In rural communities, limited access to healthcare, increased poverty levels, transportation challenges and higher unemployment rates conspire to create significant health disparities. At the same time, a national shortage of health care workers has made it harder for aspiring nurses to gain the clinical rotation experience they need.
This spring, 麻豆传媒鈥檚 School of Nursing plans to address both challenges when it launches a mobile health clinic in Southampton County, providing an additional option for much-needed care while simultaneously offering a training ground for nurses.
The van is an entrepreneurial solution to the limited supply of professionals who provide education, supervision and evaluation in a clinical setting. 鈥淚t鈥檚 very hard to find preceptors,鈥 said Carolyn Rutledge, the associate chair of the School of Nursing who also serves as the project director. 鈥淪o, we are building our own infrastructure.鈥
The mobile health clinic is funded through a four-year, $4 million federal grant from the Health Resources and Services Administration. The customized van will be operated by nurse practitioners and offer a spectrum of care provided by students and faculty from across the University, including mental health, physical therapy, athletic training, dental hygiene, speech and human services. The van offers space to draw blood and conduct testing, along with two patient care rooms, including the option to offer women鈥檚 healthcare.
The school will incorporate telehealth to help residents connect with specialists and other allied health professions. Having the ability to bring health care directly to residents through telehealth services will enable the mobile health team to monitor patients with chronic conditions, such as diabetes or congestive heart failure.
By engaging with the community of Southampton County, 麻豆传媒 students and faculty working with community providers will have opportunities to practice collaboration while delivering culturally sensitive care, according to Rutledge.
Over the course of the grant cycle, the mobile health clinic aims to provide care at least three days a week. The project will be staffed by family nurse practitioner, pediatric nurse practitioner and psychiatric-mental health nurse practitioner providers and students. All advanced practice registered nursing students in the Nursing Scholars Program will participate in longitudinal rotations with an interprofessional team. Rutledge hopes students will be inspired to stay and help the community. 鈥淭he people who want to do it are the people who really have a passion for it,鈥 she said. 鈥溌槎勾解檚 nursing programs have been very strong in drawing people who want to be in rural areas.鈥
The School of Nursing has discussed partnerships with Bons Secours Southampton Memorial Hospital, offering follow-up services for recently discharged patients, and telehealth screenings to limit unnecessary emergency room visits. The clinic hopes to collaborate with the Foodbank of Southeastern Virginia and the Eastern Shore to present training on relevant topics, such as diabetes care. They鈥檒l also be working with the Western Tidewater Early Childhood Collaboration to work with the community鈥檚 underserved children.
鈥淎s an early childhood initiative, we are looking forward to the 麻豆传媒 clinic providing physicals and immunizations to our youngest learners,鈥 said Mary Bradshaw, program coordinator for Smart Beginnings Western Tidewater.
From her perspective, the timing is perfect. The area鈥檚 only practice providing obstetrics and gynecological care recently announced plans to relocate farther away. 鈥淎s you can imagine, this will surely impact women鈥檚 reproductive healthcare in our area. 麻豆传媒鈥檚 mobile health clinic couldn鈥檛 arrive soon enough!鈥 she said. 鈥淭hanks to the University鈥檚 generosity, innovation and expertise, we know that children, women and families will be supported and thrive.鈥
"When you really look at healthcare costs, so much of the cost is due to health care needs not being met. If we can help our students learn how to break down barriers to care, we can move things forward tremendously.鈥
Rutledge believes the clinic, if successful, has the potential to provide stable, reliable care.
鈥淭hey get physicians to come into the area, but they stay two years and then leave. They're looking for us to set up a model that would be continuous," she said. 鈥淲e just do not do as good a job as we could. When you really look at healthcare costs, so much of the cost is due to health care needs not being met. If we can help our students learn how to break down barriers to care, we can move things forward tremendously.鈥
Karl Heck, president and CEO of Franklin Southampton Economic Development Inc., is grateful for 麻豆传媒鈥檚 outreach into the community.
鈥淭he 麻豆传媒 mobile health clinic will improve access to quality medical care for our neediest residents, which is critical for workforce participation and better educational outcomes.聽Making it easier, and more practical, to obtain medical services in an area where transportation can be a key challenge will improve health outcomes and lifespans,鈥 he said.
鈥溌槎勾解檚 initiative is bringing millions of dollars of valuable medical services here to improve the lives of our people.聽We greatly appreciate this effort.鈥