Migrant Clinicians Network

THIS WAS PRESENTED LIVE ON FEBRUARY 13th, to view the archived version click here.

PRESENTED BY: Deliana Garcia, MA, International Research and Development, Migrant Clinicians Network

There are millions of workers who live on the move. They do the jobs that most will not.  They go where the work is—fields, factories, construction sites— and take enormous risks in order to survive in the hope of a better life.  At the same time, there is a group of clinicians who are committed to serving these workers and their families.

“We depend on misfortune to build up our force of migratory workers and when the supply is low because there is not enough misfortune at home, we rely on misfortune abroad to replenish the supply,”  President Harry S. Truman, 1951.

Truman's observations are as true today as in 1951. Migrant laborers continue to function at the bottom rung of the American economic. They are often newly-arrived immigrants with few connections, or individuals with limited opportunities or skills, relying on farm and other manual labor for survival. 

This session will provide an overview of the key issues at the intersection of migration, poverty and health.

After taking this webinar participants will be able to:

• Discuss historical impact of migration in a global context.
  b. Identify the unique challenges facing migrants at the intersection of poverty, migration and health
  c. Describe current changes in migration patterns in the United States.
  d. Identify challenges health centers face in providing quality health care to mobile patients.
  Discuss historical impact of migration in a global context.
• Identify the unique challenges facing migrants at the intersection of poverty, migration and health.
• Describe current changes in migration patterns in the United States.
• Identify challenges health centers face in providing quality health care to mobile patients.

THIS WAS PRESENTED LIVE ON MARCH 13th, to view the archived version click here

PRESENTED BY: Jennie McLaurin, MD, MPH, Specialist in Child and Migrant Health, Migrant Clinicians Network

The need for cultural proficiency pertains to both individual clinicians and staff as well as to the health care organization as a whole. Cultural proficiency in practice requires that one be a continual learner. Cultural humility and a desire to better understand your patients are essential. Models for improvement suggest that we often make the greatest progress by taking a series of small steps and pausing frequently to assess if that step is a step in the right direction. In this module participants learn the impact of cultural proficiency on health care quality, how to recognize personal and organizational biases, and how to improve care delivery to those from migrant and immigrant settings.

After taking this webinar participants will be able to:

• Define culture and cultural proficiency.
• Identify biases in health care delivery based on cultural factors.
• Hypothesize how individual biases affect interpersonal interactions.
• Identify strategies for identifying and improving cultural issues in health care to migrants and immigrants.

PRESENTER BIO: Dr. Jennie McLaurin, MD, MPH, Specialist in Child and Migrant Health at Migrant Clinicians Network has thirty years of experience in working with migrant farmworker populations, starting as an outreach worker in 1982. She is a pediatrician with a degree in maternal and child health, and has worked at the local, state, and national level on developing programs, policies, and publications for migration health, cultural proficiency, child health, and bioethics. Her past experience includes work as an outreach worker, clinician, medical director, faculty member and consultant. She has assisted MCN with a Centers for Disease Control sponsored initiative to improve immunization coverage to migrant families, served as a faculty member for the HRSA Health Disparity Collaboratives, and lectured widely on a number of clinical topics. She provides graduate education in the fields of bioethics and migration health to a number of university programs.

THIS WAS PRESENTED LIVE ON APRIL 17th
PRESENTED BY: Edward Zuroweste, MD, Chief Medical Officer, Migrant Clinicians Network

DESCRIPTION:

Clinicians serving migrant farmworkers often work in isolated rural areas, frequently without easy availability of specialist consultation.  At the same time, the population of migrant farmworkers are at high risk for numerous health conditions. Living and working in substandard conditions puts migrants at greater risk for the development of communicable disease or uncontrolled chronic disease. Lack of access to resources and health care increases the risk and challenges associated with these conditions.   

This session will review the critical infectious and chronic conditions impacting migrants. This will include a discussion of tropical disease, tuberculosis, parasites, and chronic conditions such as diabetes and hypertension.

OBJECTIVES:

• Identify the unique challenges that migrants face whether confronting an infectious disease or a chronic condition.
• Describe what primary care clinics in the United States can do to develop systems to identify, treat and prevent tropical diseases.
• Describe resources and expert networks where additional information can be found on diseases disproportionately affecting migrant populations.
• Discuss strategies to effectively provide continuity of care to a mobile patient population.

PRESENTER BIOS:

CONTACT:

Jillian Hopewell, MPA, MA, Director of Education and Professional Development
(p) 530.345.4806 (e) jhopewell@@migrantclinician.org

WORKERS AND HEALTH: HOW FRONTLINE PROVIDERS MAKE A DIFFERENCE IN THE PROTECTION OF MIGRANT WORKERS AND THEIR FAMILIES

THIS WAS PRESENTED LIVE ON MAY 15th

DATE RECORDED: May 15, 2013
PRESENTED BY: Amy Liebman, MPA, MA, Director of Environmental & Occupational Health, Migrant Clinicians Network and Michael Rowland, MD, MPH, Vice President, Medical Affairs and Medical Director, Occupational Health, Franklin Memorial Hospital

DESCRIPTION:

Migrant workers are often employed in some of the most dangerous jobs in the United States including agriculture, fishing, forestry and other low wage jobs. Factors such as lack of training, poor safety precautions, regulatory exclusions, lack of health insurance, language barriers, piece-rate pay, undocumented worker status, and geographical and cultural isolation can put these workers at increased risk for occupationally related injuries and illnesses and chronic sequelae. Exposure to pesticides and other contaminants is a particular concern to migrants and their families.

This session will use case studies to overview  health risks facing migrants as a result of their working conditions and environment. It will review the long history of regulatory exclusions and its impact on migrant health. It will also highlight promising practices for the incorporation of environmental and occupation health in the practice settings, showcasing successful initiatives employed in Community and Migrant Health Centers.  Lastly, this session will review and show participants how to access clinical and patient education resources and tools to address worker health. Overall, participants will become familiar with the importance of and methods to integrate environmental and occupational health into the practices settings from both a clinical and social justice perspective.

SPONSORED BY: Migrant Clinicians Network

OBJECTIVES:

• Recognize the unique health risks of migrants due to their working conditions and environment.
• Identify promising practices in environmental and occupational health that are feasible to implement in Community and Migrant Health Centers.
• Utilize online clinical and patient education tools and resources to recognize, prevent and manage environmental and occupational illnesses and injuries.

PRESENTER BIOS:

CONTACT:

For more information about MCN's Environmental and Occupational Health program, please contact Amy K. Liebman, Director of Environmental and Occupational Health:
(p) 443.944.0507 (e) aliebman@migrantclinician.org

CREATING A PATIENT CENTERED MEDICAL HOME FOR PATIENTS ON THE MOVE

REGISTER HERE

DATE: presented live on June 12^th, 2013
PRESENTED BY: Jennie McLaurin, MD, MPH, Specialist in Child and Migrant Health, Migrant Clinicians Network

Much of the medical home model is predicated on a relatively stable population that can access regular care at a single network of providers.  So how can this model effectively transfer to a mobile population?  One of the key elements needed is a more expansive vision of a medical home beyond a single geographic location.  This session will explore strategies to create a patient centered medical home for patients on the move.  The session will include an update and overview of MCN’s Health Network to manage critical health care issues such as infectious disease, Cancer, Diabetes and Pre-natal patient navigations.  Participants will also be engaged in a discussion around best practices in tracking outcomes and reporting test results to patients.  Presenters will highlight innovative promising practices in the creation of patient centered medical homes for migrant patients.

• List the 6 standards used to designate a Patient Centered Medical Home (PCMH)
• Understand the elements that target efforts to provide migrant-specific PCMH
• Describe how to effectively incorporate continuity of care planning and services in a migrant-specific PCMH

REGISTER HERE

DATE: presented live on July 17th, 2013
PRESENTED BY: Candace Kugel, FNP, CNM, Specialist in Clinical Systems & Women's Health and Melissa Bailey, Executive Director of North Carolina Field, Inc.

Historically, the field of women's health consisted of issues surrounding reproduction and childbirth. However, increasingly, the health care community has come to see women as a distinct patient group that has unique health concerns over a lifetime. Migrant farmworker women experience unique risks during pregnancy and otherwise, due to the physical demands, environmental exposures and other circumstances of their lives.  The provision of healthcare services to migrant women presents distinctive challenges for both clinicians and organizations.  MCN’s Candace Kugel, CRNP, CNM, and Melissa Bailey, Executive Director of NC FIELD, Inc., both with many years of experience with this population will discuss the problems, solutions and rewards of working with migrant women, through case illustrations and review of resources.

After taking this webinar:

• Participants will be able to identify at least 2 health risks unique to women farmworkers and the impact of those challenges on work, nutrition and health.
• Participants will be able to describe environmental and occupational health exposures relevant to farmworker women of reproductive age.
• Case studies will assist participants in understanding how creative collaborations and models of care can improve health outcomes for migrant women.
• Participants will be able to access clinical resources for working with female migrant patients.

REGISTER HERE

DATE: presented live on August 14th, 2013
PRESENTED BY: Edward Zuroweste, MD, Chief Medical Officer, Migrant Clinicians Network

Clinicians play a critical role in the function and quality of care provided by Federally Funded Health Centers. This session will address the impact that clinicians have in overall health center management and function. Ed Zuroweste, MD, MCN’s medical director will discuss the overall culture of quality for Federally Funded Health Centers including the role of clinicians in Clinical Core Measures Review, the recruitment and retention of clinical staff, peer review activities, and the role of electronic health records in data gathering. The webinar will conclude with a discussion of the overall shift from productivity to quality outcomes.

After taking this webinar, the participant will be able to:

• Identify at least 2 best practices in Clinical Core Measure review processes.
• Discuss the role clinicians play in effectively recruiting and retaining other qualified clinicians.
• Debate the impact of EHRs on data gathering for performance improvement.
• Identify the practical implications of a shift from productivity to quality outcomes for individual health center sites.