Shepherd Internship Rachel Tullio. Little Flower Clinic ●Healthcare for the homeless clinic ●Services ○Visits with a Medical Provider ○Disease/Case Management.

Slides:



Advertisements
Similar presentations
Breastfeeding: A WIC Priority
Advertisements

Introduction to Health Studies Health Promotion I
Galveston County Health District 4Cs Clinics Summary Needs Assessment for 5 Year Competitive Grant And 4Cs Healthcare Barriers.
HOUSING IS HEALTH CARE MARGARET FLANAGAN, LGSW DISABILITY AND CASE MANAGEMENT COORDINATOR Health Care for the Homeless (HCH)
Ex-Offenders and Housing
New York State’s Federally Qualified Health Centers and Health Care Reform Presentation to the State Hospital Review and Planning Council By Elizabeth.
Kailey Hamrick NURS /24/13 COMMUNITY ASSESSMENT: RURAL/REMOTE LIVING, LOW-INCOME, AND UNINSURED PATIENTS WITH DIABETES.
The Affordable Care Act: Medicaid Expansion and Care Coordination Opportunities For Permanent Supportive Housing Providers Stephanie Altman, Health & Disability.
Carroll County Local Health Improvement Coalition LHIC Annual Conference November 12, 2014.
EASTERN OREGON HEAD START ANNUAL REPORT Offering dedicated services to Baker and Union Counties since 1968.
Mel Downey-Piper, MPH, CHES February 20, State of Durham County’s Health report.
The Institute for Human Services, Inc. Definition & Diversity of Homeless Persons Homeless definition has 4 categories:  Literally homeless individuals/families.
The Homeless of Columbus, GA Stephanie Stewart. Who are they and how many are there? Children In school year, the number of students in the.
Grantee: Horizon House Primary Care Partner: Delaware Valley Community Health Cohort: 3 Region: 5 Location: Philadelphia, PA Project Director: Lawrence.
Community-Based HealthCare
New Employee Orientation
New Employee Orientation (Insert name) County Health Department.
Community-Based Practice NUR101 FALL 2008 LECTURE# 20 K. BURGER, MSEd, MSN, RN, CNE PPP By Sharon Niggemeier RN MSN.
Support Groups – Objective 2.02 Agencies that help families in times of crisis. Help children feel more secure. Examples??
Robert Coleman, BA, CPC Bluegrass Community Health Center.
Lower Lights Christian Health Center Columbus, Ohio A Faith based, Non Profit Community Health Center MISSION OF LLCHC LLCHC ministers the love of Christ.
The Power of Clinical Strategies to Reduce Costs: The Unexploited Opportunity for States as Healthcare Purchasers Bruce Amundson, MD President Community.
94 Adult Systems of Care. 95 General Healthcare for Adults There are fewer healthcare programs for adults than for children Most are for adults with disabilities.
A Program Offered by the OU College of Nursing Funded by the George Kaiser Family Foundation Healthy Women, Healthy Futures.
WINNUNGA NIMMITYJAH Wiradjuri language meaning STRONG IN HEALTH.
2 AMERIGROUP Community Care Entered Maryland market in 1999 Largest MCO in Maryland Serving over 143,000 members in Baltimore City and 20 counties in.
America’s Voice for Community Health Care The NACHC Mission The National Association of Community Health Centers (NACHC) represents Community, Migrant,
GOVERNOR’S INTERAGENCY COUNCIL ON HEALTH DISPARITIES Emma Medicine White Crow Association of Public Hospital Districts, Membership Meeting June 24, 2013.
North Dakota Medicaid Expansion Julie Schwab, MNA, MMGT Director of Medical Services North Dakota Department of Human Services.
Low Health Literacy Poor Relationships with Providers Historical Racism in Medical Care Socioeconomic Status Insurance Coverage Religious Beliefs Poor.
Strengthening Families at Brighter Beginnings PROGRAM OVERVIEW 2012.
Health priorities for Charnwood, 2010 and beyond Dr Mike McHugh Consultant in Public Health NHS Leicestershire County and Rutland 7/9/10.
Copyright © 2008 Delmar. All rights reserved. Chapter 3 Practice Settings in Public Health Nursing.
1 United Way of Mat-Su Community Plan Education Children & Youth Achieve Their Potential School Readiness Academic Completion Career & Life Skills Preparedness.
Healthcare Reform The “Affordable Care Act” How Will It Affect Substance Abuse Care?
About AFC Clinical Services Very Poor… Over 70% work at one or more low-wage jobs that don’t provide health insurance.
Southwest Community Health Center “Caring for Community” A non-profit, community health center providing primary care, health education, and advocacy for.
Challenges & Successes Health Information Technology Perspectives of 3 Leaders A Rural Health Perspective Holly Jeffreys, DNP, APRN, FNP-BC.
Urban Ministries of Wake County Our Mission is to alleviate the effects of poverty in Wake County by… Meeting people’s basic needs for food, shelter and.
Clinica Family Health Services Health Care for the Community Health Care for the Community.
What is Health? What is Wellness? What are Health Risks?
Umpqua Health Alliance Umpqua Community Health Center Extended Care Clinic Integrated clinic for patients with complex health and addiction issues.
0 1 Breastfeeding: A WIC Priority Improves health outcomes for infants –Fewer infections and disease –Improved IQ –Lower rates of obesity and diabetes.
Integrating Behavioral Health and Medical Health Care.
United Way mission statement Mission Improve lives by mobilizing the caring power of the community.
April 30,  Poverty is the number one factor in determining whether Canadians live long, healthy lives (Canadian Medical Association).  1 in.
MOMs Program Dr Kathryn Lueken Chief Medical Officer WVP Health Authority.
Copyright © 2013, 2009, 2005 by Mosby, an imprint of Elsevier Inc. Chapter 3 Community-Based Nursing Practice.
Kentucky Mountain Health Alliance, Inc. Hazard, Kentucky.
Copyright © 2008 Delmar. All rights reserved. Chapter 24 Rural and Migrant Populations.
Athens County Housing Coalition Diane Pfaff, LISW, Planner Alcohol, Drug Addiction & Mental Health Services Board Serving Athens, Hocking & Vinton Counties.
Aging in Rural A Voice For Seniors ma4 provides a voice for seniors across Missouri We work everyday to speak for those who cannot.
Community Health Worker Model by Linda Stone, CEO.
Community Paramedic Primary Care Project.
Chapter 8 Adolescents, Young Adults, and Adults. Introduction Adolescents and young adults (10-24) Adolescence generally regarded as puberty to maturity.
Improving Health Through Rural Healthcare Linkages: Results of a Three Year Study Presenters Sharon T. Wilburn, PhD, CHES and Eugenia Ngo-Seidel, MD, MPH.
Spirit of Health-School of Nursing Presented by Kathleen Rindahl, RN, DNP, FNP-C 13 Clinic Days = 192 Client Visits Background: Spirit of Woman, located.
The Reduction of Emergency Room Visits for Non- Emergent Health Concerns in Bakersfield, California Mariah Walton, MPH Public Health Advisor Office for.
Nurse Managed 12 week Latent Tuberculosis Infection Treatment
An Introduction to Health Care and Health Policy in the United States
Medical Wellness Program
Public Health Center Roosevelt Institute at Yale
Skills for Independent Living: Volume III - Health
Types of Health Plans.
Weaving a Strong Safety Net: Oral Health Care Access
Partnering with a Health Provider to Improve Neighborhood Health
& RHP 15 Collaboration.
Monica Garcia, CHW, CHWI October 18, 2016
SAMPLE ONLY Dominion Health Center: Your Community Partner for Excellent Care (or another defining message) Dominion Health Center is a community health.
SAMPLE ONLY Dominion Health Center: Your Community Healthcare Home (or another defining message) Dominion Health Center is a community health center.
Presentation transcript:

Shepherd Internship Rachel Tullio

Little Flower Clinic ●Healthcare for the homeless clinic ●Services ○Visits with a Medical Provider ○Disease/Case Management ○Medication Assistance Programs ○Referrals for Dental Services ○Onsite Mental Health Services ○Referrals for Mental Health/Substance Abuse Services ​ ○ ​ Insurance Enrollment and Eligibility through Kynect ensure access for all people and eliminate health disparities through the provision of quality holistic care Vision:

Population ●City of Hazard, Perry County o Hazard: approx. 5,000 residents o Perry County: 28,241 residents ●Poverty Rate: 28.7 % (USA 15.1%) ●Race: 98.7 % white ●Smoking rate: 31% o highest smoking rate of all states Chronic Disease PerryKYUSA Prevalence of Asthma (% adults) 15%13%8.2% Diabetes9%8%11.9% Hypertension40.8%38%32.5%

Responsibilities ●shadowed all staff positions at the clinic ●observed patient appointments with APRNs ●worked in community garden program ●mental health home visits with Outreach and Enrollment ●shadowed Family Health Navigator ●community service o Corner Haven Crisis Shelter o Hospice of the Bluegrass

Accomplishments ●provides many non-medical resources o food boxes o transportation o kynectors and insurance enrollment ●prevents and alleviates homelessness ●accepts all patients regardless of ability to pay ●strong relationships with patients and community ●case management

Observations & Challenges ●Health o understanding food culture, traditional meals,preparation o soda consumption o diabetes, hypertension, and lifestyle choices ●Political Views o President Obama unpopular o perception of Affordable Care Act ●Economy o strong support for coal industry

Frontier Nursing Service ●supporting organization that arranged my internship at Little Flower o provided housing and food ●founded by Mary Breckinridge in 1925 ●birthplace of midwifery in United States ●nurses served people of rural Appalachia ●central hospital and outpost clinics ●now a distance education program that trains nurse-midwives, DNPs, advanced nursing degrees

My SSLP ●Maggie’s Place o home of hospitality for pregnant women (& their babies up to 6 months) ●Glendale, Arizona ●Director of Donations ●building relationships with the moms

Comparisons Little Flower Clinic ●exposure to medical setting and careers in medical field ●focus: provide primary care services ●community service component ●public health background o Community Health Profile o interviews with community members, leaders, and medical staff ●rural environment Maggie’s Place ●office and home setting at the Michael House ●focus: provide love, support, safety, home security to mothers ●little research into health profile of the community ●less rural, 30 minutes outside of Phoenix

Understanding Poverty Little Flower Clinic ●transportation problems in a rural area ●policy focus and ACA ●public health issues including smoking, diabetes, hypertension, drug abuse ●diet and exercise habits ●food desert and access and affordability of produce ●homelessness Maggie’s Place ●importance of soft skills and social interaction in job market ●effects of lack of education ●effects of poor or no family support, few mentors ●need for parenting classes, women’s health education ●faith based organization ●homelessness ●substance and alcohol abuse