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Advisory Committee on Interdisciplinary, Community-Based Linkages, Fifth Annual Report to the Secretary of the U.S. Department of Health and Human Services and to the Congress, 2005

 

VIII. Current Work and Future Directions

Current Work

In FY 2005 the Committee focused on the topics of 1) allied health, and 2) interdisciplinary education and training. The topic of allied health was addressed over the course of two meetings, held on January 31-February 2, 2005, and May 1-3, 2005. The meeting held September 12-14, 2005 addressed interdisciplinary education and training. For each topic area, the Committee identified key questions to address and invited experts, program staff, and Title VII providers to give testimony in response to the questions. The questions are listed below.

Allied Health

  • What are HRSA/BHPr’s Allied Health Projects and what does the legislation dictate?
  • What is the past history, current status, and future outlook of allied health?
  • What is the Allied Health Reinvestment Act and what are the ramifications for the professions?
  • What are effective allied health interdisciplinary training programs and how are they achieved?
  • Are allied health interdisciplinary training programs meeting the needs of employers and what do employers seek in allied health professionals?

Interdisciplinary Education and Training

  • What are Title VII Interdisciplinary, Community-Based Training Grant Programs doing in terms of interdisciplinary training and practice?
  • How is interdisciplinary training and practice woven into their organization’s mission and goals?
  • What interdisciplinary training and practice projects are woven into their organizational structure?
  • How is interdisciplinary training and practice woven into the programs?

As part of the meeting on interdisciplinary education and training, the Committee explored program models for interdisciplinary training and practice within Title VII, using examples provided by grantees. In addition, reimbursement practices (billable hours models) and outcomes of interdisciplinary training and practice were addressed. Testimony was provided on a study of collaborative models between Area Health Education Centers and Health Education Training Centers; interdisciplinary issues; and a report on an international meeting addressing interprofessional education and practice. The Committee plans to incorporate into future discussions the identification of core competencies relating to interdisciplinary training and practice.

This Fifth Report of the National Advisory Committee on Interdisciplinary, Community-Based Linkages reports the findings and recommendations that resulted from the testimony provided at the three meetings.

Future Directions

The Committee’s charge, to make recommendations to strengthen the competence and capacity of the health care workforce through effective interdisciplinary, community-based programs, will be pursued in 2006 by gathering information and analyzing selected priority topics.  Most importantly, the Committee hopes to review and provide input on BHPr’s new evaluation strategy and the implications of performance measures for BHPr and grantees.

Building upon the information presented at BHPr’s All Grantee meeting, held in the summer of 2005, the Committee will address how performance measures may be better applied by BHPr to ensure grantee accountability.  More in-depth information will be sought on the logic models and performance measures proposed by BHPr so that the Committee can make recommendations on their effectiveness in measuring effort and impact and the feasibility of implementing the measures at the programmatic level.

Other topics that the Committee plans to address are listed below.

Leveraging and Linking Higher Education Financing

This topic will encompass the various sources of support for higher education (states, Federal agencies [not just HHS], private foundations, and faith-based organizations) and explore the relationships between these sources. It would focus on linkages, both across funders and between grantees and funders, as well as strategies for leveraging funds. Possible sources of testimony include provosts, since they are responsible for building linkages with foundations, and the Rural Assistance Center, which can provide information on foundations and their funding priorities.

Public Health

This topic would explore responsive public and community health programs.  Public health is becoming an increasingly popular field for students, who see it as an opportunity to explore the field of health in general before committing to a specific discipline.  At the same time, public health departments and programs are being cut at the state and local level.  Emergency preparedness and bioterrorism are two growing areas for public health.

One of the benefits of the Committee meeting on a regular basis is that it can be responsive to current issues and conditions and can address emerging topics that have an impact on Title VII Interdisciplinary, Community-Based Training Grant Programs.  While the Committee hopes to be able to address long-range issues of importance to the training of health care providers, the Title VII Interdisciplinary, Community-Based Training Grant Programs are dynamic, as are political realities, and recommendations will no doubt reflect new and emerging issues.  Members of the Committee wish to continue to address Federal support for these programs.  Consequently, the agenda proposed above is subject to change.