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Volume 3 Journal of Nursing Research and Practice Nursing & Immunology 2019
March 11-12, 2019
Neonatology, Pediatric Nursing and Nursing
Immunology March 11-12, 2019 London, UK
World Congress on
8th World Congress on
&
Nurse practitioners: Providing sustainable care across diverse rural populations in the USA
Michelle Boltz
Critical Access Hospital, USA
Health care providers in rural locations face unique logistical and resource challenges, often times as isolated professionals. Join
Boltz in an interactive sharing of individual rural nursing experiences and exploring common ground and regional ingenuity
in meeting these challenges. Providing sustainable, culturally competent care requires strong integration with existing community
assets and strategies that account for the distinctive circumstances of each community. Dr. Boltz shares her experience as Chief of
Village Services for the NorthWest Arctic Alaska working together with the Alaska State Community Health Aide program providing
full spectrum primary care in remote villages across the state. Rural hospital closures significantly affect both the economic and
physical health of communities. Since 2010, more than 75 rural hospitals have closed with an estimated shortage of 45,000 physician
providers by 2020, a crisis affecting over 90 million rural Americans. In response to this shortage, the hospitalist role is increasingly
being allocated to Nurse practitioners, who have been shown to be a valuable resource by reducing length of stay and improving
hospital profit compared to physician hospitalists without affecting readmissions or mortality. This shift is supported by American
federal health care organizations as demonstrated by The Institute of Medicine’s landmark 2010 report, The Future of Nursing, which
includes recommendations to allow Advanced practice registered nurses (APRNs) to practice to the full extent of their education
and licensure in order to increase access to and quality of care in our struggling health care system. Dr. Boltz shares her expertise in
developing and implementing a successful Nurse Practitioner hospitalist program in a rural Montana critical access hospital.
Biography
Michelle Boltz has spent her Nursing career practicing full spectrum primary family medicine in arctic Alaska with the Inupiaq people and providing secondary
hospitalist services in an isolated critical access hospital in mountainous Montana. On the forefront of rural health services, Boltz has pioneered the use of
telemedicine in direct patient care and the development of sustainable organizational health care delivery systems that meet the unique needs of the diverse
communities they serve.
Michelle Boltz, J Nursing Research and Practice, Volume 3
DOI: 10.4172/2632-251X-C1-002