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The Migrant Clinicians Network’s (MCN) mission is to promote the health of farmworkers by providing a framework for professional development to clinicians and other healthcare providers. MCN responds to the expressed needs of clinicians in the field who serve farmworker families, the issues voiced by farmworkers themselves as they are interviewed and known by the representative members of MCN, and the strategic initiatives of the federal and public health communities as they impact migrant health. Monographs are one mechanism used by MCN to address gaps between medical care knowledge and migrant health practice. Acute, chronic, and preventive care needs of farmworkers require the clinician and health care community to recognize interrelationships between biological risk factors, environmental exposures, social and cultural components, political and economic realities, and occupational characteristics.

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This resource from the California Department of Public Health provides facts, information for health professionals,  data and surveillance, vaccine, and prevention.

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The Environmental Protection Agency (EPA) is proposing changes to the Worker Protection Standard (WPS), the agricultural worker regulation intended to provide basic workplace protection for millions of farmworkers.

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Again, Dr. Deborah Wexler, the Executive Director of the Immunization Action Coalition provides further reading and research on the topic of parental hesitation.  In the second half, we take a brief look at adults specifically:  why do adults hesitate to receive vaccines?  Are these barriers the same as for parents on behalf of their children?  Please feel free to send responses, comments, thoughts, and ideas to the listserv administrator atkath@healthletter.com. If you send comments, we will follow up with your responses and ideas in the next listserv.

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When we traveled across the country to visit your clinics, many of you expressed concerns about lack of funding for adult immunization and testing. Reprinted from the Immunization Action Coalition, we pass along an opportunity: IAC Express, Issue Number 642, January 24, 2007.

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National Center for Infectious Diseases, Division of Parasitic Diseases - Provides overview of numerous water-borne and sanitation related diseases.

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American Academy of Pediatrics (AAP) is an organization of primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children and adolescents.

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Comprehensive website about lead in candy.  Information in English and Spanish for providers and patients.

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The Community Clinic Voice (the Voice) is a free, online community for Community Health Centers and other safety net health care professionals and partners to network, share information and exchange ideas. It provides one convenient, easy to navigate center to access news, resources, and colleagues. Voice members are clinic CEOs, Medical Directors, clinicians and allied health providers, CFOs, fundraisers, CIOs, operations and administrative staff, and more. There is no cost to join or use the Voice, and it is open to anyone concerned with community health. No commercial or marketing activity is permitted.

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Lifetime Card for adults. MCN, along with CHEC (Community Health Education Concepts), has developed patient-friendly, low literacy, bi-lingual immunization cards for you to use with your clients. The cards are 5x7, and can be printed from your clinic computers.

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90-day Initial professional Practice evaluation with revew areas such as: medical knowledge, patient care, practive-based learning & imporovement, systems based practice, interpersonal & communication skills,  and professionalism.

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To provide employees with Health and Wellbeing funds to be used for health maintenance costs not covered by insurance or for paying insurance deductible.

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Sample policy stating the procedure for a medical emergency.
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To improve compliance with evidence-based guidelines for chronic disease care.

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An overview of key chart audit considerations by lifecycle.
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Setting goals with patients is an important step in helping them self-manage their own health-related behaviors. Experienced healthcare teams find that following the two basic principles described below helps patients have more early success, and small successes one after the other builds confidence and effective self-management.

High quality goals are patient-centered and behaviorally specific. Developing high quality goals increases the likelihood of early and sustained self-management success. Modeled after one team’s efforts, the rating scale below represents a simple way to assess if the goals we set are behaviorally specific.

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The Hospital Pandemic Influenza Planning Checklist helps hospitals assess and improve their preparedness for responding to pandemic influenza. Because of differences among hospitals (e.g., characteristics of the patient population, size of the hospital/community, scope of services), each hospital will need to adapt this checklist to meet its unique needs and circumstances. In addtion, hospitals should ensure that their pandemic influenza plans comply with applicable state and federal regulations and with standards set by accreditation organizations, such as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

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Job description/evaluation form
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Sample procedure for copying OB records for Certified Nurse Midwives. The procedure includes copying OB records and closing OB files.
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A third example of a checklist to determine provider competencies at all age levels.
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Clinic policy to improve assessment of treatment goals for diabetic patients.
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Enrollment into the Health Network has been made easier. All forms have been consolidated into this one simple application packet. Choose from English, Spanish, Creole, and Portuguese. VIsit MCN's Health Network page to learn more about the program and the application process.

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  1.  Online dicitionary in a variety of languages available under the "Foreign Language Aides for Latin America and Iberia" section, including Mixteco, Nahuatl, and Zapoteco.  http://www.oberlin.edu/faculty/svolk/latinam.htm
  2.  Mixtec-Spanish Online Dictionary   http://aulex.ohui.net/es-mix/?idioma=en                 
  3.  Mixtec dictionary created by the SIL:  http://www.sil.org/mexico/mixteca/00i-mixteca.htm
  4.  Mam-Spanish Dictionary    http://www.cscd.osakau.ac.jp/user/rosaldo/Mam_Esp_DICC_COM.html

 

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To provide guidelines for a thorough and consistent management of immunizations to our Clients throughout the Waimanalo Health Center.

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Comprehensive Spanish-language curriculum for individuals interested in training promotores de salud in HIV prevention. The curriculum is based on popular education techniques, and is culturally competent and linguistically sensitive.

 Provided by Farmworker Justice

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The goal of this study was to describe acute occupational pesticide-related illnesses among youths and to provide prevention recommendations. Survey data from 8 states and from poison control center data were analyzed.

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