Challenged by today's health care environment and the Affordable Care Act (ACA), hospitals are striving to meet the Triple Aim by improving population health, enhancing patient experience and increasing affordability. Access to care is fundamental to each of these domains. Consumer-driven urgent care facilities, such as CVS Minute Clinic, are flourishing based on the premise of convenience and improved access. Telehealth, a technology based tool, also supports convenient, timely access to medical providers. In 2015, the Cleveland Clinic launched Express Care Online using physicians and APN's to provide interstate acute care telemedicine. The use of APN's to provide interstate on demand urgent care is one of the first in the country.
Jeffrey Arnovitz is a graduate of Kent State University, earning his BSN in 1983 and MSN in 1995. He is certified as an Adult Nurse Practitioner from the American Nurses Credentialing Center. He has 21 years’ experience as an Advanced Practice Nurse in solid organ transplant, Internal Medicine/Primary Care and Urgent Care, and has practiced the last 16 years at the Cleveland Clinic in Cleveland, Ohio.
In 2015 he joined the Telemedicine Service of the Cleveland Clinic and is now a Provider for Express Care Online. He presently manages and treats patients through the Clinic’s video on demand platform. He lives in Cleveland, Ohio and can be contacted at Arnovij@ccf.org.
Pediatric Nurse Practitioner
Kari Gali, DNP, APRN received her Doctorate of Nursing Practice (2014) and Master of Science in Nursing (1997) from Case Western Reserve University and her Bachelor of Science from Ursuline College (1984). Dr. Gali completed a 2 year national quality improvement fellowship at the VA where she led a multi-site quality improvement program to minimize non-urgent ED visits. She also developed a resident quality improvement coaching toolkit which continues to be used in interprofessional resident training. Her current position is in Clinical Transformation at the Cleveland Clinic where she is practicing telemedicine, collaborating with the pediatric institute, piloting a school-based health initiative and leading quality improvement efforts. Dr. Gali is also an instructor at University of Illinois- Chicago in their Patient Safety Leadership program teaching their communication course. She is a PCORI ambassador and is a reviewer for PCORI and HRSA and is a quality improvement consultant for the American Academy of Pediatrics. Her interests are on patient-provider communication and interprofessional team communication with a focus on shared decision making, patient education and behavioral change.
Monday, April 24
11:30 AM – 11:49 AM
Certified Nurse Practitioner
Cheryl Cairns DNP CPNP RN is a Pediatric Nurse Practitioner who has been practicing pediatric primary care for the past 17 years. She received her Doctorate of Nursing Practice (2015) from The Ohio State University and her Master of Science of Nursing and Bachelor of Science of Nursing (1999) from the University of Akron ,beginning her nursing journey with an Associate in Nursing (1987) from Lakeland Community College. She has a Duke Johnson and Johnson Nurse Practitioner Fellowship (2014-2015) with a focus on mental health in adolescence. Along with her primary care practice at the Cleveland Clinic Children’s Hospital, she is the Advance Practice Nurse Coordinator managing the APN group in primary care pediatrics, Quality Officer for Community Pediatrics, and telehealth for the Pediatric Institute. She is a leader in the School Based Health Care program. Her interests include mental health in adolescence, safety and evidence based practice: incorporating these into developing models of care, including coordination of care involving telehealth with schools and mental health care.