2. HEALTH PROMOTION ACROSS THE LIFE SPAN American Academy of Nursing October 14, 2011 Donna L. Torrisi, MSN Network Executive Director The Family Practice & Counseling Network dtorrisi@fpcn.com www.fpcn.us

3. Three Sites with two more on the way 15 million dollar budget More than 70,000 Encounters Primary Care, Behavioral Health, Dental….and more

4. OUTCOMES OUTCOMES Clinical 92% of Patients Rate the care they received as Good or Great92% of Patients Rate the care they received as Good or Great All sites have achieved Level I NCQA Medical HomeAll sites have achieved Level I NCQA Medical Home Participation in state collaborative on diabetes and preventive health careParticipation in state collaborative on diabetes and preventive health care Average HbA1c in Network is 8.0Average HbA1c in Network is 8.0 Patients who complete dental care plan- 51%Patients who complete dental care plan- 51% Children fully immunized by age 24 mos-80%Children fully immunized by age 24 mos-80%Financial Budget growth: $600,000 in 1991, 15 million in 2010Budget growth: $600,000 in 1991, 15 million in 2010 Surplus in 18 out of 19 yearsSurplus in 18 out of 19 years Received four expansion grantsReceived four expansion grants Serving more than 17,000 patients in 2010Serving more than 17,000 patients in 2010

5. CHALLENGES CHALLENGES Recruitment and Retention of Nurse Practitioners/burn out factorRecruitment and Retention of Nurse Practitioners/burn out factor Patients have multiple chronic physical and behavioral health issuesPatients have multiple chronic physical and behavioral health issues Caring for uninsuredCaring for uninsured New site start up-time intensive, requires an integrated teamNew site start up-time intensive, requires an integrated team

6. POLICY IMPLICATIONS POLICY IMPLICATIONS Universal Health InsuranceUniversal Health Insurance Insurers must accept any willing provider inclusive of NPsInsurers must accept any willing provider inclusive of NPs Relax regulations regarding collaborating physician requirementsRelax regulations regarding collaborating physician requirements Bipartisan support for Community Health CentersBipartisan support for Community Health Centers Continued loan repayment for providersContinued loan repayment for providers

7. LEADERSHIP IMPLICATIONS Must have the right people in the right positions: Good to GreatMust have the right people in the right positions: Good to Great Stay curious about others: Crucial ConversationsStay curious about others: Crucial Conversations Keep open to multiple possibilities: avoid either or thinkingKeep open to multiple possibilities: avoid either or thinking