Patient-Centered Primary Care

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Patient-Centered Primary Care

• Primary Care Center of Mt. Morris, Inc
• A Nurse Practitioner Model

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Mona M. Counts, PhD, CRNP, FNAP, FAANP

• Elouise Ross Eberly Professor
• Pennsylvania State University
• Clinical Director, Primary Care Center of Mt.
  Morris, Inc

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• APPALACHIANPATTERNS
• GENESIS III
• General Ethnographic Nursing Evaluation
  Studies in the State

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Partnering in Health Care

• Culturally Competent Care
• Community Empowerment
• Partners and Coalitions
• Technology
• Medical Home

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Appalachian Characteristics

• Acceptance
• Spiritual
• Age

• Hardiness
• Family
• Continuity

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Appalachian Characteristics

• Self (Weness)
  
• Time
• Commitment
• View of Health

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ECONOMICS
Strengths, Barriers Needs
Employment
Industry
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APPALACHIANOUTCOMES

• Neighboring
• Dichotomies
• Health
• Empowerment
• Resolution
• Hope

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Community Empowerment Findings for practice

• Limited economic resources
• Significance of culturally specific care
• Consistency and continuity of care desired

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IMPLICATIONSforPractice

• Integral part of community (providers and board)
• Life long resident (family ties or proven
  commitment)
• Female (in Appalachia)

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IMPLICATIONSforPractice

• Low key (accessing power)
• Caring (Professional Involvement)
• Perceived as knowledgeable (University)

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Primary Care Center of Mt Morris

• Community Owned
• 4 Nurse Practitioners
• 7 Personnel
• Student Rotations
• Partnerships

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Clinical Indicators 2008
Anemia Blood Lead PAP Mamgrm Chol
100 94 81 78 97

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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)

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Outcomes

• Increased Community Competence
• Skill Building (two edge sword)
• Awareness of opportunity
• Economic Additions
• Improved quality of life
• Partners for survival

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APPALACHIA
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APPALACHIA
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ENVIRONMENT
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Climate
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HOME
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APPALACHIA