Improving, promoting and Supporting HealthCare

1. Plan to Maintain and
Improve Health for
Community
Improving, promoting and Supporting
HealthCare

2. GOALS
 The goals are to develop and establish satellite clinics in
each county of Region 4/5N by establishing an affiliation
with Stephen F. Austin (SFA) University an an initiative for
expanding access to health care utilizing a portion of the
National Science Foundation Grant for this purpose (SFA
2014) and thereby providing clinical practice sites for NP
students.
 Establish an adequate number of providers to provide care
to a population that will have greater access to health care
as a result of the Patient Protection and Affordable Care Act
of 2010. This will address Title V, subtitle C, Section 5204,
Recruiting and Retaining Health Professional

3. PLAN
 Mobilize the troops!
 Create a coalition between all the identified key individuals.
 Present Community Health Care Needs Assessment of Region 4/5N as well
as the plan to alleviate the identified healthcare disparities and barriers t
county officials. Invite discussions with SFA University and present them with
the plan for expanding care providers in this region.
 Create advisory board to facilitate community input throughout the region by
exploring provisions for housing and relocation to recruit and retain providers.
 Create a collaborative medical advisory board to assist in the establishment of
collaborative practice agreements and mentoring programs to facilitate NP
entrance into practice, ensure quality of care, and increase NP and patient
satisfaction (Poghosyan, Nannini, & Clarke, 2013; Szanton, Mihaly, Alhusen, &
Becker, 2010).

4. REIMBURSEMENT
 Reimbursement for health care services delivered by
NPs is paid by Medicare at 85% of the physician's fee
schedule (CMS, 2011). The established NP practice will
continue business practice already in place. However,
the novice practitioners will practice and bill for services
under the collaborating physician's national provider
identifier (NPI) number so full reimbursement can be
received for services which improves viability and
builds capitial for the newly established corporations
(Hanson & Bennett, 2009).

5. REGULATORY ENTITIES
 Corporations will be established in accordance with
rules and guidance of external regulatory bodies
including state and federal regulations, (Texas Admin.
Code 25 Sec. 135.20),
 Occupational Safety & Health Administration
regulations (OSHA, 2003),
 Clinical Laboratory Improvement Amendments (CLIA,
2003) regulations, as well as city and county
regulations as applicable.

6. Implement and Track
 Hold marketing meetings to develop education and training outreach, organize culturally
sensitive and linguistically appropriate educational material, disseminate materials to
target population. For example, organize community outreach in the form of community
meetings and fairs.
 Hold meetings to create appropriate protocols such as tracking instruments, policy
initiatives, and propose changes to health care laws that concern rural health care and
transportation.
 Set up Town Hall Meetings with residents and the Chamber of Commerce for each
county to plan, organize, and implement options for public transportation.
 Quarterly meetings will be held to monitor and evaluate plan and make changes
accordingly. Assessment of goals and outcomes using designated benchmarks.
 Mentoring program assessment for NP transitioning into practice and identify areas of
improvement.
 Assess revenue cycles and utilization of services to monitor corporation financial stability
and areas of improvement (Hanson & Bennett, 2009).