Healthcare Education: A Collaboration Model at NSU Oklahoma

Healthcare Education:
A Collaboration Model
Michelle Welch, O.D.
NSU Oklahoma College of Optometry
October, 2013
Interprofessional Education – Keys to our
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
phenomenally in
the past twenty
years to now
include all vision
and eyecare
services for the
Cherokee Nation
The Cherokee Nation operates a network of eight (8)
health centers and one (1) hospital in the tribe’s
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
currently has ten
sites in which we
provide clinical
care. The
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
 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
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
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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