Project Title: Innovative Nurse-Led Mobile Clinic (IN-LMC) Program: Nurse Education, Practice, Quality and Retention-Mobile Health Training Program Applicant Org.: University of California, Davis School of Nursing Address: 2450 48th Street, Suite 2120, Sacramento, CA 95817 https://health.ucdavis.edu/nursing/ Project Director: Deb Bakerjian, PhD APRN, FAAN, FAANP, FGSA Contact Phone/email: (916) 734-7124 - dbakerjian@ucdavis.edu Funds requested: $4 million Funding Priorities: Priority 1; Funding Preference Qualification 2 & 3 The purpose of the Integrative Nurse Led Mobile Clinic (IN-LMC) project is to plan, implement, and evaluate a nurse-led mobile clinic and faculty practice that provides high quality, evidence-based health care to urban underserved and rural communities, while delivering exceptional clinical learning experiences to registered nurse and advanced practice nursing students. IN-LMC will focus on four HRSA priorities including: Equity in HHS Service Delivery (racial, LGBTQ); Refugee/Immigration/ unaccompanied children; Mental Health and substance abuse; and unhoused persons. We will take a multi-pronged, phased approach during which we expand the mobile practice plan based on our current clinician educator model and then implement the practice in select mobile sites in rural and urban underserved communities. The project will unfold in 3 phases: 1) practice planning & pilot testing 2) implementing and evaluating the project in 4 sites (phased in over 9-12 months), and 3) expanding as opportunities arise with focus on ongoing quality improvement and sustainability. In Phase 1 (1-12 mos), we will develop plans and implement and evaluate at least 2 pilot mobile nurse-led health clinics designed to focus on five priorities that align with HRSA in the greater Sacramento regions based on the 2019 Community Health Needs Assessment priorities: 1) access to quality primary care for underserved, 2) access to mental/ behavioral
/substance-abuse services, 3) system navigation, 4) injury and disease prevention and management, and 5) cultural competency. We will focus on underserved populations (e.g. the unhoused, refugees, and low socioeconomic) and locate these clinics in under-resourced neighborhoods. Each regularly scheduled mobile or telehealth clinic will include a team of RN and APRN faculty and students. Evaluations will focus on numbers of patient served, patient satisfaction, and select health outcomes as well as student competency-based learning outcomes. During Phase 2 (12-30 mos), we will progressively deploy these mobile teams to key sites and evaluate processes and outcomes. In Phase 3 (30-48 mos), we will expand into surrounding rural counties using telehealth and mobile van capabilities and focus on practice improvement and program sustainability. IN-LMC project objectives include: Objective 1: Plan, implement, and evaluate an integrative primary care/behavioral health nurse-led mobile clinic (IN-LMC) practice and expand the nursing workforce to care for vulnerable populations in rural and underserved communities. Objective 2: Provide didactic and collaborative experiential learning emphasizing SDOH, cultural intelligence and humility, leadership, communication, critical thinking, and decision-making to ensure that nurse faculty and students integrate advanced nursing competencies to improve health outcomes in vulnerable populations. Objective 3: Promote a community-based, psychologically safe learning environment to ensure faculty, staff, students, & partners are knowledgeable and utilize evidence-based best practices to improve health outcomes in vulnerable populations. Objective 4: Continue holistic admissions and recruitment practices aimed at increasing the diversity of the nursing workforce including those from diverse populations, disadvantaged backgrounds, and underrepresented racial and ethnic minorities. Objective 5: Evaluate the success/ sustainability of the
IN-LMC practice through programma