211498 Nurse managed health centers: Responding to community need

Monday, November 9, 2009

Patricia Gerrity, RN, PhD , College of Nursing and Health Professions, Drexel University, Philadelphia, PA
The 11th Street Family Health Services of Drexel University is a comprehensive, nurse-managed health center run by the College of Nursing and Health Professions in collaboration with the Family Practice and Counseling Network. Its vision is to decrease health disparities by providing transdisciplinary clinical services and health promotion programs in partnership with the local community. Like many inner-city areas, North Philadelphia lacked health care providers, leaving the many low-income residents with unmet physical and mental health needs. These residents are often exposed to violence, crime, and other traumatic events that can have a negative impact on physical and mental health. As a result, the center created a model of care and an array of services based on the community's needs. The center not only provides access to clinical services but also offers a range of health promotion and chronic disease management programs, physical fitness programs, nutrition services, and integrative and complementary therapies. Key elements of the model include: 1) transdisciplinary care teams, 2) integration of primary care and behavioral health, 3) open access scheduling 4) a trauma-informed model of care, and 5) a no wrong-door policy. In addition to an overview of the center's key elements, lessons learned and future plans, a discussion of the considerations for replication elsewhere will be discussed.

Learning Objectives:
1. Discuss the use of a transdisciplinary model of care to provide prevention, screening and treatment services in a nurse managed health center. 2. Identify the need for a trauma-informed model of care. 3. Discuss the use of integrative therapies in an underserved population. 4. Compare the use of open access scheduling to an appointment system.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have had 18 years of experience with nurse managed health centers. I am the director of a center that is now a national model and have been included in the innovations exchange of AHRQ. I have presented on the topic many times.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.