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A
My
name
is
Joel
Strauss
I'm,
the
health
officer
with
the
Fayette
County
Health
Department
I
want
to
thank
you
for
coming
through
our
open
house
today
for
the
big
community
health
clinic
I'm,
so
used
to
calling
it
the
university
clinic,
but
we
have
a
new
look.
We
have
a
whole
series
of
accomplishments
that
we're
gonna
show
you
today
and
we're
going
to
show
you
some
part
of
the
facility
one
of
the
things
here.
This
is
a
brand
new
room.
This
is
the
inauguration
meeting
for
this
new
conference
room.
A
A
The
university
other
community
players
involved
as
well
and
I
think
we're
really
making
a
difference
and
we're
seeing
folks
that
have
not
been
able
to
access
care
before
so
I
want
to.
Thank
you
all
proud
that
you're
here
we're
proud
to
show
you
the
facility
so
far,
pardon
our
dust,
we're
still
under
construction,
but
I
hope
that
you'll
learn
a
lot
and
see
a
lot
of
good
things.
Today,
like
I
said,
I
want
to
go
on
I'm,
going
to
introduce
you
to
dr.
capla
Chapman
who's.
B
So
I
really
wanted
to
illustrate
some
examples
of
what
we've
been
able
to
accomplish
with
this
partnership
and
again,
this
is
a
partnership
between
Saginaw
Valley,
State,
University,
Bay,
Area,
AK
behavioral
health
authority
and
make
county
health
department
and
I
really
wanted
to
focus
on
three
areas.
One
was
improving
access
to
health
care.
The
second
is
improving
quality
and
safety
of
healthcare,
and
the
last
is
lowering
health
cost,
so
I
just
want
to
provide
one
or
two
examples
of
each
of
those.
B
So
since
opening
in
2015,
we
have
served
over
1,000
patients
and
currently
just
over
300
recognized
us
as
their
medical
home.
We've
had
considerable
growth
this
year
in
2017
and
currently
we're
seeing
between
10
and
20
new
patients
every
week
and
a
lot
of
that
has
been
driven.
These
are
folks,
as
Joel
indicated,
who
really
didn't
have
health
care
before,
and
so
that's,
where
most
of
our
most
of
our
growth
is,
is
driving
from.
B
We
do
use
telehealth
to
expand
our
reach
up
into
us,
go
to
County
so
we're
further
enabling
access
in
some
of
these
rural
areas.
Also
through
this
integration
and
partnership
with
Bay
Aaron
act,
we
have
faster
and
quicker
more
expedient
connections
with
behavioral
health
services
for
those
who
need
help
with
depression
and
some
other
mental
health
illnesses.
B
In
terms
of
improving
quality
and
safety,
we
did
implement
Universal
screening
for
depression,
and
that
has
helped
us
to
identify
a
number
of
people
who
really
go
unrecognized
with
with
mild
to
moderate
depression
and,
in
most
cases,
we're
able
to
see
those
patients
and
start
to
manage
their
depression.
That
very
same
day.
We
also
have
in
clinical
outcomes
in
regard
to
a
couple
of
other
chronic
health
conditions.
B
Significantly
we
watch
and
track
hypertension
and
diabetes,
and
many
of
our
patients
come
to
us
with
diabetes,
that's
very,
very
poorly
controlled,
and
over
the
last
year
we've
been
watching
and
trending,
some
of
our
clinical
markers
for
diabetes
and
out
of
our
50
or
60
patients
who
have
diabetes.
There
was
only
one
who
is
considered
to
be
poorly
controlled,
so
we've
really
made
some
remarkable
steps
with
how
we
manage
and
treat
diabetes
and
hypertension
and
then,
finally,
the
issue
of
lowering
costs.
B
We
know
much
of
cost
is
driven
by
inappropriate
usage
of
the
emergency
room
and
that's
one
area
where
we've
had
tremendous
success.
In
the
past
year
we
have
reduced
inappropriate
emergency
room
visits
by
46
percent.
We've
also
reduced
readmissions
for
some
of
these
chronic
health
conditions
that
I
talked
about.
So
that's
the
very
real
impact
that
we've
had
here
at
the
clinic
since
we
opened
in
2015
okay
before
I.
B
Give
the
sand
over
to
president
Bachand
I
do
want
to
make
some
remarks
to
thank
some
people,
our
partners,
certainly
Bay
County
Health,
Department,
Bay,
Area
net
behavioral
health,
Saginaw,
Valley,
State,
University,
and
also
Blake
Johnson
and
the
faculty
and
staff
at
Cardinal
solutions
who
really
helped
us
with
this
revamp
branding
effort
and
then
finally,
dr.
Sheri,
Kaufman
and
Patricia
Charbonneau
IV,
who
really
helped
to
set
up
at
this
is
events
day.
I.
C
C
We
focus
on
community
engagement,
SVSU.
We
believe
in
that
we've
been
recognized
by
the
County
Carnegie
group
is
one
of
those
universities
in
the
United
States
and
a
group
of
about
10%.
That
primary
focus
is
community
engagement.
This
is
a
classic
example.
What
community
engagement
is
all
about?
You
take
your
students,
you
take
your
faculty,
you
take
your
professors
and
you
develop
a
relationship
with
another
agency
that
intends
to
do
good
things.
So
let
me
tell
you
something
about
these
partnerships.
C
I've
been
in
a
lot
of
them.
I've
been
doing
this
a
long
time,
and
several
of
them
have
turned
into
be
huge
nightmares
here
and
a
partnership,
because
you
call
them
a
partnership
and
partnership
because
they
are
partnerships
and
relationships,
and
protocols
and
and
territorial
boundaries
are
very
difficult
to
navigate.
C
But
what
drives
good
partnerships
is
a
commitment
that
takes
a
fall
off
by
both
parties
long-term
base,
and
so
what
we're
involved
in
here
is
trying
to
help
people
and
the
evidence
that
the
Kathleen
presented
to
me
in
terms
of
patients
served
emergency
room
visits
that
have
been
negated.
Mental
health
issues
from
people
who
don't
have
access
to
healthcare
that
have
been
dealt
with.
These
are
tremendous
accomplishments
and
for
us
it's
a
win-win.
C
I
see
my
occupational
therapy
faculty
here,
nursing
faculty,
art
faculty,
helping
design,
logos
and
branding
I
mean
this
is
tremendous
opportunities
for
our
students
to
do
exactly
what
we
believe
in
learn
and
serve
and
produce
significant
outcomes.
So
I'm
really
proud
of
this
relationship.
I
like
to
just
say,
thanks
to
my
good
friend,
Jim
Barcia
and
his
leadership
in
government
and
Joel,
you
couldn't
ask
for
a
better
partner
than
Joel.
C
You
want
to
put
a
complex
problem
together
and
build
relationships,
Joe's
the
kind
of
guy
to
do
that
and
he's
done
it
and,
of
course,
Kathleen
and
and
her
who's.
Next
Judy
Rowland.
It's
it's
it's
again.
It's
a
great
opportunity
to
pleasure
for
me
to
be
here
and
I
went
on
the
early
tour
and
you
know
what
these
people
out.
You
really
know
what
they're
talking
about,
because
they
took
one
look
at
me
and
they
assumed
I
was
the
next
client
Anette
happy
baby.
Thank
you.
Well,.
D
D
Maybe
I
might
have
my
numbers
on
we're
going
on
four,
but
from
the
planning
stages,
I
think
it
might
be
five
years
to
write
the
first
grant
and
to
go
through
all
the
planning
and
figure
out
how
things
could
fit
here,
figure
out
how
we
could
eventually
get
paid
for
services.
Here
it's
been
a
remarkable
journey
and
I.
D
Thank
you
and
I
think
all
the
people
who
are
in
the
audience,
and
especially
those
of
you
who
work
here
every
week,
to
provide
the
care
here
and
to
figure
out
all
the
difficult
journey
things
that
you've
figured
out
in
order
to
finally
get
services
paid
for
to
find
ways
to
increase
patient
care
here,
MASINT
load
here,
so
that
this
clinic
can
be
sustained
when
we
no
longer
have
the
grants
to
fund
it.
It's
been
a
remarkable
process
and
you
are
remarkable
heroes
in
that
process.
D
Over
the
past
three
years,
sixty
or
more
students
in
the
FNP
track
have
gone
through
a
clinical
immersion
here,
not
just
F
in
peace
but
Masters
in
Social,
Work
and
master's
in
occupational
therapy,
students
and
pharmacy
students
from
three
universities.
Four
universities
have
worked
together
to
provide
the
interprofessional
care.
That's
here,
nursing,
Social,
Work,
occupational
therapy,
pharmacy
and
health
science
have
all
worked
together.
I
always
leave
out
that
masters
of
Health
Administration,
but
they're
here,
SVSU,
Farris,
Wayne,
State
and
Michigan
State
have
all
provided
services
in
the
clinic.
D
Significant
improvements
in
knowledge,
skills
and
attitudes
of
the
healthcare
professional
students
have
come
here
have
been
transformed
and
they
tell
us
that
when
they
graduate,
students
have
gone
on
to
those
that
have
graduate
graduated
have
gone
on
to
impact
healthcare
across
Michigan.
They
leave
our
program
as
emissaries
to
say
this
can
be
done.
We
did
it
as
students
and
it
can
happen
in
practice.
D
They
focus
on
integration
of
both
telehealth
and
interprofessional.
Education
is
resulting
in
national
and
international
presentations.
I
could
name,
I,
can't
name
them
all,
but
we've
been
to
as
far
as
England
Ireland
is
that
right,
Ireland
this
summer,
Dublin
Banff
Canada
and
then
many
many
national
presentations
related
to
the
work
that
we
do
in
interprofessional.
Education
and
people
regard
us
as
the
experts
in
Michigan.
They
comment
on
the
camaraderie
that
our
faculty
have
not
just
at
this
clinic,
but
in
our
College
and
the
clinic.
D
The
work
that
went
into
developing
the
competencies
for
the
clinic
have
been
shared
with
all
of
the
faculty
across
the
disciplines
in
our
College.
So
masters
and
doctoral
students
have
conducted
research
and
implemented
quality
improvement
projects
to
improve
the
quality
and
safety
of
patient
care
based
on
their
work
here
at
the
clinic
and
other
clinical
settings
that
they've
carried
this
knowledge
to.
So
you
all
have
set
a
wonderful
example
and
I
can't
wait
to
go
inside
and
see
the
newest
advancement.
D
A
E
E
They
did
such
an
outstanding
job
and
then
hitting
the
highlights
of
what
this
partnership
in
this
collaboration
has
meant
not
only
to
SVSU,
which
allows
the
opportunity
for
students
to
get
out
on-site
and
and
actually
interact
with
the
patients
here
in
Bay
County,
the
the
clients
that
need
their
assistance
and
their
guidance
in
terms
of
giving
their
health
that
contract.
But
it's
an
absolute
boon
for
Bay
County
to
have
access
to
highly
educated
and
well-trained
staff.
E
Well,
they
may
not
have
achieved
their
degrees,
yet
the
collaboration
with
the
excellent
students
and
staff
at
Saginaw,
Valley
State,
is
a
tremendous
accomplishment
for
Bay
County
and
all
I
want
to
thank
you
for
your
leadership.
I
was
blessed
to
be
able
to
inherit
a
program
like
this
when
I
was
sworn
in
in
January,
and
you
have
my
strong
commitment
that
we
will
work
to
continue
to
expand
the
services
to
Bay
County
and
you
will
have
all
the
support
that
I
can
give.
E
If
some
of
you
have
a
chance
to
get
out
into
the
rest
of
the
department
after
this
short
program,
that
you'll
see
we're
under
construction,
but
it
was
something
that
was
needed
for
a
long
time
and
I
think
will
will
serve
the
residents
and
the
staff,
especially
well
for
years
to
come.
Jesse
I
want
to
thank
you,
I
think
I
know
how
we
retain
Kathy,
a
PhD
and
a
nurse
practitioner.
My
god
need
to
write
your
own
ticket
be
anywhere
in
North
America.
C
E
Want
to
also
want
to
say
how
honored
I
am
to
be
in
the
presence
of
someone
that
I've
worked
with
and
admired
for
much
of
my
adult
life,
especially
that
portion
when
I
was
involved
in
public
service,
which
has
been
a
few
decades
now.
But
that
is
our
great
president.
Don
Bachand,
the
leader
of
Saginaw
Valley,
State
University,
that
was
close
to
era,
Gilbertson
and
Don,
who
were
a
team,
and
we
couldn't
have
had
a
better
successor
to
era
Gilbertson.
E
Who
was
the
longest-serving
president
of
any
state
university,
however,
and
he
left
big
shoes
to
fill,
however
Don
Bachand
has
stepped
in,
and
the
leadership
that
he's
provided
has
been
amazing,
but
it
isn't
new
because
he
was
doing
it
all
along
Eric
and
he
were
a
very
tight
team
leading
along
with
Deb
Huntley,
the
Provost
and
so
many
other
great
staff
members
and
board
members
done
over
the
years
that
have
you
know.
I
may
be
a
bit
prejudiced
because
I'm
alum
of
Saginaw
Valley,
State
University,
but
I,
think
we
have
a
world-class
University.
There.
E
I
was
vice
chair
of
higher
ed
appropriations
and
I
had
the
chance
to
visit.
All
of
the
campuses
and
in
Michigan
the
four-year
institutions,
with
the
exception
of
Ferris
and
Western,
but
I,
am
most
proud
of
my
alma
mater
I,
think
the
infrastructure,
the
quality
of
the
staff
and
the
tremendous
faculty
that
we
have
teaching
students
we're
not
just
a
regional
treasure,
an
asset.
We
are
statewide
asset
to
Michigan
and
Don.
Thank
you
for
your
vision
for
Saginaw
Valley
State
and
for
continuing
the
great
legacy
of
Sam.
E
Marble,
Jack,
Ryder,
Eric,
Gilbertson
and
I
know
you'll,
take
Saginaw
Valley
to
two
new
and
greater
heights
during
your
10
years
and
years
ago.
So
I
want
to
say
a
thank
you
for
being
included
in
the
program.
Most
of
what
I
was
going
to
mention
has
already
been
touched
on,
but
there
are
just
a
couple
of
things
that
that
I
would
like
to
add.
Think
bay
county
is
recognized
as
the
only
health
department
that
is
so
integrally
involved
in
primary
care
and
I.
E
Yes
and
I,
think
I,
think
Cathy
or
Judy
mentioned
diabetes
and
very
preventable
many
other
chronic
diseases
are
preventable
if
people
are
educated
and
have
the
desire
to
supreme
statement
and
remain
healthy
into
their
latter
part
of
their
life.
So
we
can
control
health
care
costs
by
your
efforts
in
primary
care
and
through
our
health
departments,
in
our
universities,
in
our
public
schools,
about
educating
people
about.
If
you
want
to
live
a
full
and
enjoyable
and
healthy
life,
you
have
to
adjust
your
lifestyle
to
avoid
certain
things.
E
Substance,
abuse
and
obesity-
and
you
know
on
and
on
so
I
just
mentioned-
that
the
recent
County
Health
Rankings,
compiled
by
the
Robert
Wood
Johnson
Foundation,
have
indicated
that
the
ratio
of
primary
care
providers
to
the
general
public
in
Bay
County
is
only
one
for
nineteen
hundred.
So
that
rate
is
far
higher
than
our
neighboring
counties
in
Midland
or
Saginaw
County,
and
we
certainly
have
seen
tremendous
beneficial
outcomes
that
have
already
been
touched
upon.
Whether
our
local
hospitals
realize
that
or
not.
E
E
So
what
I
want
to
do
on?
A
final
note
is
just
thank
the
leadership
at
Saginaw
Valley,
State
University.
They
are
in
a
community
health
which
has
already
been
mentioned,
which
will
help
us
address
some
of
the
minor
and
more
moderate
mental
health
issues
that
that
do
cause
a
lot
of
societal
issues
and
fam
family
relationships
that
are
impacted
and
that's
a
wonderful
service,
very
expensive
and
unaffordable
and
unattainable
for
many
residents
throughout
Michigan
in
the
country
for
so
many
years.
E
So
my
reflections
there,
where
luckily
I,
have
no
plans
on
going
anywhere,
I
love,
Bay
County
was
born
here.
I'll
die
here,
as
all
of
you,
I,
think
and
I've
already
told
y'all.
We
got
to
try
to
sign
into
about
a
35
or
40
year
contract
because
we
never
want
to
lose
that
gap.
So
thank
you
very
much
so.
F
I,
thank
you
all
again
for
coming
we're.
So
excited
we've
put
a
little
bit
of
work
into
this
and
we're
so
thrilled
to
have
so
many
providers
here
today
too.
So
I
just
wanted
to
give
you
a
couple
notes
on
what
we
have
planned
for
you.
We've
got
a
couple
of
goodies
along
the
back
for
you
as
soon
as
we
finish
here,
Tricia
we're
going
to
be
running
a.
F
Slideshow,
thank
you
and
that
will
run
every
few
minutes,
and
so
what
we'd
like
to
do
is
actually
take
you
on
a
tour
and
show
you
some
of
the
technology
that
we
currently
have
in
use
and
some
of
the
ways
that
we
interact
with
our
patients.
So
we
have
a
bunch
of
tour
guides
and
white
coats
and
I've
got
staff
here
and
we'll
probably
go
into
small
groups.
So
we
can
have
time
to
do
that.
F
Then
we'll
wine
back
through
here
in
the
first
patient
room,
we
will
be
demonstrating
a
telehealth
demonstration
with
some
equipment
that
we
use
in
our
second
patient.
We
will
have
our
Social
Work
students
be
demonstrating
what
we
call
it
Universal
screening
that
we
do
for
all
of
our
patients,
that
screen
for
depression
and
mental
illness
and
things
like
that.
F
Our
nurse
practitioner
students
are
in
the
telehealth
room
and
then
you
can
see
the
patient
and
then
you
can
come
around
to
where
we
all
work
is
in
the
nurse
practitioner
room
and
see
it
on
the
other
side
of
the
computer.
So
you'll
see
it
from
the
patient
side
and
then
you'll
see
it
from
the
nurse
practitioner
who
could
be
anywhere
as
Kathleen
said,
ice-coated
or
wherever.
So
we
have
some
things
we'd
like
to
show
you
there,
we've
got
occupational
therapy
doing
some
paraffin
hand
baths
and
we're
just
excited
to
share
what
we
do.
F
Occupational
therapy
Social
Work
is
all
set
up
to
talk
to
about
their
role,
which
is
really
really
important
here
and
with
the
expansion
we
brought
on
social
work
into
our
group.
Then,
as
you
come
back
here,
I'm
hoping
everybody
fills
up
some
more
because
I
don't
want
to
pack
all
the
food
up,
Kerry
and
we'll
be
demonstrating
our
brand
new
patient
portal,
and
so
the
screen
set
up
back
here,
you'll
see
how
other
facilities
that
you
may
be
familiar
with.
Have
a
patient
portal.
F
Some
of
the
larger
hospitals
and
people
have
that
so
we'd
like
to
show
you
sort
of
our
grand
opening
with
that
their
their
example.
Patients,
we're
not
showing
anyone's
information,
so
just
be
being
clear
on
that,
but
we're
very
excited
to
have
you,
so
our
tour
guides
will
probably
kind
of
line
up
towards
the
back
and
then
we'll
be
bringing
you
back
to
this
room.
F
Blake
and
his
crew
last
year
helped
us
rebrand,
because
originally
we
were
called
the
university
clinic
and
people
thought
it
was
a
clinic
for
students
and
they
actually
did
their
course
actually
went
out
and
they
did
some
man
on
the
street
interviews
at
Walmart
and
Myer
and
people
thought
it
was
first.
So
we
said,
oh
okay,
so
they
came
up
with
some
proposals
for
us
and
as
a
staff.
We
voted
on
it
and
this
is
the
logo
that
we
chose
and
they
came
up
with
some
brochures
that
describe
all
of
our
services
and.
F
H
G
G
G
G
F
Then
we
also
screen
we
do
a
very
brief
screen
for
substance,
abuse
and
bright
you
and
your
tool
there.
So
we
do
the
initial
and
then
we
can
refer
them
right
into
treatment.
Like
Kathleen
said
with
our
social
workers
on
site
many
times,
we
can
refer
them
the
same
day
and
we
can
do
that
expanded
screening
and
even
if
we
can't
get
them
in
to
see
someone
today
within
a
week
or
two
as
usually
as
long
as
it
takes
us
it
really.
Our
numbers
have
really
gone
down
for
time.
F
So,
okay,
we
have
a
lot
of
students
like
we
said
from
the
different
universities,
and
we
recently
had
a
chance
to
do
a
presentation
about
our
interdisciplinary,
clinic
and
and
I.
Think
that
might
be
you
and
their
Dean
you're
like
so,
and
then
our
pharmacist
was
honored
as
a
preceptor
at
that
conference,
the
might
perk
up
for
accelerated
yeah.
So
this
we've
kind
of
just
gotten
all
the
new
signage
new
looks
sort
of
here
in
the
last
couple
months
here
and
Emily
tell
me
what
to
do
so.
What
we're.
H
Working
on
is
trying
to
help
people
manage
some
of
these
chronic
and
sometimes
acute
illnesses
that
they're
also
working
with
other
disciplines
on
ot
wise.
We
really
want
to
get
into
their
lifestyle
and
into
their
homes,
get
on
the
community
with
them
and
see
what
we
can
do
and
help
them
outside
of
exercise
and
modalities,
but
help
them
manage
the
what
they're
working
with,
because,
especially
if
it's
a
chronic
condition.
We
want
to
help
you
add
after
compensator.
If
you
want
to
live
your
life
for
the
best
way,
you
can,
and
sometimes
it's
something
physical.
F
J
J
Great
job,
you
want
to
grab
the
dramatic
scope
and
take
a
look
excellent.
Thank
you.
A
couple,
different
tools
that
we
have.
We
have
the
otoscope,
so
we
can
have
your
exam.
We
have
the
dramatis
copes.
We
can
do
a
close-up
skin
assessment
with
animals
lacerations
any
kind
of
skin
condition.
That's
going
on.
We
also
have
an
iris
scope,
it's
kind
like
an
eye
cup
and
you
can
do
an
external
eye
exam
about
something
that
we
don't
have
hooked
up
today.
J
F
J
J
J
You
know,
take
a
look
at
range
of
motion
and
doing
their
assessments
from
a
distance.
The
setup
we
have
over
in
the
other
room
is
actually
our
mobile
setup,
so
we
could
actually
do
a
home
assessment
sort
or
social
work.
Ot
are
involved.
Where
nursing
is.
You
know,
like
your
faculties,
back
at
the
clinic
having
to
do
a
follow
up
with
you.
G
J
K
F
We
come
back
and
do
our
curbside
consult.
We
start
with
our
puddle
in
the
morning
and
we
usually
that
takes
place
in
this
room
right
where
all
of
the
providers
that
are
on-site,
that
day
talk
about
who's
coming
in
and
what
is
their
plan,
and
sometimes
our
plan
changes
as
we
saw
our
conference
presentation,
what
they're
presenting
change
yep,
and
so
we
have
a
lot
of
people
that
help
us
stay
informed
and
then
we
adapt
we're
very
good
at
that.
F
So,
okay,
Saginaw
Bailey's
new
rural
residency
program,
and
so
since
we
had
this
opportunity,
we
just
wanted
to
share
some
Saginaw
Valley
initiatives.
So
this
will
be
the
new
program.
The
students
just
started
in
this
fall,
and
it
goes
over
the
three
semesters
of
the
NP
course
so,
I'm
not
sure
if
you
all
are
familiar
with
that.
Jean
and
Ellen
the
rural
residents.
L
F
So
we'll
be
using
telehealth
to
help
see
that
we're
doing
more
skills,
labs
and
things
like
that,
so
they're
better
prepared
because
they
have
less
resources
out
in
the
rural
areas,
so
she's
working
on
that
with
Jessica
is
our
clinical
coordinator
for
that
and
then
Tammy
Hill,
because
she
had
connections
at
the
clinic
up
in
now,
it's
going
to
make
me
forget
still
sterling.
Thank
you.
I
know
there
was
an
s,
but
it
wasn't
staying
I
remember
that
was
fabulous.
F
That
was
fabulous,
so
that
is
the
newest
plane
actors
that
actually
had
been
previous
substance
abuse
clients,
and
so
we
presented
our
students
with
an
opportunity
to
do
some
online
training,
and
then
we
brought
them
in
and
they
could
do
a
face
to
face
simulation,
and
so
we
did
that
and
took
they
were
there
for
an
eight-hour
day.
We
did
two
different
days,
so
we
have
classroom
instruction.
F
We
did
some
computer
recognition
and
then
we
did
the
online
and
our
students
by
far
that
that
was
one
of
the
best
simulation
events
that
they
had
and
when
we
look
at
lessons
learned,
we
did
develop
a
little
resource,
laminated
resource
for
students,
because
each
one
of
us,
when
they
say
like
whoa
I,
have
a
glass
of
wine.
Well,
really,
is
your
glass
of
wine
like
this?
Or
is
it
one
of
these?
You
know,
so
we
all
have
to
be
on
the
same
page.
F
So
lessons
learned
we
we
got
a
lot
of
great
feedback
from
the
students
as
far
as
the
outcomes
that
we've
recognized
with
the
clinic
and
the
period
for
this
outcome,
poster
is
actually
just
in
the
last
year.
So
we
talked
about
decreasing
our
emergency
room
visits.
We
talked
about
having
improved
outcomes
for
our
patients
with
those
chronic
diseases
like
the
diabetes
and
the
hypertension.
We
really
use
a
holistic
interdisciplinary
approach
and
we
really
have
the
ability
to
actually
practice
that
so
we're
very
excited
about
that.
F
Our
objectives,
or
in
other
words,
that
you
heard
about
to
come
into
the
community
and
partner
with
several
different
organizations,
and
we
really
feel
like
we've,
been
able
to
do
that,
especially
with
the
addition,
the
latest
edition
of
the
behavioral
health
that
has
been
huge
for
us
as
nurse
practitioners,
nurses,
medical
assistants.
They
really
have
provided
some
great
guidance
for
us
with.
L
Health
administration
students
is
to
expose
them
to
process
improvement
initiatives
in
an
healthcare
setting.
So
we
constantly
have
problems
in
current
situations,
especially
as
the
clinic
was
beginning
to
start
up.
We
had
to
choose
an
electronic
health
fender,
and
so
that
was
a
problem,
but
it
wasn't
a
quick
fix,
so
we
actually
used
another
tool
for
lean
process
improvement,
called
an
8-3
board
and
also
project
management
software
to
map
out
who's
doing
what
by
when
what
things
have
to
be
done?
What
can
be
done
concurrently?
L
What
can
be
done
as
a
predecessor
so
that
we
can
track
the
progress
of
a
job
as
big
as
choosing
electronic
health
record
when
we
get
into
reimbursement
issues
we're
often
trying
to
map
out
the
process?
As
far
as
how
can
we
get
maximum
ranbir
reimbursement,
we're
currently
working
on
giving
us
achieved
as
a
recognized
as
a
patient-centered
medical
home?
That's
going
to
provide
not
only
make
us
very
attractive
to
healthcare
organizations
to
want
us
to
put
us
as
a
primary
care
provider,
but
also
on
the
reimbursement
aspect.
L
Once
we
achieve
that,
there's
like
40
competencies
or
that
have
to
be
assessed
and
attested
to
in
in
that
process,
along
with
25
electives.
So
because
of
that
it
is
a
long
process
it'll
take
about
six
months,
but
we're
actually
using
project
management
software
again
and
lean
performance
improvement
initiatives
to
map
it.
L
What
we
did
here,
as
we
recognize
the
individuals
who
spot
the
issues
and
bring
it
to
our
attention,
so
we
have
an
e
Li
or
everyday
lean
idea,
originator,
and
then
they
might
not
be
the
ones
that
can
help
to
come
up
with
a
proposed
solution
or
a
countermeasure.
We
really
don't
call
them
solutions
because
of
PDCA
we're
never
done,
but
will
I
actually
take
and
look
at
an
owner
to
see
if
they
can
help
us
get
us
into
the
green
rather
process
improvement.
L
Initiatives
that
may
not
have
started
yet
yellow
are
in
the
words
and
green
are
ones
that
have
been
accomplished.
We
celebrate
success
when
people
bring
these
issues
to
our
attention.
So
one
time
we
had
a
big
cookie
and
we
had
a
lien
queen.
So
you
know
really
trying
to
promote
the
ability
to
always
constantly
improve
processes.
So
that's
all
about
Lean
Six
Sigma
initiatives,
and
how
can
we
use
this
realized
laboratory
to
assist
them
with
process
improvement
initiatives?
Dr.
F
She's
functioning
here,
so
all
of
these
people
are
functioning
instructors
here
so
on
Mondays
for
the
clinic
I
see
patients
on
Tuesdays
for
the
clinic
dr.
Lewis
sees
patients,
Wednesday,
dr.
Shakman,
Thursday,
dr.
Lee
and
Friday
Chris
chasme,
and
that's
our
latest
addition,
and
we
just
started
that
in
September
we
expanded
our
our
days
to
Monday
through
Friday.
So
we
see
patients.
As
Kathleen
said,
we
see
10
to
20
new
patients
a
week
which
is
phenomenal
so
to
get
in
for
us
for
new
patient
appointment.
F
Well,
we
usually
have
been
scheduling
at
least
about
10
per
day,
so
10
5
days
a
week,
yeah
that's
cool
yeah!
It's
it's
really
picking
up.
We
still
kind
of
struggle
with
transportation
issues.
We
use
the
bus
system
here,
a
lot
of
our
clients
do,
but
that
is
always
a
concern
transportation.
So
we
just
see
a
significant
number
of
patients
that
are
no-shows.
We
call
them
based
on
whatever
else
they.
This
allows
them
to
come
and
do
all
their
appointments.
In
one
place
we
have
a
lab,
that's
right
down
the
hall.
F
So
the
patient
would
come
into
the
novel,
Health
Department
and
then
we
would
log
in
from
here
or
home
or
the
University,
and
we
would
be
able
to
actually
see
what
the
nurses
are
doing
and
today
we're
fortunate
enough
to
have
two
of
our
very
own
Saginaw
Valley
nurse
practitioner
students.
So
we
wanted
to
just
we
saw
the
other
end
of
it.
So
now
we
just
want
to
have
you
show
them
the
equipment
yeah.
So.
I
I
I
A
M
M
Minute
medications
that
they
are
taking,
they
can
order
custom
refill
from
this
screen
and
they
can
view
all
of
their
medications,
but
for
training
purposes.
We
only
have
the
one
medication
in
there
for
this
page.
They
can
see
where
their
recent
referrals
are.
They
can
request
a
new
referral.
They
can
view
all
the
referrals
if
they
have
multiple.
This
is
this
feature
here.
Is
the
lab
results,
part
of
the
portal?
They
can
see
the
lab
results
and
if
they
click,
they
can
get
the
actual
lab
report
and
the
lab
result
here.
M
So
this
is
something
that
patients
are
also
able
to
print
and
then
back
here
if
we
go
to
the
Left
panel.
Basically
the
links
to
things
from
the
dashboard
are
listed
here.
The
immunizations
history
is
not
yet
loaded
to
the
patient
portal.
My
account
lists
personal
information
that
patients
have
the
ability
to
change,
features,
change
their
information
and
their
emergency
contact
person
additional
information.
They
can
select
the
pharmacy
they
are
using
and
if
they
have
a
different
mailing
address
than
what
is
listed
in
our
system,
they
can
add
additional
contacts.
M
K
M
Patient
does
have
the
option
to
message
the
clinic
with
questions
or
general
information
that
they
are
requesting.
They
have
the
option
to
have
their
medication
refill
the
message
sent
to
the
practitioners,
so
they
would
request
a
refill
here
like
that.
Pharmacy
hasn't
saved
yet
and
they
have
to
answer
a
couple
questions
and
then
it.
I
I
M
That
from
the
screen,
they
can
also
move.
You
like
I,
said
the
current
referrals
and
then
ask
a
doctor
that
patient
can
send
messages
to
the
clinic
that
goes
to
a
general
mailbox
that
is
monitored
appointments.
They
can
view
their
upcoming
appointment,
make
a
new
appointment
request,
who
they
want
to
see
the
reason
for
their
visit
and
appointments
that
they've
had
in
the
past.
M
Obviously,
the
station
has
envy
yet
questionnaires
the
medical
history.
One
is
not
yet
loaded
to
the
portal,
since
we
have
just
been
active
since
October
1st.
With
this,
they
do
have
the
option
to
fill
out
their
surgery,
history,
surgical,
history,
hospitalization
history
and
their
allergies,
and
the
reaction
to
the
medication
or
if
it's
a
food
allergy.
The
health
tracker
section
gives
reminders
like
I
said
this
is
a
fake
patient,
so
no
HIPAA
violation,
but
this
pig
patient
does
require
a
drug
screen
and
a
couple
different
immunizations.