Goal:
Provide appropriate, timely and affordable high quality skilled nursing services, health care information, referrals to mental and dental providers, and social service system navigation assistance to clients.
Target Population:
Safety net patients in Polk County who are uninsured, publicly insured and underinsured
Activities:
- Provide acute and chronic preventive and primary nursing services
- Refer patients to appropriate mental and dental health safety net providers
- Educate patients on the social services available to them
- Help patients navigate the social services system and assist with applications
- Collaborate with community partners to identify safety net patients
Specific nursing services include:
- Vital sign checks
- Physical and mental assessments
- Medication set up weekly/monthly
- Wound care, blood draws or ostomy care
Expected Results:
Reduction in hospitalizations and increased patient ability to make better lifestyle choices that maximize their health and well-being.