CONSUMER ACCESS WELLNESS & PREVENTION Arneatha Martin RN,MN,ARNP Robert Wood Johnson Community Health Leader 2001

CHALLENGES & BARRIERS Focus on specific community needs Focus on specific community needs Ownership by the community Ownership by the community Broad-based participation Broad-based participation City and County City and County Medical Community Medical Community Business Business Churches Churches Individuals Individuals

CHALLENGES & BARRIERS Foster personal ownership, versus just charity Foster personal ownership, versus just charity Everyone pays (something) Everyone pays (something) -Include creative “payment” options -Include creative “payment” options -( e.g. education, volunteerism, etc.) -( e.g. education, volunteerism, etc.) Dignity and Self-esteem Dignity and Self-esteem Confidentiality Confidentiality Equal medical treatment for all, essential for lifestyle change Equal medical treatment for all, essential for lifestyle change

A NEW PARADIGM Focus on prevention, versus just treatment Focus on prevention, versus just treatment Education Education Wellness (Know your numbers) Wellness (Know your numbers) High quality treatment High quality treatment Convenient access Convenient access - Location - Location - Hours of operation - Hours of operation Affordable Affordable

Asset-Based Community Development Invent ways to close the gap between ideal vision and current reality Invent ways to close the gap between ideal vision and current reality ( Exercise vs. Activities for Life) ( Exercise vs. Activities for Life) Identify potential means Identify potential means Shared visioning Shared visioning Constantly build and rebuild relationships Constantly build and rebuild relationships Strengths and capacities of the parties involved Strengths and capacities of the parties involved Investment, creativity, hope and control Investment, creativity, hope and control

CHW MISSION 1998-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 Focus on prevention, vs. just treatment Foster personal ownership ( Contract to Care) Foster personal ownership ( Contract to Care) Dignity and self-esteem Dignity and self-esteem Convenient access Convenient access High quality treatment High quality treatment Affordable Affordable Equal medical treatment, regardless of ability to pay Equal medical treatment, regardless of ability to pay Community center for health and wellness education, outreach Community center for health and wellness education, outreach Outreach workers-(community members as connectors. Outreach workers-(community members as connectors.

Wichita Black Nurses Assoc years of service Define & determine nursing care for consumers for optimum quality of care by acting as their advocates Define & determine nursing care for consumers for optimum quality of care by acting as their advocates 1. Health screening in the community 2. Prevention and Wellness programs Act as a change agent in restructuring existing institution and/or help to establish institutions to suit our needs Act as a change agent in restructuring existing institution and/or help to establish institutions to suit our needs 1. The WBNA- One of the main forces behind the CHW.

Health Outcomes Journal of Community Health, Vol.29 No.4 August 2004 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

POLICY OPTION Promoting Medical Homes Promoting Medical Homes Develop statutory/regulatory definition of medical home for all health programs 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 Families/Communities Paying for Prevention: Healthy Behaviors in Schools Paying for Prevention: Healthy Behaviors in Schools National Focus on Well Care vs. Sick Care National Focus on Well Care vs. Sick Care