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Explore the challenges and barriers in achieving community wellness and prevention. Foster personal ownership, equal treatment, and dignity for all. Implement asset-based community development and invest in education and prevention. Improve access, affordability, and quality of treatment.
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CONSUMER ACCESS WELLNESS & PREVENTION Arneatha Martin RN,MN,ARNP Robert Wood Johnson Community Health Leader 2001
CHALLENGES & BARRIERS • Focus on specific community needs • Ownership by the community • Broad-based participation City and County Medical Community Business Churches Individuals
CHALLENGES & BARRIERS • Foster personal ownership, versus just charity • Everyone pays (something) -Include creative “payment” options -( e.g. education, volunteerism, etc.) • Dignity and Self-esteem • Confidentiality • Equal medical treatment for all, essential for lifestyle change
A NEW PARADIGM • Focus on prevention, versus just treatment Education Wellness (Know your numbers) • High quality treatment • Convenient access - Location - Hours of operation • Affordable
Asset-Based Community Development • Invent ways to close the gap between ideal vision and current reality ( Exercise vs. Activities for Life) • Identify potential means • Shared visioning • Constantly build and rebuild relationships • Strengths and capacities of the parties involved • Investment, creativity, hope and control
CHW MISSION1998-Present To Provide “Good enough for me” family healthcare for the community through improved access, A heightened and unrelenting focus on education and prevention and state-of-art treatment and control
CHW-A New Paradigm • Focus on prevention, vs. just treatment • Foster personal ownership ( Contract to Care) • Dignity and self-esteem • Convenient access • High quality treatment • Affordable • Equal medical treatment, regardless of ability to pay • Community center for health and wellness education, outreach • Outreach workers-(community members as connectors.
Wichita Black Nurses Assoc.1973-2008 - 35 years of service • Define & determine nursing care for consumers for optimum quality of care by acting as their advocates • Health screening in the community • Prevention and Wellness programs • Act as a change agent in restructuring existing institution and/or help to establish institutions to suit our needs • The WBNA- One of the main forces behind the CHW.
Health Outcomes • Journal of Community Health, Vol.29 No.4 August 2004 Baseline assessment of the health status and health behaviors of African Americans participating in the Activities-For-Life program: A community based health intervention program Angelia Paschal, PhD, Rhonda Lewis PhD. & Arneatha Martin Kansas Health Institute: Minority Health Disparities in Kansas: Data and Chartbook: Pg. 88 five indicators of Diabetes for zip code 67214.
POLICY OPTION • Promoting Medical Homes Develop statutory/regulatory definition of medical home for all health programs • Paying for Prevention: Healthy Behaviors in Families/Communities • Paying for Prevention: Healthy Behaviors in Schools • National Focus on Well Care vs. Sick Care