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The University of Maryland School of Nursing

The University of Maryland School of Nursing. Meeting the Needs of Uninsured and Underinsured: The State of Maryland Governor’s Wellmobile. Collaboration for Public Health APHA Annual Meeting 2001 Marla T. Oros, MS, RN Associate Dean for Clinical and External Affairs.

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The University of Maryland School of Nursing

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  1. The University of Maryland School of Nursing

  2. Meeting the Needs of Uninsured and Underinsured:The State of Maryland Governor’s Wellmobile Collaboration for Public Health APHA Annual Meeting 2001 Marla T. Oros, MS, RN Associate Dean for Clinical and External Affairs

  3. Mission of the Governor’s Wellmobile • To provide primary health services to the underinsured and uninsured populations throughout the State of Maryland. • To work with local health departments, community organizations, and hospitals to improve the health status of patients who utilize the Wellmobile. • To provide health education and promotion to diverse populations.

  4. School Of Nursing Focus • Changing health care delivery system: shift towards community based primary care and managed care. • Focus on health promotion and disease prevention and management. • Curriculum redesign to meet the current health care trends. • Opportunity for faculty practice and research.

  5. History of the Governor’s Wellmobile • Delegate Marilyn Goldwater • Began in 1994 as a private/public partnership with funding from the State of Maryland, Merck, Kaiser Permanente, Prudential, MAMSI, Giant Food and others. • Managed by the University of Maryland • Serves as one of the principle training sites for the School of Nursing.

  6. Current Status • Currently operating two Wellmobiles • Central Maryland • Eastern Shore • New regions opening in the Fall: • Western MD • New region, possibly Southern • Equipped with exam rooms, labs, and health education area. • Funded through Federal, State, local, and private funding.

  7. Current Statistics • In 2000, 639 patient visits at 11 sites throughout the state. • Primary Diagnosis: Hypertension and Well Child Checks • In 2001 to date, 886 patient visits at 15 sites throughout the state. • Primary Diagnoses: Hypertension and Health Assessments

  8. Services of the Governor’s Wellmobile • Physical Examinations • Immunizations • Well-child Care • Vision and Hearing Screenings • Early Detection for Cancer • Health Education • Lab testing and Diagnosis • Community Assessment

  9. Program Model: Governor’s Wellmobile • Mobile treatment unit to deliver primary and preventive health services to underserved communities. • Staffed by: • Full time faculty FNP • Full time nurse care coordinator • Full time driver/office assistant • Travel to local community sites to deliver services.

  10. Strategic Partnership Program Model • Mission compatibility in care to the underserved – FQHC preferable partner. • Mutual desire to serve hard-to-reach sites. • Utilize Wellmobile as an extension of partner provider system to reach strategic locations and populations. • Wellmobile becomes “modified satellite primary care center” of partner system. • Partner system provides back up medical, specialty and ancillary support services.

  11. Partnership Roles • Wellmobile • Provide and fund all on-site primary health care services. • Manage, operate and staff Wellmobile services. • Identify patients eligible for MCHIP or other insurance programs and enroll as appropriate with partner provider system. • Complete encounter forms and other registration/data collection information as mutually identified between SON and partner.

  12. Partnership Roles • Health Systems • Develop physician collaborative agreement with Wellmobile FNP. • Accept referrals for follow-up medical and specialty services. • Accept new patients inappropriate for Wellmobile services. • Assist in providing referrals for patients needing additional diagnostic and laboratory services. • 24 hour medical back-up.

  13. Partnership Opportunities • Provide greater comprehensiveness and continuity of care for uninsured patients served by Wellmobile in designated communities. • Increase enrollment of MCHIP and other new insured patients to local health systems. • Expand primary care services through Wellmobile to additional sites that currently can not support a full time medical practice. • Collaborate on development of fourth Wellmobile for Southern Maryland.

  14. Future Plans • Expand services to a total of five mobile clinics throughout the state of Maryland. • Development of partnerships throughout the state to collaborate, coordinate, and expand services. • Enhance current data collection system necessary for patient tracking and outcomes management.

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