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Strategies to Increase Primary Care Access, Use and Coordination, an Audio Conference on CD-ROM
Strategies to Increase Primary Care Access, Use and Coordination, an Audio Conference on CD-ROM
Strategies to Increase Primary Care Access, Use and Coordination, an Audio Conference on CD-ROM
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Strategies to Increase Primary Care Access, Use and Coordination, an audio conference on CD-ROM, examines innovative strategies that increase primary care access, including a case study on implementing the Chronic Care Model in a provider setting to increase primary care efficiency and effectiveness.

Ensuring adequate access to primary care plays a pivotal role in reducing unnecessary emergency room visits, but with primary care shortages and the growing number of uninsured, healthcare organizations are challenged to ensure patient and member accessibility to primary care.

During this 90-minute audio conference on CD-ROM, industry experts Margaret Brennan, administrator for the Primary Care Access Network with Orange County Government, Maureen Kersmarki, board chair of the Primary Care Access Network for Florida Hospital and Dr. Christopher Wise, administrative director of the Medical Management Center at the University of Michigan Health System described how their respective organizations have created sustainable partnerships for increasing access to primary care.

Listen to some pre-conference comments from our audio conference presenters.

You will get details on:

  • How to develop community partnerships that yield increased access to primary care;
  • How the Primary Care Access Network in Orange County, Florida has grown from 5,000 uninsured patients to 80,000 — and from two clinics to 11 — with the same annual budget;
  • Creative, no- or low-cost ways to improve primary care efficiencies and enhance patient satisfaction;
  • Using primary care to enhance care coordination to deliver evidence-based care and improve care for patients with chronic disease; and
  • How "Lean Thinking" can be used to improve the efficiency and effectiveness of primary care programs.


Health navigators -- social workers and nurses who know the intricacies of the health system -- support doctors and nurses by helping the chronically ill find their way through the health system, explains Dr. Christopher Wise, administrative director of the Medical Management Center at the U-M Health System.

Click on the bar below to hear Dr. Wise's comments.



CEOs, medical directors, disease management directors, managers and coordinators, health plan executives, care management nurses, business development and strategic planning directors.

Available in three formats

  • CD-ROM for computer play
  • CD-ROM for stereo play
  • On Demand version accessible online

Please note the stereo version ships as two CD-ROMs, whereas the .mp3 version ships as one CD-ROM.


Margaret Brennan

Margaret Brennan is the manager of the Orange County Medical Clinic located in Orlando. Targeting healthcare services to an estimated 200,000 uninsured residents, she is responsible for the administration of Orange County Government’s secondary/specialty care medical services, which are provided in outpatient and inpatient settings.

Brennan’s responsibilities include fiscal oversight of a $29 million budget, which includes contracts oversight for outsourced primary and dental care services. She also serves as the program administrator to the Primary Care Access Network (PCAN), a collaborative effort between Orange County Government and 18 public/private safety-net provider agencies.

Brennan is a registered nurse with extensive experience in managed care, public health, physicians practice management, and acute care operations. Prior to joining Orange County Government, she was a health center administrator for a large medical group/managed care organization serving 120,000 members.

Brennan received an Associate Degree in Nursing, a Bachelor of Science in Management and a Master of Science in Strategic Leadership. She currently teaches graduate and undergraduate courses in Health Care Leadership. Brennan is a member of the Medical Group Management Association and the Association for Community Health Improvement. She currently serves as a board member on: Special Care Inc., University of Central Florida School of Nursing Advisory Board and the West Orange Health Alliance.

Maureen Stapleton Kersmarki

Maureen Stapleton Kersmarki is regional director of government and public affairs for Florida Hospital, a 1,850-bed hospital system on seven campuses in Orlando. She is also the newly elected chairperson of the Primary Care Access Network (PCAN) of Orange County.

With over 18 years at Florida Hospital, Kersmarki oversees government and public policy efforts; secured sustainable funding for the hospital’s After Hours Clinic for uninsured people; and has been involved in the development and government of three Healthy Community Access Programs (HCAP) grants.

Kersmarki built the hospital’s expanded community benefit and community relations programs; initiated and sustained an After Hours medical clinic for people without insurance; implemented the Community Health Improvement Council, which grants $1 million per year for innovative, outcomes-based health improvement projects; and founded the Central Florida Partnership on Health Disparities, a regional effort to create “100% Access, Zero Disparities” in health.

Kersmarki has extensive experience in hospital public relations and issues management, and was involved in three hospital acquisitions and the opening of Florida Hospital Celebration Health, a partnership with the Disney Development Company.

Kersmarki received a Bachelor of Arts in Journalism and English from Marquette University in Milwaukee, and is a 2001 graduate of the Creating Healthier Communities Fellowship sponsored by the Health Forum and the American Hospital Association.

Dr. Christopher Wise

Dr. Christopher Wise is the administrative director of the University of Michigan Health System (UMHS) Medical Management Center, an arm of the University of Michigan Faculty Group Practice that is responsible for advancing population-based, evidence-based clinical care models, along with development of financial models to sustain these programs

Dr. Wise co-authored UMHS’ successful proposals to the Centers for Medicare and Medicaid Services’ for its “Physician Group Practice Demonstration Project,” and Blue Cross/Blue Shield’s “Physician Group Incentive Program.” He is a member of the JCAHO disease–specific care advisory panel, and a member of the Greater Detroit Area Health Council’s ‘Expert Payment Panel’ for their project entitled, “Saves Lives, Saves Dollars.”

Dr. Wise holds a doctorate of philosophy in health services organization and policy and a master’s in hospital administration from the University of Michigan.

Publication Date: May 16, 2007
Number of Pages: 90 Minutes of Audio
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