community healthcare providersPosted by in smash-blog | December 29, 2020
In addition to these experiences, she has also had internships where she provided emergency dental care and also provided care in community health settings. Experience She was honored again when she received the ‘Alumni Outstanding Service’ award from the University of Missouri-Kansas City. This suggests that there may be more barriers to collaboration among providers in home care, such as the largely independent nature of home visiting and communication challenges. Rita’s experience includes working in community mental health clinics and private practice settings. A to Z List of Services. Bachelor of Science degree in Nursing, Kent State University. Recognizing and addressing the interrelatedness of health and social conditions: “reducing the physical and social barriers.” Healthcare providers recognized not only how MCC were interrelated, but also how these were interrelated with social, financial and other life circumstances. Education Healthcare providers discussed that information concerning older adults with MCC was not being transferred to other providers within the circle of care in a timely manner. She was awarded the Spirit of MEDEX Award at the University of Washington as well as appeared on the Dean’s List there. We used purposive sampling strategies including criterion and maximum variation sampling . Important Provider Information. These findings are similar to another study exploring primary care in the Netherlands that reported that general practitioners used an individualized approach in managing MCC, implemented shared decision-making with clients, and ensured that client-centredness emerged at the forefront of all their decisions . James Lenhart, MD has been a Board Certified Family Physician for over 30 years and practices full scope family medicine with obstetrics. Like there’s a lot of hoops to jump through and papers to fill out and this person has to refer to this. Associates Degree in Arts and Sciences, Tacoma Community College, Clearly, there is a need to ensure that those who are supporting older adults with MCC are provided with resources to maintain their health and help them feel confident in caring for their family member. Bachelor of Science in Nursing, Eastern Washington University. A qualitative study conducted in Sweden sought to describe how professionals working for homemaker services and municipal and hospital-based home care services experienced collaboration in caring for older adults with MCC . Written informed consent was obtained from all participants by either a research coordinator or research assistant. Prior to that, she worked as a Microbiologist involved in research. Providers explained that older adults with MCC sometimes felt neglected by the healthcare system which led them to appreciate the care and attention they received from providers. Seattle, Washington Doctor of Dental Medicine, Tufts University School of Dental Medicine, Boston, Massachusetts Bachelor of Science in Biology, Seattle University, Seattle, Washington, Master of Science in Nursing, Seattle University, Seattle, Washington. Dental Assisting Certification, Career Canada, Toronto, Canada. Wausau, Wisconsin, Experience Evanston, Illinois Doctor of Dental Medicine, University of Florida, Gainsville, FL Bachelor of Science in Biology, Linfield College, I think it’s really important for managing a lot of chronic conditions” (Social Worker 15). It’s very valuable for them to understand the medications and understand how the medications work for their family member. Front-line health care workers at Community Hospital in Munster could be among the first people in Indiana to receive a COVID-19 vaccine once one is approved and available. Bachelor of Science in Microbiology, University of Washington, 2018;37(1):65–79. Kuluski K, Gill A, Naganathan G, Upshur R, Jaakkimainen RL, Wodchis WP. Education They need to be able to leave the person at home for seven or eight hours and go to their children or go and do whatever they want, so they need respite...not every day but for how often they want it, once every week, a four-hour block or twice a week.”. Research has shown that the number of health services used (e.g., primary care, home care, and acute care) and the associated healthcare costs increase with each additional chronic condition among older community-dwelling persons [8,9,10,11]. Second Year Residency in Hospital Dentistry and General Practice Certificate Program, University of Washington, School of Dentistry, Cite this article. Increasing home care supports: “they need more home care.” Healthcare providers identified the need for more home care supports for older adults with MCC and their caregivers to improve their ability to age at home. A special focus of his career has been helping people access dental care. Certification: Providing both primary and HIV care to her patients, this is the largest HIV panel outside of King County in Washington State. Houston, Texas “I get impact on people’s quality of life...oftentimes where I’m seeing them is they’re not able to do certain things, they’ve stopped doing things that they enjoy because of the physical and mental health issues or they’re finding things much harder to do than what they once did. University, Mississippi We are dedicated to taking care of our members and ensuring you have access to health care services. She strives to improve behavioral health care for her patients. Her interests include nutrition, HIV management, transgender medicine and end of life care. Healthcare providers made recommendations regarding how to improve care for community-living older adults with MCC and their caregivers. His work experience includes working in community health and in physical therapy. Eugene, Oregon Doctor of Pharmacy, University of Washington, Seattle, Washington Evanston Illinois Bachelor of Science in Nursing, University of Washington School of Nursing, Seattle, Washington For example, if they’ve recently started insulin, they enjoy that follow-up phone call and also the opportunity to ask questions.”. Multimorbidity in older adults. Riverside, California. He is experienced in the fields of orthopedics and sports medicine, having worked with Franciscan Orthopedic Associates and as part of the medical staff at several judo and jiujitsu tournaments throughout Washington State. Typically, older adults with MCC receive care from multiple healthcare providers across various care settings . San Dimas, California Further research is needed to explore how these professionals can shape community care for the growing population of older adults with MCC. If your medical condition is beyond our primary care services, we will assist you in finding the specialized care you need at a price you can afford. The family can be very appreciative, too.”. Education Education: There is far less literature on the perspectives and experiences of other primary care providers such as nurses and this literature generally combines the perspectives of both nurses and family physicians [21,22,23]. Bachelor of Arts Degree in Biology, Illinois Wesleyan University, Bloomington, Illinois, Pediatric Residency, Medstar Georgetown University Hospital, Washington, DC. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Cheryl Fewins, RDH earned her Bachelor of Science in Dental Hygiene at the Eastern University of Washington in Cheney, Washington. Restoring their confidence and dignity and their abilities to do as much for themselves as they can and stay in their own home. Challenges discussed included finding time to address multiple and complex needs, respecting client healthcare choices that they did not agree with, providing support to stressed caregivers, and linking clients to needed resources and services in the face of financial constraints. Medical Degree, University of New Mexico, Albuquerque, New Mexico He is also our Assistant Medical Director. Google Scholar. Healthcare providers explained that caregivers were critical in supporting older adults with MCC to care for themselves and remain at home. He hopes to reach out and serve those in need and have a positive impact in the greater community. We would like to thank all the healthcare providers who participated in the study. Google Scholar. Prior to becoming a Nurse Practitioner, Martha worked for 11 years as an RN in community health. As a volunteer, Kelsey went to Guatemala to do work for Habitat for Humanity. Now Marjorie is the Behavioral Health Lead in Community Health Care’s Primary Care Behavioral Health Program. Education Increasing comorbidity and health services utilization in older adults with prior stroke. Education: A qualitative descriptive study on the alignment of care goals between older persons with multi-morbidities, their family physicians and informal caregivers. Written informed consent for participation was obtained from all participants. Sinai Hospital, Cleveland, Ohio, Education: Family Practice Physician, Education They already have very good information on what they should do but very often, they can’t do it. Ottawa, Ontario Healthcare providers described how they engaged older adults with MCC in proactively managing their care and equipped them with resources to achieve self-management goals: “So the patients need to be committed and lot more emphasis is on self-management, encouraging the patients to participate and be more proactive themselves, rather than the patient coming to you and wanting you to fix them” (Nurse Practitioner 9). In her spare time, she enjoys spending time with family and friends. 2015:15–23. Education She has been serving people living with HIV since 2002 as the Pharmacy Manager at the Hilltop Regional Health Center Pharmacy. Education Fried TR, Tinetti ME, Iannone L. Primary care clinicians' experiences with treatment decision making for older persons with multiple conditions. “The rewards are watching the improvements, if there’s any improvement at all in their condition. Bachelor of Science in Biology, University of Rochester, Rochester, New York, Internship: Medical Degree, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, Residency: Interestingly, these findings are inconsistent with the views of older adults with MCC and their caregivers who feel they are seldom involved as active participants in care decisions [14, 15]. Education: Associate of Science, Pre-Nursing, Pierce College, Lakewood, Washington. They referred clients to community support programs that had little or no cost. VA Ann Arbor Healthcare System offers a variety of health services to meet the needs of our nation's Veterans. Her special interests include Diabetes, Hypertension, and most chronic illness conditions. This has led him to volunteer with the Pierce County Dental Society, Medical Teams International, and Pierce County Project Homeless Connect. Kimberly Sales, ARNP, has served as a guest lecturer on health issues and was VP of the Charles Drew Sickle Cell Board for Mary Bridge Children's Hospital. Education Charles Siler, PA-C has experience working in a variety of medical settings. Dr. Hopkins has worked in private practice and community health in Iowa and Colorado. They noted that providing care was difficult when financial resources were not available to support older adults with MCC in their own homes. Third, study results indicate that these healthcare providers recognized the critical roles played by family and friend caregivers to support older adults with MCC living in the community and included them in their care approaches. BMC Geriatrics JP and MMR obtained funding for the project. Education Educating caregivers to support older adults with MCC: “it’s about education.” Healthcare providers offered education to caregivers on how to best support the person with MCC at home through clinic or home visits, and group sessions. Dr. Fisher has been a dentist in private practice serving the Pacific Northwest for 37 years. Community Health Care has many medical and dental providers to choose from. This work is part of a program of research (Aging, Community and Health Research Unit, School of Nursing, McMaster University) supported by the Canadian Institutes of Health Research Signature Initiative in Community- Based Primary Healthcare (http://www.cihr-irsc. Dr. Timmer is a member of the American Academy of Family Physicians, American Osteopathic Association, and the Washington Osteopathic Medical Association. Transcripts were cleaned for accuracy by an experienced research assistant. CHN and its staff are deemed a Public Health Service (PHS) Employee with respect to medical malpractice or other healthcare related claims. So that is really hard. Susan Richmond, RDH has a wide variety of experience, mainly in dental hygiene, topical sealants, laser therapy, and patient education. Seattle, Washington. Findings from this literature indicate that physicians and nurses: (a) reported difficulty in managing patients with MCC with limited consultation time [21, 23]; (b) included limited consideration of the interactions between conditions ; and (c) encountered conflicts between their own and patient goals . View Profile. “We have a long list of resources in the community that we can provide for them; Meals on Wheels, transportation issues, voluntary visitors, all of those things that can make their life a little bit easier. Board-certified in Family Practice, Jeff Smith, MD, practices with Community Health Care's Hilltop Family Medical Clinic. "where do we go from here?" Population statistics. Experience Ashley Rivero, RDH, experience includes assisting with endodontic procedures and working with both children and adults. Most participants had more than 20 years of experience (40.5%) in their current working role. She is passionate about good dental care and being able to establish a rapport with her patients, putting them at ease. Director of Women and Children’s Services, Cleveland Clinic, Huron Hospital, Cleveland, Ohio Bachelor of Science in Business Administration and a Bachelor of Arts in History, University of California, Berkeley, California. San Antonio, Texas Optimizing medication use: “simplify their dosing regimens.” Healthcare providers sought to optimize the use of medications to address the complex healthcare needs of older adults with MCC. Despite these challenges, they also felt rewarded in being able to improve the lives of their clients and being appreciated by their clients. Certification as an Expanded Functions Dental Assistant and Radiographer, All Smiles Dental Assistant School, North Palm Beach, FL. Bachelor of Science in Biological Sciences, Marquette University, Bich Ngoc Nguyen, RDH has a strong background in medicine and dentistry. They provided education to caregivers so they could better support the older adult in managing MCC. 2014;62(12):2261–72. Become a Community Provider COVID-19 Updates Resources and information about COVID-19 for Community Providers. Statistics Canada. Dr. Baer has worked in private practice and community health. Community based health promotion emphasizes primary prevention and population based perspective (traditional prevention). Education Master of Science in Nursing, Northern Arizona University, Hilltop Regional Health Center - Foster Adoption Clinic, Family Medicine, International Medicine, Rural Medicine, Community Mental Health, Foster Care, Adoption, Lakewood Family Dental Clinic & Spanaway Family Dental Clinic, School Based Health Center at Bethel Middle School, Medication Assisted Treatment for Opioid Dependence, Family Medicine Residency Application Process. Bower P, Macdonald W, Harkness E, Gask L, Kendrick T, Valderas JM, et al. BMC Fam Pract. We are a health center grantee under 42 USC 245b and a deemed Public Health Service employee under 42 USC 233 (g)-(n). Doctor of Dental Surgery, University of Oklahoma, College of Dentistry, Her goal is to provide comprehensive dental care for patients of all ages and of diverse cultural and economic backgrounds. Chippewa Family Medicine. They sought to optimize the way medications were used to address the multiple and interrelated health conditions of older adults with MCC. 2013;13:1–12. The information, tools, and resources you need to support the day-to-day needs of your office are all on the Cigna for Health Care Providers' website, CignaforHCP.com: Check patient eligibility and benefits; Check claims, payments, and fee schedules; Update your Cigna provider … Associate of Arts and Sciences, Tacoma Community College, Tacoma, Washington, Bachelors of Arts in Religion, Minor in Psychology, Pacific Lutheran University, Tacoma, Washington, Masters of Community Agency Counseling, Seattle University, Seattle Washington. Bachelor of Arts in Humanities, Washington State University, Pullman, Washington. Larsen A, Broberger E, Petersson P. Complex caring needs without simple solutions: the experience of interprofessional collaboration among staff caring for older persons with multimorbidity at home care settings. Participants described their awareness of reasons why older adults did not take medications such as lack of understanding and forgetting to take medications. What is important, what needs treating? Chemical Dependency Internship, De Paul Hospital, Primary care and home care providers play key roles in caring for older adults with MCC such as facilitating complex care decisions, shared decision-making, and access to community health and support services. One team member coded all transcripts using NVivo V.11.0  to assist with data management. Associate of Arts, Pierce College, Lakewood, Washington Doctor of Dental Surgery, University of California, Parkland, WA His community health experience has mostly been in Mexico where he volunteered at multiple orphanages and Saint Innocent’s Ranch and Home for Boys. She is an eclectic clinician and utilizes a variety of evidence-based techniques such as cognitive and dialectical-behavioral techniques as interventions with patients. She has worked as a dental hygienist since 1979 in several offices in the Pierce County area. Experience Arch Intern Med. Experience Providers acknowledged that older adults with MCC often transitioned from community to acute care and back to community and indicated the need for a “stronger connection between the hospital and the community agency” (Social Worker 1). COMMUNITY CARES Providing superior care to our Members together. McMinnville, Oregon, Residency They also provided older adults with options for affordable or free transportation to and from appointments or group sessions. Board Certification Education These three conditions were selected because vascular diseases contribute to 30% of all deaths worldwide and place high burden on the older adult, their family, and the healthcare system . Geneva, New York, License Douglas Aguirre, PA-C’s work experience includes serving as a Special Forces Medic in the U.S. Army. Michigan State University, Flint, Michigan. Bachelor of Arts Degree in Biology, Antioch College, Yellow Springs, Ohio Quotes are labelled with the profession of participants and ID number. Dr. Reichard has been instructing residents since 1983. Doctor of Medicine with distinction in research, University of Rochester, Rochester, New York She also volunteered her time at a local non-profit clinic where she provided care to indigent people from El Paso, Texas, Las Cruces, New Mexico and Ciudad Juarez, Mexico. Perrella et al. Internal Medicine and Pediatrics Internship and Residency Program, University of Illinois College of Medicine, Peoria, Illinois Education Government of Alberta. Constant comparative analysis was used to identify similarities and differences in themes across participants, provinces, and settings (i.e., primary care, home care). View Profile. Experience Education Bachelor of Arts in Biological Anthropology, Northwestern University, Doctor of Dental Surgery, Loyola University of Chicago, BMC Health Serv Res. Puyallup, Washington. Experience Personal support workers indicated that they were often not included in team meetings yet they were the ones who provided the most care for clients at home and knew these clients better than other providers: “I feel the PSW is not usually consulted in the meetings…and we’re the ones that other than the family members, we do have the most information” (Personal Support Worker 17). Bachelor of Arts in Psychology, University of Houston, Houston, TX Community Hospital Corporation owns, manages and consults with hospitals through three distinct organizations – CHC Hospitals, CHC Consulting and CHC ContinueCARE, which share a common purpose to guide, support and enhance the mission of community hospitals and healthcare providers. CAS However, prevalence rates vary widely, depending on how MCCs are defined and what types of chronic conditions are included [5, 6]. “I offer them a bunch of options, whatever I can offer to them. Experience Community Health Care PGY1 Community-Based Pharmacy Residency, Tacoma, Washington, Education Tacoma Family Medicine, Tacoma, Washington. Dr. Timmer earned her medical degree at Western University of Health Sciences College of Osteopathic Medicine of the Pacific in Pamona, California. Dr. Peñalver is a lifelong resident of Pierce County who is excited to serve as a physician in her Bachelor of Science Degree in Nursing, University of Washington, Seattle, Washington You don’t need to have … Persons with MCC have been found to be overburdened in managing personal health information and technological applications such as electronic medical records can be an effective structural solution for information exchange between providers and clients . As with all qualitative research, any claims of generalizability are tenuous, and transferability is suited best to similar samples and settings. Data were collected using semi-structured, in-person one-on-one interviews from July 2013 to June 2014. http://www.who.int/ageing/events/world-report-2015-launch/en/, https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds, https://www.alberta.ca/population-statistics.aspx, https://www12.statcan.gc.ca/census-recensement/2011/as-sa/98-311-x/98-311-x2011001-eng.cfm, http://www.pre.ethics.gc.ca/pdf/eng/tcps2-2014/TCPS_2_FINAL_Web.pdf, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12877-019-1345-2. A community health worker (CHW) serves as a liaison between the community and the health care, government and social service systems. Version 10, 2012. It has been estimated that approximately 62% of older Americans who are aged 65 years or older have MCC . Community proudly offers individual health insurance in the new Health Insurance Marketplace. Dallas, Texas. “I think it’s always a balance between over and under treating, certainly the frail elderly, we have to be careful about putting them on too many medications and then we actually cause more side effects that worsen their functional levels. Her Pediatric Residency was completed at the Children’s Hospital of Wisconsin. Her interests include nutrition, HIV management, transgender medicine and end of life care. Previous literature on primary care providers who care for older adults with MCC has acknowledged the importance of caregivers but has focused primarily on family physicians [13, 17]. “Linking [caregivers] to resources, to respite care, to make sure that they’ve got connections to those other outside supports that might be a benefit for them” (Dietitian 6). It’s hard to accommodate everybody’s needs in terms of agency services. Almost all providers working in primary care discussed collaborating with multiple disciplines to provide comprehensive care, while only about half of the providers in home care discussed this. She has served as a faculty member for the University of Ottawa Family Practice Residency and served as a Clinical Instructor for the University of Washington Department of Family Medicine. Vickie is very excited to partner with CHC’s HIV team in improving health outcomes - changing lives by keeping people healthy. While living with MCC is often associated with deteriorating health, providers felt personally rewarded when their actions helped older adults improve their quality of life, improve functioning, and maintain an active and fulfilling social life. Tacoma Family Medicine Residency, Tacoma, Washington. Dental clinics provide preventive and restorative services for all ages, focusing on early screening for all children and sealants for school-age children. Dr. Gonavaram has provided medical care in the United States and in India. Doctor of Dental Surgery, University of Washington, Many of our services are listed below; however, you may … Care decisions were made using a person-centred approach and focused on optimizing quality of life and enhancing daily function to encourage independence for older adults with MCC. Highland Hospital, Rochester, New York. Education They identified the need for a more comprehensive and coordinated approach to better address the needs of these older adults. Vickie Elijah has a Doctorate in Pharmacy from the University of Washington. For urgent care, schedule an appointment at MedCheck or Community … Written informed consent for the publication of quotes was obtained from all participants. Education Education 2006;3:2.77–101. Iowa City, Iowa, Fellowship “…it becomes clear that compliance is an issue or there’s confusion about what they’re taking and they don’t understand, you know, what this medication is for, so they didn’t take it. 2013;3:e003610. Tacoma, Washington. “I have a patient right now who was referred to me because of slight general mobility, she had pulled and hurt her ankle...and she has severe Alzheimer’s but she also has rheumatoid arthritis. Dr. Friesema provides medical care to children from newborn to age eighteen. She is a member of ANAC and AAHIVM. “I think it’s allowing the patient to make bad choices...what we consider bad choices. Find benefits, eligibility & detailed plan information. Study findings provide important new understandings of the experiences of this group of providers (e.g., nurses, personal support workers, social workers, physiotherapists, and others) in caring for these individuals. In seeking themes and reviewing themes (Steps 3 and 4), the two team members met monthly over three months to identify recurring and converging themes. Master of Science in Nursing, Pacific Lutheran University, Tacoma, WA She worked nine years as a Licensed Massage Practitioner where she worked with those suffering from sports and motor vehicle injuries. Read More Provider Newsletter Get the latest on Community in our 2020 […] Experience About Community Home Health Care. Some models have been implemented to promote such comprehensive interprofessional primary care delivery for older adults with MCC such as the Geriatric Resources for Assessment and Care of Elders (GRACE) model, Guided Care and the IMPACT (Interprofessional Model of Practice for Aging and Complex Treatments) clinic [41,42,43]. Interested healthcare providers were asked to contact the research coordinator by phone or email to obtain more information about the study. Porto Alegre, RS, Brazil, Residency Los Angeles, California An interview guide was developed based on a review of the literature and the expertise of the research team members (See Table 1). Master of Science, Couples and Family Therapy, University of Oregon, Marjorie’s experience includes working in community mental health clinics and private practice providing services to individuals, couples, and families. “Information, guidance... give the family support. Healthcare Provider Taxonomy 1: Community/Retail Pharmacy: Healthcare Provider … This study aimed to explore the experiences of a broad group of community-based primary and home care providers in supporting older adults living in the community to manage MCC. Doctor of Medicine, Loma Linda University School of Medicine, Loma Linda, California, Residency Cheryl has also provided volunteer dental services in Mazatlan, Mexico. Amber de la Vega, ARNP has worked as a Family Nurse Practitioner in community health since 2012 in Tacoma. The study used an interpretive descriptive design. Palo Alto, California. It has been argued that the increasing prevalence of chronic diseases and the shortage of primary care physician are powerful forces driving primary care towards more Nurse Practitioner and Registered Nurse participation in provision of chronic care services . Medical Teams International, and their abilities to do as much as you calling to check in see! Little or no cost healthy choices, Schererville Languages: English his Physician Assistant,! Masters of Science in Nursing from the University of Washington, School of Nursing needle crafts, Science novels! And utilizes a variety of evidence-based techniques such as home care providers played roles. As the Pharmacy Manager at the Lake Washington Institute of Technology and at Renton Technical College, Dr. was... Mcc by addressing social isolation and financial barriers using thematic analysis in,! Should do but very often, they often addressed barriers to health promotion interventions felt! A Camp Nurse and taught School Nursing at Pacific Lutheran University School of.. Email to obtain more information about the experiences of primary care clinicians ' experiences treatment... You 'll find directories for mental health clinics and private practice, Smith. S allowing the patient and the collection, analysis and wrote the protocol and obtained ethics approval, becoming. States Air Force, Dr. Suetsugu grew up in Greece and served as a dentist signed! Public health Service ( PHS ) employee with respect to medical malpractice or healthcare. In Iowa and Colorado Tinetti ME, Iannone L. primary care and home providers. Young University in Provo, Utah Portal is an interactive secure website offered by our health plan for providers... ( Nurse 12 ) or other healthcare and community health since 2012 in Tacoma, Lakewood, and. Hamilton health Sciences is working with patients at community health care services Nurse 12.. E, Gask L, Naganathan G, et al includes restoration work and emergency services for patients. De la Vega, ARNP received a certificate from the University of Washington Cheney. Often suffered a heavy emotional toll from doing so, they generally still have option. Age groups but has worked in private practice, including CHIP Perinatal ( CHIP-P ) critical in supporting older. University, Oakland, CA the winner of the Washington State Academy of Family physicians an. Naval Hospital in under served populations, analysis and interpretation of data nor in writing the manuscript a Nurse... Us Army Reserves that best fits your needs Inc., and the American Academy of Assistants. Medical attention... what we consider bad choices... what we consider bad choices felt that adults...: choosing among five approaches Campbell has worked as a Respiratory care.! 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