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At the Core of Care

At the Core of Care

Pennsylvania nurses innovating for their communities

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Diabetes Management in Rural Health Care Settings and Technological Advancements

Continuing our coverage on housing and health, we speak with Rhonda Pfenning and Janet Wanek from the Coal Country Community Health Center in North Dakota. Coal Country is a federally qualified health center, providing services in four clinics throughout the state. In this episode, we learn about Coal Country’s best practices around telehealth and patient education for diabetes prevention and self-management, as well as barriers patients might encounter around technology and transportation within a rural health care setting. Rhonda Pfenning is a registered nurse and certified diabetes educator, and Janet Wanek is a licensed registered dietician nutritionist.
December 13, 2021

Expansion of Community-Based Interventions for HCV

In this episode, we focus on community-based hepatitis interventions for the Hepatitis C Virus (HCV) and learn more about one of Philadelphia’s efforts where nurses and patient navigators collaborate to test and treat HCV. According to the Centers for Disease Control and Prevention, injection drug use accounts for up to 70% of new HCV cases in the United States. If treated, however, most HCV cases clear up in eight to twelve weeks through medication and primary care provider oversight. Prior to 2011, that was not the case. HCV treatment was managed by an infectious disease or liver specialist and required 24 to 48 weeks for a combination of weekly injections and oral medication with severe side effects.  To dive into this topic, we’re joined by Bibbi Stokes, an Infectious Diseases Nurse Manager and experienced Population Health Manager at Public Health Management Corporation. Our conversation touches on the game changers within HCV treatment, including the switch to an all-oral antiviral treatment allowing for more community-based HCV treatment.
November 29, 2021

Housing is Health: COVID-19 Testing and Vaccination within Public Housing Communities

In this episode, we speak with registered nurses, JoAnne Ivory and Dora Loya from TCA Health. They share how they set up and have run COVID-19 vaccination clinics at various public housing community sites in Chicago. They also discuss how they are adapting to the growing demand for COVID-19 testing. JoAnne Ivory is TCA Health’s Clinical Manager and Dora Loya is the Director of Clinical Services. They both specialize in community health work with public housing residents in Chicago. TCA Health started as a private clinic in 1970, within one of Chicago’s public housing developments, and later became a non-profit health care center and a Section 330 Community Health Center and Public Housing Primary Care grantee. 
November 15, 2021

Housing is Health: La Maestra Community Health Centers

As part of our Access to Care series, our coverage continues with a special focus on housing and health. In this episode, we speak with Zara Marselian and Javier Rodriguez from La Maestra Community Health Centers in San Diego. Zara Marselian is La Maestra’s President and Chief Executive Officer, and Javier Rodriguez is the Chief Medical Officer. La Maestra is a Public Housing and Special Populations Federally Qualified Health Center that has 18 primary care sites operated by more than 600 staff and many volunteers. Each year, La Maestra provides services to more than 45,000 people, specializing in care for mainly immigrants, refugees, low-income individuals and the homeless. Throughout this episode, Zara and Javier highlight how La Maestra supports various housing needs ranging from programs for people living in public housing, experiencing homelessness, and human trafficking to counseling for renters and residents receiving public assistance. 
November 1, 2021

Social Safety Net: How Nurses and Lawyers Collaborate to Support Mothers and Families

In this episode, we delve into a range of issues related to clients from the National Nurse-Led Care Consortium’s (NNCC) nursing initiatives, Nurse-Family Partnership (NFP) and Nursing Legal Partnership (NLP), including pregnancy work discrimination, the absence of paid parental leave, challenges with accessing COVID-era unemployment assistance, and the impacts of these factors on maternal and child health. We hear from Rachel Mark and Susanna Greenberg, two legal aid attorneys, and public health nurse, Erin Blair about the complicated lives of the growing families they directly serve during the pandemic. NNCC consists of various nursing initiatives including the Philadelphia Nurse-Family Partnership (NFP) and Nursing Legal Partnership (NLP), which reach between 600-800 families impacted by economic and other social barriers. NFP links first-time low-income mothers with a nurse home visitor during pregnancy and until the baby turns two. Staff attorneys for the NLP are from HELP: MLP, the legal aid partner in our Nursing Legal Partnership. They are fully integrated into NNCC’s programs and services to help clients and nurses. Both programs shifted services to telehealth through most of the COVID-19 pandemic. Our speakers highlight the critical gap in relief for clients who were pregnant but unemployed before the pandemic and who were not eligible for any of the pandemic-era unemployment expansions. At the same time, they highlight many other families who were able to receive assistance that ultimately helped them save money and take care of their new babies during the pandemic.
October 18, 2021

Sexual Assault Nurse Examiners: Support and Standards Across State Lines

This episode contains content that may be alarming to some listeners including descriptions of sexual assault and traumatic events. Listener discretion is advised Continuing our special series highlighting access to care, this episode features conversations with sexual assault nurse examiners (SANEs) across the country about new national standards under development to improve care for victims. This summer the National Institute for Standards and Technology launched the effort with support from the Department of Justice and the International Association of Forensic Nurses. We will learn from nurses how important this initiative is to advance and sustain care for victims of sexual assault. We start with Vikki Vodosia, a SANE at Children's Hospital Intervention and Prevention Services in Birmingham, Alabama. Vikki explains how rape kits can be different from state to state and what that means for survivor care, evidence collection, and more. Caitlin Yerkes is a Forensic Nurse Examiner in Virginia and a telecine expert consultant at Penn State’s SAFE-T Center. SAFE-T stands for Sexual Assault Forensic Examination - Telehealth. This initiative pairs more experienced SANEs with less experienced providers to team up on exams using telehealth, including across state lines. Caitlin virtually supports Pennsylvania-based providers from her home outside Washington, D.C. Later, we'll hear from SANE Kayce Ward, a Forensic Nurse Program Manager at the Center of Excellence in Forensic Nursing College of Nursing at Texas A&M University and of the Texas Teleforensic Remote Assistance Center (Tex-TRAC). Kayce shares how rape kits have been standardized across Texas in recent years and how this has improved care for survivors This episode builds from a previous episode where we highlighted Penn-State’s SAFE-T Center’s innovative program to close a gap in services offering telehealth support medical practices in rural and underserved areas. We encourage you to learn more about their work on our feature here: https://www.paactioncoalition.org/about/podcast/item/524-episode-1.html
October 4, 2021

At the Core of Care

At the Core of Care highlights the consumer experience of patients, families, and communities and the creative efforts of nurses and other partners to better meet their health and healthcare needs through diversity, leadership, and practice innovation.
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Host

Sarah Hexem Hubbard

Sarah Hexem Hubbard

Sarah Hexem Hubbard, Esq. is the Executive Director of the National Nurse-Led Care Consortium and the Pennsylvania Action Coalition. She regularly speaks on topics related to the role of nursing in building a Culture of Health. She has published in the areas of public health law research, nurse practitioner scope of practice, and medical-legal partnership. Sarah teaches health policy at the University of Pennsylvania, School of Nursing, and she graduated magna cum laude from Temple Law.

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Creating Healthcare IT with Cliff Illig, Co-founder of Cerner Corporation This episode is hosted by Day Zero Advisory Council Member Donald Trigg, Former President, Cerner Corporation.