The CEO in the Rural Community - Optometry

The CEO in the Rural Community - Optometry

Healthcare Education: A Collaboration Model Michelle Welch, O.D. NSU Oklahoma College of Optometry October, 2013 Interprofessional Education Keys to our system Relationship with Cherokee Nation

Geographical distribution of our clinical facilities in a rural area Our clinical services are primarily directed to a contractual agreement with the Cherokee Nation. This relationship has grown

phenomenally in the past twenty years to now include all vision and eyecare services for the nation. Cherokee Nation The Cherokee Nation operates a network of eight (8)

health centers and one (1) hospital in the tribes jurisdictional boundaries, serving more than 130,000 eligible patients. Cherokee Nation Health Services provide services for approximately 750,000 patient visits annually. The Oklahoma College of Optometry currently has ten sites in which we provide clinical care. The geographical

distribution of these clinics covers the northeastern quadrant of the state of Oklahoma.

Cherokee Nation Currently NSUOCO providing around 55,000 patient encounters per year in all the facilities Eyecare full time in Nowata, Salina, Stilwell, Jay Sallisaw, Muskogee, Vinita, and Hastings. Diabetes Exams in Bartlesville NSUOCO facility provides care for secondary and tertiary

needs of tribal member Retinal Specialist at NSU once per month to provide care Eight Rural Eye Program (REP) Clinics Redbird Smith Health Center Wilma P. Mankiller Health Center Sallisaw, Oklahoma Stilwell, Oklahoma REP Clinics

Sam Hider Health Center Amo Health Center Jay, Oklahoma Salina, Oklahoma REP Clinics Will Rogers Health Center Nowata, Oklahoma Three Rivers Health Center

Muskogee, Oklahoma Vinita Health Center Vinita, Oklahoma Rural Eye Program Clinics Students usually see around 6 10 patients per day Mostly we focus on primary care. Secondary and tertiary care provided at the NSU facility We try to save patients a trip elsewhere when

possible Serve most of the patients, most of the time Rural Eye Program Clinics REP clinics are located within community based ambulatory care centers With the centers are GP, lab, radiology, pharmacy, some have dental, behavioral health, dietician We have complete access

to the patients EHR for systemic care/meds Aspects of Cherokee Nation relationship Fully integrated into the health care system Full representation and voting

membership on the Cherokee Nation Medical Executive Committee Membership on Hospital and Clinical Committees Membership on the Cherokee Nation Institutional Review Board Membership on other healthcare initiatives and committees throughout Cherokee Nation (ex, CN Headstart) Aspects unique to relationship with a Native American tribe in a rural environment

Cultural sensitivity Assurance of quality health care throughout entire system Viewed as a vital and integral part of the health care team and the responsibilities that go with that

Trust and assurance that the relationship never violates the cultural values held dear by the Cherokee Nation Benefits of Relationship with College Located in Tahlequah

Shared goals and values Immediate access to primary, secondary and tertiary providers Immediate access to state of the art equipment located at the College Extremely diverse spectrum of eye and vision care provided due to an academic affiliation Patient quality of life greatly enhanced due to access to care in their home areas

The Future? Met with Cherokee Nation Medical Director in charge of their other educational endeavors Hope to attend IPEC as a team next fall They are expanding education in areas of Family Practice, Nursing, Pharmacy

Discussing ways to integrate further

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