HIV / AIDS Resources
Please take time to familiarize yourself with the HIV and AIDS resources through the NM AIDS Education & Training Center.
Arthritis in New Mexico: Blueprint for Action Available -
Arthritis is a disease that effects 54% of adults aged 65 and over in New Mexico (and twenty-seven percent of all NM adults). These adults in New Mexico with arthritis also often have other existing chronic diseases and co-morbid conditions. For example*:
• 52% do not engage in sufficient activity
The Arthritis Program at the New Mexico Department of Health is funded through a cooperative agreement with the Centers for Disease Control and Prevention. The Arthritis Program has established an Arthritis Advisory Group (AAG) made up of community partners to bring attention to arthritis as a public health issue. (The NMPCA has been actively involved in this group). The AAG worked with the Arthritis Program to develop “Arthritis in New Mexico – Blueprint for Action” (the Blueprint) – this document is described as a roadmap to heighten awareness of arthritis in New Mexico and promote policies that help New Mexicans with arthritis live longer, healthier lives. The Blueprint has four priority goals –
1. Access: Increase affordable and appropriate self-management opportunities for people with arthritis
2. Collaboration: Increase collaboration between agencies and organizations that serve New Mexicans with arthritis and other chronic diseases that have similar disease management approaches. People with arthritis do not experience their condition in isolation and the self-management practices recommended for people with arthritis can help manage heart disease, diabetes, osteoporosis, obesity and their risk factors
3. Advocacy: Educate professionals and communities on the prevalence of arthritis in New Mexico, cost-effective self-management strategies and access-to-services barriers facing New Mexicans with arthritis
4. Evidence based best practices: Healthcare practitioners should have access to evidence-based guidelines for diagnosis, treatment, and self-management referrals for people they treat who may have arthritis.
To see additional information about the Arthritis program visit: http://arthritisnm.org/ - click on Arthritis Advisory Group then choose Strategic Planning Activities from the drop down box and click on Arthritis in New Mexico Blueprint for Action 2009-2012 to download the Blueprint.
Mobile Mammography Project – a Success!
For several years the NMPCA has worked with several partners including UNM Cancer Center, UNM College of Nursing, NM Department of Health Comprehensive Cancer Program, NM Breast & Cervical Cancer Early Detection (BCC) Program and the American Cancer Society and others to bring mobile mammography to rural & underserved areas of New Mexico. After some consideration of obtaining a mobile unit the group decided to contract with Assured Imaging Women’s Wellness (AI) from Arizona who was already providing mammography to some places in New Mexico. The first pilot event took place in October 2009 at El Centro Family Health in Las Vegas. The event was a success not only in terms of the number of women that were seen but also in the way the event was coordinated.
Medical Home Sweet Home
PSPC Team Name: El Centro and Partners Team (New Mexico), which includes team partners:
• Albuquerque Health Care for the Homeless
Population of focus: High-risk patients with multiple chronic diseases:
It takes a village to manage medication in patients with special high-risk diseases. This village consists of heath care programs from medicine, nursing, pharmacy, and health care organizations. It is important to remember that the patient is also included on that team. This story celebrates the successes seen when the patient is intentionally placed at the center of that team: genuine patient-centered care.
For 12 months, the pharmacist members of the El Centro and Partners Team in New Mexico have been striving to use a holistic approach that includes building rapport to establish trust with their patients, all the way to allowing patients to guide the focus of their clinic visits. Patients are treated like family, and they trust the pharmacist, asking questions about issues that impact their medical conditions.
In some cases remarkable progress has been made by individual patients. For example, teaching one patient the function of their medications and role of nutrition in diabetes management, including bibliotherapy so the patient could control own learning, guide her own care, thereby decreasing her anxiety over her condition, lowered her blood glucose from an average of over 450mg/dL to 180mg/dL in under two months. She was able to self-monitor her blood glucose, whereas before she lived by “ignorance is bliss” until her condition deteriorated rapidly. Realizing the value of being informed allowed her to take charge and control her own care and condition.
Another success concerned a patient’s struggle with depression, which is common in patients with diabetes. During seven months of face-to-face visits, trust was developed and rapport built so that the patient was comfortable revealing symptoms of depression that would have otherwise gone unnoticed and untreated. The pharmacist was able to provide a referral to behavioral health.
Clinical outcomes for the El Centro and Partners Team included the following:
• The percentage of patients with A1C <7 percent increased from 13 percent to 33 percent (exceeding the team’s goal of 25 percent)
Going forward, the El Centro and Partners Team is planning to work on integrated care delivery for patients with diabetes, including coordinating care transition among providers and patient settings, with medication reconciliation at each transition.
The Diabetes Prevention & Control Program offers online courses to healthcare professional at www.diabetesnm.org.
NMPCA Clinical Program and the Diabetes Prevention and Control Program (DPCP) Collaborate
NMPCA Tobacco Grant
69 surveys returned - about 16% of possible responses
3% were Internal medicine doctors
7% were Pediatricians
4% Other (CNP/CNM and Preventive Medicine)
3% Behavioral health counselors
Patient Survey - April 2010
2412 surveys returned out of 2550 surveys sent out
38% have smokers in the household
35% of non-smokers are exposed to secondhand smoke in household
74 % are non-tobacco users
26% are tobacco users (89% of these are cigarette smokers)
75% of the tobacco users have been advised by the clinic staff to quit
75% of the tobacco users have tried to quit in the past
28% of women tobacco users who have been pregnant, used tobacco during their pregnancy