1. From the Executive Director's Office
Catherine and I saw the absolute best of health care and we saw where things broke down--sometimes in humorous ways and sometimes in ways that were infuriating and required a great deal of advocacy and patience on our part. We saw interdisciplinary teams that worked flawlessly together and teams where hierarchy and miscommunication got in the way of ideal and timely care (I probably pay more attention to that than Catherine). We experienced many small blessings from caregivers who went far out of their way for us--and I bet those caregivers do that for nearly everyone yet make it seem like they're doing it only for you. Little kindnesses meant a lot. We also experienced condescension and eye rolling when we asked, for perhaps the 100th time in hopes of a different response, why is my child in so much pain--all day, every day--and why is nothing we're doing making it better?
I share this not because our scary experience was really all that unique on a large scale (sad to say)--and I am certain all of you or your family members have had your share of scary health challenges--but because illness and health and health care and navigating an extremely complex system under high levels of stress is hard and it's personal, and it throws you off your center and is highly disruptive. You know this, and you also know this is why what we do (all of it!) is so critically important and matters to so many people throughout the country; directly and indirectly. Our work in developing a highly competent and diverse health care workforce for underserved populations and creatively adapting national initiatives to help address local and regional health care issues helps keep this country healthy. We may be a degree or two removed from it--or maybe not at times--but it's true.
Thank you for allowing me to share yet another personal note in a Monday Update. I am hopeful that the road to good health we're on with Carsen won't be a long one or a hard one. Please know that I greatly appreciate all the kind words, the encouragement, and the wisdom that many of you shared. As I said in last week's Monday Update, I'm ready for some boredom and some quiet time; even one calm day would be good. I knew things were a bit out of balance when our home phone rang one evening (a doctor returning yet another call after hours) and I thought to myself "wouldn't it be cool if there actually was a way to get email on your phone, that would be really handy."
Have a great week,
2. From A-TrACC
HEY PROGRAM OFFICES! If you notice your centers have done this type of training but aren't involved in the A-TrACC project, we'd like to get them officially signed up. Trainings conducted since Oct. 1, 2013, count toward each center's goal of educating 50 health professionals and staff on the health insurance marketplaces. Financial support of $1,500 is available for centers that complete this goal. Let us know if you have questions. HEY CENTERS! If you're already doing marketplace training, drop us a note at email@example.com or fill out our questionnaire.
Marketplace Deadline Extended to March 31
Updated Marketplace Resources
3. Hurry! March 14 Deadline! Northwestern CT AHEC Requests Proposals from AHECs Interested in Participating in the Youth Mental Health First Aid Corps
4. Don't Miss the NAO Conference July 7-11, 2014
5. Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury: Guidance for the Primary Care Manager and Rehabilitation Provider on March 13, 2014; 1-2:30 p.m. (EST)
Consensus panels have increasingly recommended a gradual return to normal activity using a graded protocol after a concussion. In January 2014, the Defense and Veterans Brain Injury Center (DVBIC) released two companion clinical recommendations to facilitate a standardized, staged return to unrestricted activity for service members who have sustained concussion in deployed and non-deployed settings.
The "Progressive Return to Activity Following Acute Concussion/Mild Traumatic Brain Injury: Guidance for the Primary Care Manager and the Rehabilitation Provider in Deployed and Non-deployed Setting" resource suite was developed in collaboration with military, clinical and academic subject matter experts. It addresses the six stages of progression from rest to pre-injury activity; definition of rest; use of the Neurobehavioral Symptom Inventory to track symptoms; a two-tiered complementary approach based upon symptoms and provider judgment; physical, cognitive and vestibular/balance activities recommended for participation and activities to avoid at each stage; and guidelines for progression, regression and referral. This webinar will introduce these key stages delineated by the clinical recommendations.
Sign up for the webinar at: http://continuingeducation.dcri.duke.edu/dcoe-webinar-series-tbi-march-2014
6. The Safety Net Medical Home Initiative Updates
Care Coordination: Spotlight on Dorchester House Multi Service
Center, Dorchester, MA.
Enhanced Access: Spotlight on 3 Practices, OR, ID, and PA
Continuous and Team-Based Healing Relationships: Spotlight on Legacy
Emanuel Medical Center, Portland, OR.
Mission Statement: The National AHEC Organization supports and advances the AHEC Network to improve health by leading the nation in the recruitment, training and retention of a diverse health workforce for underserved communities.
Vision: Our vision is that the AHEC network is the national leader in developing a highly competent and diverse health care workforce for underserved populations.
To submit an item, please click here. Deadline: Thursdays, noon CST.