community healthcare providers

Doctor of Dental Surgery, Marquette University School of Dentistry, Bachelor of Science degree in Nursing, Kent State University. Physician Assistant Training, MEDEX Northwest, University of Washington, Department of Family Medicine, Seattle, Washington. Family Nurse Practitioner, Certified, Education The Community Blue PPO plan offers limited out-of-pocket costs, and access to healthcare providers throughout the U.S. Plan members can refer themselves to doctors of their choice, including specialists, inside and outside the network; however, higher out-of-pocket costs are incurred for using out-of-network providers. 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 [24]. Hamilton Health Sciences is working with our regional partners to gradually reintroduce scheduled surgical and outpatient clinical care for our patients. statement and Aging with multimorbidity: a systematic review of the literature. Welcome to Healthcare Communities, developed and maintained by CSI Solutions. Lincoln YS, Guba EG. 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. Rochester, New York Director of Women and Children’s Services, Cleveland Clinic, Huron Hospital, Cleveland, Ohio San Antonio, Texas Valley Community Healthcare is a Health Center Program grantee under 42 U.S.C 254h, and a deemed Public Health Service employee under 42 U.S.C. He is also our Assistant Medical Director. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Transcripts were cleaned for accuracy by an experienced research assistant. Dental Assisting Certification, Career Canada, Toronto, Canada. “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. Schuling J, Gebben H, Veehof LJ, Haaijer-Ruskamp FM. Bachelor of Clinical Health Services, MEDEX Northwest, University of Washington, Seattle, Washington Experience Michigan State University, Flint, Michigan. Emory Family Medicine Residency, So that is really hard. The purpose of this study was to explore the experiences of primary and home care healthcare providers in supporting the care of older adults with MCC living in the community, and identify ways of improving care delivery and outcomes for this group. Bachelor of Arts in Psychology, University of Houston, Houston, TX CHG Medi-Cal Member Services … Prior to that, she worked as a Microbiologist involved in research. He has also participated in various outreach events in Pierce County including the annual McKinley Street Fair and All Bethel Community Day. Dr. Werner has worked as a Family Physician, Obstetrician, and medical instructor locally and in Brazil. Bachelor of Science in Biology, Seattle University, Seattle, Washington, Master of Science in Nursing, Seattle University, Seattle, Washington. Raw data cannot be publicly released due to the risk of compromising participant confidentiality. Riverside, California. Tacoma, Washington Spokane, Washington, License Bachelor of Clinical Health Services, University of Washington, J Am Geriatr Soc. Doctor of Medicine, Southern Illinois University School of Medicine, Carbondale/Springfield, Illinois Bachelor of Arts in Psychology and Religion, Carleton University, Her first nursing position was serving as a Commissioned Navy Nurse Corps Officer at Bethesda Naval Hospital. Most participants had more than 20 years of experience (40.5%) in their current working role. She provides full spectrum care to patients of all ages, including obstetrics. Multimorbidity in older adults. Board-certified in Family Practice, Jeff Smith, MD, practices with Community Health Care's Hilltop Family Medical Clinic. Doctor of Osteopathy, A.T. Charles Siler, PA-C has experience working in a variety of medical settings. Bachelor of Arts in Humanities, Washington State University, Pullman, Washington. Providers focused on extending the independence and functional abilities of older adults with MCC. They frequently completed medication reviews to identify when older adults were or were not taking medications as well as opportunities for deprescribing in order to simplify often complex medication regimens: “Reducing the amount of medications seniors are on and looking at polypharmacy …we’re always looking at their medication” (Nurse Practitioner 9). Community Healthcare Network (CHN) is a federally-qualified community health center (FQHC) and participates in the federal medical professional liability program known as the Federal Tort Claims Act (FTCA). Patton MQ. Flagstaff, Arizona, ExperiencProvides care at each location as neededSpecialties:Family Medicine, Urgent Care, Board Certification Providers offered emotional support and education to help increase caregiver self-efficacy in helping their family members. They identified the need for a more comprehensive and coordinated approach to better address the needs of these older adults. Junius-Walker U, Wrede J, Schleef T, Diederichs-Egidi H, Wiese B, Hummers-Pradier E, et al. California Privacy Statement, This has led him to volunteer with the Pierce County Dental Society, Medical Teams International, and Pierce County Project Homeless Connect. Medical Degree, University of Washington School ofMedicine, “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. Every medical professional at Rogue Community Health shares our commitment to our team-based and whole-person approach. She was the Chair of the Washington State Dental Hygiene Examining Board and also serves on two dental hygiene exam boards for Washington State. McGilton KS, Vellani S, Yeung L, Chishtie J, Commisso E, Ploeg J, Andrew MK, Ayala AP, Gray M, Morgan D, Chow AF. Bachelor of Arts in History, University of Washington, Seattle, WA, Master of Science - Nursing, Family Nurse Practitioner Specialty, Pacific Lutheran University, Tacoma, WA. The study included nurses, physicians, an occupational therapist and a care administrator. In addition to these experiences, she has also had internships where she provided emergency dental care and also provided care in community health settings. They acknowledged that health and social conditions changed over time and that they needed to address the complex relationship of conditions. They noted that older adults with MCC have many concerns that they would like to discuss with their providers and a single visit, often limited to addressing a single concern, was insufficient to address their complex needs. Experience 2016;375:1015–7. Bachelor of Science in Psychobiology and Women’s Studies, University of California, COVID-19 Vaccine Information In-Network Lab Facilities for COVID-19 Testing Coronavirus (COVID-19) … Her Pediatric Residency was completed at the Children’s Hospital of Wisconsin. BMJ Open. Bachelor of Science, University of Washington, Seattle, Washington, Residency They sought to optimize the way medications were used to address the multiple and interrelated health conditions of older adults with MCC. 2012;5(443):1–10. Pediatric Residency, Oregon Health Sciences University, Portland, Oregon Jacqueline is an active member of her dental hygiene community. Healthcare providers described how they managed the complexity associated with supporting older adults with MCC. lifestyle.” Healthcare providers described proactive strategies they used to support older adults to manage MCC. Education Scand J Caring Sci. She received a certificate from the University of Southern Indiana in Oncology and she is a licensed esthetician. Associate of Arts, Pierce College, Lakewood, Washington Dr. Peñalver is passionate about providing medical care to underserved communities, and she has cultivated experiences to help her to meet the unique needs of her patients. Education Experience However, they also identified the need for a more comprehensive, integrated system of care. She enjoys providing care for entire families and has specific interests in disease prevention and health promotion. Epidemiol Rev. 2018;37(1):65–79. 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. 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). Google Scholar. If you don’t drive, here’s some resources that we have here.”. Bachelor of Science in Biology, University of New Mexico, Experience Experience Thousand Oaks, CA: Sage; 2015. Central California’s premier medical group of family care providers. Veterans may be eligible for care through a provider in their local community depending on their health care needs or circumstances, and if they meet specific eligibility criteria. She enjoys practicing full-spectrum family medicine and has a particular interest in obstetrics, prenatal care, and women’s health. Dr. Eidal has served in private practice in the Puget Sound area and in Schaffhausen, Switzerland. He has provided care in community health settings and in hospitals in the United States. Experience The IMPACT clinic: innovative model of interprofessional primary care for elderly patients with complex healthcare needs. Dr. Berkson has provided behavioral health to children, teens, and families in Canada and the United States. Community Health Care Family Medicine Residency, Tacoma, WA. 2012;62(600):e503–10. Milwaukie, Oregon If there was, like a direct need...if the caregiver agrees to have the client go to an adult day program once or twice a week that will give them time to do their own thing; give them a break...in this area, like yoga or exercise and that type of thing...support groups, caregiver support groups.”. Experience Alaska Family Medicine Residency, Anchorage, Alaska. 2017. https://www.who.int/en/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds). As a volunteer, Kelsey went to Guatemala to do work for Habitat for Humanity. 2014;9(4):73–89. Medical Assistant Certificate, Brymann College, Tacoma, WA. 2010;32(2):451–74. Facing challenges in caring: “the complexity in itself is more time consuming.” When caring for older adults with MCC, healthcare providers reported that “their care needs can be overwhelming” (Physician 1), and “draining if they have a lot of conditions” (Physiotherapist 8). Her goal is to create a partnership with patients of all ages and empower them to make healthy choices. Chicago, Illinois Dental Hygiene Program, Eastern Washington University We find out, “Do you drive? PhD in Oral Biology, University of Minnesota, Minneapolis, Minnesota Medical Degree, Case Western Reserve University School of Medicine, Cleveland, Ohio Jacqueline graduated from the University of Missouri-Kansas City School of Dentistry with honors. Chemical Dependency Professional. Chemical Dependency Internship, De Paul Hospital, Kent, Ohio There is some research on the perceptions and experiences of primary care physicians in caring for this population [16,17,18,19,20]. It’s hard to accommodate everybody’s needs in terms of agency services. Education A qualitative descriptive study on the alignment of care goals between older persons with multi-morbidities, their family physicians and informal caregivers. Bachelor of Arts, Bachelor of Science, The Evergreen State College, Olympia, Washington Dr. Friesema provides medical care to children from newborn to age eighteen. Community Home Health Care is a senior in-home care provider based in Farmington Hills, Michigan at 28200 Orchard Lake Rd, Suite 102. She received the Golden Acorn Award for her outstanding volunteer service. . Bower P, Macdonald W, Harkness E, Gask L, Kendrick T, Valderas JM, et al. (2018) found that social determinants of health such as income, access to resources, and social support networks are largely absent in current conceptualizations of multimorbidity and yet critically influence the health and social care needs of older adults with MCC [37]. New York, NY 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]. It’s a lot of wasted time.”. Community Health Care started providing dental care since almost half of Pierce County lacked dental insurance. Experiences of community-dwelling older adults living with multiple chronic conditions: a qualitative study. Naturalistic inquiry. CAS  Cookies policy. About Community Home Health Care. 2011;10(4):430–9. ID was consistent with our intent to provide an in-depth understanding of the experiences of healthcare providers in supporting older adults with MCC and supported the inclusion of illustrative participant quotes describing their experiences [25]. Improving primary care: “longer more regular visits.” Healthcare providers recommended that older adults with MCC receive more regular and longer primary care visits to monitor the progress of conditions and improve care management. There were a number of study limitations. A special focus of his career has been helping people access dental care. First Choice Community Healthcare is a 501 c3 non-profit, community-based health center system that provides access to quality, patient-centered, comprehensive health care to all people who need it -- regardless of ability to pay. Licensed as a Physician Assistant by the State of Washington, Corey Hatfield, PA-C provides care at Community Health Care's Urgent Care Clinic. Encountering poor team communication: “information is not transferred in a timely fashion.” Healthcare providers described examples where the lack of a team approach hindered the care of older adults with MCC. Providing support and services for caregivers: “linking caregivers to resources.” Healthcare providers recognized that caregivers of older adults with MCC often experienced stress and burden in their caregiving roles. Healthc Policy. Lisa Friesema, MD,  provides pediatric services at Community Health Care’s Tanbara Children's Clinic. Lancet. Community Healthcare Center is a registered 501(C)(3) nonprofit organization dedicated to the education of access to high quality, respectful and patient-centered primary and … Healthcare providers identified the need for a more comprehensive, integrated system of care to improve the delivery of care and outcomes for older adults with MCC and their family caregivers. Increasing comorbidity and health services utilization in older adults with prior stroke. In her spare time she enjoys traveling and hiking with her wife. Community Health Care PGY1 Community-Based Pharmacy Residency, Tacoma, Washington, Education Lisa Friesema, MD was born in Tacoma and raised in University Place. Home care providers spoke of the human resource issues and the need for more people in the home care workforce to address the need of this group of older adults. University, Mississippi Another focus area is working on strength-based treatment which is helping patients to use their strengths to help them deal with their medical and behavioral health areas of concern. Community proudly offers individual health insurance in the new Health Insurance Marketplace. She has also been a Peace Corps volunteer serving in Honduras. For example, patients can quickly turn [for the worse] and we can have more problems if the patient continues to take the medication if they’re ill.”. The Community HealthCare Association of the Dakotas (CHAD) is a non-profit membership organization that serves as the Primary Care Association for North Dakota and South Dakota, supporting community health centers (CHCs) in their mission to provide access to quality health care for all Dakotans. We included healthcare providers from two Canadian provinces; Alberta and Ontario. Doctor of Medical Dentistry, Midwestern University, University of Wisconsin School of Medicine and Public Health, Interested healthcare providers were asked to contact the research coordinator by phone or email to obtain more information about the study. Primary care services provide the first point of contact in the health care system, and include general practice, community pharmacy, dental, and optometry services. Education Perspectives of patients, clinicians, and health system leaders on changes needed to improve the health care and outcomes of older adults with multiple chronic conditions. BMJ Open. Education Not only is there an increased burden in terms of resource use, but MCC is also associated with burden and complexity in relation to the healthcare recommendations that healthcare providers should follow [12]. Licensed as a Family Nurse Practitioner by the State of Washington, Holly Torgerson, ARNP provides care at Community Health Care’s Lakewood Medical Clinic. Dr. Peñalver is a lifelong resident of Pierce County who is excited to serve as a physician in her Salive ME. She also worked in Maternity Support Services for almost three years integrating mental health services with obstetrical care. 4th ed. Providers also suggested longer primary care clinic visits to fully address client questions and better manage MCC. Dr. Gonavaram has provided medical care in the United States and in India. Education Community Health Care Family and Community Residency, Tacoma, Washington. 2012;10:142–51. Dr. Zúñiga has worked in community health in Tacoma and in hospitals in California. Patient-centered priorities for improving medication management and adherence. Dr. Beck holds a Bachelor of Arts in Magazine Journalism and a Bachelor of Science in Biology from the University of Georgia. This education was often focused on improved understanding of disease processes, managing medications, and watching for signs and symptoms of worsening health of the older adult. 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. She was also a Camp Nurse and taught School Nursing at Pacific Lutheran University School of Nursing. If you need care, contact your provider to schedule an appointment. She also holds a BSN degree in Nursing from the University of Washington, Tacoma. Family Medicine of Southwest Washington, Peace Health, Family Medicine Residency, Vancouver, WA, Education Tacoma, WA They indicated that the amount of home care should be increased including respite to support caregivers. Albert Einstein College of Medicine, Bronx, NY. JAMA. Patient Educ Couns. More than half of providers working in home care reported that clients require more home care supports compared to less than half of providers in primary care. Dr. Goetcheus Gehl is proud to be a second generation family physician. Springer Nature. 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. 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]. And I’d say, “But the final decision is up to you, because if we offer you something that you’re not whole-heartedly wanting, then the chances of you continuing with that will be low, and we want to know that you [have] a care plan that’s going to work for you and you’re going to be happy with and you’re going to continue”. She has also been a faculty member at the University of Washington, School of Dentistry in their Restorative Dentistry Clinic. Data were collected using semi-structured, in-person one-on-one interviews from July 2013 to June 2014. “We find out financing; we find out when they’re really taking their medications, which ones are being skipped; then we will work with our wonderful pharmacist to see which other meds that we can get them on that are paid and we can try and simplify their dosing regimens.”. Privacy Bachelor of Clinical Health Science, MEDEX Northwest, University of Washington, Seattle, Washington 153 Collier Drive Doylestown, OH 44230 Phone: 330-658-1550 Fax: 330-658-1699. Her work background includes restoration work and emergency services for low-income patients. Important Provider Information. Healthcare providers such as nurses and social workers felt that older adults were more willing to share some pieces of information important to managing their conditions with them, rather than physicians as suggested in the quote: “they don’t want to tell the doctor that.” This suggests the value of an interprofessional team, with unique perspectives and skills, contributing to health care decision making to support older adults with MCC. Half of the study participants were nurses including Registered Nurses, Registered Practical Nurses, a Nurse Practitioner, and a Nurse Case Manager. Philosophical underpinnings of the ID design and this research are that: (a) reality is subjective, constructed, contextual and complex; and (b) the researcher and researched interact to co-produce new understandings of a phenomenon [25]. Bachelor of Arts Degree, University of California, However, prevalence rates vary widely, depending on how MCCs are defined and what types of chronic conditions are included [5, 6]. Visit the Telehealth Community Visit the COVID Atlas Community. Designated individuals from partner sites were responsible for sending email invitations to their staff members or hard copy invitations if email was not available. Columbus, Ohio, Residency Experience Masters of Science in Nursing, Family Nurse Practitioner, Johns Hopkins University School of Nursing, Baltimore, Maryland Community Health Care has many medical and dental providers to choose from. She also has a special interest in obstetrics, prenatal care, and women’s health. Healthcare providers helped support their clients in managing MCC by addressing social isolation and financial barriers. Thousands Oak, CA: Sage; 2013. Doctor of Nursing Practice, Marymount University, The effects of guided care on the perceived quality of health care for multi-morbid older persons: 18 month outcomes from a cluster-randomized controlled trial. Experience “I offer them a bunch of options, whatever I can offer to them. Doctor of Dental Surgery, University of California, Masters in Counseling, Saybrook University, Oakland, CA. She received her medical degree from the Medical College of Wisconsin in Milwaukee, Wisconsin. He has been the Dental Director for other community health centers, developed his own practice, and he has been the Dental Director for large, for-profit clinics. Holly Torgerson, ARNP, received a Bachelor of Science degree in Biology and her Master of Science in Nursing from Pacific Lutheran University in Tacoma. We then created definitions of themes and named each theme (Step 5). 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. Diana Chia, ARNP has worked in community health in Tacoma and Baltimore. Participants described the challenges of poor team communication that negatively impacted their care provision. Experience: Doctor of Dental Surgery, Azad Dental School, Iran Advanced Restorative Dentistry and Prosthodontis, University of California, Los Angeles, California, Advanced Implantology University of California Los Angeles, California, Dr. Mokhberi has a strong passion for serving others and has committed much of her time organizing events aimed at improving oral health, including the care of infants and patients with special health care needs. “Family relations...sometimes you get a lot of guilt, you know, coming from the caregiver as, you know, “I can’t do it anymore and I just feel awful but I can’t do it.” And they’re crying and it’s overwhelming and I have to sit and I have to console. Uhlig K, Leff B, Kent D, Dy S, Brunnhuber K, Burgers JS, et al. 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 [27]. Seattle, Washington Masters in Business Administration, Meyers University, Cleveland, Ohio Sales provides the full spectrum of medical care to patients of all ages. Two recent reviews have found that the social determinants of health have not been well integrated into conceptualizations of multimorbidity [37, 38]. Community Healthcare System has more than 1,300 talented physicians and allied health professionals on staff at all three of our award-winning hospitals. In addition, she has also worked in several community health primary care clinics. The procedures used in this study complied with the ethical standards of the Tri-Council Policy Statement, Ethical Conduct for Research Involving Humans [34]. Individualizing care: “[care] catered to their individual needs.” Healthcare providers respected the preferences of older adults and their caregivers when making decisions about management of MCC. Primary healthcare is provided by health professionals, specifically the ones a patient sees first that may refer them to secondary or tertiary care. He has worked for Community Health Care since 1996. Physicians described challenges to caring for this group such as the complexities of multiple interacting chronic conditions and the inadequacy of guidelines and evidence-based approaches that are typically based on individual conditions. 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. Ms. BMC Geriatr. Provides care at each location as the need arises, Family Medicine, AIDS/HIV Care, Head of Gender Affirming Care, Family Medicine, Obstetrics, Pediatrics, Adult Care, Gender Affirming Care, Family Medicine, Obstetrics and Gynecology, Family Medicine, Obstetrics and Gynecology, Gender Affirming Care, Eastside Tacoma, and Lakewood Family Medical Clinics, Masters of Science in Nursing, University of Washington School of Nursing, Seattle, Washington, Bachelor of Science in Nursing, University of Washington School of Nursing, Seattle, Washington, Bachelor of Arts, Bachelor of Science, The Evergreen State College, Olympia, Washington. Bachelor of Arts in Psychology, Mundelein College, Effective communication between clients and providers was seen as necessary for quality of care. Julia’s experience includes working with youth, adults, and families in community mental health, substance abuse, co-occurring, and brief intervention services. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. They felt that older adults valued their suggestions and expertise in managing complex chronic conditions. Master of Science in Counseling and Guidance, Loyola University, Participants represented diverse disciplines from primary care and home care settings. Her special interests include Diabetes, Hypertension, and most chronic illness conditions. Doctor of Dental Surgery, University of Washington School of Dentistry, Seattle, Washington. Athens, Greece 2018;30(5):778–99. Chicago, Illinois JP and MLY conducted the initial data analysis and wrote the first draft of the paper. Hired by community health since 2012 in Tacoma and raised in the Northwest the design of paper. Initial data analysis Software ; QSR International Pty Ltd team member coded all transcripts using V.11.0... 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