280 likes | 450 Views
Patient-Centered Primary Care . Primary Care Center of Mt. Morris, Inc A Nurse Practitioner Model. Mona M. Counts, PhD, CRNP, FNAP, FAANP. Elouise Ross Eberly Professor Pennsylvania State University Clinical Director, Primary Care Center of Mt. Morris, Inc . APPALACHIAN PATTERNS
E N D
Patient-Centered Primary Care Primary Care Center of Mt. Morris, Inc A Nurse Practitioner Model
Mona M. Counts, PhD, CRNP, FNAP, FAANP Elouise Ross Eberly Professor Pennsylvania State University Clinical Director, Primary Care Center of Mt. Morris, Inc
APPALACHIANPATTERNS GENESIS III General Ethnographic Nursing Evaluation Studies in the State
Partnering in Health Care • Culturally Competent Care • Community Empowerment • Partners and Coalitions • Technology • “Medical Home”
Appalachian Characteristics • Hardiness • Family • Continuity • Acceptance • Spiritual • Age
Appalachian Characteristics • Self (We’ness) • Time • Commitment • View of Health
Strengths, Barriers & Needs ECONOMICS Employment Industry
APPALACHIANOUTCOMES • Neighboring • Dichotomies • Health • Empowerment • Resolution • Hope
Community Empowerment Findings for practice • Limited economic resources • Significance of culturally specific care • Consistency and continuity of care desired
IMPLICATIONSforPractice • Integral part of community (providers and board) • Life long resident (family ties or proven commitment) • Female (in Appalachia)
IMPLICATIONSforPractice • Low key (accessing power) • Caring (Professional Involvement) • Perceived as knowledgeable (University)
Primary Care Center of Mt Morris • Community Owned • 4 Nurse Practitioners • 7 Personnel • Student Rotations • Partnerships
Outcomes • Teen Pregnancy • Hgb A1c (n-40, 84% decreased to 6.5 ) • Hypertension Goal • Lipid Control • Weight Loss • Tobacco Use • Asthma and Lead Reduction • Health Screenings (Health Promotion)
Outcomes • Increased Community Competence • Skill Building (two edge sword) • Awareness of opportunity • Economic Additions • Improved quality of life • Partners for survival