June has over four decades of health care experience. Her work offers clarity, precision, and specificity in building inclusive planning and service practice competencies.
Examples of her impact, influence, and work includes:
- Developing inclusive accommodations that fill service gaps, prevent civil rights violations, and emphasize and incorporate standard operating procedures and just-in-time checklists.
- Health Plan Member-Focused Emergency Practices Roadmap investigates and documents promising member-centered emergency interventions. These critical procedures include applying lessons from COVID-19 and other co-occurring and previous emergencies (2021)
- Co-developing the Disability-Competent Care Self-Assessment Tool, Webinar Series: Training in Disability-Competent Care and Supports and Defining and Delivering Disability-Competent Care.
- Competency Planning Checklists for Providing Health Care for People with Disabilities (2016)
- Training that goes beyond disability etiquette, sensitivity and awareness by focusing on maximizing impact and measurable skill sets. This training emphasizes building and infusing critical, actionable competencies into practices, programs, policies, procedures, protocols, processes, training, and audits. These trainings result in improved physical, equipment, programmatic, and communication access that increases competent care and improves health. These results also decrease barriers, appointment failures, unequal treatment, and health disparities.
- Producing tools to help individuals with disabilities get the most out of their visits with health care providers. Peer mentors, counselors, patient educators, health care navigators, coaches, case managers, care coordinators, service coordinators, social workers, and health care providers also use these tools. This material incorporates the specific realities of living with disability and functional needs.General information regarding seeking and getting effective health care is important for everyone, but information for the general population is not always equally applicable and usable by people with disabilities. Attending to details is a needed survival skill when living with functional needs. This detail can be missing when materials are produced “for and about” instead “of, with and by,” people with disabilities. Examples of these materials are listed below.
- ·Identifying and documenting,as far back as the 1990s, that aging with disability issues are not limited to people experiencing post-polio syndrome but are shared by many who live long term with disability. This real potential threat of a “cascading” or “house of cards effect” related to functional loss and thus loss of independence needed attention. These effects include but are not limited to increasing arthritis and pain, deteriorating balance, walking, the threat of falls or injuries, loss of ability to exercise, as well as common age-related changes that everyone experiences. These changes can potentially threaten the ability to operate mobility devices safely. June continues to advocate for essential interventions in the form of periodic assessments that incorporate specific exercises and the use of technology.
- Originating and working with California And Medi-Cal health plans to require Physical Accessibility Review Survey (PARS) assessments for primary care provider sites, high volume specialists, Community Based Adult Services, and high volume ancillary services. Trained surveyors conduct these assessments. Data gathered from these surveys helps people with mobility disabilities to use the information to select accessible health care providers that meet their accessibility needs. Accurate survey information addressed the critical and long-standing problem of accessibility information not being available. Members with disabilities had the burden of calling every available provider to determine whether the provider could meet their accessibility needs. All too often, members were given incorrect information by well-meaning but misinformed and untrained staff. Inaccurate information resulted in failed appointments for members and decreased their access to health care services.
California Medi-Cal Provider Site Review Tools:
- Physical accessibility review survey (primary care providers): Revised facility accessibility site review Policy Letter and Tool 12-006 (supersedes PL 11-013)
- Facility site review survey: DHCS Policy Letter 14-004 and Tool
- Ancillary provider services physical accessibility review survey: ancillary services refers to diagnostic and therapeutic services such as, but not limited to: radiology, imaging, cardiac testing, kidney dialysis, physical therapy, occupational therapy, speech therapy, cardiac rehabilitation, pulmonary testing): DHCS All Plan Letter 15-023 and Review Tool: http://www.dhcs.ca.gov/formsandpubs/documents/mmcdaplsandpolicyletters/apl2015/apl15-023.pdf
- Community based adult services physical accessibility review: DHCS All Plan Letter 15-023 and Review Tool
Other states are adopting versions of this model ad tools.
Examples of her frequently used and cited materials include:
- (2006) The Patient’s Perspective on Access to Medical Equipment. In J. Winters and M. Story (Ed.), Medical Instrumentation: Accessibility and Usability Considerations (pp. 3-14). Boca Raton, FL: CRC Press,
- (2006) Making Preventive Health Care Work for You – A Resource Guide for People with Physical Disabilities,
- (2008) 5 “G’s” Getting Access to Health Care for People with Physical Disabilities,
- (2012) Effectively Including People with Disabilities in Policy and Advisory Groups
- (2015) Accessible Meetings, Events, and Conferences, A Guide to Planning Accessible Meetings. The Mid-Atlantic ADA Center and TransCen Inc.
- (2017) Transfer Assistance For People with Mobility and Disability Limitations On And Off an Exam Table, 4.2 minutes, J.I. Kailes script for Inland Empire Health Plan
- (2017) Using Accessible Scales to Weigh People with Mobility and Disability Limitations, 4 minutes, J.I. Kailes script for Inland Empire Health Plan
- (2021) Health Plan Member-Focused Emergency Practices Roadmap