health promotion across the life span american academy of nursing october 14, 2011 donna l. torrisi,...
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HEALTH PROMOTION ACROSS THE LIFE SPAN
American Academy of Nursing
October 14, 2011Donna L. Torrisi, MSN
Network Executive DirectorThe Family Practice & Counseling Network
Three Sites with two more on the way
15 million dollar budgetMore than 70,000
EncountersPrimary Care, Behavioral
Health, Dental….and more
OUTCOMES Clinical
• 92% of Patients Rate the care they received as Good or Great
• All sites have achieved Level I NCQA Medical Home
• Participation in state collaborative on diabetes and preventive health care
• Average HbA1c in Network is 8.0• Patients who complete dental care plan-
51%• Children fully immunized by age 24 mos-
80%
Financial• Budget growth: $600,000 in 1991, 15
million in 2010• Surplus in 18 out of 19 years• Received four expansion grants• Serving more than 17,000 patients in
2010
CHALLENGES
• Recruitment and Retention of Nurse Practitioners/burn out factor
• Patients have multiple chronic physical and behavioral health issues
• Caring for uninsured• New site start up-time
intensive, requires an integrated team
POLICY IMPLICATIONS
• Universal Health Insurance• Insurers must accept any willing
provider inclusive of NPs• Relax regulations regarding
collaborating physician requirements
• Bipartisan support for Community Health Centers
• Continued loan repayment for providers
LEADERSHIP IMPLICATIONS
• Must have the right people in the right positions: Good to Great
• Stay curious about others: Crucial Conversations
• Keep open to multiple possibilities: avoid either or thinking
