1998 3 counties 2013 55 counties Once upon

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 0 p 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…if the school nurses had the money…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 WV received a W. K. Kellogg grant • Main purpose: Provide rural community-based academic training sites for health professionals • 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 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

on Nu t C D rition C Chair n o i t a i c o s s A t r Hea n a c i r e Ben m A edum F PROBLEM: SUSTAINBILITY nt of rtme tion Depa unda s Fo atric Comp t Pedi s n o i t u b i r t n o c e t a v i Pr ounda tion

Fall 2000 WE CARDIAC Chair, Senate Committee on Health and Human Resources

W. Neal, MD And the famous pediatric cardiologist said, “This is good. ”

Major Change: Demise of RHEP 2011 -2012 School Year

W. Neal, MD No worries. We’ll just will reconfigure.

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

CARDIAC 2012 CARDIAC WEST – Tammy HANCOCK OHIO Dalena Riggs - 304 -692 -6741 driggs 2@hsc. wvu. edu declined Valerie Minor - 304 -457 -6350 vminor@hsc. wvu. edu MARSHALL PLEASANTS Tina Whitt - 304 -593 -4319 twhitt@hsc. wvu. edu RITCHIE MINERAL GILMER CALHOUN UPSHUR ROANE HAMPSHIRE JEFFERSON GRANT LEWIS MASON BERKELEY TAYLOR BARBOUR WIRT JACKSON PRESTON 16+ HARRISO DODDRIDGE N WOOD MORGAN MARION TYLER Robin Van. Fleet - 304 -692 -6743 rvanfleet@hsc. wvu. edu MONONGALIA WETZEL Tammy Pyle-Vicars - 304 -812 -4469 tpyle@hsc. wvu. edu CARDIAC EAST – Kathryn BROOKE TUCKER HARDY RANDOLPH BRAXTON PENDLETON PUTNAM WAYNE WEBSTER CLAY CABELL KANAWHA Rhonda Carpenter - 304 -276 -4614 rrcarpenter@hsc. wvu. edu NICHOLAS POCAHONTAS LINCOLN GREENBRIER LOGAN RALEIGH MINGO WYOMING Janetta Massie - 304 -890 -9490 jmassie@hsc. wvu. edu Kathryn Greenlief - 304 -276 -4052 kgreenlief@hsc. wvu. edu FAYETTE BOONE MCDOWELL SUMMERS MERCER MONROE Nahied Haidar - 304 -293 -4286 nhaidar@hsc. wvu. edu

So far, so good! • 15 years of Surveillance, Research and Intervention And certainly not the end…