Perioperative Assessment of Patients for Non-Cardiac Surgery

Objectives At the completion of this presentation, you should be able to: Describe the roles of the medical consultant in perioperative consultation Name and apply principles of risk stratification for patients who are undergoing non-cardiac surgery Assist procedural specialists in assessing perioperative risk in medical patients undergoing non-cardiac surger

Systems Analysis of the Community Elder Caregiver Program at the Spirit Lake Nation

Native Americans (NA) disproportionately reside in areas with significantly more social, economic, and health disparities than any other population, and have the lowest employment rates nationally. Additionally, the NA Baby Boomer generation is aging, with senior citizen services largely unavailable on reservations. The Community Elder Caregiver (CEC) Program at Spirit Lake was developed with two aims: 1) to meet the needs of unemployed natives and 2) to develop a competent workforce to help elders safely “age in place”. In the initial pilot, seventeen individuals started the initial (NECC) training, with three completing the Qualified Service Provider (QSP) training. We analyzed the pilot CEC training program using feedback from participants and key stakeholders. We identified components that were successful along with barriers that required alterations to the program design. Market and stakeholder analysis revealed that Certified Nursing Assistant (CNA) training offered broader opportunities for employment than QSP training. In the second iteration, CNA training curriculum was offered in place of QSP. CNA training yielded 8 completions, and 7 additional participants registered for the next session. Key contributors to success included: 1) partnerships with Lake Region State College- TrainND Program, the Spirit Lake Tribal Health Nursing Department, and Next Steps Program social worker; 2) pre-training mentorship of candidates to set goals, expectations, and to help identify and overcome barriers to program completion. Participants also served as a “peer recruitment” strategy. Conclusion: The CEC pilot resulted in the evolution of a more sustainable, culturally-competent caregiver model that can be expanded to additional reservations

Using Jefferson\u27s New Community Health Needs Assessment & Improvement Plan to Build Health Equity: A Crossroads Ripe for Scholarly Inquiry and Innovation

Objectives By end of session, participants will be able to: Articulate the drivers of health outcomes and the impact of social influencers of health on clinical care in a primary care setting Describe the features of the Community Health Needs Assessment & Improvement Plan, including Jefferson\u27s priority areas for 2019-2021 Participate in generating ideas for one tactic that could be implemented in our clinical setting(s) and would address a priority area in the Jefferson CNH