2017 School of Health Professions Annual Report

ANNUAL REPORT UAB // SHP

| BUILDING ON STRENGTHS | 2017

uab.edu/shp

Hello, In 2013, we debuted the School of Health Professions’ Strategic Plan: Building on Strengths. Outlining the paths and tactics that would take us from 2013 – 2018, we said, “we believe that we must fundamentally challenge the traditional way that educational institutions have functioned.”

Well, we did that from day one by listening to needs, focusing our resources, tailoring solutions and strategizing partnerships. The results? Phenomenal – we reached or surpassed 85 percent of our goals and objectives by the end of 2016 – two years ahead of schedule!

We spent 2017 – again we were listening, focusing, tailoring and partnering – developing a new strategic plan. The new SHP plan updates and expands version one to deliver more: more discoveries, more knowledge and more impact. However, even though we are expanding our plan, we are not extending the timeline and there is a strategy behind that decision too.

2018 will be my last year as dean of the UAB School of Health Professions. After seventeen years at the helm I am retiring.

I will walk away at the end of the calendar year, and the end of the strategic plan, knowing that we accomplished more than I ever could have imagined or believed possible when I walked onto campus on April 16, 2001.

This annual report will be your road map to all we achieved in 2017 so you can see where we have been and how we got there. But it will also be a sneak peek at all we will achieve in 2018 so you can see where we are going and how we will get there.

Enjoy the journey!

Harold P. Jones, PhD Dean, UAB School of Health Professions

OUR VISION

To be recognized as the leading school of health professions – shaping the future of healthcare.

OUR MISSION

To improve the quality of health through teaching, research and translation of discoveries into practice.

FOCUS AREAS

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OBESIT Y AND OBESIT Y REL ATED DISEASES

10

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HEALTHCARE MANAGEMENT AND LEADERSHIP

14

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REHABILITATION AND DISABILIT Y

18

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SIGNATURE PROGR AMS FOR WORKFORCE NEEDS

22

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UNDERGR ADUATE EDUCATION

OBESITY AND OBESITY RELATED DISEASES

In Alabama, more than 1 in 3 adults are obese and more than 1 in 3 children age 10 to 17 are obese. But the larger problem of this epidemic begins before a person reaches age 10. Matter of fact – obesity begins in some before they reach age five.

Studies show nearly 2 in 10 Alabama children age 2- to 4-yearsold participating in WIC programs are obese. That 16.3 percent figure is nearly a 25 percent increase since 2000.

We are furthering our research – to look at the effects of metabolic abnormalities imprinted in the womb – and expanding our care – to work with caregivers in at-risk neighborhoods – in an effort to stop this epidemic before it begins.

WHERE WE HAVE BEEN 2014: Understanding that the first 1,000 days of a child’s life are critical to their health, we provided a six-week, curriculum driven educational program to parents and caregivers in and around the Woodlawn community of Birmingham.

The end result of the NUW Early Childhood Nutrition Program (a Nestle’, UAB School of Health Professions and Woodlawn Foundation partnership) was that more than 200 daycare providers and nearly 50 parents and caregivers were trained in nutritional aspects like breastfeeding, hunger and fullness cues; snacking do’s and don’ts; and how to increase fruit and vegetable consumption.

2015: Amy Miskimon Goss, PhD, alumna of our PhD in Nutrition Sciences program and a researcher in our Nutrition Obesity Research Center, earned a grant to study the increasing prevalence of childhood obesity and non-alcoholic fatty liver disease (NAFLD) – the most common cause of liver disease among our children.

Goss is comparing a carbohydrate restricted diet versus a reduced-fat diet. Her hypothesis says the carb restriction will induce rapid reversal of fatty liver, inflammation and insulin resistance in obese adolescents.

Her findings could be an initial step toward developing new dietary recommendations to treat children with NAFLD.

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WHERE WE ARE GOING 2016 : The Department of Nutrition Sciences has created the BEST ME (Birmingham Education-based Start To My Eating) program to empower childcare providers and create environments that promote children’s overall health. An offshoot of the highly successful NUW program, BEST ME provides curriculum, training, consultation and quality control to childcare providers across the Greater Birmingham area. The overall vision is to become the nutrition resource for national childcare programs that include a health component.

2017: The American Heart Association has recognized the tremendous work by our researchers and awarded a $3.7 million grant to further our work in generational obesity research. For the first time, investigators will initiate a collaborative multidisciplinary approach to identify the mechanisms by which the in-utero environment of mothers with obesity, metabolic syndrome and gestational diabetes impact body weight and metabolism long after birth and promote the spreading of obesity, diabetes and cardiovascular disease risks over several generations.

2018: We are expanding our family-based interventions for pediatric obesity therapy. The team at UAB Weight Loss Medicine is building an evidence-based curriculum that will debut in 2018. The six-week program, which will focus on parent behaviors related to eating and exercise as well as general parenting skills and family functioning, will go through a pilot test before being updated and launched to a broader audience in need of help.

PROGRAMS IMPACTED Master of Science in Nutrition Sciences, Clinical Track – Dietetic Internship Master of Science in Nutrition Sciences, Clinical Track – Prior Learning Option Master of Science in Nutrition Sciences, Research Track Master of Science in Nutrition Sciences, Lifestyle Management & Disease Prevention Track PhD in Nutrition Sciences 8

Mothers with obesity tend to give birth to children with obesity. We will not be able to combat the disease until we can break the cycle of transmitting obesity from one generation to the next.

W. Timothy Garvey, MD Chair, UAB Department of Nutrition Sciences Director, UAB Diabetes Research Center

HEALTHCARE MANAGEMENT AND LEADERSHIP

A typical healthcare organization will increase efficiency and improve outcomes via collaboration, but that doesn’t happen on its own. It takes a major – and yes, collaborative – effort from the top to the bottom and from the start to the finish.

The UAB School of Health Professions has systematically evolved to become a key player in training healthcare leaders at all levels – from undergraduate students to CEOs – on best practices of working together as a team.

We are leveraging our industry partnerships to make an impact today. We are leveraging our internal resources to build programs that will make an impact tomorrow. And we are leveraging both of these groups simultaneously to produce leaders who can capitalize on team assets forever.

WHERE WE HAVE BEEN 2014: We hosted an industry planning meeting for the UAB Center for Health Organization Transformation (CHOT) with healthcare leaders, experts and researchers. The day-long event created five new healthcare industry partnerships and led to the development of five research projects dedicated to solving problems from reducing adverse events to understanding the “white space” where patients go. Today, our CHOT is an official National Science Foundation site – one of only six University Sites in the U.S. 2015: We created the Master of Science in Healthcare Quality and Safety program to prepare leaders to face ever-increasingly complex challenges so they can meet the rising demand for value-based care. We are one of only a handful of universities offering a degree in this rising field. The program, offered 100 percent online, has already produced graduates at the vice president and director level.

2016: Year in and year out we see outstanding students turn into exceptional leaders. We see students like Javeen Thomas (MSHA Class 51) who was one of only six in the U.S. to earn the Albert W. Dent Graduate Student Scholarship from ACHE and Seth Bynum (HCM ‘15, MSHA Class 51) collaborate with leaders outside of UAB to win the annual InnoHack competition. We are proud to say we have the leaders of tomorrow, in SHP today and every day.

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WHERE WE ARE GOING 2017: Under the leadership of Allyson Hall, PhD, health policy professor in the Department of Health Services Administration, we created the UAB Academy for Addressing Health Disparities through Health Care Leadership. The Academy is a two-week intensive dedicated to increasing the racial and ethnic diversity of students in graduate level healthcare management education and leadership. The program provides GRE preparation sessions, graduate school application workshops, resume building skills and leadership development activities.

“We created the academy because health care organizations need a diverse management workforce dedicated to meeting the needs of increasingly diverse patient populations and unfortunately, many graduate programs across the country struggle to attract qualified applicants from underrepresented groups.� Allyson Hall, PhD 2018: We are working with Miles College, a member of Historically Black Colleges and Universities located in Birmingham, to launch an accelerated Master of Science in Health Informatics program. There will be five spots reserved for select undergraduate students majoring in information systems who maintain at least a 3.5 GPA. We are now one of only a handful of universities offering a Master of Science in Healthcare Simulation. This unique program specializes providing professionals with advanced training in simulation teaching, simulation research and curriculum development. Simulated-based learning is vital to providing safer healthcare for all.

PROGRAMS IMPACTED Bachelor of Science in Health Care Management

Graduate Certificate in Clinical Informatics Graduate Certificate in Healthcare Quality and Safety Master of Science in Health Administration (Executive) Master of Science in Health Administration (Residential) Master of Science in Health Informatics Master of Science in Health Simulation Master of Science in Healthcare Quality and Safety DSc in Administration-Health Services PhD in Administration-Health Services 12

The MS in Healthcare Quality and Safety program strengthened the emphasis of cultivating a culture of excellence in patient safety and that is something that will help those I work with and those we ultimately work for – our patients.

Deborah Grimes RN, JD, CHC, CPHQ UAB Health System’s Chief Compliance Officer

REHABILITATION AND DISABILITY

One of the biggest challenges researchers in this field face is translating research into practice. One of the best ways to overcome this is by utilization of a telehealth framework.

Over the past few years, our rehabilitation scientists have received grants totaling more than $20 million to lead the way in expanding the delivery of rehabilitation programs to those who are the most underserved via telehealth medicine.

As we move forward, you will see an expansion in the area of telehealth medicine with a distance education-knowledge translation center at the Lakeshore Foundation, which will be complemented by the expansion of facilities and extension of support for an allencompassing on-campus telehealth facility at UAB.

WHERE WE HAVE BEEN 2014 : James Rimmer, PhD, director of the UAB/Lakeshore Research Collaborative, was invited to the White House Summit and Research Forum on Improved Health and Fitness for Americans with Disabilities.

He shared insight in our efforts in disability inclusion in physical activity, nutrition and obesity programs with this gathering of nationally renowned disability researchers.

2015: In the nutrition and obesity aspect, Brooks Wingo, PhD, earned a prestigious K01 grant from the NIH Eunice Kennedy Shriver National Institute of Child Health and Human Development to determine if a reduced carbohydrate diet will help adults with spinal cord injury stick to their diet and improve body composition. This study, monitored remotely via telehealth, could provide the first known data about the impact of dietary patterns on adherence and help countless people.

2016: Two grants – a $7.5 million award from the Centers for Disease Control and Prevention (CDC) and a $2.6 million R01 award from the National Institutes of Health (NIH) – allowed us to expand our role as a knowledge information center and increase access to our health and wellness programs for people with disabilities across the U.S. The ability to reach, and improve the health of, people directly in their homes is invaluable.

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WHERE WE ARE GOING 2017: Even with two major grants, our goal was to continue to increase our research funding. With that in mind, we added Robert Motl, PhD, to our faculty and the UAB/Lakeshore Research Collaborative. In his first year with our School, Motl was part of a team awarded a $5.7 million grant from the Patient-Centered Outcomes Research Institute (PCORI) to evaluate the effectiveness of different types of exercise programs for people with multiple sclerosis.

“Our telehealth framework is enabled to work under complete absence of internet connectivity, so this project moves the field of telerehabilitation beyond its current limitations.” Mohan Thirumalai, PhD 2018: The PCORI Board of Governors also awarded a $5.8 million grant to Rimmer and a team of researchers to determine whether people with multiple sclerosis get as much benefit from an exercise-based rehabilitation program delivered via internet and telephone as they do when the therapy is provided in a clinic. In a display of just how advanced our telehealth capabilities are, the team is able to recruit participants across Alabama and Mississippi and conduct well-designed, rigorous research regardless of internet availability – a major step forward in this type of work.

PROGRAMS IMPACTED Graduate Certificate in Low Vision Rehabilitation Master of Science in Occupational Therapy Clinical Doctorate of Occupational Therapy Doctor of Physical Therapy PhD in Rehabilitation Sciences 16

This is an exciting partnership to evaluate whether telerehabilitation delivery is as effective as facility-based delivery.

If it is, it has the potential to break down barriers to exercise for people in remote areas who do not have access to MS experts.

Robert Motl, PhD Associate Diretor of Research, UAB Lakeshore Research Collaborative

SIGNATURE PROGRAMS FOR WORKFORCE NEEDS

The demand for a highly trained health workforce is ever-expanding and the threat of a shortage of qualified practitioners is ever-real.

Whether it is the projected 1,000+ new genetic counseling jobs or the shortage of thousands of physicians – we are producing quality graduates that can step in and help immediately.

We know that when you are sick that health care cannot wait. We have developed and continue to develop fast track programs that recognize the best-of-the-best undergraduates and place them in chosen graduate programs where they will enter their field with all the necessary skills one year ahead of schedule.

Specialized courses and designer tracks are just some of our innovations that are producing a new generation of healthcare professionals. We offer mentoring programs, simulation programs, volunteer opportunities and much more to provide our students with enough training and experience so they graduate one day and are able to save lives the next.

WHERE WE HAVE BEEN 2014 : The Children’s Health Fund estimates more than 20 million children in the U.S. face some kind of barrier to accessing health care. We are proud to say that every year our Physician Assistant Studies students volunteer to help underserved families and children receive the essential medical screenings they need. Whether in an urban setting like our NUW Early Childhood Nutrition Program or at a rural school as part of the KidCheck Plus program – you will find our students giving back selflessly to help others and in return gaining valuable real-time experience.

2015: We recognized that many students were being kept out of programs and kept from realizing their healthcare dreams simply because of scores. We created the Master of Science in Biomedical Health Sciences program, the only 11-month master’s program of its kind in the Southeast to strengthen students’ professional school applications and bolster their PCAT, MCAT, DAT and OAT scores. The development of this program has rewarded everyone from our students to those they will serve when they graduate from their final destination.

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WHERE WE ARE GOING 2016 : We are known for “firsts” in education so it is no surprise we were the first to offer a graduate entry-level Master of Science in Nuclear Medicine Technology. In addition to being the only NMT program in the state of Alabama, our clinical training in PET/CT and in the UAB PET/MRI facility gives our students a distinct advantage upon graduation.

“I have rubbed shoulders with some of the greatest scientists, physicians and professors in the world at UAB, and having learned from them, I feel ready and confident enough to go out there in the world and have an impact in someone’s life.” John Wairimu (MSNMT ’17) 2017: In 2020, there will be a shortage of tens-of-thousands of primary care physicians and we have steadily worked to increase the number of our physician assistants who focus on primary care. Part of that effort is in the commitment by the student and the other part is the commitment by clinics. Every year we increase the number of clinics in our rotations and that number only continues to grow.

2018: We are developing partnerships with universities across the state that will not only strengthen our programs, but will also provide their programs with outstanding returns. Our MSNMT program and our newest program, the Master of Science in Health Physics are talking to Alabama A&M and Miles College about tracks involving their undergraduates.

And our MSBHS program is securing post-partnerships with optometry, pharmacy and dental schools across the state and the U.S.

PROGRAMS IMPACTED Bachelor of Science in Biomedical Sciences Graduate Certificate in Biotechnology Regulatory Affairs Master of Science in Biomedical and Health Sciences Master of Science in Biotechnology Master of Science in Clinical Laboratory Sciences Master of Science in Genetic Counseling Master of Science in Health Physics Master of Science in Nuclear Medicine Technology Master of Science in Physician Assistant Studies Biomedical Sciences Fast Track Programs Health Care Management Fast Track Programs 20

My main goal is to serve underserved populations.

Living in a rural community like Tuskegee has truly opened my eyes to various health disparities and I hope to one day help reduce the problems in these underserved communities.

Zachary White MSBHS ’16 – 1st graduating cohort

UNDERGRADUATE EDUCATION

It is not enough to just bring in students from disadvantaged backgrounds. They need to flourish and they need to succeed.

This effort begins before a student arrives on campus and sometimes, even before they realize what a career in health professions means.

Once on campus, they are partnered with a team of award-winning advisors that guide them every step of the way.

We have expanded programs designed to assist students with the educational challenges that come with a high-demand program. We have developed programs that identify student goals and provide pathways into graduate education and beyond. And we have created an Honors and Research Program to match the needs and goals of our top performers.

WHERE WE HAVE BEEN 2014 : Every year we work with the Health Careers Opportunity Program which is designed to increase the number of students from disadvantaged backgrounds who enter health professions. For those who wind up in our Biomedical Sciences or Health Care Management programs, they are assigned to a national award-winning advisor. Susan Packa (HCM) and Brooke Walker (BMD) have each won a National Academic Advising Association (NACADA) Outstanding Advising Award.

“I try to build a strong relationship with all of our students.

Whether it is working with them on life skills, sending them birthday cards, or inviting them to our holiday dinner – I want each of them to feel like they are part of a caring family at UAB.” Brooke Walker, BMD Academic Advisor 2015: Another key is the expansion of our Office of Student Recruitment, Engagement and Success. Led by Tracee Synco, PhD, this team provides admissions counseling, academic counseling and more including HRP 101 – Experiencing the University Transition where freshmen learn universitylevel academic skills and personal lifestyle management tactics.

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WHERE WE ARE GOING 2017: When we say we are going down the toilet – that’s actually a good thing. Angelin Ponraj, then a sophomore in our BMD program, was part of a team whose research project looked at a way to make toilet water an early detector of diabetes. This is but a glimpse of the impact our new Undergraduate Honors and Research program will have moving forward. Led by Ted Bertrand, PhD, this program will expand the learning experience of many of our 800+ undergraduate students.

2018: To meet the demands of stronger, more focused students, we continue to expand our fast track and early acceptance programs.

Biomedical Sciences already has fast tracks for master’s degrees in Biotechnology, Clinical Laboratory Sciences, Nuclear Medicine Technology and we are looking at adding fast tracks to master’s degrees in Nutrition Sciences and Physician Assistant Studies as well as our Doctor of Physical Therapy program. Health Care Management has fast track options to a master’s degree in Health Informatics and in Occupational Therapy with tracks to Health Informatics and Healthcare Quality and Safety in development.

PROGRAMS IMPACTED Bachelor of Science in Biomedical Sciences Bachelor of Science in Health Care Management BS in Biomedical Sciences to MS in Biotechnology BS in Biomedical Sciences to MS in Clinical Laboratory Sciences BS in Biomedical Sciences to MS in Nuclear Medicine Technology BS in Health Care Management to MS in Health Informatics BS in Health Care Management to MS in Occupational Therapy

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We want to be able to pair undergraduate students with research mentors so they can experience first-hand how research and translation of discovery, and dissemination of knowledge leads to improvement in health care.

Ted Bertrand, PhD Assistant Dean, SHP Undergraduate Honors and Research

BY THE NUMBERS EXPENDITURES

FY 2017

State Funds

$25,914,484 $24,531,866 $1,382,618

6%

Unrestricted Funds

7,476,255 6,792,195 684,060

10%

Gifts

739,547 711,348 28,199

4%

Endowments

333,143 353,422 (20,279) -6%

FY 2016

Difference

%

Restricted Funds

Grants

14,201,483 12,267,423 1,934,060 16%

Total

$48,664,912 $44,656,254 $4,008,658

9%

STUDENT ENROLLMENT Enrollment by Class (Fall 2013–Fall 2016)

2013

2014

2015

2016

1,350

1,613

1,854

2,037

Enrollment by Level (2016)

UNDERGRADUATE

GRADUATE

DOCTORAL

902

874

261

PROGRAM RANKINGS U.S. News & World Report Rankings

#2

MS HEALTH ADMINISTRATION

#16

PHYSICIAN ASSISTANT STUDIES #25

#19

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PHYSICAL THERAPY OCCUPATIONAL THERAPY

LEADERSHIP Katie Adams Senior Director, Development

Ted Bertrand, PhD Assistant Dean, Undergraduate Honors & Research

Janelle Chiasera, PhD Senior Executive Associate Dean, Chair, Department of Clinical and Diagnostic Sciences

W. Timothy Garvey, MD Chair, Department of Nutrition Sciences

Christy Harris Lemak, PhD Chair, Department of Health Services Administration

Patrick McNees, PhD Senior Associate Dean, Strategic Partnerships & Enterprise Development

David M. Morris, PhD Chair, Department of Physical Therapy

Donna J. Slovensky, PhD Senior Associate Dean, Academic & Faculty Affairs; Interim Chair, Department of Occupational Therapy

Tracee Synco, PhD Assistant Dean, Student Recruitment, Engagement & Success

Melanie Talbot, MBA Assistant Dean, Administrative & Fiscal Affairs

Dean’s Advisory Board

Junior Advisory Board

Mark Anderson, DSc Christopher M. Brainard, MSHA Jim Burkhart, DSc Stephen M. Foster, MSPT Michael E. Henderson, JD Vicki P. Karolewics, PhD Sharon W. Lovoy, SPHR John B. McWhorter III, MSHA, DSc Thomas D. Miller, MSHA Guna Muppuri, MD Matthew D. Rousculp, PhD, MPH Kerry Teel, MSHA Jessie L. Tucker, III, MBA, PhD Jeff Underwood, MPA Michael D. Williams, MSHA Ronald M. Watt, MD David Yates, MBA Sheree Chapman York, DPT, MS

Uma Srivastava Logan Balandrin, MSHA, MBA Whitney Covington Michael Luke Stanley, DPT Ashleigh Allgood, MPH Anmol Anuha Julianna Bailey Chelsea Bares Dominique Forte, DPT Ginger Hegler, MSHI Wes Johnson Tana Lieb, DPT LaShonda Peoples Greg Rankins Natashia Reese Dhara Shah, DPT Gigi Weinacker, DPT Chris Westbrook, MSHE, MBA Matt Wilson, MSHI

UAB School of Health Professions 1705 University Boulevard, SHPB 630 1720 2nd Ave South Birmingham, AL 35294-1212

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