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Enhancing Community Health: A Nurse Practitioner Model in Appalachian Primary Care

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The Primary Care Center of Mt. Morris, led by Dr. Mona M. Counts, focuses on patient-centered, culturally competent care within Appalachian communities. This model emphasizes community empowerment, partnerships, and the integration of technology in healthcare delivery. We address significant barriers to health, such as limited economic resources, while promoting continuity of care and community involvement. Our approach highlights the importance of long-term relationships, self-empowerment, and addressing specific health disparities to improve overall outcomes in the region.

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Enhancing Community Health: A Nurse Practitioner Model in Appalachian Primary Care

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  1. Patient-Centered Primary Care Primary Care Center of Mt. Morris, Inc A Nurse Practitioner Model

  2. Mona M. Counts, PhD, CRNP, FNAP, FAANP Elouise Ross Eberly Professor Pennsylvania State University Clinical Director, Primary Care Center of Mt. Morris, Inc

  3. APPALACHIANPATTERNS GENESIS III General Ethnographic Nursing Evaluation Studies in the State

  4. Partnering in Health Care • Culturally Competent Care • Community Empowerment • Partners and Coalitions • Technology • “Medical Home”

  5. Appalachian Characteristics • Hardiness • Family • Continuity • Acceptance • Spiritual • Age

  6. Appalachian Characteristics • Self (We’ness) • Time • Commitment • View of Health

  7. Strengths, Barriers & Needs ECONOMICS Employment Industry

  8. APPALACHIANOUTCOMES • Neighboring • Dichotomies • Health • Empowerment • Resolution • Hope

  9. Community Empowerment Findings for practice • Limited economic resources • Significance of culturally specific care • Consistency and continuity of care desired

  10. IMPLICATIONSforPractice • Integral part of community (providers and board) • Life long resident (family ties or proven commitment) • Female (in Appalachia)

  11. IMPLICATIONSforPractice • Low key (accessing power) • Caring (Professional Involvement) • Perceived as knowledgeable (University)

  12. Primary Care Center of Mt Morris • Community Owned • 4 Nurse Practitioners • 7 Personnel • Student Rotations • Partnerships

  13. Clinical Indicators 2008

  14. Outcomes • Teen Pregnancy • Hgb A1c (n-40, 84% decreased to 6.5 ) • Hypertension Goal • Lipid Control • Weight Loss • Tobacco Use • Asthma and Lead Reduction • Health Screenings (Health Promotion)

  15. Outcomes • Increased Community Competence • Skill Building (two edge sword) • Awareness of opportunity • Economic Additions • Improved quality of life • Partners for survival

  16. APPALACHIA

  17. APPALACHIA

  18. ENVIRONMENT

  19. Climate

  20. HOME

  21. APPALACHIA

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