West Texas AHEC CHW Instructor Workshop

Debra Flores, PhD

Debra Flores, PhD

Dr. Flores has 25 years of experience in the medical field. Her experiences range from working as a Licensed Vocational Nurse in an acute care setting to manager of state and federal programs at the community level. Working in the many different levels and areas in the medical field have given Debra Flores expertise that can be utilized in grant development and implementation. Recently Debra has added research based experience to her list. Dr. Flores has also been instrumental in the implementation of Community Health Workers in the Lubbock Area. She has trained and mentored over 50 Community Health Workers in the last 9 years. In 2006, Ms. Flores’s Community Health Worker curriculum was certified by the Texas Department of State Health Services and is a Certified Community Health Worker Instructor. Dr. Flores is Adjunct Faculty for the School of Nursing and the MPH program at TTUHSC. Her research interest include health literacy, behavioral health, chronic disease management, patient navigation and healthcare management and policy.

TexLa TRC: Telemedicine 1.0

Travis Hanson, JD and Becky Jones MS, RN-BC, CPQH

Travis Hanson, JD

Travis was born in Salt Lake City, Utah, where he attended the University of Utah earning bachelor degrees in social statistics and criminology. Travis later moved to Texas to attend graduate school where he graduated summa cum laude with a master’s degree in personal financial planning from Texas Tech University. Travis also graduated cum laude with his juris doctorate from the Texas Tech University School of Law. Travis is the program lead for the West Texas HIT Regional Extension Center in Lubbock, Texas. Travis leads this program which is responsible for providing assistance, defined as education, outreach, and technical assistance, to help priority primary care providers and critical and rural hospitals in the West Texas service area select, successfully implement, and meaningfully use certified Electronic Health Record technology to improve the quality and value of health care.

Becky Jones MS, RN-BC, CPQH

Becky Jones is Program Manager for TexLa Telehealth Resource Center, a division of the Institute for Rural and Community Health at the Texas Tech University Health Sciences Center. Becky earned her Master’s in Nursing with the TTUHSC School of Nursing. In addition to clinical nursing experience in multiple settings, Becky has 16 years’ experience in ambulatory health care quality, compliance, and informatics and is now dedicated to advancing telehealth particularly in rural and underserved areas. She has attained ANCC Informatics Nursing Certification, and certifications in practice workflow and redesign, and healthcare quality.
Telemed 1.0

State Office of Rural Health: Ultrasound Education for SHIP Hospitals

Traci Carroll, BAS, CTC and Jim Rhea, RDMS, RVT

Traci Carroll, BAS, CTC

Traci Butler Carroll has ten years of experience in healthcare education, working with patients, medical students, residents, and licensed healthcare professionals across multiple disciplines. She has been with Texas Tech University Health Sciences Center for five years, and prior to that she worked in Dallas with Texas Health Resources, one of the largest faith-based, nonprofit health care delivery systems in the United States. She currently oversees the TTUHSC Ultrasound Education for SHIP Hospitals Project, in partnership with the State Office of Rural Health, throughout the state of Texas. She also manages the TTUHSC Frontiers in Telemedicine Training Course and Simulation Lab. Her focus is on effective and efficient healthcare education delivery. She is a Certified Telehealth Coordinator, and in her spare time she is completing a Master’s Degree in Higher Education with a concentration in Healthcare Administration.

James Rhea, BS, RDMS, RVT

Mr. Rhea has been employed by GE Healthcare in multiple roles for twenty years. He is a Registered Diagnostic Medical Sonographer and a registered Vascular Technologist. He has a cumulative 41 years in ultrasound experience and is proud to work with GE Healthcare to serve healthcare professionals. His company brings together the best in science, technology, business and people to solve the world’s toughest challenges and shape a new age of healthcare.
Ultrasound Physics and the Vscan Extend

West Texas AHEC: Community Health Worker Workshop

Claudia Bustos, CHW, CHWI, DEEP Master Trainer, Melanie Clevenger, CTC, CAP, Debra Flores, PhD, Irene Fuentes, CHW, Monica Garcia, LBSW, CHW, CHWI, and Carl Rush, MRP

Claudia Bustos, CHW, CHWI, DEEP Master Trainer

Chair for the State of Texas CHW Advisory Board. She is currently the Outreach Coordinator for the Community Health Center of Lubbock. She oversees various programs such as the Diabetes Self-Management / Nutrition Program, Prenatal Program, Step up for Children, Adult Exercise Program and Outreach Case Managers. She is the founder and leads the Northern Texas Community Health Worker Resource Coalition for Regions 1, 2 and 3. Claudia is a strong promoter of Community Health Workers and how they impact their communities.
Community Health Centers

Laura Lappe, CTC

Laura Lappe is the Contracts Manager for the Contracts, Research, and Data Management division of the F. Marie Hall Institute for Rural and Community Health.

Prior to this position she served as the Telemedicine Clinic Manager and more recently as the Associate Director for Telemedicine, also a part of the F. Marie Hall Institute for Rural and Community Health, for a total of 6 years. Laura also spent a total of 14 years coordinating contracts for TTUHSC in the TTUHSC Contracting Office and with TTUHSC Correctional Managed Health Care.

Before coming to working for TTUHSC, she was a U.S. Army non-commissioned officer working as a Legal NCO. Upon discharge, Laura obtained an associate’s degree in Legal Assistant studies from South Plains College and Bachelor’s of Science in Organizational Management from Lubbock Christian University.

A native of Louisiana, Laura enjoys life in Lubbock with her husband and two children who all enjoy martial arts, camping, and Texas Ranger baseball. As an active member of the community, Laura serves on the Parent Advisory Council of Project C.A.S.E., a grant-based project of The Burkhart Center for Autism Education and Research.

Debra Flores, PhD

Dr. Flores has 25 years of experience in the medical field. Her experiences range from working as a Licensed Vocational Nurse in an acute care setting to manager of state and federal programs at the community level. Working in the many different levels and areas in the medical field have given Debra Flores expertise that can be utilized in grant development and implementation. Recently Debra has added research based experience to her list. Dr. Flores has also been instrumental in the implementation of Community Health Workers in the Lubbock Area. She has trained and mentored over 50 Community Health Workers in the last 9 years. In 2006, Ms. Flores’s Community Health Worker curriculum was certified by the Texas Department of State Health Services and is a Certified Community Health Worker Instructor. Dr. Flores is Adjunct Faculty for the School of Nursing and the MPH program at TTUHSC. Her research interest include health literacy, behavioral health, chronic disease management, patient navigation and healthcare management and policy.

Irene Fuentes, CHW

Irene Fuentes is currently an MSSW candidate at Abilene Christian University with an anticipated May 2017 graduation. My research interest includes: Health policies affecting medically underserved populations, Hispanic leadership shortage in Hispanic underrepresented geographical regions and its effect on socio-cultural, health and leadership behavior, and understanding how education influences Latina primary health care decision-making behavior. She has presented her research findings in several international research conferences. As her interests in population health, health disparities and social work continued to grow she began to seek opportunities to develop her interest. During my first AmeriCorps VISTA assignment with the Abilene-Taylor County Public Health District, She worked to disseminate health information in underserved/underrepresented areas of the community. She is currently an AmeriCorps VISTA at the Abilene Community Health Center (FQHC) interning as a medical social worker to establish an on-site integrative behavioral and primary health care component. Currently, she is collecting preliminary data to structure a trajectory for implementing the SBIRT (Screening, Brief Intervention, and Referral to Treatment) model for alcohol use and restructuring how we use the PHQ 9 depression scale. While, this work is considered preliminary, the data gathered may show the need for a behavioral health component in primary care conducive to the Abilene area. Considering SBIRT is a billable service this may help to establish the program’s sustainability.

Monica Garcia, CHW, CHWI

Monica Garcia is a Licensed Baccalaureate Social Worker with Larry Combest Community Health and Wellness Center (LCCHWC). LCCHWC is a mission of Texas Tech University Health Sciences Center, School of Nursing and has been designated as a Federally Qualified Health Center by Centers for Medicare & Medicaid Services. In this role, Monica leads all Navigation programs at LCCHWC, which includes providing for all aspects of the community health worker field, including training, program planning/implementation and management.

Carl H. Rush, MRP

Carl H. Rush has worked full time for and with community health workers (CHWs) for nearly 20 years. He has supported studies on CHW employment policy for the states of Arizona, Texas and Indiana, and for Public Health Seattle/King County. He is about to begin a national policy study for CDC on CHW certification. He has advised CHW policy initiatives in more than 20 individual states, and groups of state officials for the National Academy for State Health Policy, the National Conference of State Legislatures, the Association of State and Territorial Health Officials, and the National Governors Association.
West Texas AHEC CHW Workshop: A National Update

Keynote Speaker

Dale Alverson, MD

Dale Alverson, MD

Dr. Alverson is Professor Emeritus and Regents’ Professor at the University of New Mexico where he is the Medical Director of the Center for Telehealth involved in the planning, implementation, research and evaluation of Telemedicine systems for New Mexico, as well as nationally and internationally. He is also the CMIO at LCF Research, managing the state-wide health information exchange (HIE) assisting in their efforts to address the development and meaningful use of health information technologies, adoption of electronic health records, and integration with telemedicine. He is a Past President of the American Telemedicine Association and has also been involved in collaborative international programs to advance Telehealth and e-Health globally.

Legislative Updates: Telemedicine and Rural Health

Nora Belcher, Jennifer Chambers, Jenny Smith

Nora Belcher

Nora Belcher is the Executive Director of the Texas e-Health Alliance, a non-profit advocacy group that she started in 2009 to give health information technology stakeholders a voice in public policy. The Texas e-Health Alliance serves as the state's leading advocate, from local communities to the national level, for the use of information technology to improve the health care system for patients. Prior to starting the Alliance, Ms. Belcher worked in the private sector as a consultant advising health information technology companies on how to do business with government. She also served in Governor Perry's office for five years as deputy director in the Governor’s Office of Budget, Planning and Policy, where she was responsible for managing the policy and budget is-sues for the Texas health and human services system. Ms. Belcher holds a bachelor’s degree in government from the University of Texas at Austin and owns a hardcover first edition of Game of Thrones.

Jennifer Chambers

Jennifer Chambers began her role with the Texas Tech University System in August 2014. Her work focuses on advocacy to the Texas Legislature and various state agencies on a range of issues impacting the institutions in the TTU System. Previously, Jennifer was on the staff of Senator Robert Duncan as Constituent Services Director and Legislative Director. Her focus was on policy and appropriations matters related to health care, human services, and commercial health insurance. Jennifer formerly worked for the David Dewhurst Land Commissioner Committee, State Representative Peggy Hamric and Governor George W. Bush.

Jenny Smith

Jenny received her Master’s degree in Information Systems from Middle Tennessee State University and her Bachelor’s degree in Information Systems and Decision Sciences from Louisiana State University. Over the course of her career she has led a variety of initiatives related to health care and health information technology in both the public and private sectors, including implementation of the Louisiana Health Information Exchange. Jenny currently leads the strategy and implementation of telehealth for the largest health system in Louisiana, Franciscan Missionaries of Our Lady. Additionally, Jenny is an active champion for needed legislative and reimbursement reform in LA.

Jenny is member of the Advisory Committee for the TexLa Telehealth Resource Center, a member and immediate past Chair for the Louisiana Taskforce on Telehealth Access and a member of the Advisory Board for the LSU Department of Information Systems and Decision Sciences.

Jenny is a native of Louisiana and although spending several years in beautiful Tennessee was wonderful, she and her husband could not resist the draw to come back home to the culture, food and LSU Baseball! Go Tigers!!

Disparities in Rural Health Panel

Jordana Barton, MPA, Paul G. Mathews, CPA, FHFMA, and Laci Scott

Jordana Barton, MPA

Jordana Barton, Senior Advisor in Community Development for the Federal Reserve Bank of Dallas, supports the Federal Reserve System’s economic growth objectives by promoting community and economic development and fair and impartial access to credit. Her focus areas include the Community Reinvestment Act (CRA), community development finance, digital inclusion, financial education, affordable housing, workforce development, and small business development. Jordana is author of “Las Colonias in the 21st Century: Progress Along the Texas-Mexico Border” (2015), and the recently released “Closing the Digital Divide: A Framework for Meeting CRA Obligations” (2016). Publications in progress for 2017 include, “Workforce Development and the Internet Economy” and “Telemedicine and Health on the Texas-Mexico Border”. She holds an MPA from Harvard University, John F. Kennedy School of Government.

Prior to working with the Federal Reserve, Jordana served as vice president for community development banking at Capital One Bank. In this role, Jordana built community partnerships and managed investments to promote economic revitalization and access to financial services in low- and moderate-income communities. In 2012, she was awarded the FDIC’s Pioneer Award in Community Development, and Capital One was awarded Corporate Philanthropist of the Year in San Antonio by the Association of Fundraising Professionals.

Jordana also served as vice president for development and communications for the microenterprise/small business organization, ACCION Texas (now LiftFund). She was a member of the leadership team when the organization won the NEXT Award for Opportunity Finance from the MacArthur Foundation, Wells Fargo, and the Opportunity Finance Network in 2007.

Jordana grew up in the rural community of Benavides, near the Texas-Mexico border.
Las Colonias in the 21st Century: Progress Along the Texas-Mexico Border

Paul G. Mathews, CPA, FHFMA

Paul G. Mathews is currently the administrator of Hardtner Medical Center located in Olla, LA. He also serves as the chief financial officer. Mr. Mathews Graduated from Louisiana State University with a B.S. degree in Business and has been in the healthcare industry for 37 years. He retains certifications as a Certified Public Accountant (CPA) and as a Fellow of the Healthcare Financial Management Association (FHFMA). He has experience in capacities of hospital chief financial officer, chief executive officer, and public accounting audit manager. Mr. Mathews has worked for both for-profit and non-profit hospitals as well as acute care and specialty care providers. He has been involved in numerous professional organizations and is currently serving on the Boards of the Louisiana Hospital Association, LHA Trust Funds, ShareCor, and LaRhix. He has previously served ten years on the finance committee for the Louisiana Hospital Association. He has also served as vice-president for the La. Chapter of HFMA. Mr. Mathews has been in his current position for 16 years.

Laci Scott

Since 2010, Laci Scott has been the Program Manager for Refugee Health/TB at the City of Amarillo, Department of Public Health. She administers a federally grant funded program that provides initial health screenings to recent refugee arrivals in the Amarillo area and connects them to providers in the area for establishment and continuation of care. Her program additionally provides immunizations and immigration assistance to refugees throughout the first year of their residence in the United States. Ms. Scott also oversees the Tuberculosis program at the City of Amarillo, which manages latent and active cases of TB in Potter and Randall Counties. She has a Masters Degree in Public Health from the University of Texas School of Public Health.

Innovations in Healthcare

David L. Lakey, MD, Col. Dave Lewis, MA, Kenneth Stewart, PhD, and Rodney Young, MD, FAAFP

David L. Lakey, MD

David L. Lakey, MD, serves as the Associate Vice Chancellor for Population Health for the University of Texas System, and the Senior Vice President for Population Health and Isadore Roosth Distinguished Professor at the University of Texas Health Science Center in Tyler (UTHCT). He is the Center Director for the UT Northeast Center for Rural Community Health and Dean of the School of Community Health and Health Professions at UTHCT. Dr. Lakey serves on a federal public health advisory committee for the Centers for Disease Control and Prevention and the Defense Health Board.

Dr. Lakey served as Commissioner of the Texas Department of State Health Services from January 2007 to February 2015. As Commissioner, Dr. Lakey led one of the state’s largest agencies with a staff of 12,000 and an annual budget of $3.3 billion and oversaw programs such as disease prevention and disaster preparedness, family and community health services, environmental and consumer safety, regulatory programs and mental health and substance abuse prevention and treatment programs. During his tenure as Commissioner, Dr. Lakey served as president of the Association of State and Territorial Health Officials (ASTHO) in 2011-2012, and received several national awards including the AMCHP President’s Award, the March of Dimes President’s Public Health Leadership Award, and the Arthur T. McCormack Award.

As ASTHO president, Dr. Lakey issued ASTHO's 2012 Healthy Babies President's Challenge focused on reducing infant mortality and prematurity in the United States. Dr. Lakey was awarded the 2015 HHS Innovates award as part of a collaboration that also included ASTHO, the Association of Maternal and Child Health Programs, CityMatCH, March of Dimes, HRSA's Maternal and Child Health Bureau, CDC, and CMS for their partnership on the CoIIN to Reduce Infant Mortality. In 2015, Dr. Lakey was elected by the March of Dimes to a five-year term on its board of trustees.

He earned a Bachelor of Science in chemistry, graduating with high honors from Rose-Hulman Institute of Technology in Terre Haute, Indiana, and received his medical degree with honors from Indiana University School of Medicine. Dr. Lakey was a resident in internal medicine and pediatric medicine and completed a fellowship in adult and pediatric infectious disease at Vanderbilt University Medical Center in Nashville, Tennessee.

Col. David J. Lewis, MA

Colonel David J. Lewis, USAF (Retired) is the director of the Strategic Studies graduate program at Texas Tech University. He was a career military officer with extensive operational and staff experience and served as a Professor of Strategy at the United States Naval War College. He received a B.S. in Mechanical Engineering from the University of Southern California, an MBA from Embry-Riddle Aeronautical University, and an MA (with distinction) in National Security and Strategic Studies from the US Naval War College. He teaches courses in strategy, intelligence, terrorism, counterinsurgency, national security, and public sector strategy.

Kenneth L. Stewart, PhD

Kenneth L. Stewart is professor of sociology at Angelo State University where he originally joined the faculty in 1975. He was also among the founding faculty members of the Master of Public Health Degree at Texas Tech University Health Sciences Center.

Dr. Stewart founded ASU’s Community Development Initiatives (CDI) in 2007 and continues to serve as its director. CDI conducts community-based research to advance community development projects in San Angelo, the Concho Valley, and West Texas.

Pathways to Progress is a monthly newspaper column Stewart contributes to the San Angelo Standard Times. Now in its sixth year, the column serves as an instrument for community change by informing residents about findings and insights stemming from CDI’s research. Change agents increasingly embrace Pathways to Progress as an important tool for addressing challenging issues in health, education, housing, transportation, work, and general community well-being.
PATHWAYS TO PROGRESS Using Community-Based Research to Improve Rural Community Health

Rodney B. Young, MD, FAAFP

Dr. Rodney Young is a Professor and Chairman of the Department of Family and Community Medicine at the Texas Tech University Health Sciences Center School of Medicine in Amarillo. He is a magna cum laude graduate of Abilene Christian University, and a top 20 graduate of the Texas Tech School of Medicine. He completed his family medicine residency at the Texas Tech Health Sciences Center in Lubbock, where he also served as Chief Resident. He is a member of the Alpha Omega Alpha national honor medical society, a recipient of numerous teaching and practice awards, and received the 2011 Distinguished Alumnus Award for the Texas Tech School of Medicine. He is passionate about primary care and its central role in improving our healthcare system. He has worked extensively on physician distribution, workforce issues, and medical education for both the Texas Medical Association and the Texas Academy of Family Physicians.
TTUHSC The Family Medicine Accelerated Track (FMAT)

Stakeholder Townhall

Russell Lowery-Hart, PhD

Russell Lowery-Hart, PhD

Dr. Russell Lowery-Hart is President for Amarillo College. Dr. Lowery-Hart was selected into the inaugural class of the Aspen Presidential Fellowship for Community College Excellence, a rigorous, executive leadership program focused on higher education reform led by the Aspen Institute and the Stanford University. His leadership is focused on improving student success through systemic and cultural change. He was named the National Academic Leader of the Year for 2014. He received his Ph.D. from Ohio University; MA in from Texas Tech; and BS from West Texas A&M University.

While his calling is education reform, his passion is family. His wife, Tara, sons Christopher and Campbell, daughter, Cadence, and dog, Sadie, fill his life with beauty and joy.