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1998: 3 counties
2013: 55 counties
Once upon a time…
W.A.Neal, MD
…there was a famous pediatric cardiologist. He saved and improved the quality of the lives of hundreds of sick children.
He was very happy about this.
But he knew there was more.
In 1995, the WV age adjusted death rate from heart disease was 21% higher than the national average.
Something had to be done. But the grown-ups just didn’t seem to be getting it.
Now, this was not just your average “run of the mill” famous pediatric cardiologist. He was a deep thinker!
Hold that thought.
The postman delivered letters that invited lots of people (including the famous pediatric cardiologist and a cranky nurse) to a meeting.
And lots of people went to the meeting to do good work.
And everyone listened carefully to all the speeches.
Lfdoas lfoei ad ald da ll ldjpe fj j erd lfoe d 0p aod ap apo
A[a aeipf apoia’p d ka adl k
Then everyone at the meeting got a special assignment to a
special focus group.
And the famous pediatric cardiologist with the bright idea was assigned to the same focus group as the cranky nurse.
…blah blah…if the school nurses had the money…blah
blah…reports
The cranky nurse didn’t like focus groups with all talk and no action and said so as she introduced herself to the group.
My name is Valerie Minor and I am from Alderson-Broaddus College, Department of Nursing and also Field Faculty for the WV Rural Health Education Partnerships…
• In 1991, Governor Gaston Caperton called a special session of the Legislature
• Passed the Rural Health Initiative (RHI) Act
• Main purpose: Increase retention of state trained health professionals
• In 1991 WV received a W. K. Kellogg grant
• Main purpose: Provide rural community-based academic training sites for health professionals
• In 1995 Kellogg and RHI are joined and form the West Virginia Rural Health Education Partnerships.
The land of dead-end reports
The famous pediatric cardiologist agreed. He decided to introduce himself to the cranky nurse.
W.Neal, MD
So over lunch at the meeting, the famous pediatric cardiologist talked to the cranky nurse. He told her about his bright idea and about 2 dyn-o-mite resources...
The Bright Idea• Prevention! Identify kids at risk for cardiovascular
disease.
• Go to the schools and offer free screenings. – Blood pressure– Finger-stick for cholesterol (evolved to FLP)– BMI– Eventually “neck check” for acanthoisis nigricans
• Get those at risk into appropriate treatment.
Reverse Universal Screening
West Virginia Rural Health Education Partnerships
An infrastructure found only in West Virginia!
And you will do community service
projects…
WVU SOM Department of Pediatric Cardiology
Many Moving Parts
• WVU Institutional Review Board
• RHEP
• School Superintendents
• School Nurses
• Funding
CDC
Benedum Foundation
Departm
ent o
f
Pedia
trics
Foundatio
n
Compton Nutrition Chair
American Heart
Association
Private
contributions
PROBLEM: SUSTAINBILITY
WE CARDIAC
Chair, Senate Committee on Health and Human Resources
Fall 2000
And the famous pediatric cardiologist said, “This is good.”
W. Neal, MD
Major Change: Demise of RHEP2011-2012 School Year
No worries. We’ll just will reconfigure .
W. Neal, MD
Based at WVU SOM
• Many of the same people– Site Coordinators became Area Coordinators
• Able to focus on CARDIAC alone– More involvement in intervention
• Remains community-based
PRESTON
MONONGALIA
ROANE
CALHOUNGILMER
WEBSTER
BRAXTON
NICHOLAS
CLAY
Kathryn Greenlief - [email protected]
16+
DODDRIDGE
WETZEL
MARSHALL
OHIO
BROOKE
HANCOCK
TYLER
PLEASANTS
RITCHIE
WIRT
Dalena Riggs - [email protected]
TUCKER
GRANT
MINERALHAMPSHIRE
MORGAN
BERKELEY
JEFFERSON
HARDY
PENDLETON
Robin VanFleet - [email protected]
FAYETTE
RALEIGH
KANAWHA
Tammy Pyle-Vicars - [email protected]
WOOD
JACKSON
PUTNAM
MASON
CABELL
WAYNE LINCOLN
Tina Whitt - [email protected]
GREENBRIER
Nahied Haidar - [email protected]
MARION
TAYLOR
BARBOUR
Valerie Minor - [email protected]
CARDIAC 2012
LEWIS
UPSHURRANDOLPH
POCAHONTAS
Rhonda Carpenter - [email protected]
HARRISON
CARDIAC WEST – Tammy
CARDIAC EAST – Kathryn
SUMMERS MONROE
MCDOWELL
WYOMING
MINGO
LOGAN
BOONE
Janetta Massie - [email protected]
MERCER
declined
So far, so good!
• 15 years of Surveillance, Research and Intervention
And certainly not the end…
