The document summarizes the experiences and observations of a student during a reflection at the Mountain Lakes Access Health program. It describes observations of daily procedures like patient file reviews and interactions. It notes that many patients' primary needs were access to healthcare services and assistance. Case workers helped patients navigate enrollment and connect to programs. File reviews showed the program was effective in improving patients' health management over time. The reflection also involves a motivational interview and follow-ups with patients. Data from the First Steps program was entered, assessing over 1,000 parents and children on various health, economic, and social factors. The experience helped the student better understand enrollment processes and issues in healthcare.

1. Mountain Lakes Access
Health Reflection
HLTH 4980
DANIELLE MATTHEWS

2. Overview
Observations of Daily Procedures
Patient File Reviews
Motivational Interview
Patient Interaction
First Steps Data Entry

3. MLAH Observations
Observed enrollment and re-enrollment
Primary need for patients was access:
Primary care
Specialty care
Dental care
Access to medical supplies
Medications
Transportation

4. MLAH Observations
Role of the case workers:
Helped navigate the enrollment process
Connected to other assistance programs
Community
Federal
Social support
Role of on-site RN:
Ensure understanding of condition before leaving the office

5. Patient File Reviews
Varying lengths of enrollment
Good examples of the usefulness of the patient assessment tools
PAM
GAIN-SS
Showed effectiveness of the program over time
Increase in knowledge and ability to manage conditions
Improvements in self-efficacy
Differences in goals
Weight goals to bachelor’s degree

6. Motivational Interview
Patient who had been enrolled in the program for a while
Difficulty reaching new goals
Help gain a new perspective
Reframing the situation
Remind of previous successes

7. Patient Interaction
Contacted a few patients for follow-up
Care transitions and “warm hand-offs”
Patient infection
Ensure appointment and continuation of care
Additional problems
Prevent worsening and ED visit
Surgical procedure
Recent discharge (3-5 days)
Pain or complications
Prevent readmission
No outcome = no income

8. Reflection
PROS
Healthcare regulations
Importance of patient-centered care
Attention to patient’s perspective of
needs
Importance of care transitions
Successful cases
Making a difference
Importance in the patient’s life
CONS
Healthcare regulations
Tough cases
Ineligibility and/or lack of appropriate
services
Variable workload

9. First Steps Data Entry
Goal: increase school readiness outcomes for children
Offers “school readiness” services:
Improve children’s health
Support parents
Access for parents for early intervention for behavioral or physical needs
Promote early education
Help transition into school

10. First Steps Data Entry
Participants:
Over 1,000 parents
About 125 kindergarten teachers and
daycare teachers
Surveys assessed:
Ability to pay for care
Ability to understand child’s needs
Access to primary care
Child and parent mental and
behavioral needs
Demographics
Home life
Employment
Education
Insurance coverage

11. Results
Not very strong correlations or high frequencies
Prevalent use of the ED for primary care even if not “significant”
Mental health- parents
Behavioral problems- children
Many parents without health insurance
Low levels of education
Less than high school

12. Reflection
PROS
Large sample population
Various social and economic factors were
considered
Evaluation
Very thorough questions
CONS
Significant” data ranges excluded many of
the responses
Literacy
Reading level
Phrasing
Answer choices
Not all inclusive or applicable
Different ranges

13. Conclusion
Being at MLAH helped me to understand more about HOP and the
enrollment process
Helped give concrete examples of what we were learning about in class
Helped work out issues for future classes