Health Department.

How have you been able to reach out into the community and get to know them using electronic communications?

Common situations have led me to utilizing the Internet for assistance from the others with a similar situation. For example, health concerns have made me join the yahoo health chatting forums. Also, preliminary activism efforts to amend the constitution has led me to joining chatting forums.


What have you learned this week that is important to your role as a health professional?

There is a lot that is undone in the Health Care System. First: we need a better system of ensuring everyone in the U.S. has a health insurance. Second: Medical Errors can be reduced if the health care systems implement the elements stated in the IOM report (Crossing the Quality Chasm). Third: EHR can improve the management of Medical Records. Lastly, effective communication/collaboration can improve health care administration.

Why is what you are learning important to health care?

Knowledge is the key to the success of our health care system. The rural health care can be a better system with educated health care professionals. Therefore I am preparing myself to be a health care professional. Everything we are learning in IRHE 3100 is preparing me for the challenges in the rural health care system.

Wednesday, June 13, 2007

Week of June 13th - Session 5

What have you done thus far in the class?

So far we have completed two online chat sessions, that is, Dr. Greer, Victor, and myself. During the first discussion, we reviewed the course objectives, assignments and posted a brief introduction about ourselves and our past experience in health care. Dr. Greer has questioned us on areas that are important to our studies. In addition, she has guided us through what we should be doing for our group study.

We have been told that we will be doing a study on Craven County's Public Health Care System. Will be designing our own system based on what we believe are the major issues of the community.

Why is this learning important to you as a future health professional?

This sort of learning is important to me as a future health professional because of the different disciplines that it incorporates. It teaches teamwork above all, a vital quality in the health care field. It also teaches the importance of research regarding different projects.

Why is it important to other health professionals that you may work with in patient care?

Of course this is important to the other professionals in the work force in order to ensure effective communication and productive activity.

How is what you are learning important to the rural health of Eastern NC?

It is important to learn as much as possible about the area that one in living, in this case, Eastern NC. By being aware of the issues and concerns of the community one may be more prepared to better the community as best as possible.

Sunday, June 10, 2007

Week of June 6th - Session 4

What have you learned about how rural health is defined thus far?

Little did I know, the term "rural" actually has a very specific definition regarding population density. There are 2,500 people living in a certain area according to the federal government's definition. The ratio of persons per square mile is very important.

What have you learned about the public health system of NC?

North Carolina has a variety of rural and urban areas based on population density. Public health is needed for prevention and maintenance of the state's general health. Vaccination, health education, child and maternal health, and immunization programs help to accomplish this.

What have you learned about the county you have researched?

One very important concept is that cancer is the leading cause of death in Craven County. This is certainly an issue that will need to be addressed. It is also clear the Craven County is rural and slightly underdeveloped. They lack a lot of the health care means needed to maintain appropriate health status.

Why is working as a team important to your career in HIM?

Working as a team is essential in order to accomplish what needs to be accomplished efficiently and effectively. When people work as a team, they are able to complete task more quickly. The quality of work put out by teams in general is "better". Working as a team will assure quality and progress.

What have you learned through this first exercise that will help in you in your role of HIM?

I have learned the importance of addressing only the most important issues at hand. In any case, numerous problems may be present. It is practically impossible to fix all of these problems. Therefore, it is essential to focus on the gravest of topics and work on them in depth. I have also learned that it is vital to research any topic before diving into it. By being more familiar with a topic, one can better work on the issues found.

How was this exercise related to the role of HIM as a part of an interdisciplinary team (if you were an actual member of the Health Department)?

It shows how important it is to have so-called "partners" when working on a project. For instance, in work ing with the issue of smoking cessation in Craven County, it is vital to have supporting partners such as the education system, health care facilities, restaurants, etc. By getting others involved, there is more support for the project and, in turn, a better chance of success.

Thursday, June 7, 2007

WEEK OF JUNE 13TH VICTOR MOTURI

What we have done thus far in class.

Reviewed Course Objectives. Posted an introduction of ourselves on Bb. Of special interest in the introduction was the type of involvement we have had with community health care agencies, especially a health department.

We held a chat session on course objectives, course assignments and timeliness.The community assessment as a framework for interdisciplinary rural health care planning was presented in discussion board. We learned about Craven County Health Care System. The statistics indicated the death rate from various diseases and the number of health care professionals available in the county.

Designing a Public Health System for Craven County is possible with the introduction we received during our June 6 chat session. The Public Health System should be based on the health care needs of the county residents. The PH should be designed with the the State regulations and other affiliated organizations and associations' policies to PH.

Why is this learning important to you as a future health professional:

The knowledge from learning about rural health care gives me the big picture of the future of the health care globally. U.S. can serve as an initial template of the best health care system that can serve community members efficiently while offering quality health care. This is just but an initial step to globalizing the health care system. The old adage says charity begins at home.

The project introduced to us the basics of implementing a working health care system. From the administration to implementing effective Information Communication Technology Infrastructure. This defines the roles of the Health care professional that i am learning to be.

Why is it important to other health professionals that you may work with in patient care?

Learning about Rural Health care makes collaboration easier within the work place. It gives the health professionals a common perspective about the rural health care.

How is what you are learning important to the rural health of Eastern NC?

IRHE 3100 exposes students to the Health Care statistics in the NC. The statistics inform the future health care professional on the available resources in Eastern NC and what should be done to improve health care in Eastern NC.

Saturday, June 2, 2007

Rural Health Context: Week of May 30th

How does the federal government define rural health?

"Territory, population, and housing units not classified asurban constitute 'rural'." In addition, according to the Census Bureau, urban is defined as "comprising all territory, population, and housing units inurbanized areas and in places of 2,500 or more persons outsideurbanized areas." These definitions differ slightly from my personal definitions. While I was aware that the term "rural" meant any place that was not "urban", I did not know the actual statistics that make urban what it is and rural what it is.

Role of HIM, Public Health Nursing, and other disciplines

The job of an HIM professional is to maintain health care records. This includes vital records and health statistics. Public Health Nursing is a unique discipline that seeks to promote and protect the health of populations using knowledge from nursing, social and public health sciences. They must follow theses principles:

-The client or “unit of care” is the population.
-The primary obligation is to achieve the greatest good for the greatest number of people or the population as a whole.
-The processes used by public health nurses including working with the client(s) as an equal partner.
-Primary prevention is the priority in selecting appropriate activities.
-The focus is on selecting strategies that create healthy environmental, social and economic conditions in which populations may thrive.
-There is an obligation to actively identify and reach out to all who might benefit from a specific activity or service.
- Optimal use of available resources to assure the best overall improvement in the health of the populations is a key element of the practice.
-Collaboration with a variety of other professions, populations, organizations and other stakeholder groups is the most effective way to promote and protect the health of the people.

Mission Statement of Public Health Care Systems in NC:

A wide range of NC public health programs and services on both state and local levels work together to protect and improve the health of the people who live and work in NC state agencies.

Summary of House Bill 718: Suicide Prevention Program

The bill intends to provide the appropriate funding to a program that promotes the awareness of youth suicide.

Section 1: This section lays the guidelines for an advisory committee for the program.
Section 2: This section summarizes the funds/budgeting for the program.
Section 3: This act becomes effective July 1, 2007.

Summary of House Bill 1088: Cancer Prevention and Treatment act 2007

This act intends to provide appropriate funding for the treatment and prevention of cancer.

Section 1: The section merely establishes the act's title as the Cancer Prevention and Treatment Act of 2007.
Section 2: This section defines how much money will be used toward the N.C. tobacco Quit line
Section 3: This section defines how much money will be used for uninsured cancer patients who do not qualify for other publicly funded health coverage.
Section 4: This section defines what funds will be allocated for the NC Brest Cancer and Cervical Cancer Program.
Section 5: This section defines how much money will be used as a State match to draw down funds from the Legacy Foundatin for public education programs aimed at cancer prevention and smoking cessation.
Section 6: This section states that the employer shall meet the standards for related health coverage
Section 7: Sections 1-4 of the act become effective July 1, 2007. The remaind3er of the act is effective when it becomes law.


Summary of House Bill 976: Public Vehicular Areas Defined

This acts claifies the definition of public vehicular area in motor vehicular law. It also gives emergency vehicles access to gated comunities.

Section 1: This section simply defines related definitions and phrases.
Section 2: Part 10 of Article 3 of Chapter 20 of the General Statutes is amended by adding a new section to read:
"§ 20‑158.3. Emergency entry to controlled access roads.
Any person, association, or other legal entity having responsibility for a controlled access system on a road that is a public vehicular area shall provide a means of immediate access to all emergency service vehicles, which shall include law enforcement, fire, rescue, ambulance, and first responder vehicles."
Section 3: The act becomes effective December 1, 2007

Friday, June 1, 2007

Why is Rural Health Important?

Rural communities represent nearly 20 percent of the nation's population.

What is Rural Health?

Rural health tends to focus on health issues and concerns for small hospitals and community health care centers in rural and medically underdeveloped communities.