Effective Change Strategy

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Presentation transcript:

Effective Change Strategy Georgia Elmassian NURS 511 Ferris State University

Community Medical Center Disparity of Care Ongoing Problem Urban Environment Cultural Ethnicity Socioeconomic (Russell, 2009; Unite For Sight, 2013) Google Images, 2013

Transformation of Care Community Care Clinic Unite Nursing and Medicine Literacy Access to Care (Google Images, 2013)

disparity of Care Effective Change Strategies Initiatives Implications (Google Images, 2013)

Urban Environment City Air and Water Noise Lack of Green Space Housing Quality Transportation (Russo, 2011) (Google Images, 2013)

Environmental Conditions Not Optimal Stress Unhealthy Lifestyles Sickness Disease (Orleans & Cassidy, 2011; White & Borrell, 2011) (Google Images, 2013)

Environmental Conditions Urban vs. Suburban Occupation Skill Level Education Disparities Wealth Health Services Social/Cultural (Bodenheimer & Grumbach, 2012) (Google Images, 2013)

Urban Environment Community Based Assets Differing Health Care Wealth/Tax Base Variations of Culture, Ethnicity, & Socioeconomics Differing Health Care Providers and Patients Culture Appropriate Communication Assessment Patient Care (AHRQ, 2011) (Google Images, 2013)

More barriers and Outcomes Insurance Public funding Type of employment Cultural Uninsured Access to Care (Google Images, 2013) Adverse Outcomes (Bodenheimer & Grumbach, 2012; Sparer, 2011)

Barriers and Outcomes Our Commitment Cultural & Diverse Avoidance of Care Financial Language Gender Social Convenience Transportation Child Care (Billings , Canton, & Clinton, 2011) (Google Images, 2013)

Community Medical Clinic Addresses Access to Care Supports Diversity Cultural & Ethnicities The Need For Wellness Visits Medical Procedures (Google Images, 2013) Diagnostic Testing General Preventative Care (Aetna, 2013; Billings, Cantor, & Clinton, 2011; Bodenheimer & Grumbach, 2012; Russo, 2011; Smedley, 2009)

Disparity of Care (Google Images, 2013)

Our Community Google Images, 2013

University Medical Center Nurses Deliver! Exuberant Involvement Novice – Advanced Practice Care Access The National Nurse Act, 2013 H.R. 485 (Google Images, 2013)

Erasing Community disparities of Health Care Community Medical Clinic + Nurses = Access to Care Google Images, 2013

References Aetna. (2013). Disparities in health care. Retrieved from https://www1.aetna.com/about/aoti/aetna_perspective/healthcare_disparities.html Agency for Healthcare Research and Quality. (2011). National healthcare disparities report (AHRQ Publication No. 12-0006). Retrieved from http://www.ahrq.gov/legacy/qual/nhdr11/nhdr11.pdf Billings, J., Cantor, J. C., & Clinton, C. (2011). Access to care. In A. R. Kovner, & J. R. Knickman (Eds.), Jonas & Kovner’s Health care delivery in the United States (10th ed. (pp. 151-178). New York, NY: Springer. Bodenheimer, T., & Grumbach, K. (Eds.). (2012). Access to health care. Understanding health policy: A clinical approach (6th ed., pp. 17-30). United States: McGraw Hill. Congress.Gov. (2013). H.R.485 - National nurse act of 2013. Retrieved from http://beta.congress.gov/bill/113th/house-bill/485 HR 485 the national nurse act of 2013. (2013). Retrieved from http://nationalnurse.org/ Orleans, C. T., & Cassidy, E. F. (2011). Health and behavior. In A. R. Kovner, & J. R. Knickman (Eds.), Jonas & Kovner’s Health care delivery in the United States (10th ed. (pp. 125-149). New York, NY: Springer. Russell, L. (2009). Equal health care for all: Opportunities to address health care disparities in health care reform. Retrieved from http://www.americanprogress.org/issues/healthcare/report/2009/12/17/7087/equal-health-care-for-all/ Russo, P. (2011). Population health. In A. R. Kovner, & J. R. Knickman (Eds.), Jonas & Kovner’s Health care delivery in the United States (10th ed. (pp. 85-102). New York, NY: Springer. Smedley, B. D. (2009). Ethnic healthcare disparities-testimony to the house, energy, and commerce committee, health subcommittee. Retrieved from jointcenter.org website: http://www.jointcenter.org/hpi/sites/all/files/Smedley%20testimony.pdf Sparer, M. S. (2011). Health policy and health reform. In A. R. Kovner, & J. R. Knickman (Eds.), Jonas & Kovner’s Health care delivery in the United States (10th ed. (pp. 25-45). New York, NY: Springer. Unite For Sight. (2013). Urban versus rural health. Retrieved from http://www.uniteforsight.org/global-health-university/urban-rural-health White, K., & Borrell, L. N. (2011, March). Racial/ethnic residential segregation: Framing the context of health risk and health disparities. Health Place, 17 (2), 438-448. http://dx.doi.org/10.1016/j.healthplace.2010.12.002