The population groupsconsist of racial and ethnic minorities, uninsured children, women, those living in rural areas, the homeless, the mentally ill, the
chronically and disabled, and those with human immunodeficiencyvirus (HIV)/acquired immune deficiency syndrome (AIDS) (DeNisco & Barker, 2013, p. 504). Individualswith
multiple health problems,vulnerability because of poor health, individuals with alcohol abuse,substanceabuse, domestic violence, and emotional problems.These
population groups face greater challenges and barriers in accessing healthcare than the general population because of lack of finances, uninsured individuals, racial
or cultural acceptance, and chronic or multiple illnesses.
Measures to Improve Care by Advanced Practice Nurse
Advanced practice nurse (APN) shouldutilize health promotion, disease prevention, and health screeningserviceswhich are delivered in public and private
healthclinics andhospitals. APN should utilize monitoring and referral programs to individuals with alcohol abuse, domestic violence,and substance abuse to outreach
programs. Individualswith emotionalillness to mental health center. Homeless individuals to homeless shelters andassistance-financial and foodservices.
Importance of Care Coordination
Having access tohealthcare allows individuals to receivehealthcare servicetoimprovequality of life. Care coordination programs are designto decreasebarrier for
high-need patients (Parker, 2017).One such program is the Samscare coordination program, which connects local hospitals with charity clinics to expand the clinics’
capacity by stabilizing staffing, enhancing communication through the shared use of the electronic medical records (EMR) system and providing intensive case management
through the use of licensed medical social workers (Parker, 2017). Purpose of carecoordination programis to reduce hospital visits and to expanduseofcommunity
resources. This is based on the report ofParker (2017), utilizationofSamscare coordination, patient emergency department (ED) visits are reduced annually by over 1,800
visits each year.
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