[PPT] - DETECT of Mississippi: Evaluation Jo hn Ba rtko wski, Ph.D. Ba PowerPoint Presentation

SLIDE 1

DETECT of Mississippi: Evaluation

Jo hn Ba rtko wski, Ph.D. Ba rtko wski & Asso c ia te s Re se a rc h T e a m, L L C

No ve mbe r 8, 2016—Jac kso n, MS

SLIDE 2

DETECT and Its Mandate

De ve lopme ntal E

valuation, T r aining and E duc ational Consultative T e am of Mississippi

T

itle I I

f the Ame ric a ns with Disa b ilitie s Ac t re q uire s

a ll sta te s to pla c e q ua lifie d individua ls with I DD in c o mmunity se tting s ra the r tha n institutio ns

DE

T E CT suppo rts he a lthc a re pro vide rs a nd pa tie nts in Mississippi a s the sta te tra nsitio ns to c o mmunity- b a se d he a lthc a re fo r pe o ple with I DD

Rig o ro us e va lua tio n o f DE

T E CT ’ s o utre a c h a nd e duc a tio na l e ffo rts

Re se a rc h te a m a lso re vie ws me dic a l pe rio dic a ls to

a ssist in info rma tio n disse mina tio n

SLIDE 3

IDD in the US: The Big Picture

Ame ric a ns with a n I

DD-re la te d c o nditio n

1.5%-3.0% o f a ll c itize ns
T

hus, 5-9 millio n Ame ric a ns a re a ffe c te d

Re duc e d life e xpe c ta nc y fo r se ve re I

DD

20% fe we r ye a rs o f life

SLIDE 4

Prevalence of IDD in MS: The Need for DETECT

Mississippi a mo ng sta te s ha ving hig he st pro po rtio n
f c ivilia ns with I

DD living in c o mmunity se tting s

An e stima te d 14.5%-20.2% o f Mississippia ns with I

DD a re living in c o mmunity se tting s

MS se lf-c a re a nd visio n disa b ilitie s a lso ve ry hig h

SLIDE 5

IDD Health Risks in Mississippi: DETECT’s Challenge

Gre a tly e le va te d he a lth a nd so c ia l risks a mo ng

Mississippia ns with a disa b ility

Whe n c o mpa re d to pe o ple with I

DD in o the r sta te s, Mississippia ns with I DD ha ve …

Hig he r ra te s o f o b e sity a nd smo king
L
we r ra te s o f e xe rc ise
L
we r ra te s o f e mplo yme nt
Diminishe d e a rning s

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Medical Services: IDD in MS vs. US

Source: NCI 2012-2013

89% 80% 57% 56% 63% 62% 44% 30%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Had a physical exam in the past year Had a dental exam in the past year Had an eye exam in the past year Had a hearing exam in the past year

MS US

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Equipping Medical Providers: DETECT Infrastructure Gains

Cre a tio n o f re fe rra l ne two rk a mo ng MS c linic ia ns
Ove r 200 c linic ia ns, mo re tha n 40 de ntists
Pro vide rs lo c a te d thro ug ho ut the sta te fo r b ro a d g e o g ra phic a l re a c h
MS me dic a l sc ho o l c urric ula re vise d to a ddre ss I

DD

UMMC a nd Willia m Ca re y Co lle g e o f Me dic ine
Ma jo r a c hie ve me nt: Alte rs me dic a l pipe line , e duc a te s ne xt g e ne ra tio n
T

ra ining me dic a l stude nts thro ug h DE T E CT site visits

K

no wle dg e g a ins c o uple d with o b se rva tio n, mo de ling o f c a re de live ry

De ve lo pme nt & disse mina tio n o f c linic ia n re so urc e s
Se ve ra l I

DD fa c t she e ts & a nno ta te d b ib lio g ra phie s c irc ula te d sta te wid e

Ba se d o n syste ma tic re vie w o f hundre ds o f pub lishe d me dic a l studie s
DE

T E CT pro mo tio na l e ffo rts a nd visib ility: Ove r…

404,000 we b hits with impre ssive c lic k-thro ug h ra te s; 12,600 F

B like s

13,500 po st c a rds; 4,700 le tte rs; ma g a zine a nd ne wsle tte r a ds

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Equipping Medical Providers: DETECT Educational Seminars

Bro a d re a c h o f e duc a tio na l se mina rs
Ove r 1,700 se mina r a tte nd e e s thro ug h mo re tha n 20 se mina rs
Ma jo rity a re c linic ia ns: Physic ia ns, nurse pra c titio ne rs, a nd RNs
Othe rs se rve d : Be ha vio ra l he a lth pro vid e rs, inte re ste d c itize ns (pa re nts)
E

d uc a tio na l se mina rs o ffe re d sta te wid e

MS a s le a de r in I

DD-re la te d physic ia n e duc a tio n

Se mina rs pro vid e d to he a lth a d ministra to rs, physic ia ns, a nd o the rs in No rth

Ca ro lina , F lo rid a , Ge o rg ia , Ca lifo rnia

DE

T E CT vie we d a s mo d e l fo r o the r sta te s

MS a s string e nt te st o f me d ic a l e d uc a tio n e ffe c tive ne ss
He a lth d ispa ritie s, physic ia n sho rta g e , po pula tio n d ispe rsio n
Se mina rs a s pro mo tio na l c o nduit a mo ng c linic ia ns
82% una wa re o f DE

T E CT prio r to se mina r; 86% una wa re o f missio n b e fo re ha nd

Only 22% o f c linic ia n a tte nde e s se lf-ra te d a s ve ry

kno wle dg e a b le a b o ut I DD b e fo re se mina rs

SLIDE 9

Mississippi Medical Provider Educational Needs

77% 93% 93% 38% 88%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Willing to receive additional training on IDD Medical provider previously treated patient(s) with IDD Current clinic previously treated patient(s) with IDD Degree provided any expertise in treating patients w/IDD Medical providers would benefit from more IDD expertise

MS DETECT Seminar Attendees Survey

SLIDE 10

Effective Medical Provider Education: Attendee Appraisals

92% 93% 94% 95% 96% 97% 98% 99% 100%

Satisfied with educational seminar Educational seminar was effective Would recommend seminar to colleague Seminar increased IDD awareness Will change treatment Presenter responsive to questions 98% 97% 98% 100% 95% 98%

DETECT Seminar Impact

SLIDE 11

Objective Knowledge Gains: DETECT Educational Seminars

Co mpa riso ns o f a tte nde e kno wle dg e b e fo re a nd

a fte r e duc a tio na l se mina rs re ve a l sig nific a nt kno wle dg e g a ins

Pre te st/ po st-te st me tho do lo g y: Co mpa re sc o re s a c ro ss se ve ra l surve y

ite ms to disc e rn kno wle dg e a c q uisitio n fro m se mina r

Ca lc ula te sta tistic a l sig nific a nc e : Ma g nitude o f pre / po st c ha ng e
Sta tistic a lly sig nific a nt kno wle dg e g a ins inc lude …
K

no wle dg e o f fe de ra l la w g o ve rning living a rra ng e me nt o ptio ns fo r pe o ple with I DD

K

no wle dg e o f the fa ta l fo ur he a lth c o nditio ns tha t thre a te n the we ll-b e ing

f pe o ple with I

DD

K

no wle dg e o f de nta l issue s tha t a re c o mmo nly fa c e d b y pe o ple with I DD

K

no wle dg e o f the lo c a tio ns o f the thre e DE T E CT c linic s in Mississippi

SLIDE 12

Self-Assessment Before & After: DETECT Educational Seminars

Me dic a l pro vide rs sc o re d the mse lve s o n a 100-po int

sc a le fo r e ffe c tive ly tre a ting pa tie nts with I DD

Ave ra g e se lf-a sse ssme nt sc o re b e fo re e duc a tio na l se mina rs: 56
Ave ra g e se lf-a sse ssme nt sc o re a fte r e duc a tio na l se mina rs: 72
Pro po rtio na l g a in in sc o re due to se mina r c o mple tio n (b e fo re vs. a fte r):

29% improve me nt ove r ba se line

I

ndic a to r sug g e sts g re a te r c linic ia n pro fic ie nc y in unde rsta nding I DD a nd a wa re ne ss o f e ffe c tive tre a tme nt o ptio ns fo llo wing se mina r

SLIDE 13

Summing Up…

DE

T E CT

f Mississippi ha s suc c e ssfully a c hie ve d,

e ve n e xc e e de d, its g o a ls sinc e its inc e ptio n

I

nfra struc ture e nha nc e me nt (e .g ., re fe rra l ne two rk e sta b lishme nt, c urric ula r inte g ra tio n) pursue d in ta nde m with physic ia n e duc a tio n

K

no wle dg e disse mina te d thro ug h va rio us c o nduits

Se mina rs, fa c t she e ts, a nno ta te d b ib lio g ra phie s, ne w me dia a nd

c o nve ntio na l me dia

DE

T E CT ha s b e c o me a na tio na l mo de l o f c linic ia n e duc a tio n fo r the tre a tme nt o f pa tie nts with I DD

Pro g ra ms a im to a lte r I

DD-re la te d he a lth dispa ritie s

Pla n to a dd se ve ra l ite ms to Na tio na l Co re I

ndic a to rs in MS fo r 2017